| Upper GI endoscopy (EGD), diagnostic (43235) |
$3,074 |
$3,074 |
2.7× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,640 |
$2,640 |
2.3× |
| Inguinal hernia repair (age 5+) (49505) |
$11,436 |
$11,436 |
2.6× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$2,734 |
$2,734 |
2.5× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,626 |
$2,626 |
2.4× |
| CT head/brain without contrast (70450) |
$2,263 |
$2,263 |
17.3× |
| MRI brain without contrast (70551) |
$3,072 |
$3,072 |
10.3× |
| MRI brain with contrast (70552) |
$3,615 |
$3,615 |
8.3× |
| MRI brain without and with contrast (70553) |
$4,517 |
$4,517 |
10.4× |
| X-ray lower spine, 4+ views (72110) |
$737 |
$737 |
5.6× |
| MRI lumbar spine without contrast (72148) |
$3,072 |
$3,072 |
10.3× |
| CT pelvis with contrast (72193) |
$2,713 |
$2,713 |
12.4× |
| MRI lower-extremity joint without contrast (73721) |
$3,072 |
$3,072 |
10.3× |
| CT abdomen and pelvis with contrast (74177) |
$2,713 |
$2,713 |
6.2× |
| Ultrasound, abdomen complete (76700) |
$1,235 |
$1,235 |
9.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$876 |
$876 |
6.7× |
| Ultrasound, transvaginal (76830) |
$1,011 |
$1,011 |
7.7× |
| Mammography, one breast (diagnostic) (77065) |
$887 |
$887 |
10.3× |
| Mammography, both breasts (diagnostic) (77066) |
$1,135 |
$1,135 |
10.3× |
Mammography, screening (bilateral) (77067) range across 2 matching MRF lines |
$652–$935 |
$652–$935 |
varies |
| Basic metabolic panel (80048) |
$223 |
$223 |
26.4× |
| Comprehensive metabolic panel (80053) |
$260 |
$260 |
24.6× |
| Lipid panel (80061) |
$241 |
$241 |
18.0× |
| Renal function panel (80069) |
$96 |
$96 |
11.1× |
| Hepatic function panel (80076) |
$238 |
$238 |
29.1× |
| Urinalysis, non-automated, with microscopy (81000) |
$31 |
$31 |
7.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$38 |
$38 |
10.9× |
| PSA, total (84153) |
$127 |
$127 |
6.9× |
| Thyroid stimulating hormone (TSH) (84443) |
$223 |
$223 |
13.3× |
| CBC with automated differential (85025) |
$132 |
$132 |
17.0× |
| CBC, automated (85027) |
$106 |
$106 |
16.4× |
| Prothrombin time (PT) (85610) |
$44 |
$44 |
10.3× |
| Partial thromboplastin time (PTT) (85730) |
$165 |
$165 |
27.5× |
| Psychotherapy, 30 minutes (90832) |
$349 |
$349 |
1.6× |
| Psychotherapy, 45 minutes (90834) |
$423 |
$423 |
1.9× |
| Psychotherapy, 60 minutes (90837) |
$423 |
$423 |
1.9× |
| Family psychotherapy, without patient (50 min) (90846) |
$494 |
$494 |
2.2× |
| Family psychotherapy, with patient (50 min) (90847) |
$494 |
$494 |
2.2× |
| Group psychotherapy (90853) |
$223 |
$223 |
1.8× |
| Left heart catheterization (93452) |
$13,882 |
$13,882 |
3.4× |
Sleep study (attended polysomnography) (95810) range across 2 matching MRF lines |
$3,700–$4,624 |
$3,700–$4,624 |
varies |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$199 |
$199 |
6.8× |
Office visit, new patient (low complexity, ~30 min) (99203) range across 7 matching MRF lines |
$252–$345 |
$252–$345 |
varies |
Office visit, new patient (moderate complexity, ~45 min) (99204) range across 6 matching MRF lines |
$383–$460 |
$383–$460 |
varies |
Office visit, new patient (high complexity, ~60 min) (99205) range across 5 matching MRF lines |
$524–$628 |
$524–$628 |
varies |