| Breast lesion removal (open) (19120) |
— |
$1,349 |
— |
| Shoulder arthroscopy with decompression (29826) |
— |
$115,910.84 |
— |
| Knee arthroscopy with meniscectomy (29881) |
— |
$44,880.08 |
— |
| Upper GI endoscopy (EGD), diagnostic (43235) |
— |
$27,071.10 |
— |
| Upper GI endoscopy (EGD) with biopsy (43239) |
— |
$10,805.88 |
— |
| Diagnostic colonoscopy (45378) |
— |
$10,554.98 |
— |
| Colonoscopy with biopsy (45380) |
— |
$9,890.94 |
— |
| Colonoscopy with lesion removal (45385) |
— |
$10,561.87 |
— |
| Laparoscopic gallbladder removal (47562) |
— |
$101,401.11 |
— |
| Inguinal hernia repair (age 5+) (49505) |
— |
$77,520.97 |
— |
| Transforaminal epidural injection, lumbar/sacral (64483) |
— |
$349 |
— |
After-cataract laser surgery (YAG capsulotomy) (66821)
range across 2 matching MRF lines |
— |
$2,821–$4,239.69 |
— |
Cataract removal with lens insertion (66984)
range across 3 matching MRF lines |
— |
$11,817.59–$11,975.07 |
— |
| CT head/brain without contrast (70450) |
— |
$3,506 |
— |
| MRI brain without contrast (70551) |
— |
$4,299 |
— |
| MRI brain with contrast (70552) |
— |
$3,311 |
— |
| MRI brain without and with contrast (70553) |
— |
$5,275 |
— |
| X-ray lower spine, 4+ views (72110) |
— |
$1,243 |
— |
| MRI lumbar spine without contrast (72148) |
— |
$4,622 |
— |
| CT pelvis with contrast (72193) |
— |
$2,177 |
— |
| MRI lower-extremity joint without contrast (73721) |
— |
$4,597 |
— |
| CT abdomen and pelvis with contrast (74177) |
— |
$7,732 |
— |
| Ultrasound, abdomen complete (76700) |
— |
$1,565 |
— |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
— |
$890 |
— |
| Ultrasound, transvaginal (76830) |
— |
$1,164 |
— |
| Mammography, one breast (diagnostic) (77065) |
— |
$436 |
— |
| Mammography, both breasts (diagnostic) (77066) |
— |
$485 |
— |
| Mammography, screening (bilateral) (77067) |
— |
$610 |
— |
| Basic metabolic panel (80048) |
— |
$271 |
— |
| Comprehensive metabolic panel (80053) |
— |
$837 |
— |
| Lipid panel (80061) |
— |
$426 |
— |
| Renal function panel (80069) |
— |
$354 |
— |
| Hepatic function panel (80076) |
— |
$631 |
— |
| Urinalysis, non-automated, without microscopy (81002) |
— |
$47 |
— |
| PSA, total (84153) |
— |
$286 |
— |
| Thyroid stimulating hormone (TSH) (84443) |
— |
$372 |
— |
| CBC with automated differential (85025) |
— |
$266 |
— |
| CBC, automated (85027) |
— |
$171 |
— |
| Prothrombin time (PT) (85610) |
— |
$162 |
— |
| Partial thromboplastin time (PTT) (85730) |
— |
$227 |
— |
| Psychotherapy, 30 minutes (90832) |
— |
$297 |
— |
| Psychotherapy, 45 minutes (90834) |
— |
$401 |
— |
| Psychotherapy, 60 minutes (90837) |
— |
$480 |
— |
| Family psychotherapy, without patient (50 min) (90846) |
— |
$401 |
— |
| Family psychotherapy, with patient (50 min) (90847) |
— |
$520 |
— |
| Group psychotherapy (90853) |
— |
$320 |
— |
| Left heart catheterization (93452) |
— |
$28,279.44 |
— |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
— |
$213 |
— |
| Office visit, new patient (low complexity, ~30 min) (99203) |
— |
$281 |
— |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
— |
$392 |
— |
| Office visit, new patient (high complexity, ~60 min) (99205) |
— |
$471 |
— |
| Preventive visit, new patient (age 18–39) (99385) |
— |
$285 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
— |
$330 |
— |