| CT head/brain without contrast (70450) |
$866.84 |
$3,210.50 |
7.9× |
| MRI brain without contrast (70551) |
$1,342.71 |
$4,973 |
5.4× |
| MRI brain with contrast (70552) |
$2,002.05 |
$7,415 |
5.5× |
| MRI brain without and with contrast (70553) |
$2,264.49 |
$8,387 |
6.2× |
| X-ray lower spine, 4+ views (72110) |
$445.77 |
$1,651 |
4.1× |
| MRI lumbar spine without contrast (72148) |
$1,524.69 |
$5,647 |
6.1× |
| CT pelvis with contrast (72193) |
$1,008.99 |
$3,737 |
5.5× |
| MRI lower-extremity joint without contrast (73721) |
$1,342.71 |
$4,973 |
5.4× |
| CT abdomen and pelvis with contrast (74177) |
$1,536.03 |
$5,689 |
4.2× |
| Ultrasound, abdomen complete (76700) |
$633.42 |
$2,346 |
5.8× |
| Ultrasound, transvaginal (76830) |
$365.85 |
$1,355 |
3.4× |
| Mammography, one breast (diagnostic) (77065) |
$226.26 |
$838 |
2.6× |
| Mammography, both breasts (diagnostic) (77066) |
$288.36 |
$1,068 |
2.6× |
| Mammography, screening (bilateral) (77067) |
$238.95 |
$885 |
2.6× |
| Basic metabolic panel (80048) |
$93.69 |
$347 |
11.1× |
| Comprehensive metabolic panel (80053) |
$181.17 |
$671 |
17.2× |
| Lipid panel (80061) |
$15.26 |
$56.50 |
1.1× |
| Renal function panel (80069) |
$45.09 |
$167 |
5.2× |
| Hepatic function panel (80076) |
$32.94 |
$122 |
4.0× |
| Urinalysis, non-automated, without microscopy (81002) |
$22.14 |
$82 |
6.4× |
| PSA, total (84153) |
$43.47 |
$161 |
2.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$28.08 |
$104 |
1.7× |
| CBC with automated differential (85025) |
$51.84 |
$192 |
6.7× |
| CBC, automated (85027) |
$29.02 |
$107.50 |
4.5× |
| Prothrombin time (PT) (85610) |
$64.40 |
$238.50 |
15.0× |
| Partial thromboplastin time (PTT) (85730) |
$39.96 |
$148 |
6.6× |
| Psychotherapy, 30 minutes (90832) |
$122.04 |
$452 |
0.7× |
| Psychotherapy, 45 minutes (90834) |
$207.63 |
$769 |
1.1× |
| Family psychotherapy, without patient (50 min) (90846) |
$159.57 |
$591 |
0.9× |
| Family psychotherapy, with patient (50 min) (90847) |
$182.52 |
$676 |
1.0× |
| Sleep study (attended polysomnography) (95810) |
$2,678.40 |
$9,920 |
3.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$42.93 |
$159 |
1.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$76.14 |
$282 |
0.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$95.31 |
$353 |
0.7× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$178.60 |
$661.50 |
1.3× |