| CT head/brain without contrast (70450) |
$6,467 |
$6,467 |
59.2× |
| MRI brain without contrast (70551) |
$11,264 |
$11,264 |
45.2× |
| MRI brain with contrast (70552) |
$14,260 |
$14,260 |
39.1× |
| MRI brain without and with contrast (70553) |
$19,019 |
$19,019 |
52.2× |
| X-ray lower spine, 4+ views (72110) |
$4,085 |
$4,085 |
37.4× |
| MRI lumbar spine without contrast (72148) |
$11,264 |
$11,264 |
45.2× |
| CT pelvis with contrast (72193) |
$8,990 |
$8,990 |
49.1× |
| MRI lower-extremity joint without contrast (73721) |
$11,816 |
$11,816 |
47.4× |
| CT abdomen and pelvis with contrast (74177) |
$17,986 |
$17,986 |
49.4× |
| Ultrasound, abdomen complete (76700) |
$14,885 |
$14,885 |
136.3× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$3,769 |
$3,769 |
34.5× |
| Ultrasound, transvaginal (76830) |
$6,103 |
$6,103 |
55.9× |
| Mammography, one breast (diagnostic) (77065) |
$655 |
$655 |
7.6× |
| Mammography, both breasts (diagnostic) (77066) |
$792 |
$792 |
7.2× |
| Mammography, screening (bilateral) (77067) |
$748 |
$748 |
8.2× |
| Basic metabolic panel (80048) |
$2,192 |
$2,192 |
259.1× |
| Comprehensive metabolic panel (80053) |
$2,457 |
$2,457 |
232.7× |
| Lipid panel (80061) |
$798 |
$798 |
59.6× |
| Renal function panel (80069) |
$2,426 |
$2,426 |
279.5× |
| Hepatic function panel (80076) |
$2,818 |
$2,818 |
344.9× |
| Urinalysis, non-automated, without microscopy (81002) |
$153 |
$153 |
44.0× |
| PSA, total (84153) |
$223 |
$223 |
12.1× |
| Thyroid stimulating hormone (TSH) (84443) |
$749 |
$749 |
44.6× |
| CBC, automated (85027) |
$1,155 |
$1,155 |
178.5× |
| Prothrombin time (PT) (85610) |
$897 |
$897 |
209.1× |
| Partial thromboplastin time (PTT) (85730) |
$897 |
$897 |
149.3× |
| Sleep study (attended polysomnography) (95810) |
$15,682 |
$15,682 |
17.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$856 |
$856 |
29.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$718 |
$718 |
5.2× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$1,662 |
$1,662 |
12.0× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$915 |
$915 |
6.6× |