| Breast lesion removal (open) (19120) |
$4,265 |
$1,895.04 |
0.9× |
| Shoulder arthroscopy with decompression (29826) |
$4,265 |
— |
— |
| Knee arthroscopy with meniscectomy (29881) |
$6,167 |
— |
1.5× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
likely a partial charge, not the full procedure |
$897.50 |
— |
0.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$404.11 |
$3,072.22 |
0.4× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$3,710 |
— |
3.3× |
| Diagnostic colonoscopy (45378) |
$3,710 |
— |
3.2× |
| Colonoscopy with biopsy (45380) |
$787.30 |
— |
0.5× |
| Colonoscopy with lesion removal (45385) |
$935.31 |
— |
0.6× |
| Colonoscopy with endoscopic ultrasound (45391) |
$3,710 |
— |
2.5× |
| Laparoscopic gallbladder removal (47562) |
$7,053 |
— |
0.9× |
| Inguinal hernia repair (age 5+) (49505) |
$6,167 |
— |
1.4× |
Laparoscopic radical prostatectomy (55866)
unusually low: confirm this is the full procedure |
$5,305.01 |
— |
0.4× |
| Obstetric care, vaginal delivery (global) (59400) |
$6,362.52 |
— |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$7,028.89 |
— |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$6,661.94 |
— |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$271.87 |
— |
0.2× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,717 |
$2,948.13 |
2.5× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$3,710 |
— |
5.4× |
| Cataract removal with lens insertion (66984) |
$9,711 |
— |
3.4× |
| CT head/brain without contrast (70450) |
$241 |
— |
1.8× |
| MRI brain without contrast (70551) |
$506.50 |
— |
1.7× |
| MRI brain with contrast (70552) |
$721.45 |
— |
1.7× |
| MRI brain without and with contrast (70553) |
$824.71 |
— |
1.9× |
| X-ray lower spine, 4+ views (72110) |
$99.80 |
— |
0.8× |
| MRI lumbar spine without contrast (72148) |
$499.12 |
— |
1.7× |
| CT pelvis with contrast (72193) |
$524.42 |
— |
2.4× |
| MRI lower-extremity joint without contrast (73721) |
$550.77 |
— |
1.8× |
| CT abdomen and pelvis with contrast (74177) |
$689.85 |
— |
1.6× |
| Ultrasound, abdomen complete (76700) |
$298.95 |
— |
2.3× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$287.33 |
— |
2.2× |
| Ultrasound, transvaginal (76830) |
$272.60 |
— |
2.1× |
| Mammography, one breast (diagnostic) (77065) |
$280.71 |
— |
3.3× |
| Mammography, both breasts (diagnostic) (77066) |
$359.17 |
— |
3.2× |
| Mammography, screening (bilateral) (77067) |
$296.61 |
— |
3.3× |
| Basic metabolic panel (80048) |
$34.17 |
$66.75 |
4.0× |
| Comprehensive metabolic panel (80053) |
$44.99 |
$90.33 |
4.3× |
| Lipid panel (80061) |
$57.04 |
$128.62 |
4.3× |
| Renal function panel (80069) |
$37.01 |
$101.93 |
4.3× |
| Hepatic function panel (80076) |
$34.17 |
$66.02 |
4.2× |
| Urinalysis, non-automated, with microscopy (81000) |
$13.48 |
$28.02 |
3.4× |
| Urinalysis, non-automated, without microscopy (81002) |
$10.89 |
$23.60 |
3.1× |
| PSA, total (84153) |
$78.34 |
$176 |
4.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$71.59 |
$112.23 |
4.3× |
| CBC with automated differential (85025) |
$32.94 |
$67.50 |
4.2× |
| CBC, automated (85027) |
$27.57 |
$56.14 |
4.3× |
| Prothrombin time (PT) (85610) |
$16.77 |
$37.66 |
3.9× |
| Partial thromboplastin time (PTT) (85730) |
$25.57 |
$58.01 |
4.3× |
Psychotherapy, 30 minutes (90832)
range across 34 matching MRF lines |
$198.56 |
$201.99–$408.55 |
0.9× |
| Psychotherapy, 45 minutes (90834) |
$263.35 |
$429.05 |
1.2× |
| Psychotherapy, 60 minutes (90837) |
$394.27 |
$551.42 |
1.8× |
| Family psychotherapy, without patient (50 min) (90846) |
$319.37 |
$687.06 |
1.4× |
| Family psychotherapy, with patient (50 min) (90847) |
$329.48 |
$703.29 |
1.5× |
| Group psychotherapy (90853) |
$80.87 |
$364.18 |
0.6× |
| Electrocardiogram (ECG), complete (93000) |
$49.99 |
$50 |
0.7× |
| Left heart catheterization (93452) |
$1,827.21 |
— |
0.5× |
| Sleep study (attended polysomnography) (95810) |
$1,459.05 |
— |
1.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$95 |
— |
3.3× |
Office visit, new patient (low complexity, ~30 min) (99203)
range across 3 matching MRF lines |
$323.34 |
$401.35–$402 |
1.9× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$497.76 |
$615 |
3.0× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$621.43 |
$763 |
3.7× |
| Office consultation (low complexity, ~30 min) (99243) |
$376.70 |
— |
2.3× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$559.86 |
— |
3.4× |
| Preventive visit, new patient (age 18–39) (99385) |
$398.55 |
$480.17 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$460.63 |
$571.79 |
— |