| Epidural injection, lumbar/sacral (with imaging) (62322) |
$508.39 |
$862 |
0.6× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,126.08 |
$1,655 |
1.2× |
| CT head/brain without contrast (70450) |
$515.20 |
$793.50 |
4.8× |
| MRI brain without contrast (70551) |
$694.72 |
$1,015 |
2.8× |
| MRI brain with contrast (70552) |
$865.60 |
$1,265 |
2.4× |
| MRI brain without and with contrast (70553) |
$1,044.27 |
$1,525.50 |
2.9× |
| X-ray lower spine, 4+ views (72110) |
$331.31 |
$433 |
3.1× |
| MRI lumbar spine without contrast (72148) |
$635.49 |
$944.50 |
2.6× |
| CT pelvis with contrast (72193) |
$1,272.68 |
$1,924 |
7.1× |
| MRI lower-extremity joint without contrast (73721) |
$205.44 |
$278 |
0.8× |
| CT abdomen and pelvis with contrast (74177) |
$943.92 |
$1,421 |
2.6× |
| Ultrasound, abdomen complete (76700) |
$569.98 |
$639.50 |
5.3× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$512.60 |
$577.50 |
4.8× |
| Ultrasound, transvaginal (76830) |
$736.93 |
$817 |
6.9× |
| Mammography, one breast (diagnostic) (77065) |
$129.82 |
$186 |
1.5× |
| Mammography, both breasts (diagnostic) (77066) |
$186.92 |
$268.50 |
1.7× |
| Mammography, screening (bilateral) (77067) |
$190.45 |
$227 |
2.1× |
| Basic metabolic panel (80048) |
$71.26 |
$111 |
8.4× |
| Comprehensive metabolic panel (80053) |
$87.95 |
$137 |
8.3× |
| Lipid panel (80061) |
$48.47 |
$75.50 |
3.6× |
| Renal function panel (80069) |
$100.15 |
$156 |
11.5× |
| Hepatic function panel (80076) |
$69.34 |
$108 |
8.5× |
| Urinalysis, non-automated, without microscopy (81002) |
$6.98 |
$11 |
2.0× |
| PSA, total (84153) |
$35.95 |
$56 |
2.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$71.26 |
$111 |
4.2× |
| CBC with automated differential (85025) |
$28.35 |
$44.50 |
3.6× |
| CBC, automated (85027) |
$34.40 |
$54 |
5.3× |
| Prothrombin time (PT) (85610) |
$20.38 |
$32 |
4.8× |
| Partial thromboplastin time (PTT) (85730) |
$23.25 |
$36.50 |
3.9× |
| Sleep study (attended polysomnography) (95810) |
$3,954.13 |
$4,895 |
4.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$93.66 |
$127 |
3.2× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$211.97 |
$275 |
1.6× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$306.14 |
$392 |
2.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$384.96 |
$477 |
2.8× |