| CT head/brain without contrast (70450) |
$2,839.50 |
$3,786 |
22.7× |
| MRI brain without contrast (70551) |
$6,269.25 |
$8,359 |
21.9× |
| MRI brain with contrast (70552) |
$4,251 |
$5,668 |
10.2× |
| MRI brain without and with contrast (70553) |
$7,477.50 |
$9,970 |
17.9× |
| X-ray lower spine, 4+ views (72110) |
$1,389 |
$1,852 |
11.1× |
| MRI lumbar spine without contrast (72148) |
$8,343.75 |
$11,125 |
29.2× |
| CT pelvis with contrast (72193) |
$2,527.50 |
$3,370 |
12.0× |
| MRI lower-extremity joint without contrast (73721) |
$6,931.50 |
$9,242 |
24.2× |
| CT abdomen and pelvis with contrast (74177) |
$9,708 |
$12,944 |
23.2× |
| Ultrasound, abdomen complete (76700) |
$2,950.50 |
$3,934 |
23.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$2,028 |
$2,704 |
16.2× |
| Ultrasound, transvaginal (76830) |
$2,244 |
$2,992 |
17.9× |
| Mammography, one breast (diagnostic) (77065) |
$805.50 |
$1,074 |
9.3× |
| Mammography, both breasts (diagnostic) (77066) |
$1,116.38 |
$1,488.50 |
10.1× |
| Mammography, screening (bilateral) (77067) |
$1,144.88 |
$1,526.50 |
12.6× |
| Basic metabolic panel (80048) |
$118.50 |
$158 |
14.0× |
| Comprehensive metabolic panel (80053) |
$147.75 |
$197 |
14.0× |
| Lipid panel (80061) |
$125.25 |
$167 |
9.4× |
| Renal function panel (80069) |
$112.50 |
$150 |
13.0× |
| Hepatic function panel (80076) |
$134.25 |
$179 |
16.4× |
| Urinalysis, non-automated, without microscopy (81002) |
$94.50 |
$126 |
27.2× |
| PSA, total (84153) |
$156 |
$208 |
8.5× |
| Thyroid stimulating hormone (TSH) (84443) |
$321 |
$428 |
19.1× |
| CBC with automated differential (85025) |
$114 |
$152 |
14.7× |
| CBC, automated (85027) |
$252.75 |
$337 |
39.1× |
| Prothrombin time (PT) (85610) |
$78 |
$104 |
18.2× |
| Partial thromboplastin time (PTT) (85730) |
$123.75 |
$165 |
20.6× |
| Psychotherapy, 30 minutes (90832) |
$306.75 |
$409 |
1.4× |
| Psychotherapy, 45 minutes (90834) |
$362.25 |
$483 |
1.7× |
| Psychotherapy, 60 minutes (90837) |
$414.75 |
$553 |
1.9× |
| Family psychotherapy, without patient (50 min) (90846) |
$401.25 |
$535 |
1.9× |
| Family psychotherapy, with patient (50 min) (90847) |
$428.25 |
$571 |
2.0× |
| Group psychotherapy (90853) |
$329.62 |
$439.50 |
2.7× |
| Left heart catheterization (93452) |
$15,381 |
$20,508 |
4.0× |
| Sleep study (attended polysomnography) (95810) |
$13,214.25 |
$17,619 |
12.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$372 |
$496 |
12.8× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$445.50 |
$594 |
2.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$572.25 |
$763 |
3.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$655.12 |
$873.50 |
4.1× |