| behavioral |
| Psychotherapy 60 minutes | CPT | 90837 | 18 | $498.85 | $498.85 | $82.31 | $227.73 | 1.2× | $729 |
| emergency |
| ED visit level 1 | CPT | 99281 | 18 | $358.77 | $358.77 | $97.94 | $253.32 | 1.8× | $1,401 |
| ED visit level 2 | CPT | 99282 | 18 | $771.83 | $771.83 | $44.52 | $436.76 | 1.8× | $1,401 |
| ED visit level 3 | CPT | 99283 | 18 | $1,463.35 | $1,463.35 | $76.48 | $732.84 | 1.8× | $1,472 |
| ED visit level 4 | CPT | 99284 | 18 | $2,545.02 | $2,545.02 | $128.7 | $1,118.9 | 1.7× | $2,942 |
| ED visit level 5 | CPT | 99285 | 18 | $6,179.8 | $6,179.8 | $187.3 | $1,820.57 | 1.7× | $5,561.82 |
| Critical care, first hour | CPT | 99291 | 18 | $7,909.02 | $7,909.02 | $204.7 | $2,330 | 2.2× | $7,118.12 |
| imaging |
| CT head without contrast | CPT | 70450 | 18 | $3,752.74 | $3,752.74 | $104.63 | $1,414.04 | 6.8× | $3,377.47 |
| CT head with contrast | CPT | 70460 | 18 | $4,903.56 | $4,903.56 | $108 | $1,766.48 | 7.5× | $4,413.2 |
| CT head with and without contrast | CPT | 70470 | 18 | $4,753.45 | $4,753.45 | $135 | $1,739.99 | 6.5× | $4,278.11 |
| CT neck with contrast | CPT | 70491 | 18 | $6,074.4 | $6,074.4 | $111.38 | $2,032.5 | 7.4× | $5,466.96 |
| MRI brain without contrast | CPT | 70551 | 18 | $8,106.86 | $8,106.86 | $363.15 | $2,874.36 | 7.1× | $7,296.17 |
| MRI brain with contrast | CPT | 70552 | 18 | $11,193 | $11,193 | $363.15 | $3,745.1 | 7.8× | $10,073 |
| MRI brain with and without contrast | CPT | 70553 | 18 | $12,733 | $12,733 | $363.15 | $4,007.67 | 6.8× | $11,460 |
| Chest X-ray single view | CPT | 71045 | 18 | $773.49 | $773.49 | $10.95 | $325.1 | 3.4× | $696.14 |
| Chest X-ray 2 views | CPT | 71046 | 18 | $1,314.95 | $1,314.95 | $20.05 | $552.68 | 5.6× | $1,183.46 |
| Chest X-ray 3 views | CPT | 71047 | 18 | $1,395.56 | $1,395.56 | $25.52 | $586.56 | 6.1× | $1,256 |
| CT chest without contrast | CPT | 71250 | 18 | $4,863.53 | $4,863.53 | $112.19 | $1,759.42 | 8.2× | $4,377.18 |
| CT chest with contrast | CPT | 71260 | 18 | $6,114.44 | $6,114.44 | $118.13 | $2,045.9 | 7.3× | $5,503 |
| CT chest with and without contrast | CPT | 71270 | 18 | $7,605.51 | $7,605.51 | $139.73 | $2,544.81 | 8.7× | $6,844.96 |
| MRI chest without contrast | CPT | 71550 | 18 | $11,372 | $11,372 | $363.15 | $3,792.37 | 8.8× | $10,235 |
| MRI chest with contrast | CPT | 71551 | 18 | $12,813 | $12,813 | $421.47 | $4,020.24 | 4.9× | $11,532 |
| MRI chest with and without contrast | CPT | 71552 | 18 | $15,706 | $15,706 | $638.4 | $4,917.44 | 8.2× | $14,135 |
| Lumbosacral spine X-ray | CPT | 72100 | 18 | $1,643.69 | $1,643.69 | $30.38 | $690.84 | 6.7× | $1,479.32 |
| CT cervical spine without contrast | CPT | 72125 | 18 | $4,933.56 | $4,933.56 | $112.19 | $1,771.78 | 8.8× | $4,440.2 |
| CT thoracic spine without contrast | CPT | 72128 | 18 | $4,903.56 | $4,903.56 | $122.31 | $1,766.48 | 8.9× | $4,413.2 |
| CT lumbar spine without contrast | CPT | 72131 | 18 | $4,873.51 | $4,873.51 | $118.94 | $1,761.18 | 8.7× | $4,386.16 |
| MRI cervical spine without contrast | CPT | 72141 | 18 | $8,667.9 | $8,667.9 | $363.15 | $2,973.39 | 7.5× | $7,801.11 |
| MRI thoracic spine without contrast | CPT | 72146 | 18 | $8,687.8 | $8,687.8 | $252.72 | $2,976.9 | 8.0× | $7,819.02 |
| MRI lumbar spine without contrast | CPT | 72148 | 18 | $8,657.97 | $8,657.97 | $252.72 | $2,971.63 | 7.9× | $7,792.17 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 18 | $11,073 | $11,073 | $363.15 | $3,705.18 | 8.2× | $9,966.11 |
