| CT head/brain without contrast (70450) |
$2,433 |
$3,244 |
22.3× |
| MRI brain without contrast (70551) |
$3,541.50 |
$4,722 |
14.2× |
| MRI brain with contrast (70552) |
$4,174.50 |
$5,566 |
11.5× |
| MRI brain without and with contrast (70553) |
$5,125.50 |
$6,834 |
14.1× |
| X-ray lower spine, 4+ views (72110) |
$804.75 |
$1,073 |
7.4× |
| MRI lumbar spine without contrast (72148) |
$3,599.25 |
$4,799 |
14.4× |
| CT pelvis with contrast (72193) |
$3,139.50 |
$4,186 |
17.1× |
| MRI lower-extremity joint without contrast (73721) |
$3,434.25 |
$4,579 |
13.8× |
| CT abdomen and pelvis with contrast (74177) |
$5,411.25 |
$7,215 |
14.9× |
| Ultrasound, abdomen complete (76700) |
$1,356.75 |
$1,809 |
12.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$1,062 |
$1,416 |
9.7× |
| Ultrasound, transvaginal (76830) |
$961.50 |
$1,282 |
8.8× |
| Basic metabolic panel (80048) |
$124.26 |
$165.67 |
14.7× |
| Comprehensive metabolic panel (80053) |
$174.50 |
$232.67 |
16.5× |
| Lipid panel (80061) |
$4.92 |
$6.56 |
0.4× |
| Renal function panel (80069) |
$116.74 |
$155.65 |
13.4× |
| Hepatic function panel (80076) |
$17.51 |
$23.34 |
2.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$34.50 |
$46 |
9.9× |
| PSA, total (84153) |
$16.86 |
$22.48 |
0.9× |
| Thyroid stimulating hormone (TSH) (84443) |
$10.14 |
$13.52 |
0.6× |
| CBC with automated differential (85025) |
$26.50 |
$35.33 |
3.4× |
| CBC, automated (85027) |
$26.50 |
$35.33 |
4.1× |
| Prothrombin time (PT) (85610) |
$19.58 |
$26.10 |
4.6× |
| Partial thromboplastin time (PTT) (85730) |
$41.68 |
$55.57 |
6.9× |
| Left heart catheterization (93452) |
$15,132.75 |
$20,177 |
4.5× |
| Sleep study (attended polysomnography) (95810) |
$5,246.25 |
$6,995 |
5.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$171.75 |
$229 |
5.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$200.25 |
$267 |
1.4× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$265.50 |
$354 |
1.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$346.50 |
$462 |
2.5× |