| Breast lesion removal (open) (19120) |
$8,041.60 |
$14,360 |
1.4× |
| Shoulder arthroscopy with decompression (29826) |
$5,241.60 |
$9,360 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$7,324.80 |
$13,080 |
1.6× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$10,634.40 |
$18,990 |
1.3× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$3,707.20 |
$6,620 |
2.9× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$3,354.40 |
$5,990 |
2.6× |
| Diagnostic colonoscopy (45378) |
$3,679.20 |
$6,570 |
2.8× |
| Colonoscopy with biopsy (45380) |
$3,550.40 |
$6,340 |
2.1× |
| Colonoscopy with lesion removal (45385) |
$3,466.40 |
$6,190 |
2.0× |
| Colonoscopy with endoscopic ultrasound (45391) |
$2,906.40 |
$5,190 |
1.7× |
| Laparoscopic gallbladder removal (47562) |
$19,219.20 |
$34,320 |
2.2× |
| Inguinal hernia repair (age 5+) (49505) |
$18,726.40 |
$33,440 |
3.7× |
| Laparoscopic radical prostatectomy (55866) |
$38,337.60 |
$68,460 |
2.5× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$2,402.40 |
$4,290 |
1.9× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$3,365.60 |
$6,010 |
2.7× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$2,704.80 |
$4,830 |
3.5× |
| Cataract removal with lens insertion (66984) |
$8,624 |
$15,400 |
2.6× |
| CT head/brain without contrast (70450) |
$2,682.40 |
$4,790 |
18.1× |
| MRI brain without contrast (70551) |
$3,628.80 |
$6,480 |
10.7× |
| MRI brain with contrast (70552) |
$5,056.80 |
$9,030 |
10.2× |
| MRI brain without and with contrast (70553) |
$5,499.20 |
$9,820 |
11.1× |
| X-ray lower spine, 4+ views (72110) |
$588 |
$1,050 |
4.0× |
| MRI lumbar spine without contrast (72148) |
$3,281.60 |
$5,860 |
9.7× |
| CT pelvis with contrast (72193) |
$4,760 |
$8,500 |
19.1× |
| MRI lower-extremity joint without contrast (73721) |
$3,438.40 |
$6,140 |
10.1× |
| CT abdomen and pelvis with contrast (74177) |
$4,754.40 |
$8,490 |
9.6× |
| Ultrasound, abdomen complete (76700) |
$991.20 |
$1,770 |
6.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$946.40 |
$1,690 |
6.4× |
| Ultrasound, transvaginal (76830) |
$716.80 |
$1,280 |
4.8× |
| Mammography, one breast (diagnostic) (77065) |
$375.20 |
$670 |
4.4× |
| Mammography, both breasts (diagnostic) (77066) |
$504 |
$900 |
4.6× |
| Mammography, screening (bilateral) (77067) |
$375.20 |
$670 |
4.1× |
| Basic metabolic panel (80048) |
$193.20 |
$345 |
22.8× |
| Comprehensive metabolic panel (80053) |
$255.36 |
$456 |
24.2× |
| Obstetric panel (80055) |
$431.20 |
$770 |
9.0× |
| Lipid panel (80061) |
$156.24 |
$279 |
11.7× |
| Renal function panel (80069) |
$142.24 |
$254 |
16.4× |
| Hepatic function panel (80076) |
$133.84 |
$239 |
16.4× |
| Urinalysis, non-automated, with microscopy (81000) |
$165.76 |
$296 |
41.2× |
| Urinalysis, non-automated, without microscopy (81002) |
$36.40 |
$65 |
10.5× |
| PSA, total (84153) |
$130.48 |
$233 |
7.1× |
| Thyroid stimulating hormone (TSH) (84443) |
$155.12 |
$277 |
9.2× |
| CBC with automated differential (85025) |
$123.20 |
$220 |
15.9× |
| CBC, automated (85027) |
$89.60 |
$160 |
13.8× |
| Prothrombin time (PT) (85610) |
$89.60 |
$160 |
20.9× |
| Partial thromboplastin time (PTT) (85730) |
$141.68 |
$253 |
23.6× |
| Psychotherapy, 30 minutes (90832) |
$442.96 |
$791 |
1.8× |
| Psychotherapy, 45 minutes (90834) |
$582.40 |
$1,040 |
2.3× |
| Psychotherapy, 60 minutes (90837) |
$403.20 |
$720 |
1.6× |
| Family psychotherapy, without patient (50 min) (90846) |
$476 |
$850 |
1.9× |
| Family psychotherapy, with patient (50 min) (90847) |
$593.60 |
$1,060 |
2.4× |
| Group psychotherapy (90853) |
$532 |
$950 |
3.7× |
| Electrocardiogram (ECG), complete (93000) |
$89.60 |
$160 |
1.1× |
| Left heart catheterization (93452) |
$15,612.80 |
$27,880 |
3.4× |
| Sleep study (attended polysomnography) (95810) |
$4,888.80 |
$8,730 |
4.0× |
Physical therapy, therapeutic exercise (per 15 min) (97110)
range across 3 matching MRF lines |
$129.36–$145.04 |
$231–$259 |
varies |