| Epidural injection, lumbar/sacral (with imaging) (62322) |
$2,483.20 |
$3,104 |
2.9× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$3,246.40 |
$4,058 |
3.8× |
| CT head/brain without contrast (70450) |
$2,797.60 |
$3,497 |
27.8× |
| MRI brain without contrast (70551) |
$3,631.20 |
$4,539 |
15.8× |
| MRI brain with contrast (70552) |
$3,679.20 |
$4,599 |
11.0× |
| MRI brain without and with contrast (70553) |
$5,021.60 |
$6,277 |
15.0× |
| X-ray lower spine, 4+ views (72110) |
$965.60 |
$1,207 |
9.6× |
| MRI lumbar spine without contrast (72148) |
$4,020 |
$5,025 |
17.5× |
| CT pelvis with contrast (72193) |
$3,208 |
$4,010 |
19.0× |
| MRI lower-extremity joint without contrast (73721) |
$3,552 |
$4,440 |
15.5× |
| CT abdomen and pelvis with contrast (74177) |
$5,839.20 |
$7,299 |
17.4× |
| Ultrasound, abdomen complete (76700) |
$1,688.80 |
$2,111 |
16.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$514.40 |
$643 |
5.1× |
| Ultrasound, transvaginal (76830) |
$376.80 |
$471 |
3.7× |
| Mammography, one breast (diagnostic) (77065) |
$680.80 |
$851 |
7.9× |
| Mammography, both breasts (diagnostic) (77066) |
$680.80 |
$851 |
6.2× |
| Mammography, screening (bilateral) (77067) |
$513.60 |
$642 |
5.6× |
| Basic metabolic panel (80048) |
$263.20 |
$329 |
31.1× |
| Comprehensive metabolic panel (80053) |
$250.80 |
$313.50 |
23.8× |
| Lipid panel (80061) |
$172.40 |
$215.50 |
12.9× |
| Renal function panel (80069) |
$136.40 |
$170.50 |
15.7× |
| Hepatic function panel (80076) |
$171.60 |
$214.50 |
21.0× |
| Urinalysis, non-automated, with microscopy (81000) |
$67.20 |
$84 |
16.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$47.20 |
$59 |
13.6× |
| PSA, total (84153) |
$162.40 |
$203 |
8.8× |
| Thyroid stimulating hormone (TSH) (84443) |
$156 |
$195 |
9.3× |
| CBC with automated differential (85025) |
$140.80 |
$176 |
18.1× |
| CBC, automated (85027) |
$187.20 |
$234 |
28.9× |
| Prothrombin time (PT) (85610) |
$140 |
$175 |
32.6× |
| Partial thromboplastin time (PTT) (85730) |
$155.20 |
$194 |
25.8× |
| Left heart catheterization (93452) |
$11,187.20 |
$13,984 |
3.6× |
| Sleep study (attended polysomnography) (95810) |
$2,895.20 |
$3,619 |
3.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$172.80 |
$216 |
5.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$323.20 |
$404 |
2.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$356 |
$445 |
2.8× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$392 |
$490 |
3.1× |
| Office consultation (low complexity, ~30 min) (99243) |
$153.60 |
$192 |
1.2× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$228 |
$285 |
1.8× |