| Transforaminal epidural injection, lumbar/sacral (64483) |
$9,580 |
$9,580 |
10.8× |
| CT head/brain without contrast (70450) |
$5,436.50 |
$5,436.50 |
51.8× |
| MRI brain without contrast (70551) |
$7,204 |
$7,204 |
30.1× |
| MRI brain with contrast (70552) |
$7,507 |
$7,507 |
21.4× |
| MRI brain without and with contrast (70553) |
$8,116 |
$8,116 |
23.2× |
| X-ray lower spine, 4+ views (72110) |
$1,717.50 |
$1,717.50 |
16.4× |
| MRI lumbar spine without contrast (72148) |
$7,458 |
$7,458 |
31.1× |
| CT pelvis with contrast (72193) |
$6,838 |
$6,838 |
38.8× |
| MRI lower-extremity joint without contrast (73721) |
$7,151 |
$7,151 |
29.8× |
| CT abdomen and pelvis with contrast (74177) |
$15,623 |
$15,623 |
44.6× |
| Ultrasound, abdomen complete (76700) |
$2,257.50 |
$2,257.50 |
21.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$2,556.50 |
$2,556.50 |
24.3× |
| Ultrasound, transvaginal (76830) |
$975 |
$975 |
9.3× |
| Mammography, one breast (diagnostic) (77065) |
$451 |
$451 |
5.2× |
| Mammography, both breasts (diagnostic) (77066) |
$729 |
$729 |
6.6× |
| Mammography, screening (bilateral) (77067) |
$520 |
$520 |
5.7× |
| Basic metabolic panel (80048) |
$1,107.50 |
$1,107.50 |
130.9× |
| Comprehensive metabolic panel (80053) |
$1,530.50 |
$1,530.50 |
144.9× |
| Lipid panel (80061) |
$1,160 |
$1,160 |
86.6× |
| Renal function panel (80069) |
$1,107.50 |
$1,107.50 |
127.6× |
| Hepatic function panel (80076) |
$1,443 |
$1,443 |
176.6× |
| Urinalysis, non-automated, without microscopy (81002) |
$222.50 |
$222.50 |
63.9× |
| PSA, total (84153) |
$614 |
$614 |
33.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$1,491.50 |
$1,491.50 |
88.8× |
| CBC, automated (85027) |
$428 |
$428 |
66.2× |
| Prothrombin time (PT) (85610) |
$455.50 |
$455.50 |
106.2× |
| Partial thromboplastin time (PTT) (85730) |
$619.50 |
$619.50 |
103.1× |
| Left heart catheterization (93452) |
$21,847 |
$21,847 |
6.7× |
| Sleep study (attended polysomnography) (95810) |
$9,508.50 |
$9,508.50 |
11.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$145 |
$145 |
5.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$815 |
$815 |
6.1× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$1,049 |
$1,049 |
7.8× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$1,341 |
$1,341 |
10.0× |