Breast lesion removal (open) (19120)
range across 4 matching MRF lines |
— |
$33,043.62–$50,054.24 |
— |
Shoulder arthroscopy with decompression (29826)
range across 3 matching MRF lines |
— |
$63,552.78–$77,079.33 |
— |
| Knee arthroscopy with meniscectomy (29881) |
— |
$59,037.72 |
— |
| Upper GI endoscopy (EGD), diagnostic (43235) |
— |
$40,975.99 |
— |
| Upper GI endoscopy (EGD) with biopsy (43239) |
— |
$12,037.60 |
— |
| Diagnostic colonoscopy (45378) |
— |
$11,559.51 |
— |
| Colonoscopy with biopsy (45380) |
— |
$12,174.46 |
— |
| Colonoscopy with lesion removal (45385) |
— |
$12,618.54 |
— |
| Laparoscopic gallbladder removal (47562) |
— |
$103,482.59 |
— |
| Inguinal hernia repair (age 5+) (49505) |
— |
$42,176.57 |
— |
| Laparoscopic radical prostatectomy (55866) |
— |
$203,337.97 |
— |
| Obstetric care, vaginal delivery (global) (59400) |
— |
$25,773.23 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
— |
$48,788.27 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
— |
$25,769.30 |
— |
| Transforaminal epidural injection, lumbar/sacral (64483) |
— |
$5,461 |
— |
| CT head/brain without contrast (70450) |
— |
$2,413 |
— |
| MRI brain without contrast (70551) |
— |
$6,858 |
— |
| MRI brain with contrast (70552) |
— |
$8,288 |
— |
| MRI brain without and with contrast (70553) |
— |
$8,793 |
— |
| X-ray lower spine, 4+ views (72110) |
— |
$2,160 |
— |
| MRI lumbar spine without contrast (72148) |
— |
$7,028 |
— |
| CT pelvis with contrast (72193) |
— |
$3,606 |
— |
| MRI lower-extremity joint without contrast (73721) |
— |
$10,315 |
— |
| CT abdomen and pelvis with contrast (74177) |
— |
$7,573 |
— |
| Ultrasound, abdomen complete (76700) |
— |
$2,242 |
— |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
— |
$2,507 |
— |
| Ultrasound, transvaginal (76830) |
— |
$1,679 |
— |
| Mammography, one breast (diagnostic) (77065) |
— |
$836 |
— |
| Mammography, both breasts (diagnostic) (77066) |
— |
$1,088 |
— |
| Mammography, screening (bilateral) (77067) |
— |
$809 |
— |
| Basic metabolic panel (80048) |
— |
$354 |
— |
| Comprehensive metabolic panel (80053) |
— |
$569 |
— |
| Obstetric panel (80055) |
— |
$314 |
— |
| Lipid panel (80061) |
— |
$326 |
— |
| Renal function panel (80069) |
— |
$311 |
— |
| Hepatic function panel (80076) |
— |
$288 |
— |
| PSA, total (84153) |
— |
$326 |
— |
| Thyroid stimulating hormone (TSH) (84443) |
— |
$374 |
— |
| CBC with automated differential (85025) |
— |
$192 |
— |
| CBC, automated (85027) |
— |
$112 |
— |
| Prothrombin time (PT) (85610) |
— |
$103 |
— |
| Partial thromboplastin time (PTT) (85730) |
— |
$164 |
— |
| Left heart catheterization (93452) |
— |
$328,422.78 |
— |
| Sleep study (attended polysomnography) (95810) |
— |
$7,737 |
— |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
— |
$442 |
— |
| Office visit, new patient (low complexity, ~30 min) (99203) |
— |
$442 |
— |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
— |
$745 |
— |
| Office visit, new patient (high complexity, ~60 min) (99205) |
— |
$964 |
— |