| CT head/brain without contrast (70450) |
$6,501.75 |
$8,669 |
61.9× |
| MRI brain without contrast (70551) |
$11,334 |
$15,112 |
47.3× |
| MRI brain with contrast (70552) |
$11,869.88 |
$15,826.50 |
33.9× |
| MRI brain without and with contrast (70553) |
$16,415.25 |
$21,887 |
46.8× |
| X-ray lower spine, 4+ views (72110) |
$2,724.75 |
$3,633 |
25.9× |
| MRI lumbar spine without contrast (72148) |
$10,697.25 |
$14,263 |
44.6× |
| CT pelvis with contrast (72193) |
$10,121.62 |
$13,495.50 |
57.4× |
| MRI lower-extremity joint without contrast (73721) |
$9,110.25 |
$12,147 |
38.0× |
| CT abdomen and pelvis with contrast (74177) |
$17,021.25 |
$22,695 |
48.6× |
| Ultrasound, abdomen complete (76700) |
$6,039.75 |
$8,053 |
57.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$3,093.75 |
$4,125 |
29.5× |
| Ultrasound, transvaginal (76830) |
$3,114.75 |
$4,153 |
29.7× |
| Mammography, one breast (diagnostic) (77065) |
$2,028.75 |
$2,705 |
23.5× |
| Mammography, both breasts (diagnostic) (77066) |
$2,636.25 |
$3,515 |
23.8× |
| Mammography, screening (bilateral) (77067) |
$2,160 |
$2,880 |
23.7× |
| Basic metabolic panel (80048) |
$9.75 |
$13 |
1.2× |
| Comprehensive metabolic panel (80053) |
$9.75 |
$13 |
0.9× |
| Obstetric panel (80055) |
$639 |
$852 |
13.4× |
| Lipid panel (80061) |
$145.12 |
$193.50 |
10.8× |
| Renal function panel (80069) |
$300.91 |
$401.21 |
34.7× |
| Hepatic function panel (80076) |
$4.19 |
$5.58 |
0.5× |
| Urinalysis, non-automated, with microscopy (81000) |
$270.75 |
$361 |
67.4× |
| Urinalysis, non-automated, without microscopy (81002) |
$188.25 |
$251 |
54.1× |
| PSA, total (84153) |
$318 |
$424 |
17.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$276 |
$368 |
16.4× |
| CBC with automated differential (85025) |
$9.75 |
$13 |
1.3× |
| CBC, automated (85027) |
$215.04 |
$286.71 |
33.2× |
| Prothrombin time (PT) (85610) |
$124.50 |
$166 |
29.0× |
| Partial thromboplastin time (PTT) (85730) |
$119.25 |
$159 |
19.8× |
| Psychotherapy, 30 minutes (90832) |
$519.75 |
$693 |
2.9× |
| Psychotherapy, 45 minutes (90834) |
$944.25 |
$1,259 |
5.3× |
| Family psychotherapy, with patient (50 min) (90847) |
$1,380 |
$1,840 |
7.7× |
| Group psychotherapy (90853) |
$708.75 |
$945 |
6.9× |
| Left heart catheterization (93452) |
$6,564 |
$8,752 |
2.0× |
| Sleep study (attended polysomnography) (95810) |
$13,463.25 |
$17,951 |
15.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$609 |
$812 |
21.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$2,259 |
$3,012 |
16.9× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$2,428.50 |
$3,238 |
18.2× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$2,397 |
$3,196 |
17.9× |