| CT head/brain without contrast (70450) |
$7,611 |
$7,611 |
69.7× |
| MRI brain without contrast (70551) |
$7,279 |
$7,279 |
29.2× |
| MRI brain with contrast (70552) |
$7,279 |
$7,279 |
20.0× |
| MRI brain without and with contrast (70553) |
$12,738 |
$12,738 |
35.0× |
| X-ray lower spine, 4+ views (72110) |
$2,140 |
$2,140 |
19.6× |
| MRI lumbar spine without contrast (72148) |
$7,279 |
$7,279 |
29.2× |
| CT pelvis with contrast (72193) |
$9,305 |
$9,305 |
50.8× |
| MRI lower-extremity joint without contrast (73721) |
$7,279 |
$7,279 |
29.2× |
| CT abdomen and pelvis with contrast (74177) |
$18,238 |
$18,238 |
50.1× |
| Ultrasound, abdomen complete (76700) |
$3,147 |
$3,147 |
28.8× |
| Ultrasound, transvaginal (76830) |
$1,823 |
$1,823 |
16.7× |
| Mammography, one breast (diagnostic) (77065) |
$1,550 |
$1,550 |
18.0× |
| Mammography, both breasts (diagnostic) (77066) |
$1,861 |
$1,861 |
16.8× |
| Mammography, screening (bilateral) (77067) |
$1,479 |
$1,479 |
16.2× |
| Basic metabolic panel (80048) |
$1,571 |
$1,571 |
185.7× |
| Comprehensive metabolic panel (80053) |
$1,643 |
$1,643 |
155.6× |
| Lipid panel (80061) |
$1,509 |
$1,509 |
112.7× |
| Renal function panel (80069) |
$1,643 |
$1,643 |
189.3× |
| Hepatic function panel (80076) |
$2,358 |
$2,358 |
288.6× |
| PSA, total (84153) |
$190 |
$190 |
10.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$1,038 |
$1,038 |
61.8× |
| CBC, automated (85027) |
$943 |
$943 |
145.7× |
| Prothrombin time (PT) (85610) |
$751 |
$751 |
175.1× |
| Partial thromboplastin time (PTT) (85730) |
$775 |
$775 |
129.0× |
| Psychotherapy, 30 minutes (90832) |
$556 |
$556 |
3.0× |
| Psychotherapy, 45 minutes (90834) |
$644 |
$644 |
3.5× |
| Psychotherapy, 60 minutes (90837) |
$700.50 |
$700.50 |
3.8× |
| Family psychotherapy, without patient (50 min) (90846) |
$700.50 |
$700.50 |
3.8× |
| Family psychotherapy, with patient (50 min) (90847) |
$700.50 |
$700.50 |
3.8× |
| Group psychotherapy (90853) |
$431 |
$431 |
4.1× |
| Sleep study (attended polysomnography) (95810) |
$16,047 |
$16,047 |
17.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$566 |
$566 |
19.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$1,373 |
$1,373 |
9.9× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$1,707 |
$1,707 |
12.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$1,376 |
$1,376 |
9.9× |