| MRI cervical spine with and without contrast | CPT | 72156 | 18 | $12,455 | $12,455 | $363.15 | $3,963.66 | 7.3× | $11,210 |
| MRI lumbar spine with contrast | CPT | 72158 | 18 | $12,396 | $12,396 | $363.15 | $3,954.23 | 7.2× | $11,156 |
| CT pelvis without contrast | CPT | 72192 | 18 | $3,682.66 | $3,682.66 | $91.13 | $1,387.63 | 6.9× | $3,314.39 |
| CT pelvis with contrast | CPT | 72193 | 18 | $6,264.57 | $6,264.57 | $116.78 | $2,096.13 | 7.5× | $5,638.11 |
| Shoulder X-ray | CPT | 73030 | 18 | $1,160.24 | $1,160.24 | $22.28 | $487.65 | 5.2× | $1,044.22 |
| Humerus X-ray | CPT | 73060 | 18 | $1,121.55 | $1,121.55 | $15.53 | $471.39 | 5.3× | $1,009.4 |
| Hand X-ray 3 views | CPT | 73130 | 18 | $1,314.95 | $1,314.95 | $15.53 | $552.68 | 5.9× | $1,183.46 |
| MRI upper extremity joint without contrast | CPT | 73221 | 18 | $9,542.67 | $9,542.67 | $363.15 | $3,192.98 | 7.7× | $8,588.4 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 18 | $12,366 | $12,366 | $637.78 | $3,949.52 | 6.5× | $11,129 |
| Knee X-ray 1-2 views | CPT | 73560 | 18 | $1,198.92 | $1,198.92 | $22.28 | $503.91 | 5.4× | $1,079.03 |
| Ankle X-ray 3 views | CPT | 73610 | 18 | $1,372.98 | $1,372.98 | $25.29 | $577.07 | 6.3× | $1,235.68 |
| MRI lower extremity joint without contrast | CPT | 73721 | 18 | $9,801.06 | $9,801.06 | $363.15 | $3,279.44 | 7.0× | $8,820.95 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 18 | $12,366 | $12,366 | $637.78 | $3,949.52 | 6.2× | $11,129 |
| CT abdomen without contrast | CPT | 74150 | 18 | $3,632.63 | $3,632.63 | $104.63 | $1,377.12 | 7.3× | $3,269.37 |
| CT abdomen with contrast | CPT | 74160 | 18 | $6,244.54 | $6,244.54 | $121.5 | $2,089.42 | 7.3× | $5,620.09 |
| CT abdomen with and without contrast | CPT | 74170 | 18 | $7,466.15 | $7,466.15 | $150.53 | $2,498.18 | 7.5× | $6,719.54 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 18 | $4,403.19 | $4,403.19 | $136.44 | $1,659.13 | 4.6× | $3,962.87 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 18 | $7,445.38 | $7,445.38 | $260.19 | $2,491.23 | 4.5× | $6,700.84 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 18 | $8,936.48 | $8,936.48 | $343.85 | $2,990.15 | 5.2× | $8,042.83 |
| MRI abdomen without contrast | CPT | 74181 | 18 | $8,707.69 | $8,707.69 | $363.15 | $2,980.41 | 7.6× | $7,836.92 |
| MRI abdomen with and without contrast | CPT | 74183 | 18 | $13,320 | $13,320 | $637.55 | $4,170.48 | 7.4× | $11,988 |
| Abdominal ultrasound complete | CPT | 76700 | 18 | $2,983.42 | $2,983.42 | $77.63 | $998.26 | 6.7× | $2,685.08 |
| Abdominal ultrasound limited | CPT | 76705 | 18 | $2,983.42 | $2,983.42 | $50.63 | $998.26 | 6.8× | $2,685.08 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 18 | $3,493.04 | $3,493.04 | $66.15 | $1,168.77 | 8.1× | $3,143.74 |
| Obstetric ultrasound first trimester | CPT | 76801 | 18 | $3,719.9 | $3,719.9 | $51.83 | $1,563.48 | 11.1× | $3,347.91 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 18 | $3,077.89 | $3,077.89 | $62.78 | $1,293.64 | 8.5× | $2,770.1 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 18 | $2,619.23 | $2,619.23 | $123.42 | $896.8 | 3.8× | $2,357.31 |
| Transvaginal ultrasound | CPT | 76830 | 18 | $2,670.1 | $2,670.1 | $62.78 | $905.78 | 6.1× | $2,403.09 |
| Pelvic ultrasound complete | CPT | 76856 | 18 | $2,952.88 | $2,952.88 | $62.78 | $988.04 | 6.9× | $2,657.59 |
| Scrotal ultrasound | CPT | 76870 | 18 | $3,391.07 | $3,391.07 | $59.4 | $1,197.05 | 9.1× | $3,051.96 |
