| CT head/brain without contrast (70450) |
$822.39 |
$1,735 |
8.7× |
| MRI brain without contrast (70551) |
$1,335.26 |
$2,817 |
6.2× |
| MRI brain with contrast (70552) |
$794.42 |
$1,676 |
2.5× |
| MRI brain without and with contrast (70553) |
$2,057.16 |
$4,340 |
6.5× |
| X-ray lower spine, 4+ views (72110) |
$265.91 |
$561 |
2.8× |
| MRI lumbar spine without contrast (72148) |
$1,363.22 |
$2,876 |
6.3× |
| CT pelvis with contrast (72193) |
$994.92 |
$2,099 |
6.3× |
| MRI lower-extremity joint without contrast (73721) |
$1,282.17 |
$2,705 |
5.9× |
| CT abdomen and pelvis with contrast (74177) |
$2,169.02 |
$4,576 |
6.9× |
| Ultrasound, abdomen complete (76700) |
$385.36 |
$813 |
4.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$346.97 |
$732 |
3.7× |
| Ultrasound, transvaginal (76830) |
$291.04 |
$614 |
3.1× |
| Mammography, one breast (diagnostic) (77065) |
$180.59 |
$381 |
2.1× |
| Mammography, both breasts (diagnostic) (77066) |
$226.10 |
$477 |
2.0× |
| Mammography, screening (bilateral) (77067) |
$168.27 |
$355 |
1.8× |
| Basic metabolic panel (80048) |
$65.58 |
$138.36 |
7.8× |
| Comprehensive metabolic panel (80053) |
$97.64 |
$206 |
9.2× |
| Obstetric panel (80055) |
$48.35 |
$102 |
1.0× |
| Lipid panel (80061) |
$33.42 |
$70.50 |
2.5× |
| Renal function panel (80069) |
$50.72 |
$107 |
5.8× |
| Hepatic function panel (80076) |
$91.08 |
$192.14 |
11.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$11.85 |
$25 |
3.4× |
| PSA, total (84153) |
$37.21 |
$78.50 |
2.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$54.04 |
$114 |
3.2× |
| CBC with automated differential (85025) |
$34.13 |
$72 |
4.4× |
| CBC, automated (85027) |
$20.86 |
$44 |
3.2× |
| Prothrombin time (PT) (85610) |
$25.60 |
$54 |
6.0× |
| Partial thromboplastin time (PTT) (85730) |
$47.40 |
$100 |
7.9× |
| Psychotherapy, 30 minutes (90832) |
$56.27 |
$118.72 |
0.3× |
| Psychotherapy, 45 minutes (90834) |
$77.56 |
$163.62 |
0.5× |
| Family psychotherapy, without patient (50 min) (90846) |
$150.90 |
$318.35 |
0.9× |
| Family psychotherapy, with patient (50 min) (90847) |
$86.59 |
$182.68 |
0.5× |
| Group psychotherapy (90853) |
$67.14 |
$141.65 |
0.7× |
| Sleep study (attended polysomnography) (95810) |
$1,723.94 |
$3,637 |
2.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$59.72 |
$126 |
2.1× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$118.50 |
$250 |
1.0× |