| Abdominal Hysterectomy | $797$199$3.2k | $923 | $1,845 |
| ACL Reconstruction (Arthroscopic) | $5,046$426$12k | $1,972 | $3,943 |
| Allergy Skin Testing | $14$4$1.6k | $8 | $15 |
| Basic Metabolic Panel | $106$20$138 | $63 | $125 |
| Bone Marrow Biopsy | $321$69$6.3k | $170 | $340 |
| Breast Biopsy (Ultrasound-guided) | $1,545$156$6.5k | $1,621 | $3,242 |
| Bunion Correction Surgery | $1,866$576$5.1k | $1,066 | $2,132 |
| Cardiac Catheterization (Left Heart) | $9,751$3.1k$13k | $6,095 | $12,189 |
| Carpal Tunnel Release Surgery | $1,686$134$3.3k | $992 | $1,984 |
| Cataract Surgery with Lens Implant | $4,061$633$5.6k | $2,538 | $5,076 |
| Cesarean Delivery (Global Package) | $1,037$259$4.2k | $1,200 | $2,400 |
| Chemotherapy Infusion (First Hour) | $1,024$323$1.4k | $640 | $1,280 |
| Chest X-ray (2 Views) | $87$11$578 | $142 | $283 |
| Colonoscopy with Biopsy | $871$269$1.9k | $498 | $995 |
| Complete Abdominal Ultrasound | $144$40$1.5k | $376 | $751 |
| Complete Blood Count (CBC) with Differential | $94$19$121 | $55 | $110 |
| Comprehensive Metabolic Panel | $82$11$154 | $50 | $99 |
| Coronary Angioplasty with Stent | $10,482$599$31k | $7,634 | $15,268 |
| Critical Care, First Hour | $845$142$1.6k | $487 | $974 |
| CT Abdomen and Pelvis with Contrast | $367$90$6.6k | $1,588 | $3,175 |
| CT Chest without Contrast | $202$58$2.0k | $515 | $1,028 |
| CT Head without Contrast | $150$42$2.0k | $500 | $999 |
| DEXA Bone Density Scan | $105$9$1.1k | $260 | $520 |
| Diagnostic Colonoscopy | $791$244$1.4k | $452 | $904 |
| Diagnostic Mammogram (Both Breasts) | $331$50$1.1k | $195 | $389 |
| Ear Tube Placement (Tympanostomy) | $957$215$2.4k | $499 | $997 |
| Echocardiogram (Complete with Doppler) | $3,003$526$5.1k | $1,825 | $3,649 |
| EKG (Electrocardiogram, 12-lead) | $62$20$80 | $37 | $73 |
| Emergency Room Visit (Level 3) | $275$76$1.4k | $390 | $778 |
| Hemoglobin A1c (Diabetes Test) | $23$1$160 | $38 | $75 |
| HIV Antibody Test | $66$21$86 | $39 | $78 |
| Home Sleep Study | $718$149$987 | $449 | $897 |
| Individual Therapy Session (45 Minutes) | $122$39$251 | $72 | $144 |
| Inguinal Hernia Repair (Open) | $1,790$403$5.4k | $933 | $1,865 |
| Initial Hospital Admission (Level 1) | $207$66$268 | $122 | $244 |
| Initial Psychiatric Diagnostic Evaluation | $231$73$299 | $136 | $272 |
| Initial Psychiatric Evaluation with Medication Management | $244$77$316 | $144 | $287 |
| IUD Insertion | $242$77$314 | $143 | $285 |
| IUD Removal | $185$57$504 | $106 | $211 |
| Knee Arthroscopy with Meniscectomy | $3,084$282$5.1k | $1,307 | $2,612 |
| Laparoscopic Appendectomy | $1,398$118$9.1k | $547 | $1,093 |
| Laparoscopic Gallbladder Removal | $2,388$737$9.1k | $1,365 | $2,729 |
| Laparoscopic Tubal Ligation | $1,891$160$9.1k | $739 | $1,478 |
| Lipid Panel (Cholesterol Test) | $121$5$178 | $73 | $146 |
