| CT head/brain without contrast (70450) |
$15,478 |
$15,478 |
141.8× |
| MRI brain without contrast (70551) |
$6,935 |
$6,935 |
27.8× |
| MRI brain with contrast (70552) |
$8,055 |
$8,055 |
22.1× |
| MRI brain without and with contrast (70553) |
$10,300 |
$10,300 |
28.3× |
| X-ray lower spine, 4+ views (72110) |
$8,773 |
$8,773 |
80.4× |
| MRI lumbar spine without contrast (72148) |
$7,205 |
$7,205 |
28.9× |
| CT pelvis with contrast (72193) |
$18,153 |
$18,153 |
99.1× |
| MRI lower-extremity joint without contrast (73721) |
$6,447 |
$6,447 |
25.9× |
| CT abdomen and pelvis with contrast (74177) |
$37,221 |
$37,221 |
102.2× |
| Ultrasound, abdomen complete (76700) |
$7,310 |
$7,310 |
67.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$1,229 |
$1,229 |
11.3× |
| Ultrasound, transvaginal (76830) |
$3,992 |
$3,992 |
36.6× |
| Mammography, one breast (diagnostic) (77065) |
$822 |
$822 |
9.5× |
| Mammography, both breasts (diagnostic) (77066) |
$659 |
$659 |
6.0× |
| Mammography, screening (bilateral) (77067) |
$659 |
$659 |
7.2× |
| Basic metabolic panel (80048) |
$1,848 |
$1,848 |
218.4× |
| Comprehensive metabolic panel (80053) |
$4,206 |
$4,206 |
398.3× |
| Lipid panel (80061) |
$605 |
$605 |
45.2× |
| Renal function panel (80069) |
$2,418 |
$2,418 |
278.6× |
| Hepatic function panel (80076) |
$3,045 |
$3,045 |
372.7× |
| PSA, total (84153) |
$117 |
$117 |
6.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$322 |
$322 |
19.2× |
| CBC, automated (85027) |
$705 |
$705 |
109.0× |
| Prothrombin time (PT) (85610) |
$353 |
$353 |
82.3× |
| Partial thromboplastin time (PTT) (85730) |
$367 |
$367 |
61.1× |
| Sleep study (attended polysomnography) (95810) |
$14,674 |
$14,674 |
16.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$1,370 |
$1,370 |
47.1× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$526 |
$526 |
3.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$672.50 |
$672.50 |
4.8× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$1,323 |
$1,323 |
9.5× |