| Epidural injection, lumbar/sacral (with imaging) (62322) |
$542.30 |
$986 |
0.6× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$471.35 |
$857 |
0.5× |
| CT head/brain without contrast (70450) |
$1,558.15 |
$2,833 |
13.4× |
| MRI brain without contrast (70551) |
$2,075.70 |
$3,774 |
7.8× |
| MRI brain with contrast (70552) |
$2,545.40 |
$4,628 |
6.5× |
| MRI brain without and with contrast (70553) |
$3,115.75 |
$5,665 |
8.0× |
| X-ray lower spine, 4+ views (72110) |
$298.10 |
$542 |
2.6× |
| MRI lumbar spine without contrast (72148) |
$2,136.75 |
$3,885 |
8.0× |
| CT pelvis with contrast (72193) |
$2,299.55 |
$4,181 |
11.8× |
| MRI lower-extremity joint without contrast (73721) |
$1,914.55 |
$3,481 |
7.2× |
| CT abdomen and pelvis with contrast (74177) |
$3,100.90 |
$5,638 |
8.0× |
| Ultrasound, abdomen complete (76700) |
$563.75 |
$1,025 |
4.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$623.15 |
$1,133 |
5.3× |
| Ultrasound, transvaginal (76830) |
$669.90 |
$1,218 |
5.8× |
| Mammography, one breast (diagnostic) (77065) |
$297.55 |
$541 |
3.5× |
| Mammography, both breasts (diagnostic) (77066) |
$449.90 |
$818 |
4.1× |
| Mammography, screening (bilateral) (77067) |
$377.85 |
$687 |
4.1× |
| Basic metabolic panel (80048) |
$88.55 |
$161 |
10.5× |
| Comprehensive metabolic panel (80053) |
$136.95 |
$249 |
13.0× |
| Lipid panel (80061) |
$107.80 |
$196 |
8.1× |
| Renal function panel (80069) |
$100.10 |
$182 |
11.5× |
| Hepatic function panel (80076) |
$103.40 |
$188 |
12.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$22.55 |
$41 |
6.5× |
| PSA, total (84153) |
$112.20 |
$204 |
6.1× |
| Thyroid stimulating hormone (TSH) (84443) |
$85.80 |
$156 |
5.1× |
| CBC with automated differential (85025) |
$92.40 |
$168 |
11.9× |
| CBC, automated (85027) |
$57.20 |
$104 |
8.8× |
| Prothrombin time (PT) (85610) |
$62.70 |
$114 |
14.6× |
| Partial thromboplastin time (PTT) (85730) |
$58.30 |
$106 |
9.7× |
| Psychotherapy, 30 minutes (90832) |
$83.05 |
$151 |
0.4× |
| Psychotherapy, 45 minutes (90834) |
$110.55 |
$201 |
0.6× |
| Psychotherapy, 60 minutes (90837) |
$162.80 |
$296 |
0.8× |
| Family psychotherapy, with patient (50 min) (90847) |
$203.50 |
$370 |
1.0× |
| Electrocardiogram (ECG), complete (93000) |
$145.75 |
$265 |
2.2× |
| Left heart catheterization (93452) |
$4,260.30 |
$7,746 |
1.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$97.90 |
$178 |
3.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$185.62 |
$337.50 |
1.3× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$214.78 |
$390.50 |
1.4× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$373.45 |
$679 |
2.5× |
| Office consultation (low complexity, ~30 min) (99243) |
$186.45 |
$339 |
1.3× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$357.50 |
$650 |
2.4× |
| Preventive visit, new patient (age 18–39) (99385) |
$145.75 |
$265 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$198 |
$360 |
— |