| behavioral |
| Psychiatric diagnostic evaluation | CPT | 90791 | 44 | $465 | $93 | $115.05 | $276 | 1.6× | $441.75 |
| Psychiatric eval with medical services | CPT | 90792 | 46 | $499 | $99.8 | $115.05 | $288.21 | 1.7× | $474.05 |
| Psychotherapy 30 minutes | CPT | 90832 | 44 | $390 | $78 | $115.05 | $246.48 | 1.7× | $370.5 |
| Psychotherapy 45 minutes | CPT | 90834 | 44 | $390 | $78 | $115.05 | $246.48 | 1.5× | $370.5 |
| Psychotherapy 60 minutes | CPT | 90837 | 44 | $390 | $78 | $115.05 | $245.31 | 1.3× | $370.5 |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 44 | $390 | $78 | $115.05 | $237.9 | 1.5× | $370.5 |
| emergency |
| ED visit level 1 | CPT | 99281 | 56 | $467 | $93.4 | $78.73 | $280.2 | 2.0× | $443.65 |
| ED visit level 2 | CPT | 99282 | 56 | $809 | $161.8 | $143.35 | $485.4 | 2.0× | $768.55 |
| ED visit level 3 | CPT | 99283 | 56 | $1,643 | $328.6 | $254.86 | $985.8 | 2.4× | $1,560.85 |
| ED visit level 4 | CPT | 99284 | 56 | $2,742 | $548.4 | $389.57 | $1,645.2 | 2.5× | $2,604.9 |
| ED visit level 5 | CPT | 99285 | 59 | $4,576 | $915.2 | $556.01 | $2,406.98 | 2.3× | $4,347.2 |
| Critical care, first hour | CPT | 99291 | 57 | $6,428 | $1,285.6 | $771.21 | $3,548.26 | 3.3× | $6,106.6 |
| imaging |
| CT head without contrast | CPT | 70450 | 57 | $4,558 | $911.6 | $97.61 | $2,210.63 | 10.7× | $4,330.1 |
| CT head with contrast | CPT | 70460 | 57 | $4,558 | $911.6 | $163.76 | $2,210.63 | 9.4× | $4,330.1 |
| CT head with and without contrast | CPT | 70470 | 57 | $5,470 | $1,094 | $163.76 | $2,652.95 | 9.9× | $5,196.5 |
| CT neck with contrast | CPT | 70491 | 57 | $4,408 | $881.6 | $163.76 | $2,137.88 | 7.8× | $4,187.6 |
| MRI brain without contrast | CPT | 70551 | 57 | $5,087 | $1,017.4 | $222.77 | $2,467.2 | 6.1× | $4,832.65 |
| MRI brain with contrast | CPT | 70552 | 57 | $5,087 | $1,017.4 | $325.72 | $2,467.2 | 5.2× | $4,832.65 |
| MRI brain with and without contrast | CPT | 70553 | 57 | $6,104 | $1,220.8 | $325.72 | $2,960.44 | 5.0× | $5,798.8 |
| Chest X-ray single view | CPT | 71045 | 58 | $795 | $159 | $68.44 | $229.36 | 2.4× | $755.25 |
| Chest X-ray 2 views | CPT | 71046 | 58 | $1,310 | $262 | $68.44 | $178.06 | 1.8× | $1,244.5 |
| Chest X-ray 3 views | CPT | 71047 | 57 | $1,603 | $320.6 | $81.25 | $660.44 | 6.9× | $1,522.85 |
| CT chest without contrast | CPT | 71250 | 57 | $5,073 | $1,014.6 | $97.61 | $2,460.41 | 11.4× | $4,819.35 |
| CT chest with contrast | CPT | 71260 | 57 | $5,073 | $1,014.6 | $163.76 | $2,460.41 | 8.7× | $4,819.35 |
| CT chest with and without contrast | CPT | 71270 | 57 | $6,088 | $1,217.6 | $163.76 | $2,952.68 | 10.1× | $5,783.6 |
| MRI chest without contrast | CPT | 71550 | 57 | $2,697 | $539.4 | $222.77 | $1,308.05 | 3.0× | $2,562.15 |
