| CT head/brain without contrast (70450) |
$4,495.50 |
$5,994 |
40.3× |
| MRI brain without contrast (70551) |
$7,826.25 |
$10,435 |
30.7× |
| MRI brain with contrast (70552) |
$9,798.75 |
$13,065 |
26.3× |
| MRI brain without and with contrast (70553) |
$11,055 |
$14,740 |
29.7× |
| X-ray lower spine, 4+ views (72110) |
$1,529.25 |
$2,039 |
13.7× |
| MRI lumbar spine without contrast (72148) |
$6,594.75 |
$8,793 |
25.9× |
| CT pelvis with contrast (72193) |
$6,166.50 |
$8,222 |
32.9× |
| MRI lower-extremity joint without contrast (73721) |
$10,290 |
$13,720 |
40.4× |
| CT abdomen and pelvis with contrast (74177) |
$12,636 |
$16,848 |
33.9× |
| Ultrasound, abdomen complete (76700) |
$3,066.75 |
$4,089 |
27.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$927.75 |
$1,237 |
8.3× |
| Ultrasound, transvaginal (76830) |
$2,267.25 |
$3,023 |
20.3× |
| Mammography, one breast (diagnostic) (77065) |
$927 |
$1,236 |
10.8× |
| Mammography, both breasts (diagnostic) (77066) |
$1,174.50 |
$1,566 |
10.6× |
| Mammography, screening (bilateral) (77067) |
$1,020 |
$1,360 |
11.2× |
| Basic metabolic panel (80048) |
$75 |
$100 |
8.9× |
| Comprehensive metabolic panel (80053) |
$96.75 |
$129 |
9.2× |
| Obstetric panel (80055) |
$1,011.75 |
$1,349 |
21.2× |
| Lipid panel (80061) |
$120.75 |
$161 |
9.0× |
| Renal function panel (80069) |
$78 |
$104 |
9.0× |
| Hepatic function panel (80076) |
$73.50 |
$98 |
9.0× |
| Urinalysis, non-automated, without microscopy (81002) |
$98.25 |
$131 |
28.2× |
| PSA, total (84153) |
$303 |
$404 |
16.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$150.75 |
$201 |
9.0× |
| CBC with automated differential (85025) |
$117.75 |
$157 |
15.2× |
| CBC, automated (85027) |
$101.25 |
$135 |
15.6× |
| Prothrombin time (PT) (85610) |
$40.50 |
$54 |
9.4× |
| Partial thromboplastin time (PTT) (85730) |
$109.50 |
$146 |
18.2× |
| Psychotherapy, 30 minutes (90832) |
$318 |
$424 |
1.7× |
| Psychotherapy, 45 minutes (90834) |
$318 |
$424 |
1.7× |
| Left heart catheterization (93452) |
$20,795.25 |
$27,727 |
6.0× |
| Sleep study (attended polysomnography) (95810) |
$10,338.75 |
$13,785 |
11.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$302.25 |
$403 |
10.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$614.25 |
$819 |
4.3× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$1,233 |
$1,644 |
8.7× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$1,370.62 |
$1,827.50 |
9.6× |