| Epidural injection, lumbar/sacral (with imaging) (62322) |
$2,905 |
— |
2.6× |
| CT head/brain without contrast (70450) |
$2,658 |
— |
20.4× |
| MRI brain without contrast (70551) |
$5,456 |
— |
18.3× |
| MRI brain with contrast (70552) |
$6,617 |
— |
15.2× |
| MRI brain without and with contrast (70553) |
$9,147 |
— |
21.0× |
| X-ray lower spine, 4+ views (72110) |
$1,097 |
— |
8.4× |
| MRI lumbar spine without contrast (72148) |
$4,733 |
— |
15.9× |
| CT pelvis with contrast (72193) |
$4,186 |
— |
19.1× |
| MRI lower-extremity joint without contrast (73721) |
$3,943 |
— |
13.2× |
| CT abdomen and pelvis with contrast (74177) |
$6,524 |
— |
15.0× |
| Ultrasound, abdomen complete (76700) |
$1,460 |
— |
11.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$1,352 |
— |
10.4× |
| Ultrasound, transvaginal (76830) |
$1,427 |
— |
10.9× |
| Mammography, one breast (diagnostic) (77065) |
$1,111 |
— |
12.9× |
| Mammography, both breasts (diagnostic) (77066) |
$1,332 |
— |
12.0× |
| Mammography, screening (bilateral) (77067) |
$1,163 |
— |
12.8× |
| Basic metabolic panel (80048) |
$108 |
— |
12.8× |
| Comprehensive metabolic panel (80053) |
$150 |
— |
14.2× |
| Lipid panel (80061) |
$239 |
— |
17.8× |
| Renal function panel (80069) |
$57 |
— |
6.6× |
| Hepatic function panel (80076) |
$57 |
— |
7.0× |
| Urinalysis, non-automated, without microscopy (81002) |
$107 |
— |
30.7× |
| PSA, total (84153) |
$267 |
— |
14.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$160 |
— |
9.5× |
| CBC with automated differential (85025) |
$57 |
— |
7.3× |
| CBC, automated (85027) |
$38 |
— |
5.9× |
| Prothrombin time (PT) (85610) |
$78 |
— |
18.2× |
| Partial thromboplastin time (PTT) (85730) |
$57 |
— |
9.5× |
| Psychotherapy, 30 minutes (90832) |
$357 |
— |
1.6× |
| Psychotherapy, 45 minutes (90834) |
$480 |
— |
2.2× |
| Psychotherapy, 60 minutes (90837) |
$599 |
— |
2.7× |
| Family psychotherapy, without patient (50 min) (90846) |
$171 |
— |
0.8× |
| Electrocardiogram (ECG), complete (93000) |
$131 |
— |
1.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$326 |
— |
11.2× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$1,014 |
— |
6.1× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$1,014 |
— |
6.1× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$1,014 |
— |
6.1× |
| Office consultation (low complexity, ~30 min) (99243) |
$1,014 |
— |
6.1× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$1,014 |
— |
6.1× |
| Preventive visit, new patient (age 18–39) (99385) |
$1,014 |
— |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$1,014 |
— |
— |