| Abdominal Hysterectomy | $2,125$2.1k$6.6k | $7,209 | $7,209 |
| ACL Reconstruction (Arthroscopic) | $1,985$2.0k$10k | $11,128 | $11,128 |
| Allergy Skin Testing | $16$7$1.2k | $20 | $20 |
| Basic Metabolic Panel | $189$17$1.2k | $205 | $205 |
| Bone Marrow Biopsy | $1,046$140$2.1k | $1,722 | $1,722 |
| Breast Biopsy (Ultrasound-guided) | $2,254$319$3.8k | $4,085 | $4,085 |
| Bunion Correction Surgery | $1,113$1.1k$4.1k | $4,419 | $4,419 |
| Cardiac Ablation for Atrial Fibrillation | $1,859$1.9k$7.2k | $7,853 | $7,853 |
| Cardiac Catheterization (Left Heart) | $1,943$660$31k | $18,223 | $18,223 |
| Cardiac Stress Test (Treadmill) | $159$159$655 | $712 | $712 |
| Carpal Tunnel Release Surgery | $2,850$908$9.8k | $7,598 | $7,598 |
| Cataract Surgery with Lens Implant | $3,438$1.1k$6.8k | $6,358 | $6,358 |
| Cervical Spinal Fusion (Anterior) | $3,460$3.5k$16k | $17,637 | $17,637 |
| Chemotherapy Infusion (First Hour) | $1,366$1.2k$1.4k | $1,485 | $1,485 |
| Chest X-ray (2 Views) | $641$24$1.2k | $697 | $697 |
| Colonoscopy with Biopsy | $1,717$418$5.1k | $3,978 | $3,978 |
| Complete Abdominal Ultrasound | $1,307$91$1.3k | $1,421 | $1,421 |
| Complete Blood Count (CBC) with Differential | $230$19$1.2k | $250 | $250 |
| Comprehensive Metabolic Panel | $228$13$1.2k | $248 | $248 |
| Coronary Angioplasty with Stent | $3,120$1.1k$4.7k | $4,997 | $4,997 |
| Critical Care, First Hour | $6,923$485$6.9k | $7,525 | $7,525 |
| CT Abdomen and Pelvis with Contrast | $6,628$204$6.6k | $7,204 | $7,204 |
| CT Cardiac Calcium Scoring | $297$40$1.2k | $355 | $355 |
| CT Chest without Contrast | $854$91$3.2k | $1,988 | $1,988 |
| CT Head without Contrast | $96$68$3.0k | $569 | $569 |
| DEXA Bone Density Scan | $349$14$1.2k | $425 | $425 |
| Diagnostic Colonoscopy | $1,532$386$4.1k | $3,246 | $3,246 |
| Diagnostic Mammogram (Both Breasts) | $113$113$1.2k | $432 | $432 |
| Ear Tube Placement (Tympanostomy) | $1,392$320$1.8k | $1,841 | $1,841 |
| Echocardiogram (Complete with Doppler) | $804$165$1.5k | $1,249 | $1,249 |
| EKG (Electrocardiogram, 12-lead) | $432$134$1.2k | $354 | $354 |
| Emergency Room Visit (Level 3) | $1,276$169$1.3k | $1,387 | $1,387 |
| Group Therapy Session | $164$64$1.2k | $191 | $191 |
| Hemodialysis Treatment | $220$220$884 | $961 | $961 |
| Hemoglobin A1c (Diabetes Test) | $215$23$1.2k | $234 | $234 |
| HIV Antibody Test | $185$18$1.2k | $201 | $201 |
| Holter Monitor (24-48 Hour Heart Monitor) | $144$144$914 | $994 | $994 |
| Home Sleep Study | $427$108$1.2k | $732 | $732 |
| Individual Therapy Session (45 Minutes) | $266$203$1.2k | $298 | $298 |
| Inguinal Hernia Repair (Open) | $1,113$1.1k$3.4k | $3,707 | $3,707 |
| Initial Hospital Admission (Level 1) | $180$180$433 | $471 | $471 |
| Initial Psychiatric Diagnostic Evaluation | $363$360$443 | $472 | $472 |
| Initial Psychiatric Evaluation with Medication Management | $409$313$542 | $589 | $589 |
| IUD Insertion | $584$186$1.2k | $774 | $774 |
| IUD Removal | $745$137$1.2k | $931 | $931 |
| Knee Arthroscopy with Meniscectomy | $1,125$1.1k$6.0k | $6,519 | $6,519 |
| Laparoscopic Appendectomy | $1,276$1.3k$4.1k | $4,447 | $4,447 |
