| Shoulder arthroscopy with decompression (29826) |
$1,710 |
$3,420 |
— |
| Knee arthroscopy with meniscectomy (29881) |
$3,446 |
$6,892 |
1.0× |
| Obstetric care, vaginal delivery (global) (59400) |
$4,706.50 |
$9,413 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
$6,591 |
$13,182 |
— |
| Obstetric care, VBAC delivery (global) (59610) |
$4,706.50 |
$9,413 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$925 |
$1,850 |
1.0× |
Transforaminal epidural injection, lumbar/sacral (64483)
range across 2 matching MRF lines |
$1,522–$3,044 |
$3,044–$6,088 |
varies |
| CT head/brain without contrast (70450) |
$1,487 |
$2,974 |
13.3× |
| MRI brain without contrast (70551) |
$1,998.50 |
$3,997 |
7.8× |
| MRI brain with contrast (70552) |
$2,116.50 |
$4,233 |
5.7× |
| MRI brain without and with contrast (70553) |
$2,721 |
$5,442 |
7.3× |
| X-ray lower spine, 4+ views (72110) |
$684 |
$1,368 |
6.1× |
| MRI lumbar spine without contrast (72148) |
$1,929.50 |
$3,859 |
7.5× |
| CT pelvis with contrast (72193) |
$1,716 |
$3,432 |
9.1× |
| MRI lower-extremity joint without contrast (73721) |
$1,708 |
$3,416 |
6.7× |
| CT abdomen and pelvis with contrast (74177) |
$4,001 |
$8,002 |
10.7× |
| Ultrasound, abdomen complete (76700) |
$1,250 |
$2,500 |
11.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$866 |
$1,732 |
7.7× |
| Ultrasound, transvaginal (76830) |
$784.50 |
$1,569 |
7.0× |
| Mammography, one breast (diagnostic) (77065) |
$357 |
$714 |
4.1× |
| Mammography, both breasts (diagnostic) (77066) |
$450 |
$900 |
4.1× |
| Mammography, screening (bilateral) (77067) |
$384.50 |
$769 |
4.2× |
| Basic metabolic panel (80048) |
$125 |
$250 |
14.8× |
| Comprehensive metabolic panel (80053) |
$185 |
$370 |
17.5× |
| Lipid panel (80061) |
$152 |
$304 |
11.4× |
| Renal function panel (80069) |
$137 |
$274 |
15.8× |
| Hepatic function panel (80076) |
$103.50 |
$207 |
12.7× |
Urinalysis, non-automated, without microscopy (81002)
range across 2 matching MRF lines |
$44–$52.50 |
$88–$105 |
varies |
| PSA, total (84153) |
$97.50 |
$195 |
5.3× |
| Thyroid stimulating hormone (TSH) (84443) |
$126.50 |
$253 |
7.5× |
| CBC with automated differential (85025) |
$75.50 |
$151 |
9.7× |
| CBC, automated (85027) |
$79 |
$158 |
12.2× |
| Prothrombin time (PT) (85610) |
$30 |
$60 |
7.0× |
| Partial thromboplastin time (PTT) (85730) |
$64 |
$128 |
10.6× |
| Left heart catheterization (93452) |
$5,127.50 |
$10,255 |
1.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$126.50 |
$253 |
4.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$196 |
$392 |
1.4× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$234.50 |
$469 |
1.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$251 |
$502 |
1.8× |
| Preventive visit, new patient (age 18–39) (99385) |
$80.50 |
$161 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$97.50 |
$195 |
— |