| CT head/brain without contrast (70450) |
$7,719 |
$10,292 |
73.5× |
| MRI brain without contrast (70551) |
$7,232.25 |
$9,643 |
30.2× |
| MRI brain with contrast (70552) |
$6,645.75 |
$8,861 |
19.0× |
| MRI brain without and with contrast (70553) |
$11,206.50 |
$14,942 |
32.0× |
| X-ray lower spine, 4+ views (72110) |
$3,176.25 |
$4,235 |
30.2× |
| MRI lumbar spine without contrast (72148) |
$4,307.25 |
$5,743 |
18.0× |
| CT pelvis with contrast (72193) |
$8,692.50 |
$11,590 |
49.3× |
| MRI lower-extremity joint without contrast (73721) |
$6,474.75 |
$8,633 |
27.0× |
| CT abdomen and pelvis with contrast (74177) |
$17,739.75 |
$23,653 |
50.6× |
| Ultrasound, abdomen complete (76700) |
$2,327.25 |
$3,103 |
22.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$3,012 |
$4,016 |
28.7× |
| Ultrasound, transvaginal (76830) |
$1,434.75 |
$1,913 |
13.7× |
| Mammography, one breast (diagnostic) (77065) |
$762 |
$1,016 |
8.8× |
| Mammography, both breasts (diagnostic) (77066) |
$1,044.75 |
$1,393 |
9.4× |
| Mammography, screening (bilateral) (77067) |
$778.50 |
$1,038 |
8.5× |
| Basic metabolic panel (80048) |
$1,392 |
$1,856 |
164.5× |
| Comprehensive metabolic panel (80053) |
$1,620 |
$2,160 |
153.4× |
| Obstetric panel (80055) |
$868.50 |
$1,158 |
18.2× |
| Lipid panel (80061) |
$898.12 |
$1,197.50 |
67.1× |
| Renal function panel (80069) |
$461.25 |
$615 |
53.1× |
| Hepatic function panel (80076) |
$522 |
$696 |
63.9× |
| Urinalysis, non-automated, with microscopy (81000) |
$436.50 |
$582 |
108.6× |
| Urinalysis, non-automated, without microscopy (81002) |
$144 |
$192 |
41.4× |
| PSA, total (84153) |
$428.62 |
$571.50 |
23.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$137.25 |
$183 |
8.2× |
| CBC with automated differential (85025) |
$793.50 |
$1,058 |
102.1× |
| CBC, automated (85027) |
$393.75 |
$525 |
60.9× |
| Prothrombin time (PT) (85610) |
$238.50 |
$318 |
55.6× |
| Partial thromboplastin time (PTT) (85730) |
$462.75 |
$617 |
77.0× |
| Left heart catheterization (93452) |
$29,877 |
$39,836 |
9.2× |
| Sleep study (attended polysomnography) (95810) |
$4,734.75 |
$6,313 |
5.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$169.50 |
$226 |
5.8× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$894.75 |
$1,193 |
6.7× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$833.25 |
$1,111 |
6.2× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$1,128 |
$1,504 |
8.4× |