| Transforaminal epidural injection, lumbar/sacral (64483) |
$287.98 |
$1,439.90 |
0.4× |
| CT head/brain without contrast (70450) |
$427.86 |
$2,139.28 |
4.7× |
| MRI brain without contrast (70551) |
$559.87 |
$2,799.34 |
2.7× |
| MRI brain with contrast (70552) |
$777.55 |
$3,887.73 |
2.6× |
| MRI brain without and with contrast (70553) |
$959.29 |
$4,796.44 |
3.2× |
| X-ray lower spine, 4+ views (72110) |
$143.03 |
$715.11 |
1.6× |
| MRI lumbar spine without contrast (72148) |
$756.74 |
$3,783.67 |
3.7× |
| CT pelvis with contrast (72193) |
$496.59 |
$2,482.92 |
3.3× |
| MRI lower-extremity joint without contrast (73721) |
$714.15 |
$3,570.71 |
3.5× |
| CT abdomen and pelvis with contrast (74177) |
$937.27 |
$4,686.33 |
3.1× |
| Ultrasound, abdomen complete (76700) |
$266.20 |
$1,331 |
3.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$169.89 |
$849.42 |
1.9× |
| Ultrasound, transvaginal (76830) |
$125.36 |
$626.78 |
1.4× |
| Mammography, one breast (diagnostic) (77065) |
$76.23 |
$381.15 |
0.9× |
| Mammography, both breasts (diagnostic) (77066) |
$82.28 |
$411.40 |
0.7× |
| Mammography, screening (bilateral) (77067) |
$70.78 |
$353.92 |
0.8× |
| Basic metabolic panel (80048) |
$17.91 |
$89.54 |
2.1× |
| Comprehensive metabolic panel (80053) |
$36.06 |
$180.29 |
3.4× |
| Lipid panel (80061) |
$14.52 |
$72.60 |
1.1× |
| Renal function panel (80069) |
$16.70 |
$83.49 |
1.9× |
| Hepatic function panel (80076) |
$17.43 |
$87.12 |
2.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$3.63 |
$18.15 |
1.0× |
| PSA, total (84153) |
$14.52 |
$72.60 |
0.8× |
| Thyroid stimulating hormone (TSH) (84443) |
$14.52 |
$72.60 |
0.9× |
| CBC with automated differential (85025) |
$7.26 |
$36.30 |
0.9× |
| CBC, automated (85027) |
$5.81 |
$29.04 |
0.9× |
| Prothrombin time (PT) (85610) |
$4.84 |
$24.20 |
1.1× |
| Partial thromboplastin time (PTT) (85730) |
$6.05 |
$30.25 |
1.0× |
| Psychotherapy, 30 minutes (90832) |
$46.23 |
$231.11 |
0.3× |
| Psychotherapy, 45 minutes (90834) |
$69.46 |
$347.27 |
0.5× |
| Psychotherapy, 60 minutes (90837) |
$82.53 |
$412.61 |
0.5× |
| Family psychotherapy, without patient (50 min) (90846) |
$58.81 |
$294.03 |
0.4× |
| Family psychotherapy, with patient (50 min) (90847) |
$75.38 |
$376.92 |
0.5× |
| Group psychotherapy (90853) |
$111.08 |
$555.39 |
1.3× |
| Left heart catheterization (93452) |
$1,966.50 |
$9,832.46 |
0.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$22.27 |
$111.32 |
0.8× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$42.35 |
$211.75 |
0.4× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$47.19 |
$235.95 |
0.4× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$76.23 |
$381.15 |
0.7× |