| CT head/brain without contrast (70450) |
$4,660 |
$4,660 |
44.4× |
| MRI brain without contrast (70551) |
$7,737 |
$7,737 |
32.3× |
| MRI brain with contrast (70552) |
$7,737 |
$7,737 |
22.1× |
| MRI brain without and with contrast (70553) |
$7,981 |
$7,981 |
22.8× |
| X-ray lower spine, 4+ views (72110) |
$2,089 |
$2,089 |
19.9× |
| MRI lumbar spine without contrast (72148) |
$7,737 |
$7,737 |
32.3× |
| CT pelvis with contrast (72193) |
$7,883 |
$7,883 |
44.8× |
| MRI lower-extremity joint without contrast (73721) |
$7,511 |
$7,511 |
31.4× |
| CT abdomen and pelvis with contrast (74177) |
$16,308 |
$16,308 |
46.6× |
| Ultrasound, abdomen complete (76700) |
$2,465 |
$2,465 |
23.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$1,633 |
$1,633 |
15.6× |
| Ultrasound, transvaginal (76830) |
$1,578 |
$1,578 |
15.0× |
| Mammography, one breast (diagnostic) (77065) |
$750 |
$750 |
8.7× |
| Mammography, both breasts (diagnostic) (77066) |
$750 |
$750 |
6.8× |
| Mammography, screening (bilateral) (77067) |
$750 |
$750 |
8.2× |
| Basic metabolic panel (80048) |
$507 |
$507 |
59.9× |
| Comprehensive metabolic panel (80053) |
$880 |
$880 |
83.3× |
| Lipid panel (80061) |
$580 |
$580 |
43.3× |
| Renal function panel (80069) |
$549 |
$549 |
63.2× |
| Hepatic function panel (80076) |
$478 |
$478 |
58.5× |
| PSA, total (84153) |
$636 |
$636 |
34.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$632 |
$632 |
37.6× |
| CBC, automated (85027) |
$421 |
$421 |
65.1× |
| Prothrombin time (PT) (85610) |
$212 |
$212 |
49.4× |
| Partial thromboplastin time (PTT) (85730) |
$409 |
$409 |
68.1× |
| Psychotherapy, 30 minutes (90832) |
$468 |
$468 |
2.6× |
| Psychotherapy, 45 minutes (90834) |
$720 |
$720 |
4.0× |
| Psychotherapy, 60 minutes (90837) |
$931 |
$931 |
5.2× |
| Family psychotherapy, without patient (50 min) (90846) |
$720 |
$720 |
4.0× |
| Family psychotherapy, with patient (50 min) (90847) |
$752 |
$752 |
4.2× |
| Group psychotherapy (90853) |
$502 |
$502 |
4.9× |
| Sleep study (attended polysomnography) (95810) |
$10,699.50 |
$10,699.50 |
12.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$368 |
$368 |
12.7× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$352 |
$352 |
2.6× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$483.50 |
$483.50 |
3.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$555 |
$555 |
4.2× |