| Breast lesion removal (open) (19120) |
$4,293 |
$4,293 |
0.9× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,510 |
$1,510 |
1.4× |
Transforaminal epidural injection, lumbar/sacral (64483) range across 4 matching MRF lines |
$2,714–$4,071 |
$2,714–$4,071 |
varies |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,255 |
$1,255 |
1.8× |
| CT head/brain without contrast (70450) |
$906 |
$906 |
6.9× |
| MRI brain without contrast (70551) |
$1,599 |
$1,599 |
5.4× |
| MRI brain with contrast (70552) |
$1,919 |
$1,919 |
4.4× |
| MRI brain without and with contrast (70553) |
$2,382 |
$2,382 |
5.5× |
| X-ray lower spine, 4+ views (72110) |
$400 |
$400 |
3.1× |
| MRI lumbar spine without contrast (72148) |
$1,599 |
$1,599 |
5.4× |
| CT pelvis with contrast (72193) |
$862 |
$862 |
3.9× |
| MRI lower-extremity joint without contrast (73721) |
$1,599 |
$1,599 |
5.4× |
| CT abdomen and pelvis with contrast (74177) |
$2,043 |
$2,043 |
4.7× |
| Ultrasound, abdomen complete (76700) |
$770 |
$770 |
5.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$437 |
$437 |
3.3× |
| Ultrasound, transvaginal (76830) |
$364 |
$364 |
2.8× |
| Mammography, one breast (diagnostic) (77065) |
$274 |
$274 |
3.2× |
| Mammography, both breasts (diagnostic) (77066) |
$358 |
$358 |
3.2× |
Mammography, screening (bilateral) (77067) range across 6 matching MRF lines |
$233–$290 |
$233–$290 |
varies |
| Basic metabolic panel (80048) |
$58 |
$58 |
6.9× |
| Comprehensive metabolic panel (80053) |
$65 |
$65 |
6.2× |
| Obstetric panel (80055) |
$292 |
$292 |
6.1× |
| Lipid panel (80061) |
$74 |
$74 |
5.5× |
| Renal function panel (80069) |
$64 |
$64 |
7.4× |
| Hepatic function panel (80076) |
$56 |
$56 |
6.9× |
| Urinalysis, non-automated, with microscopy (81000) |
$16 |
$16 |
4.0× |
| Urinalysis, non-automated, without microscopy (81002) |
$17 |
$17 |
4.9× |
| PSA, total (84153) |
$75 |
$75 |
4.1× |
| Thyroid stimulating hormone (TSH) (84443) |
$120 |
$120 |
7.1× |
| CBC with automated differential (85025) |
$56 |
$56 |
7.2× |
| CBC, automated (85027) |
$56 |
$56 |
8.7× |
| Prothrombin time (PT) (85610) |
$29 |
$29 |
6.8× |
| Partial thromboplastin time (PTT) (85730) |
$44 |
$44 |
7.3× |
| Psychotherapy, 30 minutes (90832) |
$277 |
$277 |
1.3× |
| Psychotherapy, 45 minutes (90834) |
$367 |
$367 |
1.7× |
| Psychotherapy, 60 minutes (90837) |
$367 |
$367 |
1.7× |
| Family psychotherapy, without patient (50 min) (90846) |
$156 |
$156 |
0.7× |
| Family psychotherapy, with patient (50 min) (90847) |
$181 |
$181 |
0.8× |
| Group psychotherapy (90853) |
$37 |
$37 |
0.3× |
| Electrocardiogram (ECG), complete (93000) |
$78 |
$78 |
1.1× |
| Left heart catheterization (93452) |
$7,442 |
$7,442 |
1.8× |
| Sleep study (attended polysomnography) (95810) |
$2,688 |
$2,688 |
2.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$96 |
$96 |
3.3× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$326 |
$326 |
2.0× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$408 |
$408 |
2.5× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$510 |
$510 |
3.1× |
| Office consultation (low complexity, ~30 min) (99243) |
$103 |
$103 |
0.6× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$153 |
$153 |
0.9× |
| Preventive visit, new patient (age 18–39) (99385) |
$321 |
$321 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$388 |
$388 |
— |