| Breast lesion removal (open) (19120) |
$3,704.25 |
$4,939 |
1.0× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$2,514.75 |
$3,353 |
2.9× |
| Upper GI endoscopy (EGD) with biopsy (43239) |
$2,464.50 |
$3,286 |
2.9× |
| Diagnostic colonoscopy (45378) |
$2,602.50 |
$3,470 |
3.0× |
| Colonoscopy with biopsy (45380) |
$2,538 |
$3,384 |
2.2× |
| Colonoscopy with lesion removal (45385) |
$2,472.75 |
$3,297 |
2.2× |
| Colonoscopy with endoscopic ultrasound (45391) |
$3,201 |
$4,268 |
2.8× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$1,623.75 |
$2,165 |
1.9× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$1,668 |
$2,224 |
2.0× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$1,499.25 |
$1,999 |
2.9× |
| CT head/brain without contrast (70450) |
$1,257 |
$1,676 |
12.7× |
| MRI brain without contrast (70551) |
$2,081.25 |
$2,775 |
9.2× |
| MRI brain with contrast (70552) |
$2,212.50 |
$2,950 |
6.7× |
| MRI brain without and with contrast (70553) |
$2,345.25 |
$3,127 |
7.1× |
| X-ray lower spine, 4+ views (72110) |
$548.25 |
$731 |
5.5× |
| MRI lumbar spine without contrast (72148) |
$2,265.75 |
$3,021 |
10.0× |
| CT pelvis with contrast (72193) |
$1,710.75 |
$2,281 |
10.3× |
| MRI lower-extremity joint without contrast (73721) |
$2,628.75 |
$3,505 |
11.6× |
| CT abdomen and pelvis with contrast (74177) |
$2,493.75 |
$3,325 |
7.6× |
| Ultrasound, abdomen complete (76700) |
$1,119.75 |
$1,493 |
11.3× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$867 |
$1,156 |
8.8× |
| Ultrasound, transvaginal (76830) |
$877.50 |
$1,170 |
8.9× |
| Mammography, one breast (diagnostic) (77065) |
$502.50 |
$670 |
5.8× |
| Mammography, both breasts (diagnostic) (77066) |
$655.50 |
$874 |
5.9× |
| Mammography, screening (bilateral) (77067) |
$509.25 |
$679 |
5.6× |
| Basic metabolic panel (80048) |
$123 |
$164 |
14.5× |
| Comprehensive metabolic panel (80053) |
$198 |
$264 |
18.8× |
Lipid panel (80061)
range across 2 matching MRF lines |
$45.75–$143.25 |
$61–$191 |
varies |
| Renal function panel (80069) |
$188.25 |
$251 |
21.7× |
| Hepatic function panel (80076) |
$141.75 |
$189 |
17.4× |
| Urinalysis, non-automated, with microscopy (81000) |
$100.50 |
$134 |
25.0× |
| Urinalysis, non-automated, without microscopy (81002) |
$34.50 |
$46 |
9.9× |
| PSA, total (84153) |
$127.50 |
$170 |
6.9× |
| Thyroid stimulating hormone (TSH) (84443) |
$136.50 |
$182 |
8.1× |
| CBC with automated differential (85025) |
$104.25 |
$139 |
13.4× |
| CBC, automated (85027) |
$90.75 |
$121 |
14.0× |
| Prothrombin time (PT) (85610) |
$69 |
$92 |
16.1× |
| Partial thromboplastin time (PTT) (85730) |
$78 |
$104 |
13.0× |
| Psychotherapy, 30 minutes (90832) |
$193.50 |
$258 |
1.2× |
| Psychotherapy, 45 minutes (90834) |
$267 |
$356 |
1.6× |
| Psychotherapy, 60 minutes (90837) |
$328.50 |
$438 |
2.0× |
| Family psychotherapy, without patient (50 min) (90846) |
$309.75 |
$413 |
1.8× |
| Family psychotherapy, with patient (50 min) (90847) |
$297 |
$396 |
1.8× |
Group psychotherapy (90853)
range across 4 matching MRF lines |
$69.75–$271.50 |
$93–$362 |
varies |
| Left heart catheterization (93452) |
$12,170.25 |
$16,227 |
4.0× |
| Sleep study (attended polysomnography) (95810) |
$6,070.50 |
$8,094 |
7.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$143.25 |
$191 |
4.9× |
| Preventive visit, new patient (age 18–39) (99385) |
$167.25 |
$223 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$167.25 |
$223 |
— |