| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,047.84 |
$2,095.68 |
1.1× |
| CT head/brain without contrast (70450) |
$806.06 |
$1,612.10 |
7.2× |
| MRI brain without contrast (70551) |
$1,240.54 |
$2,481.06 |
4.9× |
| MRI brain with contrast (70552) |
$1,436.35 |
$2,872.70 |
3.9× |
| MRI brain without and with contrast (70553) |
$1,804.92 |
$3,609.84 |
4.8× |
| X-ray lower spine, 4+ views (72110) |
$315.53 |
$631.05 |
2.8× |
| MRI lumbar spine without contrast (72148) |
$1,892.53 |
$3,785.06 |
7.4× |
| CT pelvis with contrast (72193) |
$1,060.82 |
$2,121.64 |
5.7× |
| MRI lower-extremity joint without contrast (73721) |
$1,194.12 |
$2,388.23 |
4.7× |
| CT abdomen and pelvis with contrast (74177) |
$2,555.29 |
$5,110.57 |
6.9× |
| Ultrasound, abdomen complete (76700) |
$441.76 |
$883.52 |
4.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$792.30 |
$1,584.60 |
7.1× |
| Ultrasound, transvaginal (76830) |
$698.93 |
$1,397.85 |
6.3× |
| Mammography, one breast (diagnostic) (77065) |
$105.86 |
$211.72 |
1.2× |
| Mammography, both breasts (diagnostic) (77066) |
$108.45 |
$216.90 |
1.0× |
| Mammography, screening (bilateral) (77067) |
$89.82 |
$179.63 |
1.0× |
| Basic metabolic panel (80048) |
$134.82 |
$269.64 |
15.9× |
| Comprehensive metabolic panel (80053) |
$167.48 |
$334.96 |
15.9× |
| Lipid panel (80061) |
$159.10 |
$318.21 |
11.9× |
| Renal function panel (80069) |
$109.21 |
$218.41 |
12.6× |
| Hepatic function panel (80076) |
$104.56 |
$209.11 |
12.8× |
| Urinalysis, non-automated, without microscopy (81002) |
$17.04 |
$34.06 |
4.9× |
| PSA, total (84153) |
$193.76 |
$387.52 |
10.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$89.57 |
$179.13 |
5.3× |
| CBC with automated differential (85025) |
$53.34 |
$106.68 |
6.9× |
| CBC, automated (85027) |
$79.91 |
$159.81 |
12.4× |
| Prothrombin time (PT) (85610) |
$45.63 |
$91.25 |
10.6× |
| Partial thromboplastin time (PTT) (85730) |
$46 |
$92 |
7.7× |
| Psychotherapy, 30 minutes (90832) |
$164.50 |
$329 |
0.9× |
| Family psychotherapy, with patient (50 min) (90847) |
$98 |
$196 |
0.5× |
| Left heart catheterization (93452) |
$8,294.06 |
$16,588.12 |
2.4× |
| Sleep study (attended polysomnography) (95810) |
$1,603.84 |
$3,207.68 |
1.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$91.26 |
$182.51 |
3.1× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$186.69 |
$373.37 |
1.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$198.57 |
$397.13 |
1.4× |
| Office consultation (low complexity, ~30 min) (99243) |
$99.30 |
$198.59 |
0.7× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$136.49 |
$272.97 |
1.0× |