| CT head/brain without contrast (70450) |
$3,806.25 |
$5,075 |
30.4× |
| MRI brain without contrast (70551) |
$5,713.50 |
$7,618 |
20.0× |
| MRI brain with contrast (70552) |
$6,354.75 |
$8,473 |
15.2× |
| MRI brain without and with contrast (70553) |
$15,060.75 |
$20,081 |
36.0× |
| X-ray lower spine, 4+ views (72110) |
$1,447.50 |
$1,930 |
11.6× |
| MRI lumbar spine without contrast (72148) |
$4,326.75 |
$5,769 |
15.1× |
| CT pelvis with contrast (72193) |
$5,355.75 |
$7,141 |
25.5× |
| MRI lower-extremity joint without contrast (73721) |
$3,803.25 |
$5,071 |
13.3× |
| CT abdomen and pelvis with contrast (74177) |
$9,612 |
$12,816 |
23.0× |
| Ultrasound, abdomen complete (76700) |
$1,822.50 |
$2,430 |
14.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$1,615.50 |
$2,154 |
12.9× |
| Ultrasound, transvaginal (76830) |
$1,533 |
$2,044 |
12.2× |
| Mammography, one breast (diagnostic) (77065) |
$805.50 |
$1,074 |
9.3× |
| Mammography, both breasts (diagnostic) (77066) |
$1,227.75 |
$1,637 |
11.1× |
| Mammography, screening (bilateral) (77067) |
$1,377.75 |
$1,837 |
15.1× |
| Basic metabolic panel (80048) |
$321 |
$428 |
37.9× |
| Comprehensive metabolic panel (80053) |
$217.50 |
$290 |
20.6× |
| Lipid panel (80061) |
$181.50 |
$242 |
13.6× |
| Renal function panel (80069) |
$162.75 |
$217 |
18.8× |
| Hepatic function panel (80076) |
$319.50 |
$426 |
39.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$35.25 |
$47 |
10.1× |
| PSA, total (84153) |
$231.75 |
$309 |
12.6× |
| Thyroid stimulating hormone (TSH) (84443) |
$332.25 |
$443 |
19.8× |
| CBC with automated differential (85025) |
$140.25 |
$187 |
18.1× |
| CBC, automated (85027) |
$123.75 |
$165 |
19.1× |
| Prothrombin time (PT) (85610) |
$81.75 |
$109 |
19.1× |
| Partial thromboplastin time (PTT) (85730) |
$174 |
$232 |
29.0× |
| Psychotherapy, 30 minutes (90832) |
$312 |
$416 |
1.5× |
| Psychotherapy, 45 minutes (90834) |
$383.25 |
$511 |
1.8× |
| Psychotherapy, 60 minutes (90837) |
$439.50 |
$586 |
2.1× |
| Family psychotherapy, without patient (50 min) (90846) |
$409.50 |
$546 |
1.9× |
| Family psychotherapy, with patient (50 min) (90847) |
$453 |
$604 |
2.1× |
| Group psychotherapy (90853) |
$319.12 |
$425.50 |
2.6× |
| Left heart catheterization (93452) |
$14,773.50 |
$19,698 |
3.8× |
| Sleep study (attended polysomnography) (95810) |
$11,503.50 |
$15,338 |
11.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$320.25 |
$427 |
11.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$427.88 |
$570.50 |
2.7× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$572.25 |
$763 |
3.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$789 |
$1,052 |
4.9× |