| MRI chest with contrast | CPT | 71551 | 57 | $2,697 | $539.4 | $731.89 | $1,626.02 | 2.0× | $2,562.15 |
| MRI chest with and without contrast | CPT | 71552 | 57 | $3,236 | $647.2 | $325.72 | $1,569.46 | 2.6× | $3,074.2 |
| Lumbosacral spine X-ray | CPT | 72100 | 58 | $1,322 | $264.4 | $84.37 | $219.51 | 2.1× | $1,255.9 |
| CT cervical spine without contrast | CPT | 72125 | 57 | $6,011 | $1,202.2 | $97.61 | $2,915.34 | 14.5× | $5,710.45 |
| CT thoracic spine without contrast | CPT | 72128 | 57 | $6,247 | $1,249.4 | $97.61 | $3,029.8 | 15.2× | $5,934.65 |
| CT lumbar spine without contrast | CPT | 72131 | 57 | $5,973 | $1,194.6 | $97.61 | $2,896.91 | 14.3× | $5,674.35 |
| MRI cervical spine without contrast | CPT | 72141 | 57 | $6,292 | $1,258.4 | $222.77 | $2,789.73 | 7.0× | $5,977.4 |
| MRI thoracic spine without contrast | CPT | 72146 | 57 | $6,728 | $1,345.6 | $222.77 | $2,983.34 | 8.0× | $6,391.6 |
| MRI lumbar spine without contrast | CPT | 72148 | 57 | $6,526 | $1,305.2 | $222.77 | $3,115.7 | 8.3× | $6,199.7 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 55 | $6,526 | $1,305.2 | $325.72 | $3,263 | 7.2× | $6,199.7 |
| MRI cervical spine with and without contrast | CPT | 72156 | 57 | $7,550 | $1,510 | $325.72 | $3,661.75 | 6.8× | $7,172.5 |
| MRI lumbar spine with contrast | CPT | 72158 | 57 | $7,831 | $1,566.2 | $325.72 | $3,798.04 | 6.9× | $7,439.45 |
| CT pelvis without contrast | CPT | 72192 | 57 | $3,985 | $797 | $97.61 | $1,932.73 | 9.7× | $3,785.75 |
| CT pelvis with contrast | CPT | 72193 | 57 | $3,985 | $797 | $163.76 | $1,932.73 | 6.9× | $3,785.75 |
| Shoulder X-ray | CPT | 73030 | 58 | $2,622 | $524.4 | $44.55 | $537.51 | 5.8× | $2,490.9 |
| Humerus X-ray | CPT | 73060 | 58 | $1,812 | $362.4 | $68.44 | $380.8 | 4.3× | $1,721.4 |
| Hand X-ray 3 views | CPT | 73130 | 58 | $2,190 | $438 | $68.44 | $448.95 | 4.8× | $2,080.5 |
| MRI upper extremity joint without contrast | CPT | 73221 | 57 | $10,412 | $2,082.4 | $222.77 | $3,847.23 | 9.2× | $9,891.4 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 57 | $12,494 | $2,498.8 | $325.72 | $4,616.53 | 7.6× | $11,869 |
| Knee X-ray 1-2 views | CPT | 73560 | 58 | $1,856 | $371.2 | $43.96 | $380.48 | 4.1× | $1,763.2 |
| Ankle X-ray 3 views | CPT | 73610 | 58 | $2,202 | $440.4 | $43.96 | $451.41 | 4.9× | $2,091.9 |
| MRI lower extremity joint without contrast | CPT | 73721 | 57 | $10,110 | $2,022 | $222.77 | $3,735.65 | 8.0× | $9,604.5 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 57 | $12,133 | $2,426.6 | $325.72 | $4,482.77 | 7.1× | $11,526 |
| CT abdomen without contrast | CPT | 74150 | 57 | $4,816 | $963.2 | $97.61 | $2,335.76 | 12.4× | $4,575.2 |
