| Epidural injection, lumbar/sacral (with imaging) (62322) |
$3,464.80 |
$4,880 |
4.1× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$3,464.80 |
$4,880 |
4.1× |
| CT head/brain without contrast (70450) |
$1,936.17 |
$2,727 |
19.4× |
| MRI brain without contrast (70551) |
$3,177.25 |
$4,475 |
14.0× |
| MRI brain with contrast (70552) |
$3,482.55 |
$4,905 |
10.5× |
| MRI brain without and with contrast (70553) |
$4,341.65 |
$6,115 |
13.1× |
| X-ray lower spine, 4+ views (72110) |
$687.28 |
$968 |
6.9× |
| MRI lumbar spine without contrast (72148) |
$3,363.27 |
$4,737 |
14.8× |
| CT pelvis with contrast (72193) |
$2,506.30 |
$3,530 |
15.0× |
| MRI lower-extremity joint without contrast (73721) |
$3,551.42 |
$5,002 |
15.6× |
| CT abdomen and pelvis with contrast (74177) |
$4,835.81 |
$6,811 |
14.5× |
| Ultrasound, abdomen complete (76700) |
$1,285.81 |
$1,811 |
12.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$1,065 |
$1,500 |
10.7× |
| Ultrasound, transvaginal (76830) |
$773.90 |
$1,090 |
7.8× |
| Mammography, one breast (diagnostic) (77065) |
$335.12 |
$472 |
3.9× |
| Mammography, both breasts (diagnostic) (77066) |
$415.35 |
$585 |
3.8× |
| Mammography, screening (bilateral) (77067) |
$293.94 |
$414 |
3.2× |
| Basic metabolic panel (80048) |
$222.23 |
$313 |
26.3× |
| Comprehensive metabolic panel (80053) |
$259.86 |
$366 |
24.6× |
| Lipid panel (80061) |
$117.15 |
$165 |
8.7× |
| Renal function panel (80069) |
$137.03 |
$193 |
15.8× |
| Hepatic function panel (80076) |
$202.35 |
$285 |
24.8× |
| Urinalysis, non-automated, without microscopy (81002) |
$46.15 |
$65 |
13.3× |
| PSA, total (84153) |
$122.83 |
$173 |
6.7× |
| Thyroid stimulating hormone (TSH) (84443) |
$139.87 |
$197 |
8.3× |
| CBC with automated differential (85025) |
$121.41 |
$171 |
15.6× |
| CBC, automated (85027) |
$87.33 |
$123 |
13.5× |
| Prothrombin time (PT) (85610) |
$70.29 |
$99 |
16.4× |
| Partial thromboplastin time (PTT) (85730) |
$77.39 |
$109 |
12.9× |
| Psychotherapy, 30 minutes (90832) |
$154.78 |
$218 |
0.9× |
| Left heart catheterization (93452) |
$10,593.20 |
$14,920 |
3.4× |
| Sleep study (attended polysomnography) (95810) |
$4,071.14 |
$5,734 |
5.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$139.16 |
$196 |
4.8× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$391.92 |
$552 |
3.1× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$494.87 |
$697 |
3.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$709.29 |
$999 |
5.6× |
| Preventive visit, new patient (age 18–39) (99385) |
$101.53 |
$143 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$114.31 |
$161 |
— |