| CT head/brain without contrast (70450) |
$5,397 |
$7,196 |
51.4× |
| MRI brain without contrast (70551) |
$7,433.62 |
$9,911.50 |
31.0× |
| MRI brain with contrast (70552) |
$5,659.50 |
$7,546 |
16.1× |
| MRI brain without and with contrast (70553) |
$8,452.50 |
$11,270 |
24.1× |
| X-ray lower spine, 4+ views (72110) |
$3,391.50 |
$4,522 |
32.3× |
| MRI lumbar spine without contrast (72148) |
$6,802.50 |
$9,070 |
28.4× |
| CT pelvis with contrast (72193) |
$5,985 |
$7,980 |
34.0× |
| MRI lower-extremity joint without contrast (73721) |
$8,704.88 |
$11,606.50 |
36.3× |
| CT abdomen and pelvis with contrast (74177) |
$10,747.50 |
$14,330 |
30.7× |
| Ultrasound, abdomen complete (76700) |
$2,787.75 |
$3,717 |
26.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$878.25 |
$1,171 |
8.4× |
| Ultrasound, transvaginal (76830) |
$3,352.12 |
$4,469.50 |
31.9× |
| Mammography, one breast (diagnostic) (77065) |
$915 |
$1,220 |
10.6× |
| Mammography, both breasts (diagnostic) (77066) |
$925.50 |
$1,234 |
8.4× |
| Mammography, screening (bilateral) (77067) |
$919.50 |
$1,226 |
10.1× |
| Basic metabolic panel (80048) |
$19.50 |
$26 |
2.3× |
| Comprehensive metabolic panel (80053) |
$32.62 |
$43.50 |
3.1× |
| Obstetric panel (80055) |
$157.50 |
$210 |
3.3× |
| Lipid panel (80061) |
$57.75 |
$77 |
4.3× |
| Renal function panel (80069) |
$39 |
$52 |
4.5× |
| Hepatic function panel (80076) |
$52.51 |
$70.01 |
6.4× |
| Urinalysis, non-automated, with microscopy (81000) |
$24.75 |
$33 |
6.2× |
| Urinalysis, non-automated, without microscopy (81002) |
$84.75 |
$113 |
24.4× |
| PSA, total (84153) |
$73.50 |
$98 |
4.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$76.50 |
$102 |
4.6× |
| CBC with automated differential (85025) |
$30.75 |
$41 |
4.0× |
| CBC, automated (85027) |
$21 |
$28 |
3.2× |
| Prothrombin time (PT) (85610) |
$36.75 |
$49 |
8.6× |
| Partial thromboplastin time (PTT) (85730) |
$27 |
$36 |
4.5× |
| Electrocardiogram (ECG), complete (93000) |
$78 |
$104 |
1.3× |
| Left heart catheterization (93452) |
$30,438.75 |
$40,585 |
9.3× |
| Sleep study (attended polysomnography) (95810) |
$8,444.25 |
$11,259 |
9.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$179.25 |
$239 |
6.2× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$1,253.25 |
$1,671 |
9.4× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$1,425 |
$1,900 |
10.7× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$1,374.38 |
$1,832.50 |
10.3× |
| Preventive visit, new patient (age 18–39) (99385) |
$73.50 |
$98 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$73.50 |
$98 |
— |