| Breast lesion removal (open) (19120) |
$3,882 |
$7,310 |
1.0× |
| Shoulder arthroscopy with decompression (29826) |
— |
$2,637.91 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$3,244 |
$7,310 |
1.0× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$899 |
$3,772.78 |
1.0× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$899 |
$3,772.78 |
1.0× |
Diagnostic colonoscopy (45378)
range across 4 matching MRF lines |
$922 |
$3,803.84–$7,310 |
1.0× |
| Colonoscopy with biopsy (45380) |
$1,186 |
$4,911.42 |
1.0× |
| Colonoscopy with lesion removal (45385) |
$1,186 |
$4,911.42 |
1.0× |
| Colonoscopy with endoscopic ultrasound (45391) |
$1,186 |
$3,763.80 |
1.0× |
| Laparoscopic gallbladder removal (47562) |
$5,994 |
$9,798.85 |
1.0× |
Inguinal hernia repair (age 5+) (49505)
range across 2 matching MRF lines |
$3,550 |
$6,790.65–$9,047.79 |
1.0× |
| Laparoscopic radical prostatectomy (55866) |
$10,539 |
$7,305.84 |
1.0× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$876 |
$2,060.95 |
1.0× |
Transforaminal epidural injection, lumbar/sacral (64483)
range across 2 matching MRF lines |
$876 |
$1,789.50–$7,310 |
1.0× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$545 |
$2,218.15 |
1.0× |
| CT head/brain without contrast (70450) |
$103 |
$2,219 |
1.0× |
| MRI brain without contrast (70551) |
$236 |
$3,587 |
1.0× |
| MRI brain with contrast (70552) |
$345 |
$4,185.75 |
1.0× |
| MRI brain without and with contrast (70553) |
$345 |
$5,116.57 |
1.0× |
| X-ray lower spine, 4+ views (72110) |
$103 |
$701 |
1.0× |
| MRI lumbar spine without contrast (72148) |
$236 |
$3,572.30 |
1.0× |
| CT pelvis with contrast (72193) |
$173 |
$2,978.46 |
1.0× |
| MRI lower-extremity joint without contrast (73721) |
$236 |
$1,681 |
1.0× |
| CT abdomen and pelvis with contrast (74177) |
$345 |
$5,307.25 |
1.0× |
| Ultrasound, abdomen complete (76700) |
$103 |
$1,135 |
1.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$103 |
$924 |
1.0× |
| Ultrasound, transvaginal (76830) |
$103 |
$792 |
1.0× |
| Mammography, one breast (diagnostic) (77065) |
$78 |
$376.37 |
0.9× |
| Mammography, both breasts (diagnostic) (77066) |
$101 |
$906.90 |
0.9× |
| Mammography, screening (bilateral) (77067) |
$83 |
$506.25 |
0.9× |
| Basic metabolic panel (80048) |
$8 |
$329.50 |
0.9× |
| Comprehensive metabolic panel (80053) |
$10 |
$492 |
0.9× |
| Lipid panel (80061) |
$13 |
$303.50 |
1.0× |
| Renal function panel (80069) |
$8 |
$445.50 |
0.9× |
| Hepatic function panel (80076) |
$8 |
$462.50 |
1.0× |
| Urinalysis, non-automated, without microscopy (81002) |
$3 |
$16.18 |
0.9× |
PSA, total (84153)
range across 2 matching MRF lines |
$18 |
$200.61–$206.99 |
1.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$16 |
$211.92 |
1.0× |
| CBC with automated differential (85025) |
$7 |
$150 |
0.9× |
| CBC, automated (85027) |
$6 |
$114 |
0.9× |
| Prothrombin time (PT) (85610) |
$4 |
$135 |
0.9× |
| Partial thromboplastin time (PTT) (85730) |
$6 |
$221 |
1.0× |
| Psychotherapy, 30 minutes (90832) |
$175 |
$447.45 |
1.0× |
| Psychotherapy, 45 minutes (90834) |
$175 |
$577.60 |
1.0× |
| Psychotherapy, 60 minutes (90837) |
$175 |
$577.60 |
1.0× |
| Family psychotherapy, without patient (50 min) (90846) |
$175 |
$620 |
1.0× |
| Family psychotherapy, with patient (50 min) (90847) |
$175 |
$620 |
1.0× |
Group psychotherapy (90853)
range across 2 matching MRF lines |
$100 |
$200–$262 |
1.0× |
| Left heart catheterization (93452) |
$3,214 |
$15,281.80 |
1.0× |
| Sleep study (attended polysomnography) (95810) |
$851 |
$4,326 |
1.0× |
Physical therapy, therapeutic exercise (per 15 min) (97110)
range across 2 matching MRF lines |
$27 |
$158–$215 |
0.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
— |
$550.14 |
— |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
— |
$550.14 |
— |
| Office visit, new patient (high complexity, ~60 min) (99205) |
— |
$550.14 |
— |