| X-ray of chest, 1 view | $97.70 | $8.06 | 12.1x | 1.87x |
| Ct scan head or brain without contrast | $360.32 | $37.96 | 9.5x | 1.46x |
| X-ray of chest, 2 views | $57.18 | $11.51 | 5.0x | 0.80x |
| Ct scan of abdomen and pelvis with contrast | $937.36 | $83.24 | 11.3x | 1.52x |
| Therapy procedure using manual technique, each 15 minutes | $59.00 | $19.84 | 3.0x | 0.87x |
| Therapy procedure using functional activities | $78.00 | $30.74 | 2.5x | 1.05x |
| Ct scan of chest without contrast | $450.98 | $53.08 | 8.5x | 1.08x |
| Screening mammography | $113.00 | $34.75 | 3.3x | 0.46x |
| Ct scan of chest with contrast | $388.96 | $52.90 | 7.4x | 0.89x |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $710.64 | $113.83 | 6.2x | 2.18x |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $135.39 | $83.99 | 1.6x | 0.72x |
| Emergency department visit with high level of medical decision making | $1,629.81 | $180.94 | 9.0x | 1.32x |
| Ct scan of abdomen and pelvis without contrast | $1,050.45 | $78.64 | 13.4x | 1.88x |
| X-ray of hip, 2-3 views | $117.91 | $16.44 | 7.2x | 1.16x |
| Ct scan of upper spine without contrast | $482.99 | $44.91 | 10.8x | 1.63x |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $396.23 | $75.43 | 5.3x | 1.95x |
| Established patient complete exam of visual system | $166.10 | $116.18 | 1.4x | 0.73x |
| Emergency department visit with moderate level of medical decision making | $1,115.05 | $127.33 | 8.8x | 1.42x |
| Ct scan of blood vessels of chest with contrast | $1,239.55 | $80.88 | 15.3x | 2.33x |
| X-ray of abdomen, 1 view | $90.63 | $8.42 | 10.8x | 1.64x |
| X-ray of shoulder, minimum of 2 views | $80.83 | $11.35 | 7.1x | 0.90x |
| Mri scan of brain without contrast | $353.46 | $66.63 | 5.3x | 0.53x |
| X-ray of knee, 3 views | $83.90 | $12.84 | 6.5x | 0.82x |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | $77.63 | $8.56 | 9.1x | 1.73x |
| X-ray of foot, minimum of 3 views | $80.00 | $14.18 | 5.6x | 0.97x |
| Dxa bone density measurement of hip, pelvis, spine | $52.00 | $9.11 | 5.7x | 0.33x |
| Hospital discharge day management, more than 30 minutes | $640.52 | $109.85 | 5.8x | 1.81x |
| Screening 3d breast mammography | $104.00 | $26.90 | 3.9x | 0.75x |
| Mri scan of brain before and after contrast | $473.32 | $104.17 | 4.5x | 0.42x |
| Limited ultrasound scan of abdomen | $212.72 | $26.39 | 8.1x | 1.15x |
| X-ray of hand, minimum of 3 views | $83.16 | $11.89 | 7.0x | 0.95x |
| X-ray of knee, 4 or more views | $114.07 | $16.01 | 7.1x | 0.88x |
| X-ray of ankle, minimum of 3 views | $85.48 | $15.31 | 5.6x | 1.02x |
| X-ray of lower and sacral spine, 2-3 views | $90.96 | $17.03 | 5.3x | 0.91x |
| Complete ultrasound scan behind abdominal cavity | $251.74 | $33.76 | 7.5x | 1.02x |
| X-ray of knee, 1-2 views | $87.88 | $11.24 | 7.8x | 1.19x |
| New patient complete exam of visual system | $197.69 | $138.58 | 1.4x | 0.77x |
| Established patient problem focused exam of visual system | $117.27 | $82.32 | 1.4x | 0.70x |
| Imaging of retina | $90.87 | $37.07 | 2.5x | 0.73x |
| Ultrasound study of one arm or leg veins with compression and maneuvers | $250.12 | $20.04 | 12.5x | 1.11x |