| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,520.60 |
$3,801.49 |
1.8× |
| CT head/brain without contrast (70450) |
$1,148.88 |
$2,872.18 |
11.5× |
| MRI brain without contrast (70551) |
$1,742.22 |
$4,355.54 |
7.7× |
| MRI brain with contrast (70552) |
$1,878.61 |
$4,696.52 |
5.7× |
| MRI brain without and with contrast (70553) |
$1,916.44 |
$4,791.09 |
5.8× |
| X-ray lower spine, 4+ views (72110) |
$382.58 |
$956.44 |
3.8× |
| MRI lumbar spine without contrast (72148) |
$1,679 |
$4,197.50 |
7.4× |
| CT pelvis with contrast (72193) |
$1,092.74 |
$2,731.84 |
6.5× |
| MRI lower-extremity joint without contrast (73721) |
$1,523 |
$3,807.48 |
6.7× |
| CT abdomen and pelvis with contrast (74177) |
$2,326.09 |
$5,815.22 |
7.0× |
| Ultrasound, abdomen complete (76700) |
$656.59 |
$1,641.46 |
6.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$357.35 |
$893.37 |
3.6× |
| Ultrasound, transvaginal (76830) |
$411.65 |
$1,029.11 |
4.1× |
| Mammography, one breast (diagnostic) (77065) |
$236.20 |
$590.48 |
2.7× |
| Mammography, both breasts (diagnostic) (77066) |
$314.60 |
$786.50 |
2.8× |
| Mammography, screening (bilateral) (77067) |
$235.96 |
$589.90 |
2.6× |
| Basic metabolic panel (80048) |
$59.04 |
$147.60 |
7.0× |
| Comprehensive metabolic panel (80053) |
$82.69 |
$206.71 |
7.8× |
| Lipid panel (80061) |
$75.93 |
$189.81 |
5.7× |
| Renal function panel (80069) |
$25.60 |
$63.99 |
2.9× |
| Hepatic function panel (80076) |
$59.21 |
$148.01 |
7.2× |
| Urinalysis, non-automated, with microscopy (81000) |
$6.58 |
$16.43 |
1.6× |
| Urinalysis, non-automated, without microscopy (81002) |
$11.52 |
$28.78 |
3.3× |
| PSA, total (84153) |
$72.53 |
$181.32 |
3.9× |
| Thyroid stimulating hormone (TSH) (84443) |
$76.96 |
$192.38 |
4.6× |
| CBC with automated differential (85025) |
$45.66 |
$114.14 |
5.9× |
| CBC, automated (85027) |
$37.17 |
$92.91 |
5.7× |
| Prothrombin time (PT) (85610) |
$26.09 |
$65.21 |
6.1× |
| Partial thromboplastin time (PTT) (85730) |
$34.90 |
$87.24 |
5.8× |
| Psychotherapy, 30 minutes (90832) |
$75.86 |
$189.65 |
0.4× |
| Psychotherapy, 45 minutes (90834) |
$104.60 |
$261.49 |
0.6× |
| Psychotherapy, 60 minutes (90837) |
$107.74 |
$269.35 |
0.6× |
| Family psychotherapy, without patient (50 min) (90846) |
$107.52 |
$268.79 |
0.6× |
| Family psychotherapy, with patient (50 min) (90847) |
$224.37 |
$560.91 |
1.3× |
| Group psychotherapy (90853) |
$73.84 |
$184.59 |
0.8× |
| Left heart catheterization (93452) |
$4,296.77 |
$10,741.91 |
1.4× |
| Sleep study (attended polysomnography) (95810) |
$2,113.28 |
$5,283.20 |
2.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$60.30 |
$150.74 |
2.1× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$135.73 |
$339.31 |
1.1× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$172.75 |
$431.87 |
1.4× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$255.10 |
$637.73 |
2.0× |