| Transforaminal epidural injection, lumbar/sacral (64483) |
$3,867 |
$6,445 |
4.6× |
| CT head/brain without contrast (70450) |
$1,916.40 |
$3,194 |
19.4× |
| MRI brain without contrast (70551) |
$3,130.20 |
$5,217 |
13.9× |
| MRI brain with contrast (70552) |
$3,600.60 |
$6,001 |
10.9× |
| MRI brain without and with contrast (70553) |
$4,140 |
$6,900 |
12.5× |
| X-ray lower spine, 4+ views (72110) |
$1,008 |
$1,680 |
10.2× |
| MRI lumbar spine without contrast (72148) |
$3,140.40 |
$5,234 |
13.9× |
| CT pelvis with contrast (72193) |
$2,511.60 |
$4,186 |
15.1× |
| MRI lower-extremity joint without contrast (73721) |
$3,140.40 |
$5,234 |
13.9× |
| CT abdomen and pelvis with contrast (74177) |
$3,768.60 |
$6,281 |
11.4× |
| Ultrasound, abdomen complete (76700) |
$1,293.60 |
$2,156 |
13.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$185.40 |
$309 |
1.9× |
| Ultrasound, transvaginal (76830) |
$1,217.40 |
$2,029 |
12.3× |
| Mammography, one breast (diagnostic) (77065) |
$528 |
$880 |
6.1× |
| Mammography, both breasts (diagnostic) (77066) |
$652.20 |
$1,087 |
5.9× |
| Mammography, screening (bilateral) (77067) |
$664.80 |
$1,108 |
7.3× |
| Basic metabolic panel (80048) |
$225 |
$375 |
26.6× |
| Comprehensive metabolic panel (80053) |
$268.80 |
$448 |
25.5× |
Lipid panel (80061) range across 2 matching MRF lines |
$157.20–$171 |
$262–$285 |
varies |
| Renal function panel (80069) |
$102.60 |
$171 |
11.8× |
| Hepatic function panel (80076) |
$114 |
$190 |
14.0× |
| Urinalysis, non-automated, with microscopy (81000) |
$10.20 |
$17 |
2.5× |
| Urinalysis, non-automated, without microscopy (81002) |
$24 |
$40 |
6.9× |
PSA, total (84153) range across 2 matching MRF lines |
$64.20–$82.80 |
$107–$138 |
varies |
| Thyroid stimulating hormone (TSH) (84443) |
$203.40 |
$339 |
12.1× |
| CBC with automated differential (85025) |
$136.80 |
$228 |
17.6× |
| CBC, automated (85027) |
$121.80 |
$203 |
18.8× |
| Prothrombin time (PT) (85610) |
$70.80 |
$118 |
16.5× |
| Partial thromboplastin time (PTT) (85730) |
$104.40 |
$174 |
17.4× |
| Psychotherapy, 30 minutes (90832) |
$170.40 |
$284 |
1.0× |
Psychotherapy, 45 minutes (90834) range across 2 matching MRF lines |
$230.40–$1,673.40 |
$384–$2,789 |
varies |
| Psychotherapy, 60 minutes (90837) |
$269.40 |
$449 |
1.6× |
| Family psychotherapy, without patient (50 min) (90846) |
$222 |
$370 |
1.3× |
| Family psychotherapy, with patient (50 min) (90847) |
$222 |
$370 |
1.3× |
| Group psychotherapy (90853) |
$133.80 |
$223 |
1.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$151.20 |
$252 |
5.2× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$179.40 |
$299 |
1.4× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$206.40 |
$344 |
1.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$236.40 |
$394 |
1.9× |
| Office consultation (low complexity, ~30 min) (99243) |
$179.40 |
$299 |
1.4× |
| Preventive visit, new patient (age 18–39) (99385) |
$109.20 |
$182 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$109.20 |
$182 |
— |