| Epidural injection, lumbar/sacral (with imaging) (62322) |
$842 |
$2,105 |
1.1× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,091.60 |
$2,729 |
1.4× |
| CT head/brain without contrast (70450) |
$604.80 |
$1,512 |
6.4× |
| MRI brain without contrast (70551) |
$1,555.60 |
$3,889 |
7.2× |
| MRI brain with contrast (70552) |
$1,705.20 |
$4,263 |
5.4× |
| MRI brain without and with contrast (70553) |
$2,147.60 |
$5,369 |
6.8× |
| X-ray lower spine, 4+ views (72110) |
$225.60 |
$564 |
2.4× |
| MRI lumbar spine without contrast (72148) |
$1,646.40 |
$4,116 |
7.6× |
| CT pelvis with contrast (72193) |
$733.60 |
$1,834 |
4.6× |
| MRI lower-extremity joint without contrast (73721) |
$1,528 |
$3,820 |
7.1× |
| CT abdomen and pelvis with contrast (74177) |
$1,770.80 |
$4,427 |
5.6× |
| Ultrasound, abdomen complete (76700) |
$493.40 |
$1,233.50 |
5.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$276.40 |
$691 |
2.9× |
| Ultrasound, transvaginal (76830) |
$142 |
$355 |
1.5× |
| Mammography, one breast (diagnostic) (77065) |
$186.60 |
$466.50 |
2.2× |
| Mammography, both breasts (diagnostic) (77066) |
$213.20 |
$533 |
1.9× |
| Mammography, screening (bilateral) (77067) |
$199.60 |
$499 |
2.2× |
| Basic metabolic panel (80048) |
$114.20 |
$285.50 |
13.5× |
| Comprehensive metabolic panel (80053) |
$121.20 |
$303 |
11.5× |
| Lipid panel (80061) |
$99.40 |
$248.50 |
7.4× |
| Renal function panel (80069) |
$81.60 |
$204 |
9.4× |
| Hepatic function panel (80076) |
$72 |
$180 |
8.8× |
| Urinalysis, non-automated, with microscopy (81000) |
$4.40 |
$11 |
1.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$4 |
$10 |
1.1× |
| PSA, total (84153) |
$76.80 |
$192 |
4.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$65.20 |
$163 |
3.9× |
| CBC with automated differential (85025) |
$90.60 |
$226.50 |
11.7× |
| Prothrombin time (PT) (85610) |
$33.60 |
$84 |
7.8× |
| Partial thromboplastin time (PTT) (85730) |
$47 |
$117.50 |
7.8× |
| Psychotherapy, 30 minutes (90832) |
$153.20 |
$383 |
1.0× |
| Psychotherapy, 45 minutes (90834) |
$153.20 |
$383 |
1.0× |
| Psychotherapy, 60 minutes (90837) |
$153.20 |
$383 |
1.0× |
| Family psychotherapy, without patient (50 min) (90846) |
$153.20 |
$383 |
1.0× |
| Family psychotherapy, with patient (50 min) (90847) |
$153.20 |
$383 |
1.0× |
| Group psychotherapy (90853) |
$91.60 |
$229 |
1.0× |
| Electrocardiogram (ECG), complete (93000) |
$15.60 |
$39 |
0.3× |
| Sleep study (attended polysomnography) (95810) |
$1,753.60 |
$4,384 |
2.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$39.20 |
$98 |
1.3× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$142 |
$355 |
1.2× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$192.40 |
$481 |
1.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$249 |
$622.50 |
2.1× |
| Office consultation (low complexity, ~30 min) (99243) |
$117.20 |
$293 |
1.0× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$171.40 |
$428.50 |
1.4× |
| Preventive visit, new patient (age 18–39) (99385) |
$137.20 |
$343 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$150 |
$375 |
— |