| CT head/brain without contrast (70450) |
$12,096 |
$12,096 |
110.8× |
| MRI brain without contrast (70551) |
$7,545 |
$7,545 |
30.3× |
| MRI brain with contrast (70552) |
$7,850 |
$7,850 |
21.5× |
| MRI brain without and with contrast (70553) |
$19,041 |
$19,041 |
52.3× |
| X-ray lower spine, 4+ views (72110) |
$3,171 |
$3,171 |
29.0× |
| MRI lumbar spine without contrast (72148) |
$9,773 |
$9,773 |
39.2× |
| CT pelvis with contrast (72193) |
$11,427 |
$11,427 |
62.4× |
| MRI lower-extremity joint without contrast (73721) |
$8,435 |
$8,435 |
33.9× |
| CT abdomen and pelvis with contrast (74177) |
$25,310 |
$25,310 |
69.5× |
| Ultrasound, abdomen complete (76700) |
$5,611 |
$5,611 |
51.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$4,126 |
$4,126 |
37.8× |
| Ultrasound, transvaginal (76830) |
$1,861 |
$1,861 |
17.0× |
| Mammography, one breast (diagnostic) (77065) |
$492 |
$492 |
5.7× |
| Mammography, both breasts (diagnostic) (77066) |
$606 |
$606 |
5.5× |
| Mammography, screening (bilateral) (77067) |
$570 |
$570 |
6.3× |
| Basic metabolic panel (80048) |
$2,276 |
$2,276 |
269.0× |
| Comprehensive metabolic panel (80053) |
$2,408 |
$2,408 |
228.0× |
| Lipid panel (80061) |
$2,308 |
$2,308 |
172.4× |
| Renal function panel (80069) |
$12,491 |
$12,491 |
1439.1× |
| Hepatic function panel (80076) |
$2,202 |
$2,202 |
269.5× |
| Urinalysis, non-automated, without microscopy (81002) |
$162 |
$162 |
46.6× |
| PSA, total (84153) |
$649 |
$649 |
35.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$2,890 |
$2,890 |
172.0× |
| CBC, automated (85027) |
$1,466 |
$1,466 |
226.6× |
| Prothrombin time (PT) (85610) |
$895 |
$895 |
208.6× |
| Partial thromboplastin time (PTT) (85730) |
$1,069 |
$1,069 |
177.9× |
| Psychotherapy, 60 minutes (90837) |
$610 |
$610 |
3.3× |
| Family psychotherapy, without patient (50 min) (90846) |
$610 |
$610 |
3.3× |
| Family psychotherapy, with patient (50 min) (90847) |
$610 |
$610 |
3.3× |
| Group psychotherapy (90853) |
$340 |
$340 |
3.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$717 |
$717 |
24.7× |