| Transforaminal epidural injection, lumbar/sacral (64483) |
$518.37 |
$1,439.90 |
0.7× |
| CT head/brain without contrast (70450) |
$770.15 |
$2,139.28 |
8.5× |
| MRI brain without contrast (70551) |
$1,007.76 |
$2,799.34 |
4.9× |
| MRI brain with contrast (70552) |
$1,399.59 |
$3,887.73 |
4.7× |
| MRI brain without and with contrast (70553) |
$1,726.72 |
$4,796.44 |
5.7× |
| X-ray lower spine, 4+ views (72110) |
$257.44 |
$715.11 |
2.9× |
| MRI lumbar spine without contrast (72148) |
$1,362.13 |
$3,783.67 |
6.6× |
| CT pelvis with contrast (72193) |
$893.86 |
$2,482.92 |
5.9× |
| MRI lower-extremity joint without contrast (73721) |
$1,285.46 |
$3,570.71 |
6.2× |
| CT abdomen and pelvis with contrast (74177) |
$1,687.08 |
$4,686.33 |
5.6× |
| Ultrasound, abdomen complete (76700) |
$479.16 |
$1,331 |
5.3× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$305.80 |
$849.42 |
3.4× |
| Ultrasound, transvaginal (76830) |
$225.65 |
$626.78 |
2.5× |
| Mammography, one breast (diagnostic) (77065) |
$137.22 |
$381.15 |
1.6× |
| Mammography, both breasts (diagnostic) (77066) |
$148.11 |
$411.40 |
1.3× |
| Mammography, screening (bilateral) (77067) |
$127.42 |
$353.92 |
1.4× |
| Basic metabolic panel (80048) |
$45.31 |
$125.84 |
5.4× |
| Comprehensive metabolic panel (80053) |
$77.98 |
$216.59 |
7.4× |
| Lipid panel (80061) |
$40.08 |
$111.32 |
3.0× |
| Renal function panel (80069) |
$50.53 |
$140.36 |
5.8× |
| Hepatic function panel (80076) |
$43.56 |
$121 |
5.3× |
| Urinalysis, non-automated, without microscopy (81002) |
$15.25 |
$42.35 |
4.4× |
| PSA, total (84153) |
$40.52 |
$112.53 |
2.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$35.72 |
$99.22 |
2.1× |
| CBC with automated differential (85025) |
$30.93 |
$85.91 |
4.0× |
| CBC, automated (85027) |
$30.50 |
$84.70 |
4.7× |
| Prothrombin time (PT) (85610) |
$19.61 |
$54.45 |
4.6× |
| Partial thromboplastin time (PTT) (85730) |
$21.78 |
$60.50 |
3.6× |
| Psychotherapy, 30 minutes (90832) |
$69.27 |
$192.39 |
0.5× |
| Psychotherapy, 45 minutes (90834) |
$95.84 |
$266.20 |
0.6× |
| Psychotherapy, 60 minutes (90837) |
$95.84 |
$266.20 |
0.6× |
| Family psychotherapy, without patient (50 min) (90846) |
$62.30 |
$173.03 |
0.4× |
| Family psychotherapy, with patient (50 min) (90847) |
$94.32 |
$261.96 |
0.6× |
| Group psychotherapy (90853) |
$198.20 |
$550.55 |
2.3× |
| Left heart catheterization (93452) |
$3,539.69 |
$9,832.46 |
1.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$38.77 |
$107.69 |
1.3× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$76.23 |
$211.75 |
0.7× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$84.95 |
$235.95 |
0.7× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$115.44 |
$320.65 |
1.0× |