| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,683.20 |
$2,104 |
1.8× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,810.40 |
$2,263 |
1.9× |
| CT head/brain without contrast (70450) |
$2,772 |
$3,465 |
24.7× |
| MRI brain without contrast (70551) |
$3,896.80 |
$4,871 |
15.2× |
| MRI brain with contrast (70552) |
$3,667.20 |
$4,584 |
9.8× |
| MRI brain without and with contrast (70553) |
$5,269.60 |
$6,587 |
14.1× |
| X-ray lower spine, 4+ views (72110) |
$1,079.20 |
$1,349 |
9.6× |
| MRI lumbar spine without contrast (72148) |
$3,701.60 |
$4,627 |
14.5× |
| CT pelvis with contrast (72193) |
$3,242.40 |
$4,053 |
17.3× |
| MRI lower-extremity joint without contrast (73721) |
$3,732.80 |
$4,666 |
14.6× |
| CT abdomen and pelvis with contrast (74177) |
$6,127.20 |
$7,659 |
16.4× |
| Ultrasound, abdomen complete (76700) |
$1,666.40 |
$2,083 |
14.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$987.20 |
$1,234 |
8.8× |
| Ultrasound, transvaginal (76830) |
$1,211.20 |
$1,514 |
10.8× |
| Mammography, one breast (diagnostic) (77065) |
$544.80 |
$681 |
6.3× |
| Mammography, both breasts (diagnostic) (77066) |
$568 |
$710 |
5.1× |
| Mammography, screening (bilateral) (77067) |
$436 |
$545 |
4.8× |
| Basic metabolic panel (80048) |
$140.80 |
$176 |
16.6× |
| Comprehensive metabolic panel (80053) |
$285.60 |
$357 |
27.0× |
| Lipid panel (80061) |
$1,184 |
$1,480 |
88.4× |
| Renal function panel (80069) |
$241.60 |
$302 |
27.8× |
| Hepatic function panel (80076) |
$276.80 |
$346 |
33.9× |
| Urinalysis, non-automated, without microscopy (81002) |
$53.60 |
$67 |
15.4× |
| PSA, total (84153) |
$363.20 |
$454 |
19.7× |
| Thyroid stimulating hormone (TSH) (84443) |
$208.80 |
$261 |
12.4× |
| CBC with automated differential (85025) |
$153.60 |
$192 |
19.8× |
| CBC, automated (85027) |
$99.20 |
$124 |
15.3× |
| Prothrombin time (PT) (85610) |
$78.40 |
$98 |
18.3× |
| Partial thromboplastin time (PTT) (85730) |
$87.20 |
$109 |
14.5× |
| Psychotherapy, 30 minutes (90832) |
$131.20 |
$164 |
0.7× |
| Psychotherapy, 45 minutes (90834) |
$152.80 |
$191 |
0.8× |
| Psychotherapy, 60 minutes (90837) |
$164.80 |
$206 |
0.9× |
| Family psychotherapy, without patient (50 min) (90846) |
$152.80 |
$191 |
0.8× |
| Family psychotherapy, with patient (50 min) (90847) |
$152.80 |
$191 |
0.8× |
| Group psychotherapy (90853) |
$152.80 |
$191 |
1.4× |
| Left heart catheterization (93452) |
$7,275.20 |
$9,094 |
2.1× |
| Sleep study (attended polysomnography) (95810) |
$6,217.60 |
$7,772 |
6.8× |
Physical therapy, therapeutic exercise (per 15 min) (97110)
range across 6 matching MRF lines |
$1,344.02–$13,644.36 |
$1,680.02–$17,055.45 |
varies |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$700 |
$875 |
4.9× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$835.20 |
$1,044 |
5.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$993.60 |
$1,242 |
7.0× |