| Transforaminal epidural injection, lumbar/sacral (64483) |
$3,530 |
$3,530 |
4.0× |
| CT head/brain without contrast (70450) |
$2,374 |
$2,374 |
22.6× |
| MRI brain without contrast (70551) |
$4,903 |
$4,903 |
20.5× |
| MRI brain with contrast (70552) |
$5,884 |
$5,884 |
16.8× |
| MRI brain without and with contrast (70553) |
$6,941 |
$6,941 |
19.8× |
| X-ray lower spine, 4+ views (72110) |
$1,677 |
$1,677 |
16.0× |
| MRI lumbar spine without contrast (72148) |
$5,439 |
$5,439 |
22.7× |
| CT pelvis with contrast (72193) |
$3,434 |
$3,434 |
19.5× |
| MRI lower-extremity joint without contrast (73721) |
$4,903 |
$4,903 |
20.5× |
| CT abdomen and pelvis with contrast (74177) |
$7,076 |
$7,076 |
20.2× |
| Ultrasound, abdomen complete (76700) |
$1,591 |
$1,591 |
15.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$1,359 |
$1,359 |
12.9× |
| Ultrasound, transvaginal (76830) |
$967 |
$967 |
9.2× |
| Mammography, one breast (diagnostic) (77065) |
$485 |
$485 |
5.6× |
| Mammography, both breasts (diagnostic) (77066) |
$784.50 |
$784.50 |
7.1× |
| Mammography, screening (bilateral) (77067) |
$626 |
$626 |
6.9× |
| Basic metabolic panel (80048) |
$1,163 |
$1,163 |
137.5× |
| Comprehensive metabolic panel (80053) |
$975 |
$975 |
92.3× |
| Lipid panel (80061) |
$884 |
$884 |
66.0× |
| Renal function panel (80069) |
$861 |
$861 |
99.2× |
| Hepatic function panel (80076) |
$1,447 |
$1,447 |
177.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$107 |
$107 |
30.7× |
| PSA, total (84153) |
$428 |
$428 |
23.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$1,061 |
$1,061 |
63.2× |
| CBC, automated (85027) |
$447 |
$447 |
69.1× |
| Prothrombin time (PT) (85610) |
$507 |
$507 |
118.2× |
| Partial thromboplastin time (PTT) (85730) |
$582 |
$582 |
96.8× |
| Psychotherapy, 45 minutes (90834) |
$411 |
$411 |
2.3× |
| Psychotherapy, 60 minutes (90837) |
$764 |
$764 |
4.3× |
| Family psychotherapy, without patient (50 min) (90846) |
$622 |
$622 |
3.5× |
| Family psychotherapy, with patient (50 min) (90847) |
$622 |
$622 |
3.5× |
| Group psychotherapy (90853) |
$764 |
$764 |
7.5× |
| Left heart catheterization (93452) |
$37,000 |
$37,000 |
11.4× |
| Sleep study (attended polysomnography) (95810) |
$7,667 |
$7,667 |
8.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$192.50 |
$192.50 |
6.6× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$4,087 |
$4,087 |
30.6× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$5,025 |
$5,025 |
37.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$6,258 |
$6,258 |
46.8× |