| Epidural injection, lumbar/sacral (with imaging) (62322) |
$3,285.75 |
$5,055 |
3.8× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,135.90 |
$3,286 |
2.5× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$560.95 |
$863 |
1.0× |
| CT head/brain without contrast (70450) |
$571.35 |
$879 |
5.6× |
| MRI brain without contrast (70551) |
$941.85 |
$1,449 |
4.1× |
| MRI brain with contrast (70552) |
$1,363.05 |
$2,097 |
4.0× |
| MRI brain without and with contrast (70553) |
$1,573.65 |
$2,421 |
4.6× |
| X-ray lower spine, 4+ views (72110) |
$598 |
$920 |
5.9× |
| MRI lumbar spine without contrast (72148) |
$941.85 |
$1,449 |
4.1× |
| CT pelvis with contrast (72193) |
$1,122.55 |
$1,727 |
6.6× |
| MRI lower-extremity joint without contrast (73721) |
$941.85 |
$1,449 |
4.1× |
| CT abdomen and pelvis with contrast (74177) |
$1,617.20 |
$2,488 |
4.8× |
| Ultrasound, abdomen complete (76700) |
$926.25 |
$1,425 |
9.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$473.20 |
$728 |
4.7× |
| Ultrasound, transvaginal (76830) |
$553.80 |
$852 |
5.5× |
| Mammography, one breast (diagnostic) (77065) |
$377 |
$580 |
4.4× |
| Mammography, both breasts (diagnostic) (77066) |
$464.75 |
$715 |
4.2× |
| Mammography, screening (bilateral) (77067) |
$398.45 |
$613 |
4.4× |
| Basic metabolic panel (80048) |
$250.90 |
$386 |
29.7× |
| Comprehensive metabolic panel (80053) |
$313.30 |
$482 |
29.7× |
| Lipid panel (80061) |
$298.35 |
$459 |
22.3× |
| Renal function panel (80069) |
$46.80 |
$72 |
5.4× |
| Hepatic function panel (80076) |
$191.75 |
$295 |
23.5× |
| Urinalysis, non-automated, with microscopy (81000) |
$16.25 |
$25 |
4.0× |
| Urinalysis, non-automated, without microscopy (81002) |
$14.30 |
$22 |
4.1× |
| PSA, total (84153) |
$180.70 |
$278 |
9.8× |
| Thyroid stimulating hormone (TSH) (84443) |
$263.25 |
$405 |
15.7× |
| CBC with automated differential (85025) |
$132.60 |
$204 |
17.1× |
| CBC, automated (85027) |
$113.10 |
$174 |
17.5× |
| Prothrombin time (PT) (85610) |
$70.85 |
$109 |
16.5× |
| Partial thromboplastin time (PTT) (85730) |
$83.85 |
$129 |
14.0× |
| Psychotherapy, 30 minutes (90832) |
$449.15 |
$691 |
2.6× |
| Psychotherapy, 45 minutes (90834) |
$631.15 |
$971 |
3.7× |
| Family psychotherapy, with patient (50 min) (90847) |
$324.35 |
$499 |
1.9× |
| Group psychotherapy (90853) |
$334.10 |
$514 |
3.4× |
| Left heart catheterization (93452) |
$18,959.85 |
$29,169 |
6.0× |
| Sleep study (attended polysomnography) (95810) |
$6,641.05 |
$10,217 |
8.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$147.55 |
$227 |
5.1× |