| Abdominal Hysterectomy | $16,608$9.1k$43k | $4,878 | $7,504 |
| ACL Reconstruction (Arthroscopic) | $24,634$14k$43k | $4,878 | $7,504 |
| Allergy Skin Testing | $1,267$27$1.5k | $1,081 | $1,663 |
| Basic Metabolic Panel | $69$21$15k | $625 | $961 |
| Bone Marrow Biopsy | $4,167$2.0k$15k | $8,577 | $13,195 |
| Breast Biopsy (Ultrasound-guided) | $13,037$2.0k$18k | $8,577 | $13,195 |
| Bunion Correction Surgery | $20,636$14k$23k | $4,878 | $7,504 |
| Cardiac Ablation for Atrial Fibrillation | $30,547$8.6k$40k | $120,427 | $185,272 |
| Cardiac Catheterization (Left Heart) | $14,761$4.0k$40k | $24,025 | $36,962 |
| Cardiac Stress Test (Treadmill) | $1,340$1.0k$1.6k | — | — |
| Carpal Tunnel Release Surgery | $15,456$12k$18k | $4,878 | $7,504 |
| Cataract Surgery with Lens Implant | $37,595$14k$39k | $4,878 | $7,504 |
| Cervical Spinal Fusion (Anterior) | $20,636$14k$36k | $4,878 | $7,504 |
| Cesarean Delivery (Global Package) | $20,636$14k$36k | $4,878 | $7,504 |
| Chemotherapy Infusion (First Hour) | $413$413$15k | $2,540 | $3,908 |
| Chest X-ray (2 Views) | $110$58$15k | $1,034 | $1,590 |
| Colonoscopy with Biopsy | $13,590$6.4k$18k | $4,878 | $7,504 |
| Complete Abdominal Ultrasound | $175$132$15k | $2,698 | $4,150 |
| Complete Blood Count (CBC) with Differential | $63$19$15k | $591 | $910 |
| Comprehensive Metabolic Panel | $86$26$15k | $629 | $967 |
| Coronary Angioplasty with Stent | $16,239$13k$36k | $85,470 | $131,492 |
| Critical Care, First Hour | $13,496$1.0k$18k | $10,946 | $16,839 |
| CT Abdomen and Pelvis with Contrast | $1,165$445$15k | $12,751 | $19,617 |
| CT Cardiac Calcium Scoring | $245$110$15k | $5,610 | $8,631 |
| CT Chest without Contrast | $821$132$15k | $4,987 | $7,672 |
| CT Head without Contrast | $656$132$15k | $4,987 | $7,672 |
| DEXA Bone Density Scan | $132$71$15k | $1,316 | $2,025 |
| Diagnostic Colonoscopy | $13,590$6.4k$18k | $4,878 | $7,504 |
| Diagnostic Mammogram (Both Breasts) | $2,780$278$15k | $1,563 | $2,404 |
| Ear Tube Placement (Tympanostomy) | $14,838$13k$21k | $4,156 | $6,394 |
| Echocardiogram (Complete with Doppler) | $683$683$15k | $6,070 | $9,339 |
| EKG (Electrocardiogram, 12-lead) | $325$250$399 | — | — |
| Emergency Room Visit (Level 3) | $4,492$345$15k | $5,680 | $8,739 |
| Hemoglobin A1c (Diabetes Test) | $79$24$15k | $203 | $313 |
| HIV Antibody Test | $72$22$15k | $142 | $218 |
| Holter Monitor (24-48 Hour Heart Monitor) | $1,945$1.5k$2.4k | — | — |
| Home Sleep Study | $195$195$2.3k | $1,641 | $2,525 |
| Individual Therapy Session (45 Minutes) | $200$200$230 | $795 | $1,223 |
| Inguinal Hernia Repair (Open) | $25,517$17k$28k | $6,652 | $10,234 |
| Initial Psychiatric Diagnostic Evaluation | $200$200$230 | $908 | $1,397 |
| Initial Psychiatric Evaluation with Medication Management | $200$200$230 | $568 | $873 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,398$720$15k | $8,560 | $13,169 |
| IUD Insertion | $4,167$2.8k$9.8k | $350 | $538 |
| IUD Removal | $4,167$379$15k | $1,383 | $2,128 |
| Knee Arthroscopy with Meniscectomy | $25,517$17k$28k | $4,878 | $7,504 |
| Laparoscopic Appendectomy | $30,984$22k$34k | $4,878 | $7,504 |
| Laparoscopic Gallbladder Removal | $36,365$27k$40k | $4,878 | $7,504 |
| Laparoscopic Tubal Ligation | $29,009$20k$36k | $4,878 | $7,504 |
