| Breast lesion removal (open) (19120) |
— |
$1,230 |
— |
Shoulder arthroscopy with decompression (29826)
range across 2 matching MRF lines |
— |
$112–$558 |
— |
Knee arthroscopy with meniscectomy (29881)
range across 2 matching MRF lines |
— |
$516–$2,577 |
— |
| Upper GI endoscopy (EGD), diagnostic (43235) |
— |
$369 |
— |
| Upper GI endoscopy (EGD) with biopsy (43239) |
— |
$589 |
— |
| Diagnostic colonoscopy (45378) |
— |
$911 |
— |
| Colonoscopy with biopsy (45380) |
— |
$995 |
— |
| Colonoscopy with lesion removal (45385) |
— |
$1,122 |
— |
Laparoscopic gallbladder removal (47562)
range across 2 matching MRF lines |
— |
$318–$1,588 |
— |
Inguinal hernia repair (age 5+) (49505)
range across 2 matching MRF lines |
— |
$251–$1,257 |
— |
Laparoscopic radical prostatectomy (55866)
range across 2 matching MRF lines |
— |
$780–$3,899 |
— |
| Obstetric care, vaginal delivery (global) (59400) |
— |
$4,201 |
— |
Obstetric care, cesarean delivery (global) (59510)
range across 4 matching MRF lines |
— |
$702–$3,513 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
— |
$4,369 |
— |
Transforaminal epidural injection, lumbar/sacral (64483)
range across 9 matching MRF lines |
— |
$662–$3,768 |
— |
| CT head/brain without contrast (70450) |
— |
$1,761 |
— |
| MRI brain without contrast (70551) |
— |
$3,784 |
— |
| MRI brain with contrast (70552) |
— |
$3,950 |
— |
| MRI brain without and with contrast (70553) |
— |
$5,584 |
— |
| X-ray lower spine, 4+ views (72110) |
— |
$443 |
— |
| MRI lumbar spine without contrast (72148) |
— |
$3,789 |
— |
| CT pelvis with contrast (72193) |
— |
$2,074 |
— |
| MRI lower-extremity joint without contrast (73721) |
— |
$2,921 |
— |
| CT abdomen and pelvis with contrast (74177) |
— |
$4,767 |
— |
| Ultrasound, abdomen complete (76700) |
— |
$1,068 |
— |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
— |
$783 |
— |
| Ultrasound, transvaginal (76830) |
— |
$711 |
— |
Mammography, one breast (diagnostic) (77065)
range across 9 matching MRF lines |
— |
$433–$442 |
— |
| Mammography, both breasts (diagnostic) (77066) |
— |
$540 |
— |
| Mammography, screening (bilateral) (77067) |
— |
$539 |
— |
| Basic metabolic panel (80048) |
— |
$170 |
— |
| Comprehensive metabolic panel (80053) |
— |
$168 |
— |
| Obstetric panel (80055) |
— |
$106 |
— |
Lipid panel (80061)
range across 2 matching MRF lines |
— |
$22–$147 |
— |
| Renal function panel (80069) |
— |
$135 |
— |
| Hepatic function panel (80076) |
— |
$182 |
— |
| Urinalysis, non-automated, with microscopy (81000) |
— |
$33 |
— |
| PSA, total (84153) |
— |
$159 |
— |
Thyroid stimulating hormone (TSH) (84443)
range across 3 matching MRF lines |
— |
$74–$127 |
— |
| CBC with automated differential (85025) |
— |
$94 |
— |
| CBC, automated (85027) |
— |
$78 |
— |
| Prothrombin time (PT) (85610) |
— |
$61 |
— |
| Partial thromboplastin time (PTT) (85730) |
— |
$82 |
— |
Psychotherapy, 30 minutes (90832)
range across 3 matching MRF lines |
— |
$28–$103 |
— |
Psychotherapy, 45 minutes (90834)
range across 3 matching MRF lines |
— |
$28–$149 |
— |
Psychotherapy, 60 minutes (90837)
range across 3 matching MRF lines |
— |
$28–$169 |
— |
| Family psychotherapy, with patient (50 min) (90847) |
— |
$159 |
— |
| Electrocardiogram (ECG), complete (93000) |
— |
$46 |
— |
Sleep study (attended polysomnography) (95810)
range across 3 matching MRF lines |
— |
$449–$3,463 |
— |
Physical therapy, therapeutic exercise (per 15 min) (97110)
range across 3 matching MRF lines |
— |
$138–$147 |
— |
Office visit, new patient (low complexity, ~30 min) (99203)
range across 7 matching MRF lines |
— |
$22–$385 |
— |
Office visit, new patient (moderate complexity, ~45 min) (99204)
range across 4 matching MRF lines |
— |
$36–$488 |
— |
Office visit, new patient (high complexity, ~60 min) (99205)
range across 4 matching MRF lines |
— |
$36–$697 |
— |
| Preventive visit, new patient (age 18–39) (99385) |
— |
$231 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
— |
$287 |
— |