Shoulder arthroscopy with decompression (29826)
range across 2 matching MRF lines |
$318–$3,344 |
— |
varies |
| Knee arthroscopy with meniscectomy (29881) |
$4,800 |
— |
1.2× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$472.87 |
$793 |
0.4× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$617.83 |
$1,036.10 |
0.5× |
| Diagnostic colonoscopy (45378) |
$797.85 |
$1,338 |
0.7× |
| Colonoscopy with biopsy (45380) |
$821.70 |
$1,378 |
0.6× |
| Colonoscopy with lesion removal (45385) |
$546.81 |
$917 |
0.4× |
Inguinal hernia repair (age 5+) (49505)
range across 2 matching MRF lines |
$977–$5,220 |
— |
varies |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$531.90 |
$892 |
0.5× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$276.68 |
$464 |
0.3× |
| Cataract removal with lens insertion (66984) |
$3,221.21 |
$5,402 |
1.1× |
| CT head/brain without contrast (70450) |
$158 |
— |
1.2× |
| MRI brain without contrast (70551) |
$358 |
— |
1.2× |
| MRI brain with contrast (70552) |
$528 |
— |
1.2× |
| MRI brain without and with contrast (70553) |
$528 |
— |
1.2× |
| X-ray lower spine, 4+ views (72110) |
$158 |
— |
1.2× |
| MRI lumbar spine without contrast (72148) |
$358 |
— |
1.2× |
| CT pelvis with contrast (72193) |
$264 |
— |
1.2× |
| MRI lower-extremity joint without contrast (73721) |
$358 |
— |
1.2× |
| CT abdomen and pelvis with contrast (74177) |
$528 |
— |
1.2× |
| Ultrasound, abdomen complete (76700) |
$328 |
— |
2.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$377 |
— |
2.9× |
Ultrasound, transvaginal (76830)
range across 2 matching MRF lines |
$158–$218 |
— |
varies |
| Mammography, one breast (diagnostic) (77065) |
$176 |
— |
2.0× |
| Mammography, both breasts (diagnostic) (77066) |
$208 |
— |
1.9× |
| Mammography, screening (bilateral) (77067) |
$166 |
— |
1.8× |
| Basic metabolic panel (80048) |
$22 |
— |
2.6× |
| Comprehensive metabolic panel (80053) |
$40 |
— |
3.8× |
| Lipid panel (80061) |
$31 |
— |
2.3× |
| Renal function panel (80069) |
$10 |
— |
1.2× |
| Hepatic function panel (80076) |
$28 |
— |
3.4× |
| Urinalysis, non-automated, with microscopy (81000) |
$4 |
— |
1.0× |
| Urinalysis, non-automated, without microscopy (81002) |
$8 |
— |
2.3× |
| PSA, total (84153) |
$62 |
— |
3.4× |
| Thyroid stimulating hormone (TSH) (84443) |
$38 |
— |
2.3× |
| CBC with automated differential (85025) |
$14 |
— |
1.8× |
| CBC, automated (85027) |
$15 |
— |
2.3× |
| Prothrombin time (PT) (85610) |
$12 |
— |
2.8× |
| Partial thromboplastin time (PTT) (85730) |
$14 |
— |
2.3× |
Psychotherapy, 30 minutes (90832)
range across 3 matching MRF lines |
$53–$162 |
— |
varies |
Psychotherapy, 45 minutes (90834)
range across 3 matching MRF lines |
$83–$192 |
— |
varies |
Psychotherapy, 60 minutes (90837)
range across 3 matching MRF lines |
$107–$216 |
— |
varies |
Family psychotherapy, without patient (50 min) (90846)
range across 3 matching MRF lines |
$58–$168 |
— |
varies |
Family psychotherapy, with patient (50 min) (90847)
range across 3 matching MRF lines |
$82–$191 |
— |
varies |
Group psychotherapy (90853)
range across 3 matching MRF lines |
$28–$152 |
— |
varies |
| Electrocardiogram (ECG), complete (93000) |
$23.85 |
$40 |
0.3× |
Sleep study (attended polysomnography) (95810)
range across 3 matching MRF lines |
$220–$1,678 |
— |
varies |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$42 |
— |
1.4× |
Office visit, new patient (low complexity, ~30 min) (99203)
range across 3 matching MRF lines |
$113.30 |
$112–$190 |
0.7× |
Office visit, new patient (moderate complexity, ~45 min) (99204)
range across 3 matching MRF lines |
$143.11 |
$168–$240 |
0.9× |
Office visit, new patient (high complexity, ~60 min) (99205)
range across 3 matching MRF lines |
$172.93 |
$234–$290 |
1.0× |
| Preventive visit, new patient (age 18–39) (99385) |
$32 |
— |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$38 |
— |
— |