| CT abdomen with contrast | CPT | 74160 | 57 | $4,816 | $963.2 | $163.76 | $2,335.76 | 8.1× | $4,575.2 |
| CT abdomen with and without contrast | CPT | 74170 | 57 | $5,779 | $1,155.8 | $163.76 | $2,802.82 | 8.4× | $5,490.05 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 57 | $8,711 | $1,742.2 | $222.77 | $4,224.84 | 11.6× | $8,275.45 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 57 | $9,900 | $1,980 | $325.72 | $5,997.42 | 10.9× | $9,405 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 57 | $10,453 | $2,090.6 | $325.72 | $5,069.71 | 8.8× | $9,930.35 |
| MRI abdomen without contrast | CPT | 74181 | 63 | $5,025 | $1,005 | $222.77 | $1,885.07 | 4.8× | $4,773.75 |
| MRI abdomen with and without contrast | CPT | 74183 | 57 | $6,030 | $1,206 | $325.72 | $2,924.55 | 5.2× | $5,728.5 |
| Abdominal ultrasound complete | CPT | 76700 | 58 | $3,166 | $633.2 | $97.61 | $1,298.06 | 8.7× | $3,007.7 |
| Abdominal ultrasound limited | CPT | 76705 | 59 | $1,584 | $316.8 | $67.56 | $184.33 | 1.3× | $1,504.8 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 58 | $2,242 | $448.4 | $97.61 | $919.22 | 6.4× | $2,129.9 |
| Obstetric ultrasound first trimester | CPT | 76801 | 58 | $1,236 | $247.2 | $77 | $369 | 2.6× | $1,174.2 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 58 | $1,308 | $261.6 | $84.37 | $389.13 | 2.5× | $1,242.6 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 58 | $1,685 | $337 | $184.38 | $479.69 | 2.0× | $1,600.75 |
| Transvaginal ultrasound | CPT | 76830 | 58 | $1,356 | $271.2 | $84.37 | $219.51 | 1.5× | $1,288.2 |
| Pelvic ultrasound complete | CPT | 76856 | 58 | $2,535 | $507 | $84.37 | $219.51 | 1.5× | $2,408.25 |
| Scrotal ultrasound | CPT | 76870 | 58 | $2,007 | $401.4 | $97.61 | $1,215.84 | 9.3× | $1,906.65 |
| Diagnostic mammography unilateral | CPT | 77065 | 39 | $569 | $113.8 | $167.86 | $398.3 | 2.7× | $540.55 |
| Diagnostic mammography bilateral | CPT | 77066 | 52 | $1,138 | $227.6 | $307.26 | $780.67 | 4.1× | $1,081.1 |
| Screening mammography bilateral | CPT | 77067 | 39 | $583 | $116.6 | $103.25 | $292.75 | 1.9× | $553.85 |
| EKG tracing only | CPT | 93005 | 61 | $542 | $108.4 | $45.43 | $123.2 | 1.0× | $806 |
| Transthoracic echocardiogram complete | CPT | 93306 | 61 | $5,390 | $1,078 | $272.29 | $867.26 | 1.4× | $5,120.5 |
| Transthoracic echocardiogram | CPT | 93307 | 62 | $2,291 | $458.2 | $222.77 | $1,009 | 4.1× | $2,176.45 |
| Stress echocardiogram | CPT | 93350 | 61 | $3,455 | $691 | $272.29 | $867.26 | 1.7× | $3,282.25 |
| lab |
| Basic metabolic panel (BMP) | CPT | 80048 | 35 | $305 | $61 | $11.8 | $81.99 | 2.5× | $289.75 |
| General health panel | CPT | 80050 | 51 | $160 | $32 | $35.09 | $96.93 | 0.90× | $160 |
