| Abdominal Hysterectomy | $12,083$2.8k$14k | $2,472 | $3,803 |
| ACL Reconstruction (Arthroscopic) | $7,308$4.3k$18k | $2,472 | $3,803 |
| Basic Metabolic Panel | $124$10$203 | $422 | $649 |
| Bone Marrow Biopsy | $2,350$67$6.1k | $5,655 | $8,701 |
| Breast Biopsy (Ultrasound-guided) | $4,850$3.7k$7.3k | $2,472 | $3,803 |
| Bunion Correction Surgery | $7,308$4.3k$14k | $2,472 | $3,803 |
| Cardiac Ablation for Atrial Fibrillation | $22,959$985$92k | $26,019 | $40,030 |
| Cardiac Catheterization (Left Heart) | $7,009$728$17k | $16,389 | $25,214 |
| Carpal Tunnel Release Surgery | $4,908$3.7k$11k | $2,472 | $3,803 |
| Cataract Surgery with Lens Implant | $10,543$8.1k$16k | $2,472 | $3,803 |
| Cervical Spinal Fusion (Anterior) | $15,074$4.3k$18k | $2,472 | $3,803 |
| Cesarean Delivery (Global Package) | $5,543$4.3k$5.5k | $2,472 | $3,803 |
| Chest X-ray (2 Views) | $110$18$528 | $794 | $1,221 |
| Colonoscopy with Biopsy | $4,850$3.7k$5.1k | $2,472 | $3,803 |
| Complete Abdominal Ultrasound | $154$88$650 | $1,363 | $2,097 |
| Complete Blood Count (CBC) with Differential | $114$9$187 | $220 | $338 |
| Comprehensive Metabolic Panel | $155$13$254 | $440 | $676 |
| Coronary Angioplasty with Stent | $14,121$541$42k | $32,405 | $49,855 |
| Critical Care, First Hour | $1,049$96$8.0k | $6,270 | $9,646 |
| CT Abdomen and Pelvis with Contrast | $456$271$1.3k | $9,744 | $14,991 |
| CT Cardiac Calcium Scoring | $149$50$456 | $4,156 | $6,393 |
| CT Chest without Contrast | $189$132$913 | $5,447 | $8,380 |
| CT Head without Contrast | $172$132$730 | $3,480 | $5,354 |
| DEXA Bone Density Scan | $119 | $2,597 | $3,996 |
| Diagnostic Colonoscopy | $4,850$3.7k$5.1k | $2,472 | $3,803 |
| Ear Tube Placement (Tympanostomy) | $5,061$4.3k$7.3k | $2,472 | $3,803 |
| Echocardiogram (Complete with Doppler) | $693$164$2.0k | $3,684 | $5,668 |
| Emergency Room Visit (Level 3) | $550$51$4.2k | $1,493 | $2,297 |
| Group Therapy Session | $119$41$672 | $299 | $459 |
| Hemodialysis Treatment | — | $4,657 | $7,164 |
| Hemoglobin A1c (Diabetes Test) | $142$12$233 | $132 | $203 |
| HIV Antibody Test | $46$11$213 | $26 | $41 |
| Home Sleep Study | $2,876$514$3.4k | $1,367 | $2,102 |
| Individual Therapy Session (45 Minutes) | $667$659$672 | $579 | $892 |
| Inguinal Hernia Repair (Open) | $9,107$5.3k$14k | $3,684 | $5,667 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $839$368$3.5k | $5,211 | $8,017 |
| IUD Insertion | $1,119$161$1.4k | $2,472 | $3,803 |
| IUD Removal | $1,228$860$3.7k | $1,547 | $2,381 |
| Knee Arthroscopy with Meniscectomy | $9,107$5.3k$14k | $2,472 | $3,803 |
| Laparoscopic Appendectomy | $9,107$6.9k$18k | $2,472 | $3,803 |
| Laparoscopic Gallbladder Removal | $11,882$7.3k$18k | $2,472 | $3,803 |
| Laparoscopic Tubal Ligation | $10,307$6.0k$18k | $2,472 | $3,803 |
| Lipid Panel (Cholesterol Test) | $196$16$322 | $160 | $246 |
| Lumbar Epidural Steroid Injection | $2,156$82$3.7k | $2,901 | $4,463 |
| Lumbar Puncture (Spinal Tap) | $2,156$67$3.7k | $3,191 | $4,909 |