| Lipid Panel (Cholesterol Test) | $109$33$15k | $11 | $17 |
| Lumbar Epidural Steroid Injection | $8,063$862$15k | $8,174 | $12,576 |
| Lumbar Puncture (Spinal Tap) | $8,063$862$15k | $4,110 | $6,323 |
| Lumbar Spinal Fusion (Posterior) | $35,038$27k$40k | $4,878 | $7,504 |
| Lumpectomy (Partial Mastectomy) | $20,636$14k$23k | $4,878 | $7,504 |
| MRI Abdomen with and without Contrast | $1,856$445$15k | $10,049 | $15,460 |
| MRI Brain with and without Contrast | $1,823$445$15k | $11,525 | $17,730 |
| MRI Brain with Contrast | $1,800$445$15k | $9,562 | $14,711 |
| MRI Brain without Contrast | $1,519$301$15k | $6,067 | $9,334 |
| MRI Cervical Spine (Neck) without Contrast | $1,520$301$15k | $5,915 | $9,099 |
| MRI Knee without Contrast | $1,523$301$15k | $5,733 | $8,820 |
| MRI Lower Back (Lumbar Spine) without Contrast | $1,665$301$15k | $5,915 | $9,099 |
| MRI Thoracic Spine (Mid-back) without Contrast | $1,667$301$15k | $4,827 | $7,426 |
| Newborn Circumcision | $6,728$2.6k$16k | $8,356 | $12,855 |
| Nuclear Cardiac Stress Test | $1,626$902$15k | $7,547 | $11,611 |
| Office Visit, Established Patient (Level 3) | $160$127$15k | $382 | $588 |
| Office Visit, New Patient (Level 3) | $160$127$15k | $382 | $588 |
| Pacemaker Insertion (Dual Chamber) | $23,989$13k$54k | $50,499 | $77,690 |
| PET/CT Scan, Whole Body | $2,010$1.8k$15k | $14,557 | $22,396 |
| Pregnancy Ultrasound (Second or Third Trimester) | $187$132$15k | $2,178 | $3,351 |
| Prostate Biopsy | $13,037$2.6k$18k | $9,609 | $14,783 |
| PSA Prostate Cancer Screening | $150$45$15k | $15 | $23 |
| Pulmonary Function Test with Bronchodilator | $388$304$15k | $2,580 | $3,969 |
| Rotator Cuff Repair (Arthroscopic) | $29,009$20k$39k | $4,878 | $7,504 |
| Screening Mammogram | $2,658$230$15k | $1,355 | $2,085 |
| Septoplasty (Deviated Septum Repair) | $25,517$14k$39k | $4,878 | $7,504 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $22,421$20k$29k | $4,878 | $7,504 |
| Skin Biopsy (Tangential) | $6,728$247$18k | $1,016 | $1,563 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $13,493$9.1k$15k | $7,458 | $11,474 |
| Sleep Study (In-lab Polysomnography) | $2,242$1.7k$2.8k | $5,273 | $8,112 |
| Spinal Cord Stimulator Trial | $18,056$12k$34k | $4,878 | $7,504 |
| Spirometry (Breathing Test) | $6,745$138$15k | $2,134 | $3,283 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $27,384$14k$29k | $4,878 | $7,504 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $20,636$14k$28k | $4,878 | $7,504 |
| Total Hip Replacement | $26,792$14k$36k | $4,878 | $7,504 |
| Total Knee Replacement | $26,792$14k$39k | $4,878 | $7,504 |
| Total Mastectomy | $25,517$17k$28k | $4,878 | $7,504 |
| TSH Thyroid Function Test | $137$42$15k | $13 | $21 |
| TURP (Transurethral Prostate Resection) | $25,502$17k$28k | $4,878 | $7,504 |
| Umbilical Hernia Repair | $27,384$27k$28k | — | — |
| Upper GI Endoscopy (EGD) | $13,493$9.1k$15k | $4,421 | $6,802 |
| Urinalysis with Microscopy | $25$7$15k | $288 | $443 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $18,056$12k$35k | $4,878 | $7,504 |
| Vaginal Delivery (Global Package) | $18,056$12k$36k | $4,878 | $7,504 |
| Vaginal Hysterectomy | $16,608$9.1k$43k | $4,878 | $7,504 |
| Vasectomy | $15,456$12k$18k | $4,878 | $7,504 |
| Vitamin D Blood Test | $241$72$15k | $229 | $352 |