| CT head/brain without contrast (70450) |
$5,370 |
$7,160 |
49.2× |
| MRI brain without contrast (70551) |
$8,368.50 |
$11,158 |
33.6× |
| MRI brain with contrast (70552) |
$9,102.75 |
$12,137 |
25.0× |
| MRI brain without and with contrast (70553) |
$11,539.50 |
$15,386 |
31.7× |
| X-ray lower spine, 4+ views (72110) |
$1,383 |
$1,844 |
12.7× |
| MRI lumbar spine without contrast (72148) |
$7,767.75 |
$10,357 |
31.2× |
| CT pelvis with contrast (72193) |
$5,521.88 |
$7,362.50 |
30.1× |
| MRI lower-extremity joint without contrast (73721) |
$9,781.50 |
$13,042 |
39.3× |
| CT abdomen and pelvis with contrast (74177) |
$11,453.62 |
$15,271.50 |
31.4× |
| Ultrasound, abdomen complete (76700) |
$2,310 |
$3,080 |
21.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$1,684.50 |
$2,246 |
15.4× |
| Ultrasound, transvaginal (76830) |
$1,806 |
$2,408 |
16.5× |
| Mammography, one breast (diagnostic) (77065) |
$457.50 |
$610 |
5.3× |
| Mammography, both breasts (diagnostic) (77066) |
$443.25 |
$591 |
4.0× |
| Mammography, screening (bilateral) (77067) |
$598.50 |
$798 |
6.6× |
| Basic metabolic panel (80048) |
$17.51 |
$23.34 |
2.1× |
| Comprehensive metabolic panel (80053) |
$19.50 |
$26 |
1.8× |
| Lipid panel (80061) |
$24.98 |
$33.30 |
1.9× |
| Renal function panel (80069) |
$14.25 |
$19 |
1.6× |
| Hepatic function panel (80076) |
$17.51 |
$23.34 |
2.1× |
| Urinalysis, non-automated, without microscopy (81002) |
$167.25 |
$223 |
48.1× |
| PSA, total (84153) |
$17.51 |
$23.34 |
1.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$17.51 |
$23.34 |
1.0× |
| CBC with automated differential (85025) |
$26.50 |
$35.33 |
3.4× |
| CBC, automated (85027) |
$26.50 |
$35.33 |
4.1× |
| Prothrombin time (PT) (85610) |
$17.66 |
$23.55 |
4.1× |
| Partial thromboplastin time (PTT) (85730) |
$14.63 |
$19.51 |
2.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$273 |
$364 |
9.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$909.75 |
$1,213 |
6.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$1,062.38 |
$1,416.50 |
7.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$1,023.75 |
$1,365 |
7.4× |