| CT head/brain without contrast (70450) |
$4,118.08 |
$4,118.08 |
41.2× |
| MRI brain without contrast (70551) |
$5,494.56 |
$5,494.56 |
24.1× |
| MRI brain with contrast (70552) |
$5,929.85 |
$5,929.85 |
17.8× |
| MRI brain without and with contrast (70553) |
$7,774.76 |
$7,774.76 |
23.3× |
| X-ray lower spine, 4+ views (72110) |
$841.97 |
$841.97 |
8.4× |
| MRI lumbar spine without contrast (72148) |
$5,620.12 |
$5,620.12 |
24.6× |
| CT pelvis with contrast (72193) |
$5,143.94 |
$5,143.94 |
30.7× |
| MRI lower-extremity joint without contrast (73721) |
$5,847.94 |
$5,847.94 |
25.6× |
| CT abdomen and pelvis with contrast (74177) |
$9,969.14 |
$9,969.14 |
29.9× |
| Ultrasound, abdomen complete (76700) |
$2,024.23 |
$2,024.23 |
20.3× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$1,388.58 |
$1,388.58 |
13.9× |
| Ultrasound, transvaginal (76830) |
$192.13 |
$192.13 |
1.9× |
| Mammography, one breast (diagnostic) (77065) |
$405.13 |
$405.13 |
4.7× |
| Mammography, both breasts (diagnostic) (77066) |
$484.38 |
$484.38 |
4.4× |
| Mammography, screening (bilateral) (77067) |
$473.83 |
$473.83 |
5.2× |
| Comprehensive metabolic panel (80053) |
$199.71 |
$199.71 |
18.9× |
| Urinalysis, non-automated, without microscopy (81002) |
$137.30 |
$137.30 |
39.5× |
| CBC, automated (85027) |
$111.53 |
$111.53 |
17.2× |
| Prothrombin time (PT) (85610) |
$134.88 |
$134.88 |
31.4× |
| Partial thromboplastin time (PTT) (85730) |
$170.59 |
$170.59 |
28.4× |
| Psychotherapy, 30 minutes (90832) |
$123.94 |
$123.94 |
0.7× |
| Psychotherapy, 45 minutes (90834) |
$164.07 |
$164.07 |
1.0× |
| Psychotherapy, 60 minutes (90837) |
$246.12 |
$246.12 |
1.5× |
| Family psychotherapy, without patient (50 min) (90846) |
$83.79 |
$83.79 |
0.5× |
| Family psychotherapy, with patient (50 min) (90847) |
$267.06 |
$267.06 |
1.6× |
| Group psychotherapy (90853) |
$518.44 |
$518.44 |
5.3× |
| Sleep study (attended polysomnography) (95810) |
$4,936.44 |
$4,936.44 |
6.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$146.93 |
$146.93 |
5.1× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$436.18 |
$436.18 |
3.4× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$523.41 |
$523.41 |
4.1× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$610.64 |
$610.64 |
4.8× |