| CT head/brain without contrast (70450) |
$5,413 |
$5,413 |
48.5× |
| MRI brain without contrast (70551) |
$6,398 |
$6,398 |
25.1× |
| MRI brain with contrast (70552) |
$7,712 |
$7,712 |
20.7× |
| MRI brain without and with contrast (70553) |
$9,603 |
$9,603 |
25.8× |
| X-ray lower spine, 4+ views (72110) |
$1,232 |
$1,232 |
11.0× |
| MRI lumbar spine without contrast (72148) |
$5,016 |
$5,016 |
19.7× |
| CT pelvis with contrast (72193) |
$5,465 |
$5,465 |
29.2× |
| MRI lower-extremity joint without contrast (73721) |
$6,398 |
$6,398 |
25.1× |
| CT abdomen and pelvis with contrast (74177) |
$8,348 |
$8,348 |
22.4× |
| Ultrasound, abdomen complete (76700) |
$2,270 |
$2,270 |
20.3× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$1,618 |
$1,618 |
14.5× |
| Ultrasound, transvaginal (76830) |
$1,849 |
$1,849 |
16.6× |
| Mammography, one breast (diagnostic) (77065) |
$1,265 |
$1,265 |
14.7× |
| Mammography, both breasts (diagnostic) (77066) |
$1,299 |
$1,299 |
11.7× |
| Mammography, screening (bilateral) (77067) |
$1,431 |
$1,431 |
15.7× |
| Basic metabolic panel (80048) |
$386 |
$386 |
45.6× |
| Comprehensive metabolic panel (80053) |
$504 |
$504 |
47.7× |
| Lipid panel (80061) |
$474 |
$474 |
35.4× |
| Renal function panel (80069) |
$227 |
$227 |
26.2× |
| Hepatic function panel (80076) |
$170 |
$170 |
20.8× |
| Urinalysis, non-automated, without microscopy (81002) |
$63 |
$63 |
18.1× |
| PSA, total (84153) |
$300 |
$300 |
16.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$460 |
$460 |
27.4× |
| CBC, automated (85027) |
$219 |
$219 |
33.8× |
| Prothrombin time (PT) (85610) |
$105 |
$105 |
24.5× |
| Partial thromboplastin time (PTT) (85730) |
$226 |
$226 |
37.6× |
| Psychotherapy, 30 minutes (90832) |
$887 |
$887 |
4.7× |
| Psychotherapy, 45 minutes (90834) |
$806 |
$806 |
4.3× |
| Psychotherapy, 60 minutes (90837) |
$887 |
$887 |
4.7× |
| Family psychotherapy, without patient (50 min) (90846) |
$806 |
$806 |
4.3× |
| Family psychotherapy, with patient (50 min) (90847) |
$806 |
$806 |
4.3× |
| Group psychotherapy (90853) |
$496 |
$496 |
4.6× |
| Sleep study (attended polysomnography) (95810) |
$6,381 |
$6,381 |
7.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$224 |
$224 |
7.7× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$416 |
$416 |
2.9× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$598 |
$598 |
4.2× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$674 |
$674 |
4.7× |
| Preventive visit, new patient (age 18–39) (99385) |
$190 |
$190 |
— |