| CT head/brain without contrast (70450) |
$3,563.25 |
$4,751 |
35.1× |
| MRI brain without contrast (70551) |
$6,333.75 |
$8,445 |
27.3× |
| MRI brain with contrast (70552) |
$5,210.25 |
$6,947 |
15.4× |
| MRI brain without and with contrast (70553) |
$7,258.50 |
$9,678 |
21.4× |
| X-ray lower spine, 4+ views (72110) |
$996 |
$1,328 |
9.8× |
| MRI lumbar spine without contrast (72148) |
$5,794.50 |
$7,726 |
25.0× |
| CT pelvis with contrast (72193) |
$4,032 |
$5,376 |
23.7× |
| MRI lower-extremity joint without contrast (73721) |
$6,081.75 |
$8,109 |
26.2× |
| CT abdomen and pelvis with contrast (74177) |
$8,496.75 |
$11,329 |
25.1× |
| Ultrasound, abdomen complete (76700) |
$2,626.50 |
$3,502 |
25.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$2,998.50 |
$3,998 |
29.5× |
| Ultrasound, transvaginal (76830) |
$1,983.75 |
$2,645 |
19.5× |
| Mammography, one breast (diagnostic) (77065) |
$653.25 |
$871 |
7.6× |
| Mammography, both breasts (diagnostic) (77066) |
$763.50 |
$1,018 |
6.9× |
| Mammography, screening (bilateral) (77067) |
$533.25 |
$711 |
5.8× |
| Basic metabolic panel (80048) |
$337.50 |
$450 |
39.9× |
| Comprehensive metabolic panel (80053) |
$310.88 |
$414.50 |
29.4× |
| Lipid panel (80061) |
$193.50 |
$258 |
14.5× |
| Renal function panel (80069) |
$215.62 |
$287.50 |
24.8× |
| Hepatic function panel (80076) |
$294 |
$392 |
36.0× |
| Urinalysis, non-automated, with microscopy (81000) |
$21.75 |
$29 |
5.4× |
| Urinalysis, non-automated, without microscopy (81002) |
$83.25 |
$111 |
23.9× |
| PSA, total (84153) |
$96 |
$128 |
5.2× |
| Thyroid stimulating hormone (TSH) (84443) |
$277.12 |
$369.50 |
16.5× |
| CBC with automated differential (85025) |
$159 |
$212 |
20.5× |
| CBC, automated (85027) |
$101.25 |
$135 |
15.6× |
| Prothrombin time (PT) (85610) |
$50.25 |
$67 |
11.7× |
| Partial thromboplastin time (PTT) (85730) |
$177 |
$236 |
29.5× |
| Psychotherapy, 30 minutes (90832) |
$324 |
$432 |
1.9× |
| Psychotherapy, 45 minutes (90834) |
$770.25 |
$1,027 |
4.5× |
| Family psychotherapy, without patient (50 min) (90846) |
$597.75 |
$797 |
3.5× |
| Family psychotherapy, with patient (50 min) (90847) |
$886.50 |
$1,182 |
5.1× |
| Group psychotherapy (90853) |
$664.50 |
$886 |
6.7× |
| Left heart catheterization (93452) |
$30,087 |
$40,116 |
9.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$326.25 |
$435 |
11.2× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$700.12 |
$933.50 |
5.4× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$1,009.88 |
$1,346.50 |
7.8× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$1,021.50 |
$1,362 |
7.9× |