| CT head/brain without contrast (70450) |
$10,102 |
$10,102 |
92.5× |
| MRI brain without contrast (70551) |
$7,845 |
$7,845 |
31.5× |
| MRI brain with contrast (70552) |
$8,739 |
$8,739 |
24.0× |
| MRI brain without and with contrast (70553) |
$11,302 |
$11,302 |
31.0× |
| X-ray lower spine, 4+ views (72110) |
$3,796 |
$3,796 |
34.8× |
| MRI lumbar spine without contrast (72148) |
$7,845 |
$7,845 |
31.5× |
| CT pelvis with contrast (72193) |
$13,850 |
$13,850 |
75.6× |
| MRI lower-extremity joint without contrast (73721) |
$7,845 |
$7,845 |
31.5× |
| CT abdomen and pelvis with contrast (74177) |
$27,685 |
$27,685 |
76.0× |
| Ultrasound, abdomen complete (76700) |
$6,285 |
$6,285 |
57.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$4,321 |
$4,321 |
39.6× |
| Ultrasound, transvaginal (76830) |
$4,846 |
$4,846 |
44.4× |
| Mammography, one breast (diagnostic) (77065) |
$499 |
$499 |
5.8× |
| Mammography, both breasts (diagnostic) (77066) |
$1,001 |
$1,001 |
9.1× |
| Mammography, screening (bilateral) (77067) |
$793 |
$793 |
8.7× |
| Basic metabolic panel (80048) |
$3,264 |
$3,264 |
385.8× |
| Comprehensive metabolic panel (80053) |
$3,457 |
$3,457 |
327.4× |
| Lipid panel (80061) |
$841.80 |
$841.80 |
62.9× |
| Renal function panel (80069) |
$2,331 |
$2,331 |
268.5× |
| Hepatic function panel (80076) |
$2,886 |
$2,886 |
353.2× |
| PSA, total (84153) |
$473.61 |
$473.61 |
25.8× |
| Thyroid stimulating hormone (TSH) (84443) |
$1,702 |
$1,702 |
101.3× |
| CBC, automated (85027) |
$770 |
$770 |
119.0× |
| Prothrombin time (PT) (85610) |
$726 |
$726 |
169.2× |
| Partial thromboplastin time (PTT) (85730) |
$491 |
$491 |
81.7× |
| Psychotherapy, 30 minutes (90832) |
$421 |
$421 |
2.3× |
| Psychotherapy, 45 minutes (90834) |
$753 |
$753 |
4.1× |
| Psychotherapy, 60 minutes (90837) |
$753 |
$753 |
4.1× |
| Family psychotherapy, without patient (50 min) (90846) |
$753 |
$753 |
4.1× |
| Family psychotherapy, with patient (50 min) (90847) |
$753 |
$753 |
4.1× |
| Group psychotherapy (90853) |
$421 |
$421 |
4.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$731 |
$731 |
25.2× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$1,798.50 |
$1,798.50 |
12.9× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$2,248.50 |
$2,248.50 |
16.2× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$2,464.50 |
$2,464.50 |
17.7× |