| CT head/brain without contrast (70450) |
$202.18 |
$311.05 |
2.1× |
| MRI brain without contrast (70551) |
$1,142.83 |
$1,758.20 |
5.1× |
| MRI brain with contrast (70552) |
$1,606.80 |
$2,472 |
4.9× |
| MRI brain without and with contrast (70553) |
$1,938.53 |
$2,982.35 |
5.9× |
| X-ray lower spine, 4+ views (72110) |
$64.94 |
$99.90 |
0.7× |
| MRI lumbar spine without contrast (72148) |
$1,142.83 |
$1,758.20 |
5.1× |
| CT pelvis with contrast (72193) |
$228.64 |
$351.75 |
1.4× |
| MRI lower-extremity joint without contrast (73721) |
$1,142.83 |
$1,758.20 |
5.1× |
| CT abdomen and pelvis with contrast (74177) |
$689.26 |
$1,060.40 |
2.1× |
| Ultrasound, abdomen complete (76700) |
$101.76 |
$156.55 |
1.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$148.30 |
$228.15 |
1.5× |
| Ultrasound, transvaginal (76830) |
$148.30 |
$228.15 |
1.5× |
| Mammography, one breast (diagnostic) (77065) |
$199.52 |
$306.95 |
2.3× |
| Mammography, both breasts (diagnostic) (77066) |
$291.56 |
$448.55 |
2.6× |
| Mammography, screening (bilateral) (77067) |
$208.88 |
$321.35 |
2.3× |
| Basic metabolic panel (80048) |
$96.40 |
$148.30 |
11.4× |
| Comprehensive metabolic panel (80053) |
$114.82 |
$176.65 |
10.9× |
| Lipid panel (80061) |
$163.70 |
$251.85 |
12.2× |
| Renal function panel (80069) |
$55.22 |
$84.95 |
6.4× |
| Hepatic function panel (80076) |
$158.02 |
$243.10 |
19.3× |
| Urinalysis, non-automated, without microscopy (81002) |
$18.07 |
$27.80 |
5.2× |
| PSA, total (84153) |
$80.66 |
$124.10 |
4.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$93.23 |
$143.42 |
5.5× |
| CBC with automated differential (85025) |
$70.98 |
$109.20 |
9.1× |
| CBC, automated (85027) |
$76.67 |
$117.95 |
11.9× |
| Prothrombin time (PT) (85610) |
$28.44 |
$43.75 |
6.6× |
| Partial thromboplastin time (PTT) (85730) |
$38.16 |
$58.70 |
6.3× |
| Psychotherapy, 30 minutes (90832) |
$130 |
$200 |
0.8× |
| Psychotherapy, 45 minutes (90834) |
$121.63 |
$187.12 |
0.7× |
| Psychotherapy, 60 minutes (90837) |
$178.23 |
$274.20 |
1.1× |
| Family psychotherapy, without patient (50 min) (90846) |
$116.53 |
$179.28 |
0.7× |
| Family psychotherapy, with patient (50 min) (90847) |
$148.43 |
$228.35 |
0.9× |
| Group psychotherapy (90853) |
$74.23 |
$114.20 |
0.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$47.87 |
$73.65 |
1.6× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$89.70 |
$138 |
0.7× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$125.87 |
$193.65 |
1.0× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$143.94 |
$221.45 |
1.2× |
| Office consultation (low complexity, ~30 min) (99243) |
$113.13 |
$174.05 |
0.9× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$170.40 |
$262.15 |
1.4× |
| Preventive visit, new patient (age 18–39) (99385) |
$167.70 |
$258 |
— |