| Lumbar Spinal Fusion (Posterior) | $15,074$8.3k$18k | $2,472 | $3,803 |
| Lumpectomy (Partial Mastectomy) | $7,308$4.3k$11k | $2,472 | $3,803 |
| MRI Abdomen with and without Contrast | $606$335$1.5k | $7,965 | $12,255 |
| MRI Brain with and without Contrast | $606$335$1.5k | $7,426 | $11,425 |
| MRI Brain with Contrast | $606$335$1.5k | $6,049 | $9,306 |
| MRI Brain without Contrast | $391$301$1.5k | $5,523 | $8,497 |
| MRI Cervical Spine (Neck) without Contrast | $410$301$1.5k | $6,485 | $9,977 |
| MRI Knee without Contrast | $410$301$1.5k | $6,261 | $9,632 |
| MRI Lower Back (Lumbar Spine) without Contrast | $410$301$1.5k | $6,485 | $9,977 |
| MRI Thoracic Spine (Mid-back) without Contrast | $410$301$1.5k | $5,711 | $8,786 |
| Newborn Circumcision | $3,710$2.8k$11k | $2,220 | $3,416 |
| Nuclear Cardiac Stress Test | $1,626$366$8.1k | $5,553 | $8,544 |
| Office Visit, Established Patient (Level 3) | $41 | $138 | $212 |
| Office Visit, New Patient (Level 3) | $62 | $138 | $212 |
| Pacemaker Insertion (Dual Chamber) | $16,941$469$39k | $20,115 | $30,946 |
| Pregnancy Ultrasound (Second or Third Trimester) | $154$88$650 | $1,363 | $2,097 |
| Prostate Biopsy | $4,850$3.7k$5.1k | $2,472 | $3,803 |
| PSA Prostate Cancer Screening | $269$22$442 | $12 | $19 |
| Pulmonary Function Test with Bronchodilator | $388$46$1.2k | $617 | $949 |
| Rotator Cuff Repair (Arthroscopic) | $10,307$6.0k$18k | $2,472 | $3,803 |
| Septoplasty (Deviated Septum Repair) | $9,107$5.3k$11k | $2,472 | $3,803 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $10,307$6.0k$14k | $2,472 | $3,803 |
| Skin Biopsy (Tangential) | $1,448$161$4.9k | $1,976 | $3,040 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $3,167$2.7k$3.7k | $5,655 | $8,701 |
| Sleep Study (In-lab Polysomnography) | $2,876$2.5k$3.4k | $1,367 | $2,102 |
| Spinal Cord Stimulator Trial | $15,074$3.7k$18k | $2,472 | $3,803 |
| Spirometry (Breathing Test) | $195$26$584 | $382 | $587 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $9,445$6.0k$11k | $2,472 | $3,803 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $7,308$4.3k$11k | $2,472 | $3,803 |
| Total Hip Replacement | $17,274$4.3k$26k | $2,472 | $3,803 |
| Total Knee Replacement | $17,274$4.3k$26k | $2,472 | $3,803 |
| Total Mastectomy | $9,107$5.3k$14k | $2,472 | $3,803 |
| TSH Thyroid Function Test | $246$20$404 | $107 | $164 |
| TURP (Transurethral Prostate Resection) | $9,107$5.3k$17k | $2,472 | $3,803 |
| Umbilical Hernia Repair | $6,855$5.3k$6.9k | $2,472 | $3,803 |
| Upper GI Endoscopy (EGD) | $3,710$2.8k$5.1k | $1,976 | $3,040 |
| Urinalysis with Microscopy | $46$4$76 | $80 | $122 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $4,850$3.7k$4.9k | $2,472 | $3,803 |
| Vaginal Delivery (Global Package) | $4,850$3.7k$4.9k | $2,472 | $3,803 |
| Vaginal Hysterectomy | $12,083$2.8k$17k | $2,472 | $3,803 |
| Vasectomy | $4,908$3.7k$11k | $2,472 | $3,803 |
| Vitamin D Blood Test | $433$35$711 | $78 | $119 |