| Electrolyte panel | CPT | 80051 | 35 | $94 | $18.8 | $9.44 | $37.29 | 1.6× | $89.3 |
| Comprehensive metabolic panel | CPT | 80053 | 35 | $485 | $97 | $14.16 | $39.2 | 0.88× | $460.75 |
| Lipid panel | CPT | 80061 | 35 | $355 | $71 | $18 | $50.4 | 1.3× | $337.25 |
| Renal function panel | CPT | 80069 | 35 | $205 | $41 | $11.8 | $71.24 | 2.6× | $194.75 |
| Hepatic function panel | CPT | 80076 | 35 | $138 | $27.6 | $10.92 | $52.79 | 2.0× | $131.1 |
| Urinalysis non-automated | CPT | 81002 | 35 | $72 | $14.4 | $4.72 | $14.78 | 2.1× | $81.99 |
| Urinalysis automated | CPT | 81003 | 36 | $77 | $15.4 | $1.77 | $12.79 | 0.92× | $81.99 |
| Glucose quantitative | CPT | 82947 | 35 | $123 | $24.6 | $3.25 | $11.9 | 0.68× | $116.85 |
| Hemoglobin A1c | CPT | 83036 | 35 | $45 | $9 | $12.98 | $31.5 | 1.2× | $81.99 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 35 | $228 | $45.6 | $22.72 | $63.2 | 1.3× | $216.6 |
| Complete blood count with automated differential | CPT | 85025 | 37 | $285 | $57 | $10.62 | $81.99 | 3.1× | $270.75 |
| Complete blood count without differential | CPT | 85027 | 35 | $171 | $34.2 | $8.85 | $65.41 | 3.0× | $162.45 |
| Urine culture bacterial | CPT | 87086 | 35 | $104 | $20.8 | $30.68 | $72.8 | 3.1× | $98.8 |
| Tissue exam by pathologist level IV | CPT | 88305 | 58 | $905 | $181 | $36.58 | $114.55 | 1.1× | $859.75 |
| maternity |
| Fetal non-stress test | CPT | 59025 | 65 | $2,496 | $499.2 | $111.81 | $321.4 | 1.7× | $1,002.25 |
| Vaginal delivery only | CPT | 59409 | 64 | $4,912 | $982.4 | $1,012.78 | $3,438.4 | 1.6× | $9,066.86 |
| C-section delivery only | CPT | 59514 | 50 | $7,152 | $1,430.4 | $1,048.95 | $4,332.68 | 4.5× | $6,794.4 |
| office |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 13 | $1,646 | $329.2 | $97.5 | $133 | 1.1× | $243.75 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 27 | $2,415.21 | $483.04 | $308.38 | $508.84 | 3.3× | $925.15 |
| preventive |
| Upper GI endoscopy diagnostic | CPT | 43235 | 66 | $5,752.47 | $1,150.49 | $293.65 | $1,608.9 | 1.8× | $4,524.85 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 29 | $10,532 | $2,106.32 | $1,486.98 | $1,809.48 | 1.9× | $5,374.67 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 66 | $1,944 | $388.8 | $296.08 | $1,074.39 | 1.3× | $2,604.72 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 65 | $9,208.52 | $1,841.7 | $425.39 | $1,106.74 | 1.2× | $2,604.72 |
| Colonoscopy diagnostic | CPT | 45378 | 30 | $7,860.78 | $1,572.16 | $296.08 | $1,419.96 | 1.6× | $2,604.72 |
| Colonoscopy with biopsy | CPT | 45380 | 29 | $10,786 | $2,157.29 | $1,117.22 | $1,872.78 | 1.5× | $3,351.67 |
| Colonoscopy with polyp removal | CPT | 45385 | 29 | $9,866.76 | $1,973.35 | $1,117.22 | $1,872.78 | 1.6× | $3,351.67 |
