| CT head/brain without contrast (70450) |
$5,864 |
$5,864 |
52.1× |
| MRI brain without contrast (70551) |
$6,891 |
$6,891 |
26.8× |
| MRI brain with contrast (70552) |
$7,759 |
$7,759 |
20.6× |
| MRI brain without and with contrast (70553) |
$9,146 |
$9,146 |
24.3× |
| X-ray lower spine, 4+ views (72110) |
$595 |
$595 |
5.3× |
| MRI lumbar spine without contrast (72148) |
$7,613 |
$7,613 |
29.6× |
| CT pelvis with contrast (72193) |
$9,726 |
$9,726 |
51.5× |
| MRI lower-extremity joint without contrast (73721) |
$6,891 |
$6,891 |
26.8× |
| CT abdomen and pelvis with contrast (74177) |
$13,697 |
$13,697 |
36.4× |
| Ultrasound, abdomen complete (76700) |
$2,445 |
$2,445 |
21.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$1,679 |
$1,679 |
14.9× |
| Ultrasound, transvaginal (76830) |
$1,983 |
$1,983 |
17.6× |
| Mammography, one breast (diagnostic) (77065) |
$975 |
$975 |
11.3× |
| Mammography, both breasts (diagnostic) (77066) |
$1,153 |
$1,153 |
10.4× |
| Mammography, screening (bilateral) (77067) |
$792 |
$792 |
8.7× |
| Basic metabolic panel (80048) |
$395.50 |
$395.50 |
46.7× |
| Comprehensive metabolic panel (80053) |
$518 |
$518 |
49.1× |
| Lipid panel (80061) |
$410.50 |
$410.50 |
30.7× |
| Renal function panel (80069) |
$430 |
$430 |
49.5× |
| Hepatic function panel (80076) |
$520.50 |
$520.50 |
63.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$52 |
$52 |
14.9× |
| PSA, total (84153) |
$477.50 |
$477.50 |
26.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$565 |
$565 |
33.6× |
| CBC, automated (85027) |
$179 |
$179 |
27.7× |
| Prothrombin time (PT) (85610) |
$85 |
$85 |
19.8× |
| Partial thromboplastin time (PTT) (85730) |
$195.50 |
$195.50 |
32.5× |
| Psychotherapy, 30 minutes (90832) |
$671 |
$671 |
3.5× |
| Psychotherapy, 45 minutes (90834) |
$1,302 |
$1,302 |
6.8× |
| Psychotherapy, 60 minutes (90837) |
$1,007 |
$1,007 |
5.3× |
| Family psychotherapy, without patient (50 min) (90846) |
$1,073 |
$1,073 |
5.6× |
| Family psychotherapy, with patient (50 min) (90847) |
$1,073 |
$1,073 |
5.6× |
| Group psychotherapy (90853) |
$925 |
$925 |
8.5× |
| Sleep study (attended polysomnography) (95810) |
$9,886 |
$9,886 |
10.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$245 |
$245 |
8.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$1,142 |
$1,142 |
8.0× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$1,391.50 |
$1,391.50 |
9.7× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$1,478 |
$1,478 |
10.3× |