| Breast lesion removal (open) (19120) |
$5,011 |
$19,142 |
1.0× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,160 |
$3,776 |
1.0× |
Upper GI endoscopy (EGD) with biopsy (43239)
range across 2 matching MRF lines |
$1,160 |
$3,309–$14,942 |
1.0× |
Diagnostic colonoscopy (45378)
range across 4 matching MRF lines |
$1,190 |
$3,520–$14,942 |
1.0× |
| Colonoscopy with biopsy (45380) |
$1,531 |
$3,930 |
1.0× |
| Colonoscopy with lesion removal (45385) |
$1,531 |
$4,206 |
1.0× |
| Colonoscopy with endoscopic ultrasound (45391) |
$1,531 |
$5,021.10 |
1.0× |
| Laparoscopic gallbladder removal (47562) |
$7,737 |
$42,453.10 |
1.0× |
| Inguinal hernia repair (age 5+) (49505) |
$4,582 |
$27,664.60 |
1.0× |
| Obstetric care, vaginal delivery (global) (59400) |
— |
$4,692 |
— |
| Obstetric care, cesarean delivery (global) (59510) |
— |
$11,641.30 |
— |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,132 |
$2,219 |
1.0× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,132 |
$4,060.25 |
1.0× |
| CT head/brain without contrast (70450) |
$133 |
$1,008.72 |
1.0× |
| MRI brain without contrast (70551) |
$305 |
$2,097.36 |
1.0× |
| MRI brain with contrast (70552) |
$446 |
$3,436.65 |
1.0× |
| MRI brain without and with contrast (70553) |
$446 |
$3,436.65 |
1.0× |
| X-ray lower spine, 4+ views (72110) |
$133 |
$1,036 |
1.0× |
| MRI lumbar spine without contrast (72148) |
$305 |
$2,097.36 |
1.0× |
| CT pelvis with contrast (72193) |
$224 |
$1,639.98 |
1.0× |
| MRI lower-extremity joint without contrast (73721) |
$305 |
$2,444 |
1.0× |
| CT abdomen and pelvis with contrast (74177) |
$446 |
$3,436.65 |
1.0× |
| Ultrasound, abdomen complete (76700) |
$133 |
$1,008.72 |
1.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$133 |
$1,008.72 |
1.0× |
| Ultrasound, transvaginal (76830) |
$133 |
$1,008.72 |
1.0× |
| Mammography, one breast (diagnostic) (77065) |
$101 |
$626 |
1.2× |
| Mammography, both breasts (diagnostic) (77066) |
$130 |
$956 |
1.2× |
| Mammography, screening (bilateral) (77067) |
$107 |
$594.59 |
1.2× |
| Basic metabolic panel (80048) |
$8 |
$630 |
0.9× |
| Comprehensive metabolic panel (80053) |
$10 |
$785 |
0.9× |
| Lipid panel (80061) |
$13 |
$414 |
1.0× |
| Hepatic function panel (80076) |
$8 |
$486 |
1.0× |
| Urinalysis, non-automated, with microscopy (81000) |
$4 |
$69 |
1.0× |
| Urinalysis, non-automated, without microscopy (81002) |
$3 |
$68 |
0.9× |
| PSA, total (84153) |
$18 |
$267 |
1.0× |
| Thyroid stimulating hormone (TSH) (84443) |
$16 |
$321 |
1.0× |
| CBC with automated differential (85025) |
$7 |
$241 |
0.9× |
| CBC, automated (85027) |
$6 |
$155 |
0.9× |
| Prothrombin time (PT) (85610) |
$4 |
$139 |
0.9× |
| Partial thromboplastin time (PTT) (85730) |
$6 |
$184 |
1.0× |
| Left heart catheterization (93452) |
$4,149 |
$11,489 |
1.0× |
Physical therapy, therapeutic exercise (per 15 min) (97110)
range across 3 matching MRF lines |
$32 |
$190.71–$207 |
1.1× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
— |
$449 |
— |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
— |
$581 |
— |
| Office visit, new patient (high complexity, ~60 min) (99205) |
— |
$732.67 |
— |
| Office consultation (low complexity, ~30 min) (99243) |
— |
$291.54 |
— |
| Office consultation (moderate complexity, ~40 min) (99244) |
— |
$329.76 |
— |