| CT head/brain without contrast (70450) |
$8,145 |
$8,145 |
74.6× |
| MRI brain without contrast (70551) |
$9,633 |
$9,633 |
38.7× |
| MRI brain with contrast (70552) |
$11,620 |
$11,620 |
31.9× |
| MRI brain without and with contrast (70553) |
$13,866 |
$13,866 |
38.1× |
| X-ray lower spine, 4+ views (72110) |
$3,123 |
$3,123 |
28.6× |
| MRI lumbar spine without contrast (72148) |
$11,587 |
$11,587 |
46.5× |
| CT pelvis with contrast (72193) |
$10,557 |
$10,557 |
57.6× |
| MRI lower-extremity joint without contrast (73721) |
$10,786 |
$10,786 |
43.3× |
| CT abdomen and pelvis with contrast (74177) |
$21,100 |
$21,100 |
57.9× |
| Ultrasound, abdomen complete (76700) |
$3,940 |
$3,940 |
36.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$3,258 |
$3,258 |
29.8× |
| Ultrasound, transvaginal (76830) |
$3,471 |
$3,471 |
31.8× |
| Mammography, one breast (diagnostic) (77065) |
$1,295 |
$1,295 |
15.0× |
| Mammography, both breasts (diagnostic) (77066) |
$1,482 |
$1,482 |
13.4× |
| Mammography, screening (bilateral) (77067) |
$1,185 |
$1,185 |
13.0× |
| Basic metabolic panel (80048) |
$1,430 |
$1,430 |
169.0× |
| Comprehensive metabolic panel (80053) |
$772 |
$772 |
73.1× |
| Lipid panel (80061) |
$573.16 |
$573.16 |
42.8× |
| Renal function panel (80069) |
$1,455 |
$1,455 |
167.6× |
| Hepatic function panel (80076) |
$1,818 |
$1,818 |
222.5× |
| Urinalysis, non-automated, without microscopy (81002) |
$87 |
$87 |
25.0× |
| PSA, total (84153) |
$833 |
$833 |
45.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$1,174 |
$1,174 |
69.9× |
| CBC, automated (85027) |
$446.50 |
$446.50 |
69.0× |
| Prothrombin time (PT) (85610) |
$561 |
$561 |
130.8× |
| Partial thromboplastin time (PTT) (85730) |
$630 |
$630 |
104.8× |
| Sleep study (attended polysomnography) (95810) |
$17,561 |
$17,561 |
19.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$645.50 |
$645.50 |
22.2× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$1,499 |
$1,499 |
10.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$2,283 |
$2,283 |
16.4× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$3,424 |
$3,424 |
24.6× |