| EKG tracing only | CPT | 93005 | 18 | $803.7 | $803.7 | $14.12 | $159.77 | 1.4× | $723.33 |
| Transthoracic echocardiogram complete | CPT | 93306 | 18 | $10,504 | $10,504 | $132.49 | $3,088.93 | 5.2× | $9,453.22 |
| Stress echocardiogram | CPT | 93350 | 18 | $4,454.36 | $4,454.36 | $62.78 | $1,383.34 | 2.7× | $4,008.92 |
| lab |
| Basic metabolic panel (BMP) | CPT | 80048 | 18 | $343.42 | $343.42 | $12.64 | $144.34 | 4.5× | $309.08 |
| Electrolyte panel | CPT | 80051 | 18 | $352.67 | $352.67 | $9.45 | $148.23 | 6.2× | $317.4 |
| Comprehensive metabolic panel | CPT | 80053 | 18 | $479.86 | $479.86 | $15.78 | $171.37 | 3.9× | $431.87 |
| Lipid panel | CPT | 80061 | 18 | $345.2 | $345.2 | $13.69 | $57.3 | 1.5× | $310.68 |
| Renal function panel | CPT | 80069 | 18 | $2,065.89 | $2,065.89 | $12.96 | $868.3 | 31.8× | $1,859.3 |
| Hepatic function panel | CPT | 80076 | 18 | $479.86 | $479.86 | $12.19 | $156.06 | 5.9× | $431.87 |
| Urinalysis non-automated | CPT | 81002 | 18 | $249.69 | $249.69 | $3.61 | $63.75 | 9.2× | $224.72 |
| Urinalysis automated | CPT | 81003 | 18 | $115.9 | $115.9 | $4.19 | $21.85 | 1.6× | $104.31 |
| Glucose quantitative | CPT | 82947 | 18 | $467.28 | $467.28 | $5.4 | $61.35 | 3.5× | $420.55 |
| Hemoglobin A1c | CPT | 83036 | 18 | $277.14 | $277.14 | $9.45 | $85.93 | 3.2× | $249.43 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 18 | $500.17 | $500.17 | $31.33 | $210.22 | 4.4× | $450.15 |
| Complete blood count with automated differential | CPT | 85025 | 18 | $454.33 | $454.33 | $8.1 | $176.62 | 6.7× | $408.9 |
| Complete blood count without differential | CPT | 85027 | 18 | $353.23 | $353.23 | $10.15 | $155.42 | 7.2× | $317.91 |
| Urine culture bacterial | CPT | 87086 | 18 | $270.67 | $270.67 | $10.8 | $113.76 | 4.9× | $243.6 |
| Tissue exam by pathologist level IV | CPT | 88305 | 18 | $960.28 | $960.28 | $45.9 | $403.61 | 3.9× | $864.25 |
| maternity |
| Fetal non-stress test | CPT | 59025 | 18 | $1,121.14 | $1,121.14 | $6.37 | $511.8 | 2.7× | $1,009.03 |
| Vaginal delivery only | CPT | 59409 | 18 | $13,353 | $13,353 | $1,070 | $5,612.29 | 2.5× | $12,018 |
| office |
| Office visit, new patient, 15-29 min | CPT | 99202 | 17 | $677.75 | $677.75 | $56.12 | $186.06 | 2.2× | $609.98 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 17 | $1,020.41 | $1,020.41 | $168.37 | $448.98 | 3.7× | $918.37 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 17 | $1,330.31 | $1,330.31 | $219.5 | $585.34 | 3.4× | $1,197.28 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 17 | $1,587.25 | $1,587.25 | $261.9 | $698.39 | 3.2× | $1,428.53 |
| Office visit, established patient, 5 min | CPT | 99211 | 17 | $171.3 | $171.3 | $28.26 | $75.37 | 1.2× | $154.17 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 17 | $395.55 | $395.55 | $65.27 | $174.04 | 2.2× | $356 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 17 | $652.54 | $652.54 | $107.67 | $287.12 | 2.5× | $587.29 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 17 | $977.54 | $977.54 | $161.29 | $430.12 | 2.8× | $879.79 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 17 | $1,232 | $1,232 | $203.28 | $542.08 | 2.9× | $1,108.8 |
| surgery |
| PCI bypass graft | CPT | 92937 | 18 | $30,066 | $30,066 | $913.84 | $12,637 | 1.2× | $27,059 |
| Left heart catheterization | CPT | 93452 | 18 | $12,867 | $12,867 | $1,199 | $5,407.96 | 1.7× | $11,580 |
| Coronary angiography with bypass cath | CPT | 93458 | 18 | $16,046 | $16,046 | $1,492.45 | $6,744.22 | 2.2× | $14,442 |