| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,273.80 |
$2,123 |
1.4× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$904.20 |
$1,507 |
1.0× |
| CT head/brain without contrast (70450) |
$1,827.60 |
$3,046 |
17.6× |
| MRI brain without contrast (70551) |
$2,441.40 |
$4,069 |
10.3× |
| MRI brain with contrast (70552) |
$2,563.20 |
$4,272 |
7.4× |
| MRI brain without and with contrast (70553) |
$4,068.60 |
$6,781 |
11.7× |
| X-ray lower spine, 4+ views (72110) |
$853.80 |
$1,423 |
8.2× |
| MRI lumbar spine without contrast (72148) |
$2,553.60 |
$4,256 |
10.7× |
| CT pelvis with contrast (72193) |
$2,260.80 |
$3,768 |
12.9× |
| MRI lower-extremity joint without contrast (73721) |
$2,473.20 |
$4,122 |
10.4× |
| CT abdomen and pelvis with contrast (74177) |
$4,725.60 |
$7,876 |
13.6× |
| Ultrasound, abdomen complete (76700) |
$981 |
$1,635 |
9.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$974.40 |
$1,624 |
9.4× |
| Ultrasound, transvaginal (76830) |
$742.80 |
$1,238 |
7.1× |
| Mammography, one breast (diagnostic) (77065) |
$256.50 |
$427.50 |
3.0× |
| Mammography, both breasts (diagnostic) (77066) |
$372 |
$620 |
3.4× |
| Mammography, screening (bilateral) (77067) |
$228.60 |
$381 |
2.5× |
| Basic metabolic panel (80048) |
$158.40 |
$264 |
18.7× |
| Comprehensive metabolic panel (80053) |
$230.40 |
$384 |
21.8× |
| Lipid panel (80061) |
$272.40 |
$454 |
20.3× |
| Renal function panel (80069) |
$82.20 |
$137 |
9.5× |
| Hepatic function panel (80076) |
$218.40 |
$364 |
26.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$21.90 |
$36.50 |
6.3× |
| PSA, total (84153) |
$96 |
$160 |
5.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$113.40 |
$189 |
6.8× |
| CBC with automated differential (85025) |
$82.20 |
$137 |
10.6× |
| CBC, automated (85027) |
$67.80 |
$113 |
10.5× |
| Prothrombin time (PT) (85610) |
$36 |
$60 |
8.4× |
| Partial thromboplastin time (PTT) (85730) |
$42.90 |
$71.50 |
7.1× |
| Psychotherapy, 30 minutes (90832) |
$57.60 |
$96 |
0.3× |
| Psychotherapy, 45 minutes (90834) |
$77.40 |
$129 |
0.4× |
| Psychotherapy, 60 minutes (90837) |
$109.20 |
$182 |
0.6× |
| Family psychotherapy, with patient (50 min) (90847) |
$114 |
$190 |
0.6× |
| Group psychotherapy (90853) |
$60.60 |
$101 |
0.6× |
| Left heart catheterization (93452) |
$10,366.80 |
$17,278 |
3.2× |
| Sleep study (attended polysomnography) (95810) |
$3,558.60 |
$5,931 |
4.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$109.80 |
$183 |
3.8× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$166.20 |
$277 |
1.3× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$284.40 |
$474 |
2.1× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$367.80 |
$613 |
2.8× |