| CT head/brain without contrast (70450) |
$1,669.35 |
$1,757.22 |
18.2× |
| MRI brain without contrast (70551) |
$2,413.56 |
$2,540.59 |
11.5× |
| MRI brain with contrast (70552) |
$2,287.13 |
$2,407.50 |
7.5× |
| MRI brain without and with contrast (70553) |
$3,851.71 |
$4,054.43 |
12.6× |
| X-ray lower spine, 4+ views (72110) |
$338.86 |
$356.69 |
3.7× |
| MRI lumbar spine without contrast (72148) |
$2,751.90 |
$2,896.74 |
13.2× |
| CT pelvis with contrast (72193) |
$2,308.17 |
$2,429.65 |
15.0× |
| MRI lower-extremity joint without contrast (73721) |
$2,657.02 |
$2,796.86 |
12.7× |
| CT abdomen and pelvis with contrast (74177) |
$4,340.24 |
$4,568.67 |
14.2× |
| Ultrasound, abdomen complete (76700) |
$669.01 |
$704.22 |
7.3× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$702.40 |
$739.37 |
7.7× |
| Ultrasound, transvaginal (76830) |
$659.24 |
$693.94 |
7.2× |
| Mammography, one breast (diagnostic) (77065) |
$265.52 |
$279.50 |
3.1× |
| Mammography, both breasts (diagnostic) (77066) |
$346.11 |
$364.32 |
3.1× |
| Mammography, screening (bilateral) (77067) |
$271.15 |
$285.42 |
3.0× |
| Basic metabolic panel (80048) |
$182.88 |
$192.50 |
21.6× |
| Comprehensive metabolic panel (80053) |
$408.50 |
$430 |
38.7× |
| Lipid panel (80061) |
$113.72 |
$119.70 |
8.5× |
| Renal function panel (80069) |
$146.08 |
$153.77 |
16.8× |
| Hepatic function panel (80076) |
$106.88 |
$112.50 |
13.1× |
| PSA, total (84153) |
$114 |
$120 |
6.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$105.25 |
$110.78 |
6.3× |
| CBC with automated differential (85025) |
$106.50 |
$112.10 |
13.7× |
| CBC, automated (85027) |
$81.23 |
$85.50 |
12.6× |
| Prothrombin time (PT) (85610) |
$66.93 |
$70.45 |
15.6× |
| Partial thromboplastin time (PTT) (85730) |
$70.83 |
$74.56 |
11.8× |
| Sleep study (attended polysomnography) (95810) |
$2,837.65 |
$2,987 |
3.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$98.86 |
$104.06 |
3.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$157.48 |
$165.77 |
1.3× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$127.77 |
$134.49 |
1.1× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$252.89 |
$266.20 |
2.2× |
| Office consultation (low complexity, ~30 min) (99243) |
$105.17 |
$110.70 |
0.9× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$134.90 |
$142 |
1.2× |