| Epidural injection, lumbar/sacral (with imaging) (62322) |
$2,184 |
$3,120 |
2.3× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$4,914 |
$7,020 |
5.1× |
| CT head/brain without contrast (70450) |
$558.60 |
$798 |
4.9× |
| MRI brain without contrast (70551) |
$1,119.30 |
$1,599 |
4.3× |
| MRI brain with contrast (70552) |
$1,644.30 |
$2,349 |
4.3× |
| MRI brain without and with contrast (70553) |
$1,857.10 |
$2,653 |
4.9× |
| X-ray lower spine, 4+ views (72110) |
$900.20 |
$1,286 |
7.9× |
| MRI lumbar spine without contrast (72148) |
$1,070.30 |
$1,529 |
4.1× |
| CT pelvis with contrast (72193) |
$1,180.20 |
$1,686 |
6.2× |
| MRI lower-extremity joint without contrast (73721) |
$1,228.50 |
$1,755 |
4.7× |
| CT abdomen and pelvis with contrast (74177) |
$1,480.50 |
$2,115 |
3.9× |
| Ultrasound, abdomen complete (76700) |
$909.30 |
$1,299 |
8.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$1,023.40 |
$1,462 |
9.0× |
| Ultrasound, transvaginal (76830) |
$999.60 |
$1,428 |
8.7× |
| Mammography, one breast (diagnostic) (77065) |
$441.70 |
$631 |
5.1× |
| Mammography, both breasts (diagnostic) (77066) |
$562.80 |
$804 |
5.1× |
| Mammography, screening (bilateral) (77067) |
$465.50 |
$665 |
5.1× |
| Basic metabolic panel (80048) |
$44.10 |
$63 |
5.2× |
| Comprehensive metabolic panel (80053) |
$51.80 |
$74 |
4.9× |
| Obstetric panel (80055) |
$217.70 |
$311 |
4.6× |
| Lipid panel (80061) |
$65.80 |
$94 |
4.9× |
| Renal function panel (80069) |
$45.50 |
$65 |
5.2× |
| Hepatic function panel (80076) |
$42.70 |
$61 |
5.2× |
| Urinalysis, non-automated, without microscopy (81002) |
$18.20 |
$26 |
5.2× |
| PSA, total (84153) |
$90.30 |
$129 |
4.9× |
| Thyroid stimulating hormone (TSH) (84443) |
$82.60 |
$118 |
4.9× |
| CBC with automated differential (85025) |
$40.60 |
$58 |
5.2× |
| CBC, automated (85027) |
$34.30 |
$49 |
5.3× |
| Prothrombin time (PT) (85610) |
$22.40 |
$32 |
5.2× |
| Partial thromboplastin time (PTT) (85730) |
$31.50 |
$45 |
5.2× |
| Psychotherapy, 30 minutes (90832) |
$599.20 |
$856 |
3.1× |
| Psychotherapy, 45 minutes (90834) |
$795.90 |
$1,137 |
4.1× |
| Psychotherapy, 60 minutes (90837) |
$1,178.10 |
$1,683 |
6.1× |
| Family psychotherapy, without patient (50 min) (90846) |
$434 |
$620 |
2.2× |
| Family psychotherapy, with patient (50 min) (90847) |
$454.30 |
$649 |
2.3× |
| Group psychotherapy (90853) |
$227.50 |
$325 |
2.0× |
| Left heart catheterization (93452) |
$15,213.10 |
$21,733 |
4.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$156.80 |
$224 |
5.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$503.30 |
$719 |
3.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$728.70 |
$1,041 |
5.0× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$987.70 |
$1,411 |
6.8× |