Breast lesion removal (open) (19120)
likely a partial charge, not the full procedure |
$253.60 |
$634 |
0.1× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$723.20 |
$1,808 |
0.6× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$2,711.60 |
$6,779 |
2.4× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$408.40 |
$1,021 |
0.6× |
| CT head/brain without contrast (70450) |
$821.60 |
$2,054 |
6.1× |
| MRI brain without contrast (70551) |
$1,430.80 |
$3,577 |
4.7× |
| MRI brain with contrast (70552) |
$1,673.60 |
$4,184 |
3.7× |
| MRI brain without and with contrast (70553) |
$1,920 |
$4,800 |
4.3× |
| X-ray lower spine, 4+ views (72110) |
$26.40 |
$66 |
0.2× |
| MRI lumbar spine without contrast (72148) |
$1,532 |
$3,830 |
5.0× |
| CT pelvis with contrast (72193) |
$1,088.80 |
$2,722 |
4.8× |
| MRI lower-extremity joint without contrast (73721) |
$1,530 |
$3,825 |
5.0× |
| CT abdomen and pelvis with contrast (74177) |
$1,248 |
$3,120 |
2.8× |
| Ultrasound, abdomen complete (76700) |
$74.40 |
$186 |
0.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$78 |
$195 |
0.6× |
| Ultrasound, transvaginal (76830) |
$62 |
$155 |
0.5× |
| Mammography, one breast (diagnostic) (77065) |
$322.40 |
$806 |
3.7× |
| Mammography, both breasts (diagnostic) (77066) |
$403.20 |
$1,008 |
3.6× |
| Mammography, screening (bilateral) (77067) |
$201.60 |
$504 |
2.2× |
| Basic metabolic panel (80048) |
$44.80 |
$112 |
5.3× |
| Comprehensive metabolic panel (80053) |
$50 |
$125 |
4.7× |
Lipid panel (80061)
range across 6 matching MRF lines |
$5.44–$19.05 |
$13.60–$47.62 |
varies |
| Renal function panel (80069) |
$68 |
$170 |
7.8× |
| Hepatic function panel (80076) |
$26.80 |
$67 |
3.3× |
| Urinalysis, non-automated, with microscopy (81000) |
$26.80 |
$67 |
6.7× |
| Urinalysis, non-automated, without microscopy (81002) |
$1.60 |
$4 |
0.5× |
PSA, total (84153)
range across 2 matching MRF lines |
$6.71–$21.20 |
$16.77–$53 |
varies |
Thyroid stimulating hormone (TSH) (84443)
range across 4 matching MRF lines |
$9.20–$23.60 |
$23–$59 |
varies |
| CBC with automated differential (85025) |
$32 |
$80 |
4.1× |
| CBC, automated (85027) |
$26.80 |
$67 |
4.1× |
| Prothrombin time (PT) (85610) |
$2 |
$5 |
0.5× |
Partial thromboplastin time (PTT) (85730)
range across 2 matching MRF lines |
$6.45–$37.60 |
$16.12–$94 |
varies |
| Psychotherapy, 30 minutes (90832) |
$36.40 |
$91 |
0.2× |
| Psychotherapy, 45 minutes (90834) |
$48 |
$120 |
0.2× |
| Psychotherapy, 60 minutes (90837) |
$70.40 |
$176 |
0.3× |
| Family psychotherapy, without patient (50 min) (90846) |
$49.20 |
$123 |
0.2× |
| Family psychotherapy, with patient (50 min) (90847) |
$50 |
$125 |
0.2× |
| Group psychotherapy (90853) |
$72 |
$180 |
0.6× |
| Electrocardiogram (ECG), complete (93000) |
$16.40 |
$41 |
0.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$102.40 |
$256 |
3.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$154.80 |
$387 |
0.9× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$186 |
$465 |
1.1× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$223.20 |
$558 |
1.3× |
| Office consultation (low complexity, ~30 min) (99243) |
$154.80 |
$387 |
0.9× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$186 |
$465 |
1.1× |
| Preventive visit, new patient (age 18–39) (99385) |
$223.20 |
$558 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$178.80 |
$447 |
— |