| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,585.35 |
$2,439 |
1.4× |
| CT head/brain without contrast (70450) |
$1,182.35 |
$1,819 |
9.1× |
| MRI brain without contrast (70551) |
$2,689.70 |
$4,138 |
9.0× |
| MRI brain without and with contrast (70553) |
$3,389.75 |
$5,215 |
7.8× |
| X-ray lower spine, 4+ views (72110) |
$601.25 |
$925 |
4.6× |
| MRI lumbar spine without contrast (72148) |
$2,528.50 |
$3,890 |
8.5× |
| CT pelvis with contrast (72193) |
$672.75 |
$1,035 |
3.1× |
| MRI lower-extremity joint without contrast (73721) |
$660.40 |
$1,016 |
2.2× |
| CT abdomen and pelvis with contrast (74177) |
$3,013.40 |
$4,636 |
6.9× |
| Ultrasound, abdomen complete (76700) |
$918.45 |
$1,413 |
7.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$312 |
$480 |
2.4× |
| Ultrasound, transvaginal (76830) |
$728.65 |
$1,121 |
5.6× |
| Mammography, one breast (diagnostic) (77065) |
$352.95 |
$543 |
4.1× |
| Mammography, both breasts (diagnostic) (77066) |
$442 |
$680 |
4.0× |
| Mammography, screening (bilateral) (77067) |
$471.25 |
$725 |
5.2× |
| Basic metabolic panel (80048) |
$99.45 |
$153 |
11.8× |
| Comprehensive metabolic panel (80053) |
$139.75 |
$215 |
13.2× |
| Lipid panel (80061) |
$102.70 |
$158 |
7.7× |
| Renal function panel (80069) |
$60.45 |
$93 |
7.0× |
| Hepatic function panel (80076) |
$58.50 |
$90 |
7.2× |
| Urinalysis, non-automated, without microscopy (81002) |
$6.82 |
$10.49 |
2.0× |
| PSA, total (84153) |
$130 |
$200 |
7.1× |
| Thyroid stimulating hormone (TSH) (84443) |
$128.70 |
$198 |
7.7× |
| CBC with automated differential (85025) |
$19.50 |
$30 |
2.5× |
| CBC, automated (85027) |
$14.30 |
$22 |
2.2× |
| Prothrombin time (PT) (85610) |
$9.75 |
$15 |
2.3× |
| Partial thromboplastin time (PTT) (85730) |
$14.95 |
$23 |
2.5× |
| Psychotherapy, 30 minutes (90832) |
$334.10 |
$514 |
1.5× |
| Psychotherapy, 45 minutes (90834) |
$334.10 |
$514 |
1.5× |
| Psychotherapy, 60 minutes (90837) |
$334.10 |
$514 |
1.5× |
| Family psychotherapy, without patient (50 min) (90846) |
$334.10 |
$514 |
1.5× |
| Family psychotherapy, with patient (50 min) (90847) |
$343.20 |
$528 |
1.5× |
| Sleep study (attended polysomnography) (95810) |
$2,240.55 |
$3,447 |
2.1× |
Physical therapy, therapeutic exercise (per 15 min) (97110)
range across 4 matching MRF lines |
$148.20 |
$217–$228 |
5.1× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$158.60 |
$244 |
1.0× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$189.15 |
$291 |
1.1× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$227.50 |
$350 |
1.4× |
| Preventive visit, new patient (age 18–39) (99385) |
$301.60 |
$464 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$327.60 |
$504 |
— |