| Breast lesion removal (open) (19120) |
$5,774 |
$6,416 |
1.4× |
| Knee arthroscopy with meniscectomy (29881) |
$5,297 |
$5,885 |
1.6× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) |
$10,065 |
$11,183 |
1.7× |
Upper GI endoscopy (EGD), diagnostic (43235)
range across 2 matching MRF lines |
$424–$2,489 |
$471–$2,765 |
varies |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,565 |
$2,850 |
2.8× |
| Diagnostic colonoscopy (45378) |
$2,738 |
$3,042 |
2.9× |
| Colonoscopy with biopsy (45380) |
$2,785 |
$3,094 |
2.3× |
| Colonoscopy with lesion removal (45385) |
$2,932 |
$3,258 |
2.4× |
Laparoscopic gallbladder removal (47562)
range across 2 matching MRF lines |
$1,842–$2,008 |
$2,047–$2,231 |
varies |
| Inguinal hernia repair (age 5+) (49505) |
$1,450 |
$1,611 |
0.4× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,365 |
$1,517 |
2.4× |
| Cataract removal with lens insertion (66984) |
$5,072 |
$5,636 |
2.2× |
| CT head/brain without contrast (70450) |
$1,185 |
$1,317 |
11.1× |
| MRI brain without contrast (70551) |
$2,229 |
$2,477 |
9.1× |
| MRI brain with contrast (70552) |
$2,451 |
$2,723 |
6.9× |
| MRI brain without and with contrast (70553) |
$3,298 |
$3,664 |
9.3× |
| X-ray lower spine, 4+ views (72110) |
$366 |
$407 |
3.4× |
| MRI lumbar spine without contrast (72148) |
$2,074 |
$2,304 |
8.5× |
| CT pelvis with contrast (72193) |
$1,509 |
$1,677 |
8.4× |
| MRI lower-extremity joint without contrast (73721) |
$2,147 |
$2,386 |
8.8× |
| CT abdomen and pelvis with contrast (74177) |
$2,481 |
$2,757 |
7.0× |
| Ultrasound, abdomen complete (76700) |
$484 |
$538 |
4.5× |
| Ultrasound, transvaginal (76830) |
$488 |
$542 |
4.6× |
| Mammography, one breast (diagnostic) (77065) |
$517 |
$574 |
6.0× |
| Mammography, both breasts (diagnostic) (77066) |
$637 |
$708 |
5.8× |
| Mammography, screening (bilateral) (77067) |
$524 |
$582 |
5.7× |
| Basic metabolic panel (80048) |
$65 |
$72 |
7.7× |
| Comprehensive metabolic panel (80053) |
$96 |
$107 |
9.1× |
| Obstetric panel (80055) |
$216 |
$240 |
4.5× |
| Lipid panel (80061) |
$110 |
$122 |
8.2× |
| Renal function panel (80069) |
$65 |
$72 |
7.5× |
| Hepatic function panel (80076) |
$64 |
$71 |
7.8× |
| Urinalysis, non-automated, with microscopy (81000) |
$43 |
$48 |
10.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$22 |
$24 |
6.3× |
PSA, total (84153)
range across 2 matching MRF lines |
$111–$142 |
$123–$158 |
varies |
| Thyroid stimulating hormone (TSH) (84443) |
$131 |
$146 |
7.8× |
| CBC with automated differential (85025) |
$61 |
$68 |
7.9× |
| CBC, automated (85027) |
$61 |
$68 |
9.4× |
Prothrombin time (PT) (85610)
range across 2 matching MRF lines |
$68–$70 |
$75–$78 |
varies |
Partial thromboplastin time (PTT) (85730)
range across 2 matching MRF lines |
$21–$48 |
$23–$53 |
varies |
| Psychotherapy, 30 minutes (90832) |
$729 |
$810 |
4.0× |
| Psychotherapy, 45 minutes (90834) |
$860 |
$955 |
4.7× |
| Psychotherapy, 60 minutes (90837) |
$873 |
$970 |
4.8× |
| Family psychotherapy, without patient (50 min) (90846) |
$905 |
$1,005 |
5.0× |
| Family psychotherapy, with patient (50 min) (90847) |
$941 |
$1,045 |
5.2× |
| Group psychotherapy (90853) |
$842 |
$935 |
8.1× |
| Sleep study (attended polysomnography) (95810) |
$2,826 |
$3,140 |
3.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$131 |
$146 |
4.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$286 |
$318 |
2.1× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$435 |
$483 |
3.2× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$547 |
$608 |
4.0× |
| Office consultation (low complexity, ~30 min) (99243) |
$324 |
$360 |
2.4× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$486 |
$540 |
3.6× |
| Preventive visit, new patient (age 18–39) (99385) |
$349 |
$388 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$407 |
$452 |
— |