| Laparoscopic Gallbladder Removal | $1,396$1.4k$5.3k | $5,808 | $5,808 |
| Laparoscopic Tubal Ligation | $1,347$1.3k$5.4k | $5,821 | $5,821 |
| Lipid Panel (Cholesterol Test) | $180$25$1.2k | $196 | $196 |
| Lumbar Epidural Steroid Injection | $2,608$1.2k$2.6k | $2,835 | $2,835 |
| Lumbar Puncture (Spinal Tap) | $1,233$135$2.4k | $2,607 | $2,607 |
| Lumbar Spinal Fusion (Posterior) | $3,209$3.2k$14k | $14,991 | $14,991 |
| Lumpectomy (Partial Mastectomy) | $1,393$1.1k$3.9k | $4,206 | $4,206 |
| MRI Abdomen with and without Contrast | $1,190$157$5.0k | $3,348 | $3,348 |
| MRI Brain with and without Contrast | $1,394$256$6.0k | $4,107 | $4,107 |
| MRI Brain with Contrast | $1,107$138$5.5k | $3,535 | $3,535 |
| MRI Brain without Contrast | $165$165$4.6k | $989 | $989 |
| MRI Cervical Spine (Neck) without Contrast | $4,804$166$4.8k | $5,222 | $5,222 |
| MRI Knee without Contrast | $180$153$4.6k | $900 | $900 |
| MRI Lower Back (Lumbar Spine) without Contrast | $1,111$166$5.1k | $3,296 | $3,296 |
| MRI Thoracic Spine (Mid-back) without Contrast | $1,108$106$5.0k | $3,234 | $3,234 |
| Newborn Circumcision | $894$202$4.9k | $3,146 | $3,146 |
| Office Visit, Established Patient (Level 3) | $215$122$1.2k | $269 | $269 |
| Office Visit, New Patient (Level 3) | $272$174$1.2k | $425 | $425 |
| Pacemaker Insertion (Dual Chamber) | $1,031$1.0k$4.4k | $4,809 | $4,809 |
| Pregnancy Ultrasound (Second or Third Trimester) | $325$114$1.2k | $353 | $353 |
| Prostate Biopsy | $1,271$466$1.6k | $1,583 | $1,583 |
| PSA Prostate Cancer Screening | $259$52$1.2k | $281 | $281 |
| Pulmonary Function Test with Bronchodilator | $635$25$1.4k | $788 | $788 |
| Rotator Cuff Repair (Arthroscopic) | $2,175$2.2k$8.2k | $8,929 | $8,929 |
| Screening Mammogram | $332$85$1.2k | $361 | $361 |
| Septoplasty (Deviated Septum Repair) | $1,323$1.3k$5.0k | $5,441 | $5,441 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $645$645$4.6k | $4,998 | $4,998 |
| Skin Biopsy (Tangential) | $482$73$1.2k | $573 | $573 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,233$169$2.1k | $2,240 | $2,240 |
| Sleep Study (In-lab Polysomnography) | $907$290$6.5k | $4,003 | $4,003 |
| Spinal Cord Stimulator Trial | $3,496$878$9.9k | $10,198 | $10,198 |
| Spirometry (Breathing Test) | $58$20$1.2k | $125 | $125 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $614$614$2.1k | $2,305 | $2,305 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $589$589$2.0k | $2,155 | $2,155 |
| Total Hip Replacement | $2,602$2.6k$16k | $17,856 | $17,856 |
| Total Knee Replacement | $2,598$2.6k$12k | $13,297 | $13,297 |
| Total Mastectomy | $2,022$2.0k$5.5k | $6,016 | $6,016 |
| TSH Thyroid Function Test | $210$38$1.2k | $228 | $228 |
| TURP (Transurethral Prostate Resection) | $1,225$1.2k$5.1k | $5,581 | $5,581 |
| Upper GI Endoscopy (EGD) | $1,403$258$4.1k | $3,101 | $3,101 |
| Urinalysis with Microscopy | $155$5$1.2k | $168 | $168 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $5,096$5.1k$9.5k | $10,312 | $10,312 |
| Vaginal Hysterectomy | $1,709$1.7k$6.1k | $6,656 | $6,656 |
| Vasectomy | $1,941$491$8.7k | $5,769 | $5,769 |
| Vitamin D Blood Test | $260$84$1.2k | $283 | $283 |