| CT head/brain without contrast (70450) |
$6,499 |
$6,499 |
59.5× |
| MRI brain without contrast (70551) |
$4,887 |
$4,887 |
19.6× |
| MRI brain with contrast (70552) |
$4,846 |
$4,846 |
13.3× |
| MRI brain without and with contrast (70553) |
$6,812 |
$6,812 |
18.7× |
| X-ray lower spine, 4+ views (72110) |
$2,070 |
$2,070 |
19.0× |
| MRI lumbar spine without contrast (72148) |
$9,454 |
$9,454 |
37.9× |
| CT pelvis with contrast (72193) |
$6,677 |
$6,677 |
36.5× |
| MRI lower-extremity joint without contrast (73721) |
$5,693 |
$5,693 |
22.8× |
| CT abdomen and pelvis with contrast (74177) |
$13,836 |
$13,836 |
38.0× |
| Ultrasound, abdomen complete (76700) |
$1,599 |
$1,599 |
14.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$3,816 |
$3,816 |
35.0× |
| Ultrasound, transvaginal (76830) |
$3,588 |
$3,588 |
32.9× |
| Mammography, one breast (diagnostic) (77065) |
$1,476 |
$1,476 |
17.1× |
| Mammography, both breasts (diagnostic) (77066) |
$2,672 |
$2,672 |
24.2× |
| Mammography, screening (bilateral) (77067) |
$1,496 |
$1,496 |
16.4× |
| Basic metabolic panel (80048) |
$332 |
$332 |
39.2× |
| Comprehensive metabolic panel (80053) |
$424 |
$424 |
40.2× |
| Lipid panel (80061) |
$582.61 |
$582.61 |
43.5× |
| Renal function panel (80069) |
$880 |
$880 |
101.4× |
| Hepatic function panel (80076) |
$511 |
$511 |
62.5× |
| Urinalysis, non-automated, with microscopy (81000) |
$368 |
$368 |
91.5× |
| Urinalysis, non-automated, without microscopy (81002) |
$70 |
$70 |
20.1× |
| PSA, total (84153) |
$560 |
$560 |
30.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$1,163 |
$1,163 |
69.2× |
| CBC, automated (85027) |
$453 |
$453 |
70.0× |
| Prothrombin time (PT) (85610) |
$240 |
$240 |
55.9× |
| Partial thromboplastin time (PTT) (85730) |
$281 |
$281 |
46.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$291 |
$291 |
10.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$1,177 |
$1,177 |
8.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$1,584 |
$1,584 |
11.4× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$1,994 |
$1,994 |
14.3× |