| Breast lesion removal (open) (19120) |
$1,515 |
$2,020 |
0.3× |
| Shoulder arthroscopy with decompression (29826) |
$494.25 |
$659 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$1,597.50 |
$2,130 |
0.4× |
Tonsillectomy and adenoidectomy (under age 12) (42820)
likely a partial charge, not the full procedure |
$853.50 |
$1,138 |
0.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$819.75 |
$1,093 |
0.8× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$1,059.75 |
$1,413 |
1.1× |
| Diagnostic colonoscopy (45378) |
$972.75 |
$1,297 |
0.9× |
| Colonoscopy with biopsy (45380) |
$1,230.75 |
$1,641 |
0.9× |
| Colonoscopy with lesion removal (45385) |
$1,292.25 |
$1,723 |
1.0× |
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure |
$1,926 |
$2,568 |
0.3× |
| Inguinal hernia repair (age 5+) (49505) |
$1,530 |
$2,040 |
0.4× |
| Obstetric care, vaginal delivery (global) (59400) |
$6,990.75 |
$9,321 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$7,765.50 |
$10,354 |
— |
Epidural injection, lumbar/sacral (with imaging) (62322)
range across 2 matching MRF lines |
$225–$2,004 |
$300–$2,672 |
varies |
| CT head/brain without contrast (70450) |
$972.75 |
$1,297 |
8.4× |
| MRI brain without contrast (70551) |
$1,801.50 |
$2,402 |
6.8× |
| MRI brain with contrast (70552) |
$1,911 |
$2,548 |
4.9× |
| MRI brain without and with contrast (70553) |
$3,135.75 |
$4,181 |
8.1× |
| X-ray lower spine, 4+ views (72110) |
$465 |
$620 |
4.0× |
| MRI lumbar spine without contrast (72148) |
$1,972.50 |
$2,630 |
7.4× |
| CT pelvis with contrast (72193) |
$1,403.25 |
$1,871 |
7.2× |
| MRI lower-extremity joint without contrast (73721) |
$1,706.25 |
$2,275 |
6.4× |
| CT abdomen and pelvis with contrast (74177) |
$2,124.75 |
$2,833 |
5.5× |
| Ultrasound, abdomen complete (76700) |
$652.50 |
$870 |
5.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$386.25 |
$515 |
3.3× |
| Ultrasound, transvaginal (76830) |
$339 |
$452 |
2.9× |
| Mammography, one breast (diagnostic) (77065) |
$321 |
$428 |
3.7× |
| Mammography, both breasts (diagnostic) (77066) |
$399 |
$532 |
3.6× |
| Mammography, screening (bilateral) (77067) |
$321 |
$428 |
3.5× |
| Basic metabolic panel (80048) |
$27.75 |
$37 |
3.3× |
| Comprehensive metabolic panel (80053) |
$38.25 |
$51 |
3.6× |
| Lipid panel (80061) |
$51.75 |
$69 |
3.9× |
| Renal function panel (80069) |
$35.25 |
$47 |
4.1× |
| Hepatic function panel (80076) |
$38.25 |
$51 |
4.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$15.75 |
$21 |
4.5× |
| PSA, total (84153) |
$79.50 |
$106 |
4.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$68.25 |
$91 |
4.1× |
| CBC with automated differential (85025) |
$29.25 |
$39 |
3.8× |
| CBC, automated (85027) |
$11.25 |
$15 |
1.7× |
| Prothrombin time (PT) (85610) |
$21 |
$28 |
4.9× |
| Partial thromboplastin time (PTT) (85730) |
$54 |
$72 |
9.0× |
| Psychotherapy, 30 minutes (90832) |
$234 |
$312 |
1.2× |
| Psychotherapy, 45 minutes (90834) |
$309 |
$412 |
1.6× |
| Psychotherapy, 60 minutes (90837) |
$458.25 |
$611 |
2.3× |
| Family psychotherapy, without patient (50 min) (90846) |
$292.50 |
$390 |
1.5× |
| Family psychotherapy, with patient (50 min) (90847) |
$305.25 |
$407 |
1.5× |
Group psychotherapy (90853)
range across 7 matching MRF lines |
$60–$356.25 |
$80–$475 |
varies |
| Electrocardiogram (ECG), complete (93000) |
$41.25 |
$55 |
0.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$62.25 |
$83 |
2.1× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$323.25 |
$431 |
2.2× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$484.50 |
$646 |
3.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$640.50 |
$854 |
4.3× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$462 |
$616 |
3.1× |
| Preventive visit, new patient (age 18–39) (99385) |
$268.50 |
$358 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$325.50 |
$434 |
— |