| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,297.17 |
$1,995.64 |
1.6× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,847.34 |
$2,842.06 |
2.2× |
| CT head/brain without contrast (70450) |
$1,533.26 |
$2,358.86 |
15.6× |
| MRI brain without contrast (70551) |
$1,758.24 |
$2,704.98 |
7.9× |
| MRI brain with contrast (70552) |
$1,571.37 |
$2,417.49 |
4.8× |
| MRI brain without and with contrast (70553) |
$1,758.24 |
$2,704.98 |
5.4× |
| X-ray lower spine, 4+ views (72110) |
$153.24 |
$235.75 |
1.6× |
| MRI lumbar spine without contrast (72148) |
$1,758.24 |
$2,704.98 |
7.9× |
| CT pelvis with contrast (72193) |
$1,533.26 |
$2,358.86 |
9.3× |
| MRI lower-extremity joint without contrast (73721) |
$1,758.24 |
$2,704.98 |
7.9× |
| CT abdomen and pelvis with contrast (74177) |
$1,537.22 |
$2,364.95 |
4.7× |
| Ultrasound, abdomen complete (76700) |
$497.75 |
$765.77 |
5.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$431.68 |
$664.13 |
4.4× |
| Ultrasound, transvaginal (76830) |
$173.72 |
$267.26 |
1.8× |
| Mammography, one breast (diagnostic) (77065) |
$212.04 |
$326.22 |
2.5× |
| Mammography, both breasts (diagnostic) (77066) |
$250.80 |
$385.84 |
2.3× |
| Mammography, screening (bilateral) (77067) |
$254.46 |
$391.47 |
2.8× |
| Basic metabolic panel (80048) |
$57.33 |
$88.20 |
6.8× |
| Comprehensive metabolic panel (80053) |
$93.97 |
$144.57 |
8.9× |
| Lipid panel (80061) |
$75.15 |
$115.62 |
5.6× |
| Renal function panel (80069) |
$61.98 |
$95.36 |
7.1× |
| Hepatic function panel (80076) |
$31.76 |
$48.86 |
3.9× |
| Urinalysis, non-automated, with microscopy (81000) |
$5.27 |
$8.11 |
1.3× |
| Urinalysis, non-automated, without microscopy (81002) |
$13.17 |
$20.26 |
3.8× |
| PSA, total (84153) |
$52.68 |
$81.05 |
2.9× |
| Thyroid stimulating hormone (TSH) (84443) |
$99.16 |
$152.55 |
5.9× |
| CBC with automated differential (85025) |
$52.67 |
$81.03 |
6.8× |
| CBC, automated (85027) |
$27.36 |
$42.09 |
4.2× |
| Prothrombin time (PT) (85610) |
$32.60 |
$50.16 |
7.6× |
| Partial thromboplastin time (PTT) (85730) |
$57.46 |
$88.40 |
9.6× |
| Electrocardiogram (ECG), complete (93000) |
$202.76 |
$311.94 |
3.7× |
| Sleep study (attended polysomnography) (95810) |
$2,098.09 |
$3,227.83 |
2.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$96.56 |
$148.55 |
3.3× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$216.35 |
$332.84 |
1.7× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$262.79 |
$404.29 |
2.1× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$369.94 |
$569.14 |
3.0× |
| Preventive visit, new patient (age 18–39) (99385) |
$173.33 |
$266.66 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$168.81 |
$259.71 |
— |