| surgery |
| Total shoulder arthroplasty | CPT | 23472 | 30 | $84,713 | $16,943 | $3,313.64 | $16,370 | 4.0× | $49,110 |
| Total hip replacement | CPT | 27130 | 30 | $90,789 | $18,158 | $3,088.84 | $11,987 | 2.8× | $35,960 |
| Total knee replacement | CPT | 27447 | 30 | $78,907 | $15,781 | $4,263.54 | $20,246 | 4.9× | $35,960 |
| Knee revision arthroplasty all components | CPT | 27487 | 30 | $60,232 | $12,046 | $1,048.57 | $16,370 | 8.2× | $49,110 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 29 | $60,416 | $12,083 | $401.49 | $6,842.39 | 20.9× | $20,324 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 29 | $18,699 | $3,739.81 | $3,054.85 | $5,290.46 | 2.6× | $9,164.54 |
| Open appendectomy | CPT | 44950 | 30 | $41,370 | $8,274.06 | $2,450.86 | $6,044.17 | 5.3× | $18,133 |
| Laparoscopic appendectomy | CPT | 44970 | 30 | $48,041 | $9,608.25 | $1,869.18 | $8,977.36 | 5.7× | $16,933 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 30 | $31,274 | $6,254.85 | $1,869.18 | $8,977.36 | 4.8× | $16,933 |
| Lap inguinal hernia repair | CPT | 49650 | 30 | $38,525 | $7,705.04 | $1,869.18 | $8,977.36 | 8.0× | $16,933 |
| Total abdominal hysterectomy | CPT | 58150 | 6 | $68,028 | $13,606 | $2,283.5 | $2,283.5 | 2.3× | $4,639.64 |
| Vaginal hysterectomy | CPT | 58260 | 30 | $41,289 | $8,257.76 | $1,611.29 | $8,223.62 | 4.5× | $14,011 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 30 | $49,438 | $9,887.64 | $3,334.64 | $15,191 | 6.8× | $29,773 |
| Lap salpingo-oophorectomy | CPT | 58661 | 29 | $39,756 | $7,951.19 | $5,644.31 | $8,977.36 | 4.4× | $16,933 |
| Complex cataract surgery | CPT | 66982 | 30 | $15,405 | $3,081.01 | $754.92 | $1,637.54 | 0.74× | $3,842.18 |
| Cataract surgery with lens implant | CPT | 66984 | 30 | $11,408 | $2,281.65 | $754.92 | $1,659.09 | 0.76× | $3,842.18 |
| Intravitreal injection | CPT | 67028 | 67 | $890 | $178 | $228.8 | $539.16 | 1.6× | $925.15 |
| Vitrectomy mechanical | CPT | 67042 | 30 | $31,013 | $6,202.6 | $1,543.64 | $2,971.51 | 1.2× | $7,221.5 |
| PCI single major coronary artery | CPT | 92920 | 59 | $19,513 | $3,902.6 | $5,313.83 | $11,398 | 2.0× | $18,537 |
| PCI with drug-eluting stent | CPT | 92928 | 59 | $33,450 | $6,690 | $9,867.75 | $20,264 | 2.0× | $32,334 |
| PCI bypass graft | CPT | 92937 | 57 | $27,969 | $5,593.8 | $8,250.86 | $18,377 | 1.7× | $32,334 |
| Left heart catheterization | CPT | 93452 | 60 | $9,283 | $1,856.6 | $2,279.96 | $5,750.87 | 1.9× | $11,728 |
| Coronary angiography with cath | CPT | 93455 | 60 | $15,817 | $3,163.4 | $2,279.96 | $8,396.28 | 2.7× | $15,026 |
| Coronary angiography with bypass cath | CPT | 93458 | 59 | $25,006 | $5,001.2 | $2,279.96 | $10,972 | 3.5× | $23,756 |