| Epidural injection, lumbar/sacral (with imaging) (62322) |
$497 |
$2,485 |
0.6× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,017.20 |
$10,086 |
2.4× |
| CT head/brain without contrast (70450) |
$398.20 |
$1,991 |
4.0× |
| MRI brain without contrast (70551) |
$679.80 |
$3,399 |
3.0× |
| MRI brain with contrast (70552) |
$849.60 |
$4,248 |
2.5× |
| MRI brain without and with contrast (70553) |
$1,062 |
$5,310 |
3.2× |
| X-ray lower spine, 4+ views (72110) |
$265.60 |
$1,328 |
2.6× |
| MRI lumbar spine without contrast (72148) |
$637.20 |
$3,186 |
2.8× |
| CT pelvis with contrast (72193) |
$826 |
$4,130 |
4.9× |
| MRI lower-extremity joint without contrast (73721) |
$691.20 |
$3,456 |
3.0× |
| CT abdomen and pelvis with contrast (74177) |
$1,180 |
$5,900 |
3.5× |
| Ultrasound, abdomen complete (76700) |
$512.80 |
$2,564 |
5.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$221.80 |
$1,109 |
2.2× |
| Ultrasound, transvaginal (76830) |
$378.20 |
$1,891 |
3.8× |
| Mammography, one breast (diagnostic) (77065) |
$141.80 |
$709 |
1.6× |
| Mammography, both breasts (diagnostic) (77066) |
$177.40 |
$887 |
1.6× |
| Mammography, screening (bilateral) (77067) |
$147 |
$735 |
1.6× |
| Basic metabolic panel (80048) |
$77.80 |
$389 |
9.2× |
| Comprehensive metabolic panel (80053) |
$143.40 |
$717 |
13.6× |
| Lipid panel (80061) |
$60.80 |
$304 |
4.5× |
| Renal function panel (80069) |
$53.20 |
$266 |
6.1× |
| Hepatic function panel (80076) |
$40.40 |
$202 |
4.9× |
| Urinalysis, non-automated, with microscopy (81000) |
$6.20 |
$31 |
1.5× |
| Urinalysis, non-automated, without microscopy (81002) |
$9.40 |
$47 |
2.7× |
| PSA, total (84153) |
$73.40 |
$367 |
4.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$72 |
$360 |
4.3× |
| CBC with automated differential (85025) |
$76.20 |
$381 |
9.8× |
| CBC, automated (85027) |
$56.40 |
$282 |
8.7× |
| Prothrombin time (PT) (85610) |
$32 |
$160 |
7.5× |
| Partial thromboplastin time (PTT) (85730) |
$44.60 |
$223 |
7.4× |
| Group psychotherapy (90853) |
$86.20 |
$431 |
0.9× |
| Left heart catheterization (93452) |
$4,727.80 |
$23,639 |
1.5× |
| Sleep study (attended polysomnography) (95810) |
$1,847 |
$9,235 |
2.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$47.80 |
$239 |
1.6× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$205 |
$1,025 |
1.6× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$305.80 |
$1,529 |
2.4× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$376.40 |
$1,882 |
2.9× |