| CT head/brain without contrast (70450) |
$1,177.20 |
$1,962 |
11.7× |
| MRI brain without contrast (70551) |
$1,979.40 |
$3,299 |
8.6× |
| MRI brain with contrast (70552) |
$2,301.60 |
$3,836 |
6.8× |
| MRI brain without and with contrast (70553) |
$2,301.60 |
$3,836 |
6.8× |
| X-ray lower spine, 4+ views (72110) |
$499.20 |
$832 |
5.0× |
| MRI lumbar spine without contrast (72148) |
$1,546.20 |
$2,577 |
6.7× |
| CT pelvis with contrast (72193) |
$1,828.80 |
$3,048 |
10.8× |
| MRI lower-extremity joint without contrast (73721) |
$1,490.40 |
$2,484 |
6.5× |
| CT abdomen and pelvis with contrast (74177) |
$2,418 |
$4,030 |
7.2× |
| Ultrasound, abdomen complete (76700) |
$754.20 |
$1,257 |
7.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$298.80 |
$498 |
3.0× |
| Ultrasound, transvaginal (76830) |
$438.60 |
$731 |
4.4× |
| Mammography, one breast (diagnostic) (77065) |
$181.80 |
$303 |
2.1× |
| Mammography, both breasts (diagnostic) (77066) |
$235.80 |
$393 |
2.1× |
| Mammography, screening (bilateral) (77067) |
$64.50 |
$107.50 |
0.7× |
| Basic metabolic panel (80048) |
$127.20 |
$212 |
15.0× |
| Comprehensive metabolic panel (80053) |
$138 |
$230 |
13.1× |
| Obstetric panel (80055) |
$173.40 |
$289 |
3.6× |
| Lipid panel (80061) |
$99.60 |
$166 |
7.4× |
| Renal function panel (80069) |
$63.60 |
$106 |
7.3× |
| Hepatic function panel (80076) |
$92.40 |
$154 |
11.3× |
| Urinalysis, non-automated, without microscopy (81002) |
$45.60 |
$76 |
13.1× |
| PSA, total (84153) |
$134.70 |
$224.50 |
7.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$96.60 |
$161 |
5.7× |
| CBC with automated differential (85025) |
$92.40 |
$154 |
11.9× |
| CBC, automated (85027) |
$81 |
$135 |
12.5× |
| Prothrombin time (PT) (85610) |
$54.30 |
$90.50 |
12.7× |
| Partial thromboplastin time (PTT) (85730) |
$61.80 |
$103 |
10.3× |
| Psychotherapy, 30 minutes (90832) |
$112.20 |
$187 |
0.7× |
| Psychotherapy, 45 minutes (90834) |
$130.20 |
$217 |
0.8× |
| Psychotherapy, 60 minutes (90837) |
$143.40 |
$239 |
0.8× |
| Family psychotherapy, with patient (50 min) (90847) |
$145.50 |
$242.50 |
0.9× |
| Electrocardiogram (ECG), complete (93000) |
$27 |
$45 |
0.5× |
| Left heart catheterization (93452) |
$2,865 |
$4,775 |
0.9× |
| Sleep study (attended polysomnography) (95810) |
$2,068.80 |
$3,448 |
2.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$49.20 |
$82 |
1.7× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$98.40 |
$164 |
0.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$149.40 |
$249 |
1.2× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$195.60 |
$326 |
1.5× |
| Office consultation (low complexity, ~30 min) (99243) |
$139.80 |
$233 |
1.1× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$198 |
$330 |
1.5× |