Breast lesion removal (open) (19120)
range across 2 matching MRF lines |
$3,727.80–$4,925.02 |
$5,700–$7,576.95 |
varies |
| Shoulder arthroscopy with decompression (29826) |
$7,265.94 |
$11,110 |
— |
Knee arthroscopy with meniscectomy (29881)
range across 2 matching MRF lines |
$6,471.33–$6,536.67 |
$9,895–$10,056.42 |
varies |
Tonsillectomy and adenoidectomy (under age 12) (42820)
unusually low: confirm this is the full procedure |
$2,743.53 |
$4,195 |
0.4× |
Upper GI endoscopy (EGD), diagnostic (43235)
range across 2 matching MRF lines |
$1,115.07–$2,554.50 |
$1,705–$3,930 |
varies |
| Upper GI endoscopy (EGD) with biopsy (43239) |
— |
$1,985 |
— |
| Diagnostic colonoscopy (45378) |
— |
$1,688 |
— |
| Colonoscopy with biopsy (45380) |
— |
$1,835 |
— |
Colonoscopy with lesion removal (45385)
range across 2 matching MRF lines |
$2,400.18–$4,504.50 |
$3,670–$6,930 |
varies |
| Colonoscopy with endoscopic ultrasound (45391) |
$2,321.70 |
$3,550 |
1.6× |
| Laparoscopic gallbladder removal (47562) |
$5,434.74 |
$8,310 |
0.7× |
| Inguinal hernia repair (age 5+) (49505) |
$3,871.68 |
$5,920 |
0.9× |
| Laparoscopic radical prostatectomy (55866) |
$13,953.09 |
$21,335 |
1.1× |
| Obstetric care, vaginal delivery (global) (59400) |
— |
$19,397 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$25,368.66 |
$38,790 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$25,368.66 |
$38,790 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$523.20 |
$800 |
0.5× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
— |
$2,688 |
— |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
— |
$1,693 |
— |
Cataract removal with lens insertion (66984)
range across 2 matching MRF lines |
$5,765.50–$5,800.98 |
$8,870 |
varies |
| CT head/brain without contrast (70450) |
— |
$2,295 |
— |
| MRI brain without contrast (70551) |
— |
$4,218 |
— |
| MRI brain with contrast (70552) |
— |
$5,073 |
— |
| MRI brain without and with contrast (70553) |
— |
$6,526.50 |
— |
| X-ray lower spine, 4+ views (72110) |
— |
$989 |
— |
| MRI lumbar spine without contrast (72148) |
— |
$4,218 |
— |
| CT pelvis with contrast (72193) |
— |
$3,132 |
— |
| MRI lower-extremity joint without contrast (73721) |
— |
$3,847.50 |
— |
| CT abdomen and pelvis with contrast (74177) |
— |
$4,914 |
— |
| Ultrasound, abdomen complete (76700) |
— |
$1,357 |
— |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
— |
$943 |
— |
| Ultrasound, transvaginal (76830) |
— |
$1,454 |
— |
| Mammography, one breast (diagnostic) (77065) |
— |
$913 |
— |
| Mammography, both breasts (diagnostic) (77066) |
— |
$1,178 |
— |
| Mammography, screening (bilateral) (77067) |
— |
$906 |
— |
| Basic metabolic panel (80048) |
— |
$186 |
— |
| Comprehensive metabolic panel (80053) |
— |
$290 |
— |
| Lipid panel (80061) |
— |
$206 |
— |
| Renal function panel (80069) |
— |
$104 |
— |
| Hepatic function panel (80076) |
— |
$136 |
— |
| Urinalysis, non-automated, with microscopy (81000) |
$26 |
$40 |
6.5× |
| Urinalysis, non-automated, without microscopy (81002) |
— |
$56 |
— |
| PSA, total (84153) |
— |
$258 |
— |
| Thyroid stimulating hormone (TSH) (84443) |
— |
$250 |
— |
| CBC with automated differential (85025) |
— |
$128 |
— |
| CBC, automated (85027) |
$58.86 |
$90 |
9.1× |
| Prothrombin time (PT) (85610) |
— |
$99 |
— |
| Partial thromboplastin time (PTT) (85730) |
— |
$132 |
— |
| Psychotherapy, 30 minutes (90832) |
— |
$468 |
— |
| Psychotherapy, 45 minutes (90834) |
— |
$649 |
— |
| Psychotherapy, 60 minutes (90837) |
— |
$601 |
— |
| Family psychotherapy, without patient (50 min) (90846) |
— |
$642 |
— |
| Family psychotherapy, with patient (50 min) (90847) |
— |
$863 |
— |
| Group psychotherapy (90853) |
— |
$343 |
— |
| Electrocardiogram (ECG), complete (93000) |
$198.25 |
$305 |
2.7× |
Left heart catheterization (93452)
range across 2 matching MRF lines |
$3,133.99 |
$2,165–$4,792.04 |
0.8× |
| Sleep study (attended polysomnography) (95810) |
— |
$12,500 |
— |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
— |
$396 |
— |
Office visit, new patient (low complexity, ~30 min) (99203)
range across 3 matching MRF lines |
$330.27–$565.50 |
$485–$870 |
varies |
Office visit, new patient (moderate complexity, ~45 min) (99204)
range across 3 matching MRF lines |
$503.58–$667.30 |
$716–$1,026.62 |
varies |
Office visit, new patient (high complexity, ~60 min) (99205)
range across 3 matching MRF lines |
$631.11–$929.50 |
$965–$1,430 |
varies |
Office consultation (low complexity, ~30 min) (99243)
range across 2 matching MRF lines |
$568.54–$591.87 |
$874.68–$905 |
varies |
Office consultation (moderate complexity, ~40 min) (99244)
range across 2 matching MRF lines |
$654–$814.90 |
$1,000–$1,253.70 |
varies |
| Preventive visit, new patient (age 18–39) (99385) |
— |
$367 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
— |
$446 |
— |