| Breast lesion removal (open) (19120) |
$5,501.20 |
$13,753 |
1.0× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$3,788.40 |
$9,471 |
2.8× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$4,006.80 |
$10,017 |
3.0× |
| Diagnostic colonoscopy (45378) |
$3,432.40 |
$8,581 |
2.5× |
| Colonoscopy with biopsy (45380) |
$4,798 |
$11,995 |
2.7× |
| Colonoscopy with lesion removal (45385) |
$3,668.40 |
$9,171 |
2.1× |
| Colonoscopy with endoscopic ultrasound (45391) |
$4,054 |
$10,135 |
2.3× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$2,884.80 |
$7,212 |
2.2× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$3,047.60 |
$7,619 |
2.3× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$2,787.60 |
$6,969 |
3.4× |
| CT head/brain without contrast (70450) |
$3,110.80 |
$7,777 |
20.2× |
| MRI brain without contrast (70551) |
$4,697.60 |
$11,744 |
13.4× |
| MRI brain with contrast (70552) |
$5,054.80 |
$12,637 |
9.9× |
| MRI brain without and with contrast (70553) |
$6,788 |
$16,970 |
13.2× |
| X-ray lower spine, 4+ views (72110) |
$1,018 |
$2,545 |
6.6× |
| MRI lumbar spine without contrast (72148) |
$4,407.60 |
$11,019 |
12.6× |
| CT pelvis with contrast (72193) |
$5,255.60 |
$13,139 |
20.4× |
| MRI lower-extremity joint without contrast (73721) |
$4,156 |
$10,390 |
11.8× |
| CT abdomen and pelvis with contrast (74177) |
$6,878.80 |
$17,197 |
13.4× |
| Ultrasound, abdomen complete (76700) |
$1,308.80 |
$3,272 |
8.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$878.80 |
$2,197 |
5.7× |
| Ultrasound, transvaginal (76830) |
$956 |
$2,390 |
6.2× |
| Mammography, one breast (diagnostic) (77065) |
$478 |
$1,195 |
5.5× |
| Mammography, both breasts (diagnostic) (77066) |
$616.40 |
$1,541 |
5.6× |
| Mammography, screening (bilateral) (77067) |
$286.80 |
$717 |
3.1× |
| Basic metabolic panel (80048) |
$414 |
$1,035 |
48.9× |
| Comprehensive metabolic panel (80053) |
$497.20 |
$1,243 |
47.1× |
| Lipid panel (80061) |
$264.80 |
$662 |
19.8× |
| Renal function panel (80069) |
$402.40 |
$1,006 |
46.4× |
| Hepatic function panel (80076) |
$344.40 |
$861 |
42.2× |
| Urinalysis, non-automated, with microscopy (81000) |
$4.80 |
$12 |
1.2× |
| Urinalysis, non-automated, without microscopy (81002) |
$29.60 |
$74 |
8.5× |
| PSA, total (84153) |
$233.60 |
$584 |
12.7× |
Thyroid stimulating hormone (TSH) (84443)
range across 5 matching MRF lines |
$8.07–$264.40 |
$20.17–$661 |
varies |
| CBC with automated differential (85025) |
$178 |
$445 |
22.9× |
| CBC, automated (85027) |
$177.60 |
$444 |
27.4× |
| Prothrombin time (PT) (85610) |
$164 |
$410 |
38.2× |
| Partial thromboplastin time (PTT) (85730) |
$225.60 |
$564 |
37.5× |
| Psychotherapy, 30 minutes (90832) |
$112.80 |
$282 |
0.4× |
| Psychotherapy, 45 minutes (90834) |
$198.80 |
$497 |
0.8× |
| Psychotherapy, 60 minutes (90837) |
$278.80 |
$697 |
1.1× |
| Family psychotherapy, without patient (50 min) (90846) |
$98.80 |
$247 |
0.4× |
| Family psychotherapy, with patient (50 min) (90847) |
$166 |
$415 |
0.6× |
| Group psychotherapy (90853) |
$159.20 |
$398 |
1.1× |
| Left heart catheterization (93452) |
$5,887.20 |
$14,718 |
1.2× |
| Sleep study (attended polysomnography) (95810) |
$4,319.60 |
$10,799 |
3.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$268.40 |
$671 |
9.2× |