| CT head/brain without contrast (70450) |
$2,521.05 |
$7,203 |
24.0× |
| MRI brain without contrast (70551) |
$2,646 |
$7,560 |
11.0× |
| MRI brain with contrast (70552) |
$1,640.45 |
$4,687 |
4.7× |
| MRI brain without and with contrast (70553) |
$4,338.95 |
$12,397 |
12.4× |
| X-ray lower spine, 4+ views (72110) |
$756.70 |
$2,162 |
7.2× |
| MRI lumbar spine without contrast (72148) |
$4,112.66 |
$11,750.45 |
17.2× |
| CT pelvis with contrast (72193) |
$3,687.95 |
$10,537 |
20.9× |
| MRI lower-extremity joint without contrast (73721) |
$2,604.32 |
$7,440.90 |
10.9× |
| CT abdomen and pelvis with contrast (74177) |
$7,068.25 |
$20,195 |
20.2× |
| Ultrasound, abdomen complete (76700) |
$1,649.55 |
$4,713 |
15.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$1,221.15 |
$3,489 |
11.6× |
| Ultrasound, transvaginal (76830) |
$741.30 |
$2,118 |
7.1× |
| Mammography, one breast (diagnostic) (77065) |
$537.95 |
$1,537 |
6.2× |
| Mammography, both breasts (diagnostic) (77066) |
$815.15 |
$2,329 |
7.4× |
| Mammography, screening (bilateral) (77067) |
$330.40 |
$944 |
3.6× |
| Basic metabolic panel (80048) |
$242.90 |
$694 |
28.7× |
| Comprehensive metabolic panel (80053) |
$305.90 |
$874 |
29.0× |
| Obstetric panel (80055) |
$277.90 |
$794 |
5.8× |
| Lipid panel (80061) |
$102.54 |
$292.95 |
7.7× |
| Renal function panel (80069) |
$289.23 |
$826.35 |
33.3× |
| Hepatic function panel (80076) |
$215.95 |
$617 |
26.4× |
| PSA, total (84153) |
$126.42 |
$361.20 |
6.9× |
| Thyroid stimulating hormone (TSH) (84443) |
$99.96 |
$285.60 |
5.9× |
| CBC with automated differential (85025) |
$84.70 |
$242 |
10.9× |
| CBC, automated (85027) |
$57.62 |
$164.62 |
8.9× |
| Prothrombin time (PT) (85610) |
$10.85 |
$31 |
2.5× |
| Partial thromboplastin time (PTT) (85730) |
$39.20 |
$112 |
6.5× |
| Left heart catheterization (93452) |
$4,122.09 |
$11,777.40 |
1.3× |
| Sleep study (attended polysomnography) (95810) |
$1,601.25 |
$4,575 |
1.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$109.55 |
$313 |
3.8× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$178.45 |
$509.85 |
1.3× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$216.70 |
$619.14 |
1.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$249.26 |
$712.17 |
1.9× |
| Office consultation (low complexity, ~30 min) (99243) |
$203 |
$580 |
1.5× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$300.65 |
$859 |
2.2× |