| Epidural injection, lumbar/sacral (with imaging) (62322) |
$2,028.55 |
$2,028.55 |
2.7× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$752.75 |
$752.75 |
1.0× |
| CT head/brain without contrast (70450) |
$26,576.92 |
$26,576.92 |
295.0× |
| MRI brain without contrast (70551) |
$3,937 |
$3,937 |
19.1× |
| MRI brain with contrast (70552) |
$3,937 |
$3,937 |
13.1× |
| MRI brain without and with contrast (70553) |
$4,464 |
$4,464 |
14.8× |
| X-ray lower spine, 4+ views (72110) |
$100.40 |
$100.40 |
1.1× |
| MRI lumbar spine without contrast (72148) |
$3,937 |
$3,937 |
19.1× |
| CT pelvis with contrast (72193) |
$3,559 |
$3,559 |
23.5× |
| MRI lower-extremity joint without contrast (73721) |
$2,321.50 |
$2,321.50 |
11.3× |
| CT abdomen and pelvis with contrast (74177) |
$3,123 |
$3,123 |
10.4× |
| Ultrasound, abdomen complete (76700) |
$326.91 |
$326.91 |
3.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$1,028 |
$1,028 |
11.4× |
| Ultrasound, transvaginal (76830) |
$856 |
$856 |
9.5× |
| Mammography, one breast (diagnostic) (77065) |
$253 |
$253 |
2.9× |
| Mammography, both breasts (diagnostic) (77066) |
$337 |
$337 |
3.0× |
| Mammography, screening (bilateral) (77067) |
$292.75 |
$292.75 |
3.2× |
| Basic metabolic panel (80048) |
$280 |
$280 |
33.1× |
| Comprehensive metabolic panel (80053) |
$712.75 |
$712.75 |
67.5× |
| Lipid panel (80061) |
$337.51 |
$337.51 |
25.2× |
| Renal function panel (80069) |
$232.37 |
$232.37 |
26.8× |
| Hepatic function panel (80076) |
$337 |
$337 |
41.2× |
| Urinalysis, non-automated, without microscopy (81002) |
$331.25 |
$331.25 |
95.2× |
| PSA, total (84153) |
$141 |
$141 |
7.7× |
| Thyroid stimulating hormone (TSH) (84443) |
$86 |
$86 |
5.1× |
| CBC with automated differential (85025) |
$201 |
$201 |
25.9× |
| CBC, automated (85027) |
$58.63 |
$58.63 |
9.1× |
| Prothrombin time (PT) (85610) |
$105.56 |
$105.56 |
24.6× |
| Partial thromboplastin time (PTT) (85730) |
$170.67 |
$170.67 |
28.4× |
| Psychotherapy, 30 minutes (90832) |
$133.96 |
$133.96 |
0.9× |
| Psychotherapy, 45 minutes (90834) |
$327 |
$327 |
2.1× |
| Psychotherapy, 60 minutes (90837) |
$436 |
$436 |
2.9× |
| Group psychotherapy (90853) |
$131.06 |
$131.06 |
1.5× |
| Left heart catheterization (93452) |
$4,141.40 |
$4,141.40 |
1.5× |
| Sleep study (attended polysomnography) (95810) |
$3,630 |
$3,630 |
4.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$126 |
$126 |
4.3× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$277.12 |
$277.12 |
2.4× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$354.94 |
$354.94 |
3.1× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$405.64 |
$405.64 |
3.5× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$355 |
$355 |
3.1× |