| Abdominal Hysterectomy | $3,333$2.1k$10k | $8,200 | $29,897 |
| ACL Reconstruction (Arthroscopic) | $7,368$2.5k$9.2k | $8,200 | $22,732 |
| Basic Metabolic Panel | $39$26$66 | $38 | $189 |
| Bone Marrow Biopsy | $2,559$663$2.8k | $3,862 | $3,862 |
| Breast Biopsy (Ultrasound-guided) | $3,096$2.2k$6.0k | $5,800 | $6,214 |
| Bunion Correction Surgery | $4,616$2.5k$7.4k | $8,800 | $17,616 |
| Cardiac Ablation for Atrial Fibrillation | $12,802$6.4k$16k | $15,000 | $58,703 |
| Cardiac Catheterization (Left Heart) | $8,945$6.4k$16k | $13,394 | $13,394 |
| Cardiac Stress Test (Treadmill) | $505$260$664 | $152 | $152 |
| Carpal Tunnel Release Surgery | $3,120$2.1k$5.4k | $5,442 | $5,442 |
| Cervical Spinal Fusion (Anterior) | $7,027$3.1k$11k | $3,320 | $3,320 |
| Chemotherapy Infusion (First Hour) | $677$463$890 | $484 | $807 |
| Chest X-ray (2 Views) | $69 | $202 | $337 |
| Colonoscopy with Biopsy | $3,096$2.1k$3.5k | $1,200 | $2,950 |
| Complete Abdominal Ultrasound | $468$241$936 | $252 | $1,247 |
| Complete Blood Count (CBC) with Differential | $36$24$60 | $35 | $122 |
| Comprehensive Metabolic Panel | $49$33$82 | $47 | $271 |
| Coronary Angioplasty with Stent | $11,575$10k$30k | $15,000 | $26,538 |
| Critical Care, First Hour | $3,835$2.3k$4.4k | $3,000 | $5,940 |
| CT Abdomen and Pelvis with Contrast | $1,016$880$1.2k | $919 | $5,633 |
| CT Cardiac Calcium Scoring | $284$152$1.1k | $150 | $253 |
| CT Chest without Contrast | $864$460$1.1k | $747 | $2,309 |
| CT Head without Contrast | $696$460$1.1k | $597 | $1,939 |
| DEXA Bone Density Scan | $384$108$460 | $363 | $363 |
| Diagnostic Colonoscopy | $3,096$2.1k$3.5k | $1,200 | $2,950 |
| Diagnostic Mammogram (Both Breasts) | $431$381$459 | $450 | $590 |
| Echocardiogram (Complete with Doppler) | $1,115$1.0k$1.2k | $1,064 | $1,929 |
| EKG (Electrocardiogram, 12-lead) | $122$67$140 | $30 | $30 |
| Emergency Room Visit (Level 3) | $1,044$708$1.1k | $1,500 | $1,806 |
| Group Therapy Session | $26 | $29 | $48 |
| Hemodialysis Treatment | $579$129$745 | $500 | $2,122 |
| Hemoglobin A1c (Diabetes Test) | $45$30$76 | $43 | $149 |
| Holter Monitor (24-48 Hour Heart Monitor) | $733$479$757 | $154 | $154 |
| Home Sleep Study | $696$442$3.4k | $727 | $1,100 |
| Individual Therapy Session (45 Minutes) | — | $110 | $183 |
| Inguinal Hernia Repair (Open) | $5,476$3.1k$9.4k | $6,700 | $20,435 |
| Initial Hospital Admission (Level 1) | — | $133 | $222 |
| Initial Psychiatric Diagnostic Evaluation | — | $228 | $380 |
| Initial Psychiatric Evaluation with Medication Management | — | $228 | $380 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $2,019$2.0k$2.5k | $2,184 | $2,552 |
| IUD Insertion | $2,189$663$2.7k | $124 | $206 |
| IUD Removal | $2,045$663$2.7k | $458 | $764 |
| Knee Arthroscopy with Meniscectomy | $5,476$3.1k$9.4k | $6,700 | $12,769 |
| Laparoscopic Appendectomy | $6,689$3.1k$13k | $8,800 | $24,114 |
| Laparoscopic Gallbladder Removal | $8,745$5.9k$13k | $11,400 | $23,739 |
