| Shoulder arthroscopy with decompression (29826) |
— |
$8,968.75 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$4,187 |
$5,551.04 |
1.0× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,160 |
$6,196.80 |
1.0× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,160 |
$5,669.74 |
1.0× |
Diagnostic colonoscopy (45378)
range across 3 matching MRF lines |
$1,190 |
$4,845.30–$6,238.32 |
1.0× |
| Colonoscopy with biopsy (45380) |
$1,531 |
$8,129.02 |
1.0× |
| Colonoscopy with lesion removal (45385) |
$1,531 |
$7,892.25 |
1.0× |
| Colonoscopy with endoscopic ultrasound (45391) |
$1,531 |
$3,763.80 |
1.0× |
| Inguinal hernia repair (age 5+) (49505) |
$4,582 |
$6,790.65 |
1.0× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,132 |
$4,968.55 |
1.0× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,132 |
$1,789.50 |
1.0× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$703 |
$2,218.15 |
1.0× |
| CT head/brain without contrast (70450) |
$133 |
$4,037.04 |
1.0× |
| MRI brain without contrast (70551) |
$305 |
$6,099.97 |
1.0× |
| MRI brain with contrast (70552) |
$446 |
$5,743.16 |
1.0× |
| MRI brain without and with contrast (70553) |
$446 |
$9,097.01 |
1.0× |
| X-ray lower spine, 4+ views (72110) |
$133 |
$1,494.66 |
1.0× |
| MRI lumbar spine without contrast (72148) |
$305 |
$6,398.88 |
1.0× |
| CT pelvis with contrast (72193) |
$224 |
$5,082.28 |
1.0× |
| MRI lower-extremity joint without contrast (73721) |
$305 |
$6,273.25 |
1.0× |
| CT abdomen and pelvis with contrast (74177) |
$446 |
$3,832.98 |
1.0× |
| Ultrasound, abdomen complete (76700) |
$133 |
$1,879.96 |
1.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$133 |
$1,553 |
1.0× |
| Ultrasound, transvaginal (76830) |
$133 |
$1,760.59 |
1.0× |
| Mammography, one breast (diagnostic) (77065) |
$101 |
$743.80 |
1.2× |
| Mammography, both breasts (diagnostic) (77066) |
$130 |
$906.90 |
1.2× |
| Mammography, screening (bilateral) (77067) |
$107 |
$506.25 |
1.2× |
| Basic metabolic panel (80048) |
$8 |
$550.61 |
0.9× |
| Comprehensive metabolic panel (80053) |
$10 |
$645.75 |
0.9× |
| Lipid panel (80061) |
$13 |
$471.23 |
1.0× |
| Renal function panel (80069) |
$8 |
$416.09 |
0.9× |
| Hepatic function panel (80076) |
$8 |
$643.80 |
1.0× |
| Urinalysis, non-automated, without microscopy (81002) |
$3 |
$96.12 |
0.9× |
PSA, total (84153)
range across 2 matching MRF lines |
$18 |
$170.50–$376.17 |
1.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$16 |
$423.95 |
1.0× |
| CBC with automated differential (85025) |
$7 |
$244.63 |
0.9× |
| CBC, automated (85027) |
$6 |
$204.40 |
0.9× |
| Prothrombin time (PT) (85610) |
$4 |
$261.41 |
0.9× |
| Partial thromboplastin time (PTT) (85730) |
$6 |
$305.91 |
1.0× |
| Psychotherapy, 30 minutes (90832) |
$227 |
$943.33 |
1.0× |
| Psychotherapy, 45 minutes (90834) |
$227 |
$1,061.86 |
1.0× |
| Psychotherapy, 60 minutes (90837) |
$227 |
$577.60 |
1.0× |
| Family psychotherapy, without patient (50 min) (90846) |
$227 |
$620 |
1.0× |
| Family psychotherapy, with patient (50 min) (90847) |
$227 |
$620 |
1.0× |
| Group psychotherapy (90853) |
$130 |
$543.09 |
1.0× |
| Left heart catheterization (93452) |
$4,149 |
$15,281.80 |
1.0× |
Physical therapy, therapeutic exercise (per 15 min) (97110)
range across 2 matching MRF lines |
$32 |
$169.60–$309 |
1.1× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
— |
$495 |
— |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
— |
$809.46 |
— |
| Office visit, new patient (high complexity, ~60 min) (99205) |
— |
$841.19 |
— |