Breast lesion removal (open) (19120)
range across 2 matching MRF lines |
$6,230–$7,078 |
— |
varies |
| Shoulder arthroscopy with decompression (29826) |
$4,838 |
— |
— |
| Knee arthroscopy with meniscectomy (29881) |
$5,280 |
— |
1.3× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,526 |
— |
1.3× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$706.62 |
$1,185 |
0.6× |
| Diagnostic colonoscopy (45378) |
$1,484 |
— |
1.3× |
| Colonoscopy with biopsy (45380) |
$788.90 |
$1,323 |
0.5× |
| Colonoscopy with lesion removal (45385) |
$1,918 |
— |
1.3× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$1,099.58 |
$1,844 |
0.1× |
| Inguinal hernia repair (age 5+) (49505) |
$5,742 |
— |
1.3× |
Laparoscopic radical prostatectomy (55866)
likely a partial charge, not the full procedure |
$1,995.82 |
$3,347 |
0.2× |
| Obstetric care, vaginal delivery (global) (59400) |
$3,981.50 |
$6,677 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$4,408.45 |
$7,393 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$4,155.61 |
$6,969 |
— |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,448 |
— |
1.3× |
| CT head/brain without contrast (70450) |
$304 |
— |
2.3× |
| MRI brain without contrast (70551) |
$592 |
— |
2.0× |
| MRI brain with contrast (70552) |
$718 |
— |
1.6× |
| MRI brain without and with contrast (70553) |
$907 |
— |
2.1× |
| X-ray lower spine, 4+ views (72110) |
$256 |
— |
2.0× |
| MRI lumbar spine without contrast (72148) |
$592 |
— |
2.0× |
| CT pelvis with contrast (72193) |
$438 |
— |
2.0× |
| MRI lower-extremity joint without contrast (73721) |
$592 |
— |
2.0× |
| CT abdomen and pelvis with contrast (74177) |
$669 |
— |
1.5× |
| Ultrasound, abdomen complete (76700) |
$288 |
— |
2.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$283 |
— |
2.2× |
Ultrasound, transvaginal (76830)
range across 3 matching MRF lines |
$53–$236 |
— |
varies |
| Mammography, one breast (diagnostic) (77065) |
$288 |
— |
3.3× |
| Mammography, both breasts (diagnostic) (77066) |
$352 |
— |
3.2× |
| Mammography, screening (bilateral) (77067) |
$314 |
— |
3.4× |
| Basic metabolic panel (80048) |
$24 |
— |
2.8× |
| Comprehensive metabolic panel (80053) |
$31 |
— |
2.9× |
| Lipid panel (80061) |
$42 |
— |
3.1× |
| Renal function panel (80069) |
$25 |
— |
2.9× |
| Hepatic function panel (80076) |
$24 |
— |
2.9× |
| Urinalysis, non-automated, with microscopy (81000) |
$6 |
— |
1.5× |
| Urinalysis, non-automated, without microscopy (81002) |
$5 |
— |
1.4× |
| PSA, total (84153) |
$55 |
— |
3.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$50 |
— |
3.0× |
| CBC with automated differential (85025) |
$24 |
— |
3.1× |
| CBC, automated (85027) |
$20 |
— |
3.1× |
| Prothrombin time (PT) (85610) |
$13 |
— |
3.0× |
| Partial thromboplastin time (PTT) (85730) |
$18 |
— |
3.0× |
| Electrocardiogram (ECG), complete (93000) |
— |
$150 |
— |
Sleep study (attended polysomnography) (95810)
range across 3 matching MRF lines |
$165–$2,076 |
— |
varies |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$70 |
— |
2.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$113.30 |
$190 |
0.7× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$143.11 |
$240 |
0.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$172.93 |
$290 |
1.0× |
| Office consultation (low complexity, ~30 min) (99243) |
$208.11 |
$349 |
1.3× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$330.95 |
$555 |
2.0× |
| Preventive visit, new patient (age 18–39) (99385) |
$111 |
— |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$116 |
— |
— |