| CT head/brain without contrast (70450) |
$12,860 |
$12,860 |
117.8× |
| MRI brain without contrast (70551) |
$7,539 |
$7,539 |
30.3× |
| MRI brain with contrast (70552) |
$7,840 |
$7,840 |
21.5× |
| MRI brain without and with contrast (70553) |
$19,013 |
$19,013 |
52.2× |
| X-ray lower spine, 4+ views (72110) |
$3,105 |
$3,105 |
28.4× |
| MRI lumbar spine without contrast (72148) |
$9,763 |
$9,763 |
39.2× |
| CT pelvis with contrast (72193) |
$12,151 |
$12,151 |
66.3× |
| MRI lower-extremity joint without contrast (73721) |
$13,254 |
$13,254 |
53.2× |
| CT abdomen and pelvis with contrast (74177) |
$26,903 |
$26,903 |
73.8× |
| Ultrasound, abdomen complete (76700) |
$5,365 |
$5,365 |
49.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$3,944 |
$3,944 |
36.1× |
| Ultrasound, transvaginal (76830) |
$1,780 |
$1,780 |
16.3× |
| Mammography, one breast (diagnostic) (77065) |
$478 |
$478 |
5.5× |
| Mammography, both breasts (diagnostic) (77066) |
$583 |
$583 |
5.3× |
| Mammography, screening (bilateral) (77067) |
$548 |
$548 |
6.0× |
| Basic metabolic panel (80048) |
$2,205 |
$2,205 |
260.6× |
| Comprehensive metabolic panel (80053) |
$2,334 |
$2,334 |
221.0× |
| Lipid panel (80061) |
$2,237 |
$2,237 |
167.1× |
| Renal function panel (80069) |
$12,086 |
$12,086 |
1392.4× |
| Hepatic function panel (80076) |
$2,135 |
$2,135 |
261.3× |
| PSA, total (84153) |
$632 |
$632 |
34.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$2,801 |
$2,801 |
166.7× |
| CBC, automated (85027) |
$1,425 |
$1,425 |
220.2× |
| Prothrombin time (PT) (85610) |
$869 |
$869 |
202.6× |
| Partial thromboplastin time (PTT) (85730) |
$1,040 |
$1,040 |
173.0× |
| Psychotherapy, 30 minutes (90832) |
$763 |
$763 |
4.1× |
| Psychotherapy, 45 minutes (90834) |
$1,009 |
$1,009 |
5.4× |
| Psychotherapy, 60 minutes (90837) |
$1,009 |
$1,009 |
5.4× |
| Family psychotherapy, without patient (50 min) (90846) |
$1,174 |
$1,174 |
6.3× |
| Family psychotherapy, with patient (50 min) (90847) |
$1,174 |
$1,174 |
6.3× |
| Group psychotherapy (90853) |
$559 |
$559 |
5.3× |
| Sleep study (attended polysomnography) (95810) |
$27,646 |
$27,646 |
30.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$688 |
$688 |
23.7× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$1,605 |
$1,605 |
11.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$1,801 |
$1,801 |
13.0× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$2,131 |
$2,131 |
15.3× |