| CT head/brain without contrast (70450) |
$10,353 |
$10,353 |
93.9× |
| MRI brain without contrast (70551) |
$11,868 |
$11,868 |
47.2× |
| MRI brain with contrast (70552) |
$13,599.50 |
$13,599.50 |
37.0× |
| MRI brain without and with contrast (70553) |
$17,802 |
$17,802 |
48.4× |
| X-ray lower spine, 4+ views (72110) |
$3,023 |
$3,023 |
27.4× |
| MRI lumbar spine without contrast (72148) |
$12,859 |
$12,859 |
51.1× |
| CT pelvis with contrast (72193) |
$12,204 |
$12,204 |
66.0× |
| MRI lower-extremity joint without contrast (73721) |
$14,040 |
$14,040 |
55.8× |
| CT abdomen and pelvis with contrast (74177) |
$22,183 |
$22,183 |
60.3× |
| Ultrasound, abdomen complete (76700) |
$4,672 |
$4,672 |
42.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$3,066 |
$3,066 |
27.8× |
| Ultrasound, transvaginal (76830) |
$2,915 |
$2,915 |
26.4× |
| Mammography, one breast (diagnostic) (77065) |
$1,768 |
$1,768 |
20.5× |
| Mammography, both breasts (diagnostic) (77066) |
$2,652 |
$2,652 |
24.0× |
| Mammography, screening (bilateral) (77067) |
$1,761.50 |
$1,761.50 |
19.3× |
| Basic metabolic panel (80048) |
$1,849 |
$1,849 |
218.6× |
| Comprehensive metabolic panel (80053) |
$2,569.50 |
$2,569.50 |
243.3× |
| Lipid panel (80061) |
$1,017 |
$1,017 |
76.0× |
| Renal function panel (80069) |
$2,063 |
$2,063 |
237.7× |
| Hepatic function panel (80076) |
$2,011 |
$2,011 |
246.1× |
| Urinalysis, non-automated, with microscopy (81000) |
$922 |
$922 |
229.4× |
| Urinalysis, non-automated, without microscopy (81002) |
$273 |
$273 |
78.4× |
| PSA, total (84153) |
$1,275 |
$1,275 |
69.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$1,115 |
$1,115 |
66.4× |
| CBC, automated (85027) |
$997 |
$997 |
154.1× |
| Prothrombin time (PT) (85610) |
$749 |
$749 |
174.6× |
| Partial thromboplastin time (PTT) (85730) |
$818.50 |
$818.50 |
136.2× |
| Psychotherapy, 30 minutes (90832) |
$33 |
$33 |
0.2× |
| Psychotherapy, 60 minutes (90837) |
$353.50 |
$353.50 |
1.9× |
| Family psychotherapy, with patient (50 min) (90847) |
$747.18 |
$747.18 |
4.0× |
| Group psychotherapy (90853) |
$354 |
$354 |
3.3× |
| Sleep study (attended polysomnography) (95810) |
$9,188 |
$9,188 |
10.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$259 |
$259 |
8.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$651 |
$651 |
4.6× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$688.55 |
$688.55 |
4.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$752 |
$752 |
5.4× |