| Breast lesion removal (open) (19120) |
— |
$10,123.65 |
— |
Knee arthroscopy with meniscectomy (29881)
range across 3 matching MRF lines |
— |
$13,274.76–$15,296.30 |
— |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
— |
$8,743 |
— |
| Upper GI endoscopy (EGD), diagnostic (43235) |
— |
$10,532.62 |
— |
| Upper GI endoscopy (EGD) with biopsy (43239) |
— |
$10,006.87 |
— |
| Diagnostic colonoscopy (45378) |
— |
$10,477.20 |
— |
| Colonoscopy with biopsy (45380) |
— |
$6,615.09 |
— |
| Colonoscopy with lesion removal (45385) |
— |
$14,594 |
— |
| Laparoscopic gallbladder removal (47562) |
— |
$25,366.21 |
— |
| Inguinal hernia repair (age 5+) (49505) |
— |
$7,399 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
— |
$1,836 |
— |
Transforaminal epidural injection, lumbar/sacral (64483)
range across 4 matching MRF lines |
— |
$3,141.24–$6,831.39 |
— |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
— |
$999 |
— |
Cataract removal with lens insertion (66984)
range across 3 matching MRF lines |
— |
$9,606.01–$10,943.13 |
— |
| CT head/brain without contrast (70450) |
— |
$2,112 |
— |
| MRI brain without contrast (70551) |
— |
$3,574 |
— |
| MRI brain with contrast (70552) |
— |
$5,760 |
— |
| MRI brain without and with contrast (70553) |
— |
$5,902 |
— |
| X-ray lower spine, 4+ views (72110) |
— |
$769 |
— |
| MRI lumbar spine without contrast (72148) |
— |
$4,916 |
— |
| CT pelvis with contrast (72193) |
— |
$2,357 |
— |
| MRI lower-extremity joint without contrast (73721) |
— |
$4,721 |
— |
| CT abdomen and pelvis with contrast (74177) |
— |
$5,607 |
— |
| Ultrasound, abdomen complete (76700) |
— |
$921 |
— |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
— |
$715 |
— |
| Ultrasound, transvaginal (76830) |
— |
$968 |
— |
| Mammography, one breast (diagnostic) (77065) |
— |
$477 |
— |
| Mammography, both breasts (diagnostic) (77066) |
— |
$693 |
— |
| Mammography, screening (bilateral) (77067) |
— |
$618 |
— |
| Basic metabolic panel (80048) |
— |
$161 |
— |
| Comprehensive metabolic panel (80053) |
— |
$272 |
— |
| Obstetric panel (80055) |
— |
$478 |
— |
Lipid panel (80061)
range across 2 matching MRF lines |
— |
$78–$227 |
— |
| Renal function panel (80069) |
— |
$276 |
— |
| Hepatic function panel (80076) |
— |
$360 |
— |
| Urinalysis, non-automated, without microscopy (81002) |
— |
$18 |
— |
| PSA, total (84153) |
— |
$262 |
— |
| Thyroid stimulating hormone (TSH) (84443) |
— |
$208 |
— |
| CBC with automated differential (85025) |
— |
$126 |
— |
| CBC, automated (85027) |
— |
$126 |
— |
| Prothrombin time (PT) (85610) |
— |
$84 |
— |
| Partial thromboplastin time (PTT) (85730) |
— |
$111 |
— |
| Psychotherapy, 30 minutes (90832) |
— |
$203 |
— |
| Psychotherapy, 45 minutes (90834) |
— |
$271 |
— |
| Psychotherapy, 60 minutes (90837) |
— |
$405 |
— |
| Family psychotherapy, without patient (50 min) (90846) |
— |
$327 |
— |
| Family psychotherapy, with patient (50 min) (90847) |
— |
$339 |
— |
Physical therapy, therapeutic exercise (per 15 min) (97110)
range across 4 matching MRF lines |
— |
$53–$167 |
— |
Office visit, new patient (low complexity, ~30 min) (99203)
range across 4 matching MRF lines |
— |
$272–$362 |
— |
Office visit, new patient (moderate complexity, ~45 min) (99204)
range across 4 matching MRF lines |
— |
$399–$463 |
— |
| Office visit, new patient (high complexity, ~60 min) (99205) |
— |
$603 |
— |
| Office consultation (low complexity, ~30 min) (99243) |
— |
$513 |
— |
| Office consultation (moderate complexity, ~40 min) (99244) |
— |
$458 |
— |
| Preventive visit, new patient (age 18–39) (99385) |
— |
$370 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
— |
$432 |
— |