| CT head/brain without contrast (70450) |
$5,946.75 |
$7,929 |
61.4× |
| MRI brain without contrast (70551) |
$6,138.75 |
$8,185 |
27.8× |
| MRI brain with contrast (70552) |
$6,921.75 |
$9,229 |
21.4× |
| MRI brain without and with contrast (70553) |
$11,040.75 |
$14,721 |
34.2× |
| X-ray lower spine, 4+ views (72110) |
$1,935 |
$2,580 |
20.0× |
| MRI lumbar spine without contrast (72148) |
$7,106.25 |
$9,475 |
32.1× |
| CT pelvis with contrast (72193) |
$6,522.75 |
$8,697 |
40.1× |
| MRI lower-extremity joint without contrast (73721) |
$5,320.50 |
$7,094 |
24.1× |
| CT abdomen and pelvis with contrast (74177) |
$15,559.50 |
$20,746 |
48.1× |
| Ultrasound, abdomen complete (76700) |
$2,209.50 |
$2,946 |
22.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$1,226.25 |
$1,635 |
12.7× |
| Ultrasound, transvaginal (76830) |
$2,558.25 |
$3,411 |
26.4× |
| Mammography, one breast (diagnostic) (77065) |
$634.88 |
$846.50 |
7.4× |
| Mammography, both breasts (diagnostic) (77066) |
$895.12 |
$1,193.50 |
8.1× |
| Mammography, screening (bilateral) (77067) |
$718.12 |
$957.50 |
7.9× |
| Basic metabolic panel (80048) |
$178.50 |
$238 |
21.1× |
| Comprehensive metabolic panel (80053) |
$225 |
$300 |
21.3× |
| Obstetric panel (80055) |
$604.50 |
$806 |
12.6× |
| Lipid panel (80061) |
$261 |
$348 |
19.5× |
| Renal function panel (80069) |
$84.75 |
$113 |
9.8× |
| Hepatic function panel (80076) |
$23.25 |
$31 |
2.8× |
| Urinalysis, non-automated, without microscopy (81002) |
$146.25 |
$195 |
42.0× |
| PSA, total (84153) |
$336.38 |
$448.50 |
18.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$242.25 |
$323 |
14.4× |
| CBC with automated differential (85025) |
$242.25 |
$323 |
31.2× |
| CBC, automated (85027) |
$113.62 |
$151.50 |
17.6× |
| Prothrombin time (PT) (85610) |
$108.75 |
$145 |
25.3× |
| Partial thromboplastin time (PTT) (85730) |
$52.50 |
$70 |
8.7× |
| Psychotherapy, 30 minutes (90832) |
$1,679.25 |
$2,239 |
10.2× |
| Psychotherapy, 45 minutes (90834) |
$1,809 |
$2,412 |
11.0× |
| Family psychotherapy, without patient (50 min) (90846) |
$393.75 |
$525 |
2.4× |
| Family psychotherapy, with patient (50 min) (90847) |
$563.62 |
$751.50 |
3.4× |
| Group psychotherapy (90853) |
$410.25 |
$547 |
4.4× |
| Sleep study (attended polysomnography) (95810) |
$7,692 |
$10,256 |
9.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$245.25 |
$327 |
8.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$486.75 |
$649 |
3.9× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$665.25 |
$887 |
5.4× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$468.75 |
$625 |
3.8× |