| Laparoscopic Tubal Ligation | $6,638$3.6k$13k | $6,700 | $16,340 |
| Lipid Panel (Cholesterol Test) | $62$41$104 | $60 | $212 |
| Lumbar Epidural Steroid Injection | $2,414$1.6k$2.8k | $1,647 | $1,647 |
| Lumbar Puncture (Spinal Tap) | $2,414$1.6k$2.8k | $1,647 | $1,647 |
| Lumbar Spinal Fusion (Posterior) | $6,523$3.1k$9.2k | $3,115 | $3,115 |
| Lumpectomy (Partial Mastectomy) | $4,616$2.5k$7.4k | $8,800 | $19,897 |
| MRI Abdomen with and without Contrast | $1,778$1.2k$3.2k | $3,190 | $5,983 |
| MRI Brain with and without Contrast | $1,778$1.2k$3.3k | $2,779 | $6,396 |
| MRI Brain with Contrast | $1,680$1.2k$1.8k | $1,690 | $4,385 |
| MRI Brain without Contrast | $1,345$922$1.8k | $1,411 | $4,110 |
| MRI Cervical Spine (Neck) without Contrast | $1,345$922$1.8k | $1,412 | $3,945 |
| MRI Knee without Contrast | $1,343$922$1.8k | $1,406 | $3,834 |
| MRI Lower Back (Lumbar Spine) without Contrast | $1,419$922$1.8k | $1,565 | $4,119 |
| MRI Thoracic Spine (Mid-back) without Contrast | $1,419$922$1.8k | $1,566 | $3,996 |
| Newborn Circumcision | $2,704$1.6k$5.4k | $4,852 | $4,852 |
| Nuclear Cardiac Stress Test | $1,516$1.1k$19k | $1,583 | $3,486 |
| Office Visit, Established Patient (Level 3) | — | $209 | $348 |
| Office Visit, New Patient (Level 3) | — | $209 | $348 |
| Pacemaker Insertion (Dual Chamber) | $10,058$3.1k$19k | $15,000 | $27,345 |
| PET/CT Scan, Whole Body | $4,893$3.1k$11k | $3,189 | $5,127 |
| Pregnancy Ultrasound (Second or Third Trimester) | $468$250$936 | $261 | $834 |
| Prostate Biopsy | $3,100$2.1k$3.7k | $4,852 | $4,852 |
| PSA Prostate Cancer Screening | $85$57$143 | $82 | $223 |
| Pulmonary Function Test with Bronchodilator | $141$134$149 | $155 | $748 |
| Rotator Cuff Repair (Arthroscopic) | $7,971$3.6k$11k | $6,700 | $20,435 |
| Screening Mammogram | $379$356$386 | $372 | $500 |
| Septoplasty (Deviated Septum Repair) | $5,364$3.1k$9.4k | $5,558 | $5,558 |
| Skin Biopsy (Tangential) | $2,873 | $286 | $477 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,584$1.6k$3.7k | $3,862 | $3,862 |
| Sleep Study (In-lab Polysomnography) | $2,038$845$3.8k | $882 | $5,036 |
| Spinal Cord Stimulator Trial | $3,716$2.9k$9.2k | $837 | $837 |
| Spirometry (Breathing Test) | $74$67$80 | $70 | $393 |
| Total Hip Replacement | $6,309$3.1k$11k | $6,700 | $24,382 |
| Total Knee Replacement | $10,006$6.0k$11k | $11,400 | $20,644 |
| Total Mastectomy | $5,476$3.1k$9.4k | $6,700 | $26,864 |
| TSH Thyroid Function Test | $78$52$131 | $75 | $191 |
| TURP (Transurethral Prostate Resection) | $5,476$3.1k$9.4k | $8,800 | $20,281 |
| Upper GI Endoscopy (EGD) | $2,704$1.6k$3.7k | $1,200 | $3,934 |
| Urinalysis with Microscopy | $15$10$25 | $14 | $69 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $5,980$2.9k$7.3k | $4,943 | $4,943 |
| Vaginal Hysterectomy | $7,027$2.1k$11k | $8,200 | $16,394 |
| Vasectomy | $3,120$2.1k$5.4k | $4,852 | $4,852 |
| Vitamin D Blood Test | $138$92$230 | $132 | $136 |