| CT head/brain without contrast (70450) |
$500 |
$3,699 |
4.8× |
| MRI brain without contrast (70551) |
$731.77 |
$5,629 |
3.1× |
| MRI brain with contrast (70552) |
$871 |
$6,700 |
2.5× |
| MRI brain without and with contrast (70553) |
$1,493.05 |
$11,485 |
4.3× |
| X-ray lower spine, 4+ views (72110) |
$424.06 |
$3,262 |
4.0× |
| MRI lumbar spine without contrast (72148) |
$1,214.59 |
$9,343 |
5.1× |
| CT pelvis with contrast (72193) |
$633.10 |
$4,870 |
3.6× |
| MRI lower-extremity joint without contrast (73721) |
$1,102.40 |
$8,480 |
4.6× |
| CT abdomen and pelvis with contrast (74177) |
$1,381.64 |
$10,628 |
3.9× |
| Ultrasound, abdomen complete (76700) |
$343.33 |
$2,641 |
3.3× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$334.76 |
$2,575.08 |
3.2× |
| Ultrasound, transvaginal (76830) |
$309.53 |
$2,381 |
2.9× |
| Mammography, one breast (diagnostic) (77065) |
$93.21 |
$717 |
1.1× |
| Mammography, both breasts (diagnostic) (77066) |
$307.32 |
$2,364 |
2.8× |
| Mammography, screening (bilateral) (77067) |
$197.08 |
$1,516 |
2.2× |
| Basic metabolic panel (80048) |
$68.32 |
$525.50 |
8.1× |
| Comprehensive metabolic panel (80053) |
$88.92 |
$684 |
8.4× |
| Obstetric panel (80055) |
$47.11 |
$362.40 |
1.0× |
| Lipid panel (80061) |
$74.42 |
$572.50 |
5.6× |
| Renal function panel (80069) |
$69.29 |
$533 |
8.0× |
| Hepatic function panel (80076) |
$57.85 |
$445 |
7.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$6.71 |
$51.60 |
1.9× |
| PSA, total (84153) |
$93.60 |
$720 |
5.1× |
| Thyroid stimulating hormone (TSH) (84443) |
$55.51 |
$427 |
3.3× |
| CBC with automated differential (85025) |
$80.25 |
$617.30 |
10.3× |
| CBC, automated (85027) |
$54.90 |
$422.29 |
8.5× |
| Prothrombin time (PT) (85610) |
$47.58 |
$366 |
11.1× |
| Partial thromboplastin time (PTT) (85730) |
$60.78 |
$467.54 |
10.1× |
| Psychotherapy, 30 minutes (90832) |
$39.78 |
$306 |
0.2× |
| Psychotherapy, 45 minutes (90834) |
$67.47 |
$519 |
0.4× |
| Psychotherapy, 60 minutes (90837) |
$76.44 |
$588 |
0.4× |
| Family psychotherapy, without patient (50 min) (90846) |
$24.70 |
$190 |
0.1× |
| Family psychotherapy, with patient (50 min) (90847) |
$82.29 |
$633 |
0.5× |
| Group psychotherapy (90853) |
$86.45 |
$665 |
0.8× |
| Left heart catheterization (93452) |
$1,006.46 |
$7,742 |
0.3× |
| Sleep study (attended polysomnography) (95810) |
$1,358.97 |
$10,453.61 |
1.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$59.15 |
$455 |
2.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$67.99 |
$523 |
0.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$75.08 |
$577.50 |
0.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$82.42 |
$634 |
0.6× |
| Preventive visit, new patient (age 18–39) (99385) |
$31.20 |
$240 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$38.87 |
$299 |
— |