| CT head/brain without contrast (70450) |
$5,343.50 |
$5,343.50 |
48.9× |
| MRI brain without contrast (70551) |
$11,785 |
$11,785 |
47.3× |
| MRI brain with contrast (70552) |
$7,737 |
$7,737 |
21.2× |
| MRI brain without and with contrast (70553) |
$9,384 |
$9,384 |
25.8× |
| X-ray lower spine, 4+ views (72110) |
$4,576 |
$4,576 |
41.9× |
| MRI lumbar spine without contrast (72148) |
$8,489 |
$8,489 |
34.1× |
| CT pelvis with contrast (72193) |
$9,094 |
$9,094 |
49.6× |
| MRI lower-extremity joint without contrast (73721) |
$7,828 |
$7,828 |
31.4× |
| CT abdomen and pelvis with contrast (74177) |
$18,336 |
$18,336 |
50.3× |
| Ultrasound, abdomen complete (76700) |
$10,311 |
$10,311 |
94.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$1,415 |
$1,415 |
13.0× |
| Ultrasound, transvaginal (76830) |
$2,860 |
$2,860 |
26.2× |
| Mammography, one breast (diagnostic) (77065) |
$1,557 |
$1,557 |
18.1× |
| Mammography, both breasts (diagnostic) (77066) |
$1,557 |
$1,557 |
14.1× |
| Mammography, screening (bilateral) (77067) |
$1,439 |
$1,439 |
15.8× |
| Basic metabolic panel (80048) |
$1,919 |
$1,919 |
226.8× |
| Comprehensive metabolic panel (80053) |
$3,269 |
$3,269 |
309.6× |
| Lipid panel (80061) |
$3,099 |
$3,099 |
231.4× |
| Renal function panel (80069) |
$5,116 |
$5,116 |
589.4× |
| Hepatic function panel (80076) |
$2,759 |
$2,759 |
337.7× |
| PSA, total (84153) |
$140 |
$140 |
7.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$2,265 |
$2,265 |
134.8× |
| CBC, automated (85027) |
$1,175 |
$1,175 |
181.6× |
| Prothrombin time (PT) (85610) |
$753 |
$753 |
175.5× |
| Partial thromboplastin time (PTT) (85730) |
$719 |
$719 |
119.6× |
| Sleep study (attended polysomnography) (95810) |
$16,927 |
$16,927 |
18.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$734 |
$734 |
25.3× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$880 |
$880 |
6.3× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$1,227 |
$1,227 |
8.8× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$1,380 |
$1,380 |
9.9× |