Breast lesion removal (open) (19120)
range across 3 matching MRF lines |
— |
$6,013.93–$8,641.59 |
— |
| Shoulder arthroscopy with decompression (29826) |
— |
$14,424.51 |
— |
| Knee arthroscopy with meniscectomy (29881) |
— |
$12,493.74 |
— |
| Upper GI endoscopy (EGD), diagnostic (43235) |
— |
$4,904.42 |
— |
| Upper GI endoscopy (EGD) with biopsy (43239) |
— |
$5,592.37 |
— |
| Diagnostic colonoscopy (45378) |
— |
$3,734.54 |
— |
| Colonoscopy with biopsy (45380) |
— |
$5,437.07 |
— |
| Colonoscopy with lesion removal (45385) |
— |
$4,932.10 |
— |
| Colonoscopy with endoscopic ultrasound (45391) |
— |
$34,924.50 |
— |
| Laparoscopic gallbladder removal (47562) |
— |
$11,184.52 |
— |
| Inguinal hernia repair (age 5+) (49505) |
— |
$15,756.47 |
— |
| Obstetric care, vaginal delivery (global) (59400) |
— |
$7,966.53 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
— |
$19,682.10 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
— |
$7,966.53 |
— |
Transforaminal epidural injection, lumbar/sacral (64483)
range across 4 matching MRF lines |
— |
$4,846.06–$5,904.65 |
— |
After-cataract laser surgery (YAG capsulotomy) (66821)
range across 2 matching MRF lines |
— |
$3,750.28–$3,909.18 |
— |
| CT head/brain without contrast (70450) |
— |
$323 |
— |
| MRI brain without contrast (70551) |
— |
$1,354 |
— |
| MRI brain with contrast (70552) |
— |
$860 |
— |
| MRI brain without and with contrast (70553) |
— |
$1,354 |
— |
| X-ray lower spine, 4+ views (72110) |
— |
$396 |
— |
| MRI lumbar spine without contrast (72148) |
— |
$1,354 |
— |
| CT pelvis with contrast (72193) |
— |
$396 |
— |
MRI lower-extremity joint without contrast (73721)
range across 3 matching MRF lines |
— |
$860–$1,354 |
— |
| CT abdomen and pelvis with contrast (74177) |
— |
$859 |
— |
| Ultrasound, abdomen complete (76700) |
— |
$396 |
— |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
— |
$282 |
— |
| Ultrasound, transvaginal (76830) |
— |
$396 |
— |
| Mammography, one breast (diagnostic) (77065) |
— |
$244 |
— |
| Mammography, both breasts (diagnostic) (77066) |
— |
$300 |
— |
Mammography, screening (bilateral) (77067)
range across 3 matching MRF lines |
— |
$218–$300 |
— |
| Basic metabolic panel (80048) |
— |
$267 |
— |
| Comprehensive metabolic panel (80053) |
— |
$159 |
— |
| Lipid panel (80061) |
— |
$292 |
— |
| Renal function panel (80069) |
— |
$218 |
— |
| Hepatic function panel (80076) |
— |
$545 |
— |
| Urinalysis, non-automated, without microscopy (81002) |
— |
$45 |
— |
| PSA, total (84153) |
— |
$215 |
— |
| Thyroid stimulating hormone (TSH) (84443) |
— |
$43 |
— |
| CBC with automated differential (85025) |
— |
$35 |
— |
| CBC, automated (85027) |
— |
$72 |
— |
| Prothrombin time (PT) (85610) |
— |
$381 |
— |
| Partial thromboplastin time (PTT) (85730) |
— |
$33 |
— |
| Psychotherapy, 30 minutes (90832) |
— |
$549 |
— |
| Psychotherapy, 45 minutes (90834) |
— |
$549 |
— |
| Psychotherapy, 60 minutes (90837) |
— |
$549 |
— |
| Family psychotherapy, without patient (50 min) (90846) |
— |
$549 |
— |
| Family psychotherapy, with patient (50 min) (90847) |
— |
$549 |
— |
| Group psychotherapy (90853) |
— |
$549 |
— |
Sleep study (attended polysomnography) (95810)
range across 3 matching MRF lines |
— |
$537–$3,422 |
— |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
— |
$109 |
— |
| Office visit, new patient (low complexity, ~30 min) (99203) |
— |
$318 |
— |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
— |
$411 |
— |
| Office visit, new patient (high complexity, ~60 min) (99205) |
— |
$437 |
— |
| Office consultation (low complexity, ~30 min) (99243) |
— |
$196 |
— |
| Office consultation (moderate complexity, ~40 min) (99244) |
— |
$291 |
— |