Breast lesion removal (open) (19120)
range across 3 matching MRF lines |
— |
$41,461.77–$47,277.84 |
— |
Shoulder arthroscopy with decompression (29826)
range across 3 matching MRF lines |
— |
$83,570.81–$97,296.95 |
— |
Knee arthroscopy with meniscectomy (29881)
range across 3 matching MRF lines |
— |
$51,168.88–$52,800.90 |
— |
Tonsillectomy and adenoidectomy (under age 12) (42820)
range across 2 matching MRF lines |
— |
$31,504.01–$35,548.75 |
— |
| Upper GI endoscopy (EGD), diagnostic (43235) |
— |
$15,722.31 |
— |
| Upper GI endoscopy (EGD) with biopsy (43239) |
— |
$17,597.35 |
— |
| Diagnostic colonoscopy (45378) |
— |
$16,136.43 |
— |
| Colonoscopy with biopsy (45380) |
— |
$18,675.04 |
— |
| Colonoscopy with lesion removal (45385) |
— |
$20,449.72 |
— |
| Colonoscopy with endoscopic ultrasound (45391) |
— |
$140,669.91 |
— |
| Laparoscopic gallbladder removal (47562) |
— |
$64,454.24 |
— |
| Inguinal hernia repair (age 5+) (49505) |
— |
$59,082.72 |
— |
| Laparoscopic radical prostatectomy (55866) |
— |
$149,359.42 |
— |
| Obstetric care, vaginal delivery (global) (59400) |
— |
$47,517.39 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
— |
$76,745.26 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
— |
$47,504.91 |
— |
| Transforaminal epidural injection, lumbar/sacral (64483) |
— |
$6,297.05 |
— |
| CT head/brain without contrast (70450) |
— |
$3,538 |
— |
| MRI brain without contrast (70551) |
— |
$5,932 |
— |
| MRI brain with contrast (70552) |
— |
$6,567 |
— |
| MRI brain without and with contrast (70553) |
— |
$9,103 |
— |
| X-ray lower spine, 4+ views (72110) |
— |
$4,487 |
— |
| MRI lumbar spine without contrast (72148) |
— |
$5,476 |
— |
| CT pelvis with contrast (72193) |
— |
$3,824 |
— |
| MRI lower-extremity joint without contrast (73721) |
— |
$9,276 |
— |
| CT abdomen and pelvis with contrast (74177) |
— |
$13,595 |
— |
| Ultrasound, abdomen complete (76700) |
— |
$4,551 |
— |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
— |
$3,483 |
— |
| Ultrasound, transvaginal (76830) |
— |
$4,656 |
— |
| Mammography, one breast (diagnostic) (77065) |
— |
$336 |
— |
| Mammography, both breasts (diagnostic) (77066) |
— |
$669 |
— |
| Mammography, screening (bilateral) (77067) |
— |
$514 |
— |
| Basic metabolic panel (80048) |
— |
$1,538 |
— |
| Comprehensive metabolic panel (80053) |
— |
$2,367 |
— |
| Lipid panel (80061) |
— |
$1,084 |
— |
| Renal function panel (80069) |
— |
$755 |
— |
| Hepatic function panel (80076) |
— |
$294 |
— |
| Urinalysis, non-automated, with microscopy (81000) |
— |
$856 |
— |
| Urinalysis, non-automated, without microscopy (81002) |
— |
$276 |
— |
| PSA, total (84153) |
— |
$1,171 |
— |
| Thyroid stimulating hormone (TSH) (84443) |
— |
$1,088 |
— |
| CBC with automated differential (85025) |
— |
$534 |
— |
| CBC, automated (85027) |
— |
$534 |
— |
| Prothrombin time (PT) (85610) |
— |
$366 |
— |
| Partial thromboplastin time (PTT) (85730) |
— |
$302 |
— |
| Psychotherapy, 30 minutes (90832) |
— |
$194 |
— |
| Psychotherapy, 45 minutes (90834) |
— |
$257 |
— |
| Psychotherapy, 60 minutes (90837) |
— |
$333 |
— |
| Family psychotherapy, without patient (50 min) (90846) |
— |
$300 |
— |
| Family psychotherapy, with patient (50 min) (90847) |
— |
$300 |
— |
| Group psychotherapy (90853) |
— |
$128 |
— |
| Left heart catheterization (93452) |
— |
$34,368 |
— |
| Sleep study (attended polysomnography) (95810) |
— |
$2,800 |
— |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
— |
$200 |
— |
| Office visit, new patient (low complexity, ~30 min) (99203) |
— |
$246.79 |
— |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
— |
$246.79 |
— |
| Office visit, new patient (high complexity, ~60 min) (99205) |
— |
$246.79 |
— |