| Transforaminal epidural injection, lumbar/sacral (64483) |
$5,226 |
$5,226 |
5.9× |
| CT head/brain without contrast (70450) |
$5,767 |
$5,767 |
54.9× |
| MRI brain without contrast (70551) |
$9,405 |
$9,405 |
39.2× |
| MRI brain with contrast (70552) |
$9,995 |
$9,995 |
28.5× |
| MRI brain without and with contrast (70553) |
$11,181.50 |
$11,181.50 |
31.9× |
| X-ray lower spine, 4+ views (72110) |
$2,089 |
$2,089 |
19.9× |
| MRI lumbar spine without contrast (72148) |
$9,634 |
$9,634 |
40.2× |
| CT pelvis with contrast (72193) |
$4,716.50 |
$4,716.50 |
26.8× |
| MRI lower-extremity joint without contrast (73721) |
$7,774 |
$7,774 |
32.4× |
| CT abdomen and pelvis with contrast (74177) |
$14,805 |
$14,805 |
42.2× |
| Ultrasound, abdomen complete (76700) |
$2,112.50 |
$2,112.50 |
20.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$2,317 |
$2,317 |
22.1× |
| Ultrasound, transvaginal (76830) |
$1,042 |
$1,042 |
9.9× |
| Mammography, one breast (diagnostic) (77065) |
$482 |
$482 |
5.6× |
| Mammography, both breasts (diagnostic) (77066) |
$847.50 |
$847.50 |
7.7× |
| Mammography, screening (bilateral) (77067) |
$514.50 |
$514.50 |
5.6× |
| Basic metabolic panel (80048) |
$1,165 |
$1,165 |
137.7× |
| Comprehensive metabolic panel (80053) |
$1,292 |
$1,292 |
122.3× |
| Lipid panel (80061) |
$807 |
$807 |
60.3× |
| Renal function panel (80069) |
$1,231 |
$1,231 |
141.8× |
| Hepatic function panel (80076) |
$738 |
$738 |
90.3× |
| Urinalysis, non-automated, without microscopy (81002) |
$132 |
$132 |
37.9× |
| PSA, total (84153) |
$1,376 |
$1,376 |
74.8× |
| Thyroid stimulating hormone (TSH) (84443) |
$1,477 |
$1,477 |
87.9× |
| CBC, automated (85027) |
$312 |
$312 |
48.2× |
| Prothrombin time (PT) (85610) |
$506 |
$506 |
117.9× |
| Partial thromboplastin time (PTT) (85730) |
$585 |
$585 |
97.3× |
| Left heart catheterization (93452) |
$34,754 |
$34,754 |
10.7× |
| Sleep study (attended polysomnography) (95810) |
$7,788 |
$7,788 |
9.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$304 |
$304 |
10.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$3,344 |
$3,344 |
25.0× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$3,867 |
$3,867 |
28.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$4,807.50 |
$4,807.50 |
35.9× |