| CT head/brain without contrast (70450) |
$9,975 |
$9,975 |
91.4× |
| MRI brain without contrast (70551) |
$9,945 |
$9,945 |
39.9× |
| MRI brain with contrast (70552) |
$7,408 |
$7,408 |
20.3× |
| MRI brain without and with contrast (70553) |
$11,636 |
$11,636 |
31.9× |
| X-ray lower spine, 4+ views (72110) |
$3,924 |
$3,924 |
35.9× |
| MRI lumbar spine without contrast (72148) |
$7,057 |
$7,057 |
28.3× |
| CT pelvis with contrast (72193) |
$10,844 |
$10,844 |
59.2× |
| MRI lower-extremity joint without contrast (73721) |
$11,813 |
$11,813 |
47.4× |
| CT abdomen and pelvis with contrast (74177) |
$24,040 |
$24,040 |
66.0× |
| Ultrasound, abdomen complete (76700) |
$3,571 |
$3,571 |
32.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$3,019 |
$3,019 |
27.7× |
| Ultrasound, transvaginal (76830) |
$3,322 |
$3,322 |
30.4× |
| Mammography, one breast (diagnostic) (77065) |
$458 |
$458 |
5.3× |
| Mammography, both breasts (diagnostic) (77066) |
$367 |
$367 |
3.3× |
| Mammography, screening (bilateral) (77067) |
$367 |
$367 |
4.0× |
| Basic metabolic panel (80048) |
$1,665 |
$1,665 |
196.8× |
| Comprehensive metabolic panel (80053) |
$1,717 |
$1,717 |
162.6× |
| Lipid panel (80061) |
$964 |
$964 |
72.0× |
| Renal function panel (80069) |
$1,938 |
$1,938 |
223.3× |
| Hepatic function panel (80076) |
$1,938 |
$1,938 |
237.2× |
| PSA, total (84153) |
$1,050 |
$1,050 |
57.1× |
| Thyroid stimulating hormone (TSH) (84443) |
$1,126 |
$1,126 |
67.0× |
| CBC, automated (85027) |
$824 |
$824 |
127.4× |
| Prothrombin time (PT) (85610) |
$619 |
$619 |
144.3× |
| Partial thromboplastin time (PTT) (85730) |
$623 |
$623 |
103.7× |
| Psychotherapy, 30 minutes (90832) |
$1,080 |
$1,080 |
5.8× |
| Psychotherapy, 45 minutes (90834) |
$1,439 |
$1,439 |
7.8× |
| Psychotherapy, 60 minutes (90837) |
$1,751 |
$1,751 |
9.4× |
| Family psychotherapy, without patient (50 min) (90846) |
$988 |
$988 |
5.3× |
| Family psychotherapy, with patient (50 min) (90847) |
$988 |
$988 |
5.3× |
| Group psychotherapy (90853) |
$403 |
$403 |
3.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$429 |
$429 |
14.8× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$616 |
$616 |
4.4× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$821.50 |
$821.50 |
5.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$1,048 |
$1,048 |
7.5× |