| Lumbar Epidural Steroid Injection | $1,101$98$4.1k | $688 | $1,376 |
| Lumbar Puncture (Spinal Tap) | $659$75$4.1k | $757 | $1,513 |
| Lumpectomy (Partial Mastectomy) | $899$277$6.0k | $514 | $1,027 |
| MRI Abdomen with and without Contrast | $403$108$6.6k | $1,605 | $3,208 |
| MRI Brain with and without Contrast | $404$113$6.6k | $1,609 | $3,216 |
| MRI Brain with Contrast | $366$88$5.8k | $1,401 | $2,802 |
| MRI Brain without Contrast | $263$73$4.0k | $981 | $1,960 |
| MRI Cervical Spine (Neck) without Contrast | $264$73$4.0k | $981 | $1,961 |
| MRI Knee without Contrast | $257$67$4.0k | $975 | $1,949 |
| MRI Lower Back (Lumbar Spine) without Contrast | $264$73$4.0k | $981 | $1,961 |
| MRI Thoracic Spine (Mid-back) without Contrast | $264$73$4.0k | $981 | $1,961 |
| Newborn Circumcision | $1,941$49$8.5k | $1,985 | $3,969 |
| Nuclear Cardiac Stress Test | $1,353$78$6.0k | $1,441 | $2,881 |
| Office Visit, Established Patient (Level 3) | $153$42$228 | $91 | $182 |
| Office Visit, New Patient (Level 3) | $190$49$322 | $120 | $240 |
| Pacemaker Insertion (Dual Chamber) | $10,174$629$46k | $11,130 | $22,259 |
| PET/CT Scan, Whole Body | $1,491$117$9.6k | $2,301 | $4,601 |
| Pregnancy Ultrasound (Second or Third Trimester) | $174$49$1.5k | $385 | $768 |
| PSA Prostate Cancer Screening | $211$44$273 | $124 | $248 |
| Pulmonary Function Test with Bronchodilator | $1,232$188$1.7k | $770 | $1,540 |
| Rotator Cuff Repair (Arthroscopic) | $3,808$1.2k$11k | $2,176 | $4,352 |
| Screening Mammogram | $554$38$762 | $327 | $653 |
| Septoplasty (Deviated Septum Repair) | $2,317$715$5.1k | $1,324 | $2,648 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $2,733$615$11k | $1,424 | $2,847 |
| Skin Biopsy (Tangential) | $191$39$826 | $225 | $448 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,833$44$4.6k | $1,771 | $3,541 |
| Sleep Study (In-lab Polysomnography) | $3,607$996$5.0k | $2,255 | $4,509 |
| Spinal Cord Stimulator Trial | $6,516$396$29k | $6,998 | $13,994 |
| Spirometry (Breathing Test) | $1,013$98$1.4k | $633 | $1,266 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $988$305$5.1k | $565 | $1,129 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $924$285$9.2k | $528 | $1,056 |
| Total Hip Replacement | $3,635$307$21k | $1,420 | $2,840 |
| Total Knee Replacement | $4,828$407$21k | $1,887 | $3,772 |
| Total Mastectomy | $2,146$483$10k | $1,118 | $2,235 |
| TSH Thyroid Function Test | $74$7$220 | $45 | $89 |
| TURP (Transurethral Prostate Resection) | $2,121$654$8.1k | $1,212 | $2,423 |
| Upper GI Endoscopy (EGD) | $526$162$1.4k | $301 | $601 |
| Urinalysis with Microscopy | $81$8$105 | $48 | $95 |
| Vaginal Delivery (Global Package) | $3,217$936$5.3k | $2,077 | $4,153 |
| Vaginal Hysterectomy | $2,112$178$7.8k | $825 | $1,650 |
| Vasectomy | $1,941$195$8.5k | $2,121 | $4,241 |
| Vitamin D Blood Test | $91$25$319 | $96 | $192 |