| CT head/brain without contrast (70450) |
$16,182 |
$16,182 |
148.2× |
| MRI brain without contrast (70551) |
$16,822 |
$16,822 |
67.5× |
| MRI brain with contrast (70552) |
$14,590 |
$14,590 |
40.0× |
| MRI brain without and with contrast (70553) |
$18,280 |
$18,280 |
50.2× |
| X-ray lower spine, 4+ views (72110) |
$7,214 |
$7,214 |
66.1× |
| MRI lumbar spine without contrast (72148) |
$15,466 |
$15,466 |
62.1× |
| CT pelvis with contrast (72193) |
$18,192 |
$18,192 |
99.3× |
| MRI lower-extremity joint without contrast (73721) |
$11,871 |
$11,871 |
47.6× |
| CT abdomen and pelvis with contrast (74177) |
$37,242 |
$37,242 |
102.2× |
| Ultrasound, abdomen complete (76700) |
$4,330 |
$4,330 |
39.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$1,422 |
$1,422 |
13.0× |
| Ultrasound, transvaginal (76830) |
$2,681 |
$2,681 |
24.6× |
| Mammography, one breast (diagnostic) (77065) |
$942 |
$942 |
10.9× |
| Mammography, both breasts (diagnostic) (77066) |
$1,180 |
$1,180 |
10.7× |
| Mammography, screening (bilateral) (77067) |
$652 |
$652 |
7.2× |
| Basic metabolic panel (80048) |
$510 |
$510 |
60.3× |
| Comprehensive metabolic panel (80053) |
$1,617 |
$1,617 |
153.1× |
| Lipid panel (80061) |
$1,015 |
$1,015 |
75.8× |
| Renal function panel (80069) |
$1,041 |
$1,041 |
119.9× |
| Hepatic function panel (80076) |
$5,754 |
$5,754 |
704.3× |
| Urinalysis, non-automated, without microscopy (81002) |
$470 |
$470 |
135.1× |
| PSA, total (84153) |
$156 |
$156 |
8.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$146 |
$146 |
8.7× |
| CBC, automated (85027) |
$614.50 |
$614.50 |
95.0× |
| Prothrombin time (PT) (85610) |
$786 |
$786 |
183.2× |
| Partial thromboplastin time (PTT) (85730) |
$898.50 |
$898.50 |
149.5× |
| Psychotherapy, 60 minutes (90837) |
$384.09 |
$384.09 |
2.1× |
| Family psychotherapy, without patient (50 min) (90846) |
$384.09 |
$384.09 |
2.1× |
| Family psychotherapy, with patient (50 min) (90847) |
$384.09 |
$384.09 |
2.1× |
| Group psychotherapy (90853) |
$215.19 |
$215.19 |
2.0× |
| Sleep study (attended polysomnography) (95810) |
$11,343 |
$11,343 |
12.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$1,299 |
$1,299 |
44.7× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$457.50 |
$457.50 |
3.3× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$684 |
$684 |
4.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$930 |
$930 |
6.7× |