Breast lesion removal (open) (19120)
range across 2 matching MRF lines |
— |
$15,178.85–$15,313.16 |
— |
Shoulder arthroscopy with decompression (29826)
range across 2 matching MRF lines |
— |
$35,758.64–$38,720.39 |
— |
Knee arthroscopy with meniscectomy (29881)
range across 3 matching MRF lines |
— |
$18,091.56–$29,316.92 |
— |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
— |
$16,527.54 |
— |
| Upper GI endoscopy (EGD), diagnostic (43235) |
— |
$15,520.65 |
— |
| Upper GI endoscopy (EGD) with biopsy (43239) |
— |
$14,479.63 |
— |
| Diagnostic colonoscopy (45378) |
— |
$12,243.97 |
— |
| Colonoscopy with biopsy (45380) |
— |
$15,720.62 |
— |
| Colonoscopy with lesion removal (45385) |
— |
$16,924.35 |
— |
| Laparoscopic gallbladder removal (47562) |
— |
$39,580.76 |
— |
Inguinal hernia repair (age 5+) (49505)
range across 3 matching MRF lines |
— |
$24,534.81–$29,010.10 |
— |
| Laparoscopic radical prostatectomy (55866) |
— |
$192,726.34 |
— |
| Obstetric care, vaginal delivery (global) (59400) |
— |
$18,644.60 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
— |
$35,935 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
— |
$18,644.60 |
— |
Transforaminal epidural injection, lumbar/sacral (64483)
range across 2 matching MRF lines |
— |
$4,258.09–$4,536.89 |
— |
| CT head/brain without contrast (70450) |
— |
$3,907.26 |
— |
| MRI brain without contrast (70551) |
— |
$5,586.77 |
— |
| MRI brain with contrast (70552) |
— |
$5,586.77 |
— |
| MRI brain without and with contrast (70553) |
— |
$8,922.49 |
— |
| X-ray lower spine, 4+ views (72110) |
— |
$1,654.59 |
— |
| MRI lumbar spine without contrast (72148) |
— |
$6,648.29 |
— |
| CT pelvis with contrast (72193) |
— |
$4,992 |
— |
| MRI lower-extremity joint without contrast (73721) |
— |
$6,065.17 |
— |
| CT abdomen and pelvis with contrast (74177) |
— |
$9,573.71 |
— |
| Ultrasound, abdomen complete (76700) |
— |
$2,368.93 |
— |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
— |
$1,568.26 |
— |
| Ultrasound, transvaginal (76830) |
— |
$1,496.79 |
— |
| Mammography, one breast (diagnostic) (77065) |
— |
$812.41 |
— |
| Mammography, both breasts (diagnostic) (77066) |
— |
$822.32 |
— |
| Mammography, screening (bilateral) (77067) |
— |
$842.28 |
— |
| Basic metabolic panel (80048) |
— |
$405.41 |
— |
| Comprehensive metabolic panel (80053) |
— |
$152.87 |
— |
| Obstetric panel (80055) |
— |
$327.32 |
— |
| Lipid panel (80061) |
— |
$154.54 |
— |
| Renal function panel (80069) |
— |
$86.43 |
— |
| Hepatic function panel (80076) |
— |
$465.15 |
— |
| Urinalysis, non-automated, without microscopy (81002) |
— |
$16.56 |
— |
| PSA, total (84153) |
— |
$526.66 |
— |
| Thyroid stimulating hormone (TSH) (84443) |
— |
$294.10 |
— |
| CBC with automated differential (85025) |
— |
$101.34 |
— |
| CBC, automated (85027) |
— |
$44.89 |
— |
| Prothrombin time (PT) (85610) |
— |
$101.34 |
— |
| Partial thromboplastin time (PTT) (85730) |
— |
$206.98 |
— |
| Psychotherapy, 30 minutes (90832) |
— |
$642.68 |
— |
| Psychotherapy, 45 minutes (90834) |
— |
$642.68 |
— |
| Psychotherapy, 60 minutes (90837) |
— |
$642.68 |
— |
| Electrocardiogram (ECG), complete (93000) |
— |
$80.04 |
— |
| Sleep study (attended polysomnography) (95810) |
— |
$6,591.82 |
— |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
— |
$289.11 |
— |
| Office visit, new patient (low complexity, ~30 min) (99203) |
— |
$877.18 |
— |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
— |
$1,141.32 |
— |
| Office visit, new patient (high complexity, ~60 min) (99205) |
— |
$1,490.18 |
— |