| CT head/brain without contrast (70450) |
$5,387.50 |
$5,387.50 |
55.4× |
| MRI brain without contrast (70551) |
$13,170 |
$13,170 |
59.3× |
| MRI brain with contrast (70552) |
$5,004 |
$5,004 |
15.4× |
| MRI brain without and with contrast (70553) |
$7,893 |
$7,893 |
24.3× |
| X-ray lower spine, 4+ views (72110) |
$1,587 |
$1,587 |
16.3× |
| MRI lumbar spine without contrast (72148) |
$7,358 |
$7,358 |
33.2× |
| CT pelvis with contrast (72193) |
$6,749 |
$6,749 |
41.4× |
| MRI lower-extremity joint without contrast (73721) |
$8,485 |
$8,485 |
38.2× |
| CT abdomen and pelvis with contrast (74177) |
$12,632 |
$12,632 |
38.9× |
| Ultrasound, abdomen complete (76700) |
$3,604 |
$3,604 |
37.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$2,848 |
$2,848 |
29.3× |
| Ultrasound, transvaginal (76830) |
$1,967 |
$1,967 |
20.2× |
| Mammography, one breast (diagnostic) (77065) |
$948 |
$948 |
11.0× |
| Mammography, both breasts (diagnostic) (77066) |
$1,149 |
$1,149 |
10.4× |
| Mammography, screening (bilateral) (77067) |
$976 |
$976 |
10.7× |
| Basic metabolic panel (80048) |
$103 |
$103 |
12.2× |
| Comprehensive metabolic panel (80053) |
$241 |
$241 |
22.8× |
| Lipid panel (80061) |
$284 |
$284 |
21.2× |
| Renal function panel (80069) |
$191 |
$191 |
22.0× |
| Hepatic function panel (80076) |
$128 |
$128 |
15.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$125 |
$125 |
35.9× |
| PSA, total (84153) |
$265 |
$265 |
14.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$350 |
$350 |
20.8× |
| CBC, automated (85027) |
$185 |
$185 |
28.6× |
| Prothrombin time (PT) (85610) |
$156 |
$156 |
36.4× |
| Partial thromboplastin time (PTT) (85730) |
$217 |
$217 |
36.1× |
| Psychotherapy, 60 minutes (90837) |
$1,726 |
$1,726 |
10.5× |
| Family psychotherapy, without patient (50 min) (90846) |
$1,282 |
$1,282 |
7.8× |
| Family psychotherapy, with patient (50 min) (90847) |
$1,282 |
$1,282 |
7.8× |
| Group psychotherapy (90853) |
$1,944 |
$1,944 |
20.6× |
| Sleep study (attended polysomnography) (95810) |
$5,357 |
$5,357 |
6.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$438 |
$438 |
15.1× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$847 |
$847 |
6.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$1,839 |
$1,839 |
14.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$2,700.50 |
$2,700.50 |
21.8× |