| Breast lesion removal (open) (19120) |
— |
$1,083 |
— |
| Shoulder arthroscopy with decompression (29826) |
— |
$376 |
— |
| Knee arthroscopy with meniscectomy (29881) |
— |
$1,208 |
— |
Upper GI endoscopy (EGD), diagnostic (43235)
range across 4 matching MRF lines |
— |
$612–$3,695 |
— |
Upper GI endoscopy (EGD) with biopsy (43239)
range across 4 matching MRF lines |
— |
$800–$3,304 |
— |
| Diagnostic colonoscopy (45378) |
— |
$723 |
— |
Colonoscopy with biopsy (45380)
range across 4 matching MRF lines |
— |
$922–$3,290 |
— |
Colonoscopy with lesion removal (45385)
range across 4 matching MRF lines |
— |
$966–$3,741 |
— |
| Laparoscopic gallbladder removal (47562) |
— |
$1,353 |
— |
| Inguinal hernia repair (age 5+) (49505) |
— |
$1,076 |
— |
| Obstetric care, vaginal delivery (global) (59400) |
— |
$4,925 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
— |
$5,421 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
— |
$5,106 |
— |
Transforaminal epidural injection, lumbar/sacral (64483)
range across 6 matching MRF lines |
— |
$105–$2,375 |
— |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
— |
$1,342 |
— |
| Cataract removal with lens insertion (66984) |
— |
$5,021 |
— |
| CT head/brain without contrast (70450) |
— |
$2,927 |
— |
| MRI brain without contrast (70551) |
— |
$4,976 |
— |
| MRI brain with contrast (70552) |
— |
$4,343 |
— |
| MRI brain without and with contrast (70553) |
— |
$5,670 |
— |
| X-ray lower spine, 4+ views (72110) |
— |
$777 |
— |
| MRI lumbar spine without contrast (72148) |
— |
$5,203 |
— |
| CT pelvis with contrast (72193) |
— |
$3,638 |
— |
| MRI lower-extremity joint without contrast (73721) |
— |
$3,789 |
— |
| CT abdomen and pelvis with contrast (74177) |
— |
$6,948 |
— |
| Ultrasound, abdomen complete (76700) |
— |
$1,352 |
— |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
— |
$1,216 |
— |
| Ultrasound, transvaginal (76830) |
— |
$1,014 |
— |
| Mammography, one breast (diagnostic) (77065) |
— |
$561 |
— |
| Mammography, both breasts (diagnostic) (77066) |
— |
$699 |
— |
| Mammography, screening (bilateral) (77067) |
— |
$555 |
— |
| Basic metabolic panel (80048) |
— |
$258 |
— |
Comprehensive metabolic panel (80053)
range across 4 matching MRF lines |
— |
$11.25–$290 |
— |
| Obstetric panel (80055) |
— |
$194 |
— |
Lipid panel (80061)
range across 4 matching MRF lines |
— |
$11.25–$185 |
— |
| Hepatic function panel (80076) |
— |
$218 |
— |
Urinalysis, non-automated, without microscopy (81002)
range across 5 matching MRF lines |
— |
$18–$40 |
— |
| PSA, total (84153) |
— |
$189 |
— |
Thyroid stimulating hormone (TSH) (84443)
range across 4 matching MRF lines |
— |
$11.25–$182 |
— |
| CBC with automated differential (85025) |
— |
$154 |
— |
CBC, automated (85027)
range across 4 matching MRF lines |
— |
$11.25–$116 |
— |
Prothrombin time (PT) (85610)
range across 8 matching MRF lines |
— |
$19–$86 |
— |
Partial thromboplastin time (PTT) (85730)
range across 8 matching MRF lines |
— |
$19–$142 |
— |
| Psychotherapy, 30 minutes (90832) |
— |
$641 |
— |
| Psychotherapy, 45 minutes (90834) |
— |
$793 |
— |
| Psychotherapy, 60 minutes (90837) |
— |
$809 |
— |
| Family psychotherapy, without patient (50 min) (90846) |
— |
$845 |
— |
| Family psychotherapy, with patient (50 min) (90847) |
— |
$887 |
— |
| Group psychotherapy (90853) |
— |
$772 |
— |
| Electrocardiogram (ECG), complete (93000) |
— |
$72 |
— |
| Sleep study (attended polysomnography) (95810) |
— |
$6,036 |
— |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
— |
$164 |
— |
Office visit, new patient (low complexity, ~30 min) (99203)
range across 4 matching MRF lines |
— |
$186–$240 |
— |
Office visit, new patient (moderate complexity, ~45 min) (99204)
range across 4 matching MRF lines |
— |
$302–$361 |
— |
Office visit, new patient (high complexity, ~60 min) (99205)
range across 4 matching MRF lines |
— |
$411–$476 |
— |
| Office consultation (low complexity, ~30 min) (99243) |
— |
$241 |
— |
| Office consultation (moderate complexity, ~40 min) (99244) |
— |
$345 |
— |
| Preventive visit, new patient (age 18–39) (99385) |
— |
$276 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
— |
$319 |
— |