| CT head/brain without contrast (70450) |
$14,499 |
$14,499 |
132.8× |
| MRI brain without contrast (70551) |
$14,234 |
$14,234 |
57.1× |
| MRI brain with contrast (70552) |
$18,013 |
$18,013 |
49.4× |
| MRI brain without and with contrast (70553) |
$17,728 |
$17,728 |
48.7× |
| X-ray lower spine, 4+ views (72110) |
$3,662 |
$3,662 |
33.5× |
| MRI lumbar spine without contrast (72148) |
$13,530 |
$13,530 |
54.3× |
| CT pelvis with contrast (72193) |
$14,360 |
$14,360 |
78.4× |
| MRI lower-extremity joint without contrast (73721) |
$13,585 |
$13,585 |
54.5× |
| CT abdomen and pelvis with contrast (74177) |
$15,409 |
$15,409 |
42.3× |
| Ultrasound, abdomen complete (76700) |
$4,686 |
$4,686 |
42.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$4,852 |
$4,852 |
44.4× |
| Ultrasound, transvaginal (76830) |
$3,151 |
$3,151 |
28.9× |
| Mammography, one breast (diagnostic) (77065) |
$1,366 |
$1,366 |
15.9× |
| Mammography, both breasts (diagnostic) (77066) |
$1,366 |
$1,366 |
12.4× |
| Mammography, screening (bilateral) (77067) |
$1,227 |
$1,227 |
13.5× |
| Basic metabolic panel (80048) |
$2,097 |
$2,097 |
247.9× |
| Comprehensive metabolic panel (80053) |
$2,443 |
$2,443 |
231.3× |
| Lipid panel (80061) |
$1,723 |
$1,723 |
128.7× |
| Renal function panel (80069) |
$1,094 |
$1,094 |
126.0× |
| Hepatic function panel (80076) |
$1,094 |
$1,094 |
133.9× |
| Urinalysis, non-automated, without microscopy (81002) |
$616 |
$616 |
177.0× |
| PSA, total (84153) |
$535 |
$535 |
29.1× |
| Thyroid stimulating hormone (TSH) (84443) |
$1,079 |
$1,079 |
64.2× |
| CBC, automated (85027) |
$798 |
$798 |
123.3× |
| Prothrombin time (PT) (85610) |
$940 |
$940 |
219.1× |
| Partial thromboplastin time (PTT) (85730) |
$1,168 |
$1,168 |
194.3× |
| Psychotherapy, 60 minutes (90837) |
$1,035 |
$1,035 |
5.6× |
| Family psychotherapy, with patient (50 min) (90847) |
$1,158 |
$1,158 |
6.2× |
| Group psychotherapy (90853) |
$623 |
$623 |
5.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$263 |
$263 |
9.1× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$3,453 |
$3,453 |
24.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$4,056 |
$4,056 |
29.2× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$4,662 |
$4,662 |
33.5× |