| Upper GI endoscopy (EGD), diagnostic (43235) |
$676.35 |
$1,503 |
0.8× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,012.05 |
$2,249 |
1.2× |
| Obstetric care, cesarean delivery (global) (59510) |
$4,826.70 |
$10,726 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,389.60 |
$3,088 |
1.7× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,162.80 |
$2,584 |
1.4× |
| CT head/brain without contrast (70450) |
$512.10 |
$1,138 |
5.2× |
| MRI brain without contrast (70551) |
$677.25 |
$1,505 |
3.0× |
| MRI brain with contrast (70552) |
$927.90 |
$2,062 |
2.8× |
| MRI brain without and with contrast (70553) |
$1,230.75 |
$2,735 |
3.7× |
| X-ray lower spine, 4+ views (72110) |
$417.15 |
$927 |
4.2× |
| MRI lumbar spine without contrast (72148) |
$869.40 |
$1,932 |
3.9× |
| CT pelvis with contrast (72193) |
$756.90 |
$1,682 |
4.6× |
| MRI lower-extremity joint without contrast (73721) |
$736.65 |
$1,637 |
3.3× |
| CT abdomen and pelvis with contrast (74177) |
$1,433.70 |
$3,186 |
4.3× |
| Ultrasound, abdomen complete (76700) |
$455.85 |
$1,013 |
4.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$472.95 |
$1,051 |
4.8× |
| Ultrasound, transvaginal (76830) |
$447.75 |
$995 |
4.5× |
| Mammography, one breast (diagnostic) (77065) |
$468.90 |
$1,042 |
5.4× |
| Mammography, both breasts (diagnostic) (77066) |
$563.40 |
$1,252 |
5.1× |
| Mammography, screening (bilateral) (77067) |
$414 |
$920 |
4.5× |
| Basic metabolic panel (80048) |
$46.80 |
$104 |
5.5× |
| Comprehensive metabolic panel (80053) |
$72 |
$160 |
6.8× |
| Lipid panel (80061) |
$49.95 |
$111 |
3.7× |
| Renal function panel (80069) |
$50.85 |
$113 |
5.9× |
| Hepatic function panel (80076) |
$35.55 |
$79 |
4.4× |
| Urinalysis, non-automated, without microscopy (81002) |
$8.10 |
$18 |
2.3× |
| PSA, total (84153) |
$57.60 |
$128 |
3.1× |
| Thyroid stimulating hormone (TSH) (84443) |
$65.25 |
$145 |
3.9× |
| CBC with automated differential (85025) |
$43.65 |
$97 |
5.6× |
| CBC, automated (85027) |
$33.30 |
$74 |
5.1× |
| Prothrombin time (PT) (85610) |
$21.15 |
$47 |
4.9× |
| Partial thromboplastin time (PTT) (85730) |
$28.80 |
$64 |
4.8× |
| Psychotherapy, 30 minutes (90832) |
$238.05 |
$529 |
1.4× |
| Psychotherapy, 45 minutes (90834) |
$243 |
$540 |
1.4× |
| Psychotherapy, 60 minutes (90837) |
$247.05 |
$549 |
1.5× |
| Electrocardiogram (ECG), complete (93000) |
$185.40 |
$412 |
3.3× |
| Left heart catheterization (93452) |
$5,981.85 |
$13,293 |
2.0× |
Sleep study (attended polysomnography) (95810)
range across 5 matching MRF lines |
$298.35–$3,422.70 |
$663–$7,606 |
varies |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$65.25 |
$145 |
2.2× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$182.70 |
$406 |
1.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$295.65 |
$657 |
2.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$330.30 |
$734 |
2.6× |