| CT head/brain without contrast (70450) |
$2,382 |
$2,382 |
21.3× |
| MRI brain without contrast (70551) |
$3,750 |
$3,750 |
14.7× |
| MRI brain with contrast (70552) |
$3,951 |
$3,951 |
10.6× |
| MRI brain without and with contrast (70553) |
$6,926 |
$6,926 |
18.5× |
| X-ray lower spine, 4+ views (72110) |
$1,240 |
$1,240 |
11.1× |
| MRI lumbar spine without contrast (72148) |
$4,535 |
$4,535 |
17.7× |
| CT pelvis with contrast (72193) |
$2,804 |
$2,804 |
14.9× |
| MRI lower-extremity joint without contrast (73721) |
$4,303 |
$4,303 |
16.8× |
| CT abdomen and pelvis with contrast (74177) |
$6,149 |
$6,149 |
16.4× |
| Ultrasound, abdomen complete (76700) |
$2,308 |
$2,308 |
20.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$1,287 |
$1,287 |
11.5× |
| Ultrasound, transvaginal (76830) |
$1,225 |
$1,225 |
10.9× |
| Mammography, one breast (diagnostic) (77065) |
$717 |
$717 |
8.3× |
| Mammography, both breasts (diagnostic) (77066) |
$874 |
$874 |
7.9× |
| Mammography, screening (bilateral) (77067) |
$617 |
$617 |
6.8× |
| Basic metabolic panel (80048) |
$290 |
$290 |
34.3× |
| Comprehensive metabolic panel (80053) |
$437 |
$437 |
41.4× |
| Obstetric panel (80055) |
$1,060 |
$1,060 |
22.2× |
| Lipid panel (80061) |
$282 |
$282 |
21.1× |
| Renal function panel (80069) |
$295 |
$295 |
34.0× |
| Hepatic function panel (80076) |
$385 |
$385 |
47.1× |
| Urinalysis, non-automated, with microscopy (81000) |
$138 |
$138 |
34.3× |
| Urinalysis, non-automated, without microscopy (81002) |
$87 |
$87 |
25.0× |
| PSA, total (84153) |
$262 |
$262 |
14.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$264 |
$264 |
15.7× |
| CBC with automated differential (85025) |
$199 |
$199 |
25.6× |
| CBC, automated (85027) |
$178 |
$178 |
27.5× |
| Prothrombin time (PT) (85610) |
$134 |
$134 |
31.2× |
| Partial thromboplastin time (PTT) (85730) |
$199 |
$199 |
33.1× |
| Psychotherapy, 30 minutes (90832) |
$310 |
$310 |
1.6× |
| Psychotherapy, 45 minutes (90834) |
$424 |
$424 |
2.2× |
| Psychotherapy, 60 minutes (90837) |
$480 |
$480 |
2.5× |
| Family psychotherapy, without patient (50 min) (90846) |
$503 |
$503 |
2.6× |
| Family psychotherapy, with patient (50 min) (90847) |
$430 |
$430 |
2.3× |
Group psychotherapy (90853) range across 2 matching MRF lines |
$373–$1,212 |
$373–$1,212 |
varies |
| Left heart catheterization (93452) |
$15,409 |
$15,409 |
4.4× |
| Sleep study (attended polysomnography) (95810) |
$6,847 |
$6,847 |
7.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$207 |
$207 |
7.1× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$442 |
$442 |
3.1× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$497 |
$497 |
3.5× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$531 |
$531 |
3.7× |
| Preventive visit, new patient (age 18–39) (99385) |
$57 |
$57 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$57 |
$57 |
— |