| Breast lesion removal (open) (19120) |
$1,283.07 |
$2,251 |
0.3× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,588.59 |
$2,787 |
1.8× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,337.22 |
$2,346 |
1.5× |
| CT head/brain without contrast (70450) |
$698.25 |
$1,225 |
6.8× |
| MRI brain without contrast (70551) |
$873.24 |
$1,532 |
3.7× |
| MRI brain with contrast (70552) |
$965.58 |
$1,694 |
2.8× |
| MRI brain without and with contrast (70553) |
$1,171.92 |
$2,056 |
3.4× |
| X-ray lower spine, 4+ views (72110) |
$156.18 |
$274 |
1.5× |
| MRI lumbar spine without contrast (72148) |
$1,451.79 |
$2,547 |
6.2× |
| CT pelvis with contrast (72193) |
$428.64 |
$752 |
2.5× |
| MRI lower-extremity joint without contrast (73721) |
$926.82 |
$1,626 |
4.0× |
| CT abdomen and pelvis with contrast (74177) |
$808.26 |
$1,418 |
2.4× |
| Ultrasound, abdomen complete (76700) |
$428.64 |
$752 |
4.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$180.69 |
$317 |
1.8× |
| Ultrasound, transvaginal (76830) |
$164.73 |
$289 |
1.6× |
| Mammography, one breast (diagnostic) (77065) |
$570 |
$1,000 |
6.6× |
| Mammography, both breasts (diagnostic) (77066) |
$711.93 |
$1,249 |
6.4× |
| Mammography, screening (bilateral) (77067) |
$314.07 |
$551 |
3.4× |
| Basic metabolic panel (80048) |
$66.69 |
$117 |
7.9× |
| Comprehensive metabolic panel (80053) |
$78.66 |
$138 |
7.4× |
| Lipid panel (80061) |
$50.73 |
$89 |
3.8× |
| Renal function panel (80069) |
$64.98 |
$114 |
7.5× |
| Hepatic function panel (80076) |
$64.98 |
$114 |
8.0× |
| Urinalysis, non-automated, without microscopy (81002) |
$3.99 |
$7 |
1.1× |
PSA, total (84153)
range across 2 matching MRF lines |
$21.09–$64.98 |
$37–$114 |
varies |
| Thyroid stimulating hormone (TSH) (84443) |
$59.28 |
$104 |
3.5× |
| CBC with automated differential (85025) |
$27.93 |
$49 |
3.6× |
| CBC, automated (85027) |
$23.37 |
$41 |
3.6× |
| Prothrombin time (PT) (85610) |
$13.68 |
$24 |
3.2× |
| Partial thromboplastin time (PTT) (85730) |
$22.80 |
$40 |
3.8× |
| Psychotherapy, 30 minutes (90832) |
$314.07 |
$551 |
1.8× |
| Psychotherapy, 45 minutes (90834) |
$440.61 |
$773 |
2.5× |
| Psychotherapy, 60 minutes (90837) |
$507.30 |
$890 |
2.9× |
| Family psychotherapy, without patient (50 min) (90846) |
$725.04 |
$1,272 |
4.2× |
| Family psychotherapy, with patient (50 min) (90847) |
$725.04 |
$1,272 |
4.2× |
Group psychotherapy (90853)
range across 34 matching MRF lines |
$33.63–$359.10 |
$59–$630 |
varies |
| Left heart catheterization (93452) |
$4,457.40 |
$7,820 |
1.4× |
| Sleep study (attended polysomnography) (95810) |
$3,550.53 |
$6,229 |
4.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$74.10 |
$130 |
2.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$200.07 |
$351 |
1.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$306.09 |
$537 |
2.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$380.76 |
$668 |
2.9× |
| Office consultation (low complexity, ~30 min) (99243) |
$251.37 |
$441 |
1.9× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$373.35 |
$655 |
2.9× |