Upper GI endoscopy (EGD), diagnostic (43235)
range across 2 matching MRF lines |
— |
$5,195–$5,250 |
— |
| Upper GI endoscopy (EGD) with biopsy (43239) |
— |
$5,441 |
— |
| Diagnostic colonoscopy (45378) |
— |
$6,680 |
— |
| Colonoscopy with biopsy (45380) |
— |
$6,680 |
— |
| Colonoscopy with lesion removal (45385) |
— |
$6,680 |
— |
| Transforaminal epidural injection, lumbar/sacral (64483) |
— |
$4,464 |
— |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
— |
$3,872 |
— |
| CT head/brain without contrast (70450) |
— |
$3,550 |
— |
| MRI brain without contrast (70551) |
— |
$9,605 |
— |
| MRI brain with contrast (70552) |
— |
$10,753 |
— |
| MRI brain without and with contrast (70553) |
— |
$12,817 |
— |
| X-ray lower spine, 4+ views (72110) |
— |
$1,820 |
— |
| MRI lumbar spine without contrast (72148) |
— |
$9,594 |
— |
| CT pelvis with contrast (72193) |
— |
$3,379 |
— |
| MRI lower-extremity joint without contrast (73721) |
— |
$8,879 |
— |
| CT abdomen and pelvis with contrast (74177) |
— |
$4,669 |
— |
| Ultrasound, abdomen complete (76700) |
— |
$2,803 |
— |
Ultrasound, pregnant uterus (≥14 weeks) (76805)
range across 2 matching MRF lines |
— |
$555–$2,122 |
— |
Ultrasound, transvaginal (76830)
range across 2 matching MRF lines |
— |
$555–$2,021 |
— |
| Mammography, one breast (diagnostic) (77065) |
— |
$673 |
— |
| Basic metabolic panel (80048) |
— |
$407 |
— |
| Comprehensive metabolic panel (80053) |
— |
$714 |
— |
| Lipid panel (80061) |
— |
$609 |
— |
| Hepatic function panel (80076) |
— |
$423 |
— |
| Urinalysis, non-automated, with microscopy (81000) |
— |
$160 |
— |
Urinalysis, non-automated, without microscopy (81002)
range across 2 matching MRF lines |
— |
$28–$72 |
— |
| PSA, total (84153) |
— |
$714 |
— |
| Thyroid stimulating hormone (TSH) (84443) |
— |
$670 |
— |
| CBC, automated (85027) |
— |
$90 |
— |
Prothrombin time (PT) (85610)
range across 2 matching MRF lines |
— |
$97–$205 |
— |
Partial thromboplastin time (PTT) (85730)
range across 2 matching MRF lines |
— |
$88–$126 |
— |
Psychotherapy, 30 minutes (90832)
range across 26 matching MRF lines |
— |
$523–$869 |
— |
Psychotherapy, 45 minutes (90834)
range across 14 matching MRF lines |
— |
$556–$983 |
— |
| Psychotherapy, 60 minutes (90837) |
— |
$743 |
— |
Family psychotherapy, without patient (50 min) (90846)
range across 11 matching MRF lines |
— |
$411–$983 |
— |
Family psychotherapy, with patient (50 min) (90847)
range across 12 matching MRF lines |
— |
$581–$983 |
— |
Group psychotherapy (90853)
range across 58 matching MRF lines |
— |
$273–$983 |
— |
| Left heart catheterization (93452) |
— |
$24,561 |
— |
| Sleep study (attended polysomnography) (95810) |
— |
$8,601 |
— |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
— |
$409 |
— |
| Office visit, new patient (low complexity, ~30 min) (99203) |
— |
$772 |
— |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
— |
$976 |
— |
| Office visit, new patient (high complexity, ~60 min) (99205) |
— |
$1,102 |
— |
| Preventive visit, new patient (age 18–39) (99385) |
— |
$297 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
— |
$387 |
— |