| Abdominal Hysterectomy | $3,925$35$4.2k | $4,361 | $4,361 |
| ACL Reconstruction (Arthroscopic) | $3,845$135$4.1k | $4,272 | $4,272 |
| Allergy Skin Testing | $15$2$16 | $17 | $17 |
| Basic Metabolic Panel | $147$7$158 | $163 | $163 |
| Bone Marrow Biopsy | $289$12$2.4k | $321 | $321 |
| Breast Biopsy (Ultrasound-guided) | $1,354$12$7.3k | $4,497 | $4,497 |
| Bunion Correction Surgery | $2,028$70$4.4k | $3,381 | $3,381 |
| Carpal Tunnel Release Surgery | $1,647$35$3.6k | $1,830 | $1,830 |
| Cataract Surgery with Lens Implant | $2,651$140$2.9k | $2,946 | $2,946 |
| Cesarean Delivery (Global Package) | $7,291$95$7.9k | $8,101 | $8,101 |
| Chemotherapy Infusion (First Hour) | $1,153$29$1.2k | $1,281 | $1,281 |
| Chest X-ray (2 Views) | $62$11$501 | $291 | $291 |
| Colonoscopy with Biopsy | $1,024$10$1.1k | $1,138 | $1,138 |
| Complete Abdominal Ultrasound | $226$39$1.2k | $713 | $713 |
| Complete Blood Count (CBC) with Differential | $133$7$144 | $148 | $148 |
| Comprehensive Metabolic Panel | $182$9$196 | $202 | $202 |
| Critical Care, First Hour | $885$122$8.6k | $983 | $983 |
| CT Abdomen and Pelvis with Contrast | $510$74$3.5k | $2,079 | $2,079 |
| CT Cardiac Calcium Scoring | $439$22$2.5k | $1,499 | $1,499 |
| CT Chest without Contrast | $301$43$2.3k | $1,349 | $1,349 |
| CT Head without Contrast | $238$35$2.3k | $1,315 | $1,315 |
| DEXA Bone Density Scan | $56$7$795 | $440 | $440 |
| Diagnostic Colonoscopy | $854$55$2.1k | $949 | $949 |
| Diagnostic Mammogram (Both Breasts) | $280$52$743 | $519 | $519 |
| Ear Tube Placement (Tympanostomy) | $642$50$1.4k | $713 | $713 |
| Echocardiogram (Complete with Doppler) | $278$90$4.3k | $462 | $462 |
| Emergency Room Visit (Level 3) | $245$36$1.6k | $272 | $272 |
| Group Therapy Session | $96$3$104 | $107 | $107 |
| Hemoglobin A1c (Diabetes Test) | $165$9$178 | $183 | $183 |
| HIV Antibody Test | $163$8$176 | $181 | $181 |
| Holter Monitor (24-48 Hour Heart Monitor) | $398$99$429 | $442 | $442 |
| Home Sleep Study | $716$58$771 | $795 | $795 |
| Individual Therapy Session (45 Minutes) | $326$67$351 | $362 | $362 |
| Inguinal Hernia Repair (Open) | $2,000$65$4.3k | $2,222 | $2,222 |
| Initial Hospital Admission (Level 1) | $400$34$431 | $444 | $444 |
| Initial Psychiatric Diagnostic Evaluation | $488$128$542 | $542 | $542 |
| Initial Psychiatric Evaluation with Medication Management | $545$103$587 | $605 | $605 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $4,456$387$4.8k | $4,951 | $4,951 |
| IUD Insertion | $199$72$308 | $221 | $221 |
| IUD Removal | $123$19$290 | $299 | $299 |
| Knee Arthroscopy with Meniscectomy | $2,130$551$2.3k | $2,367 | $2,367 |
| Laparoscopic Appendectomy | $2,307$273$2.5k | $2,563 | $2,563 |
| Laparoscopic Gallbladder Removal | $2,884$466$3.1k | $3,204 | $3,204 |
| Laparoscopic Tubal Ligation | $2,534$98$5.5k | $4,222 | $4,222 |
| Lipid Panel (Cholesterol Test) | $152$12$248 | $208 | $208 |
| Lumbar Epidural Steroid Injection | $436$132$2.3k | $1,431 | $1,431 |
| Lumbar Puncture (Spinal Tap) | $505$18$1.8k | $561 | $561 |
| Lumpectomy (Partial Mastectomy) | $2,481$70$5.3k | $4,136 | $4,136 |
| MRI Abdomen with and without Contrast | $620$93$6.1k | $3,459 | $3,459 |
| MRI Brain with and without Contrast | $642$98$6.1k | $3,474 | $3,474 |
| MRI Brain with Contrast | $500$74$5.0k | $2,831 | $2,831 |
| MRI Brain without Contrast | $417$61$4.2k | $2,373 | $2,373 |
| MRI Cervical Spine (Neck) without Contrast | $414$65$4.2k | $2,374 | $2,374 |
| MRI Knee without Contrast | $383$57$4.2k | $2,355 | $2,355 |
| MRI Lower Back (Lumbar Spine) without Contrast | $414$62$4.2k | $2,374 | $2,374 |
| MRI Thoracic Spine (Mid-back) without Contrast | $414$63$4.2k | $2,374 | $2,374 |
| Newborn Circumcision | $418$26$27k | $633 | $633 |
| Nuclear Cardiac Stress Test | $452$65$4.7k | $2,673 | $2,673 |
| Office Visit, Established Patient (Level 3) | $143$24$3.2k | $370 | $370 |
| Office Visit, New Patient (Level 3) | $149$57$218 | $225 | $225 |
| Pacemaker Insertion (Dual Chamber) | $2,093$95$2.3k | $2,325 | $2,325 |
| PET/CT Scan, Whole Body | $700$102$6.3k | $3,521 | $3,521 |
| Pregnancy Ultrasound (Second or Third Trimester) | $585$48$1.2k | $673 | $673 |
| Prostate Biopsy | $512$55$5.9k | $569 | $569 |
| PSA Prostate Cancer Screening | $111$17$119 | $123 | $123 |
| Pulmonary Function Test with Bronchodilator | $51$13$548 | $56 | $56 |
| Rotator Cuff Repair (Arthroscopic) | $4,056$494$4.4k | $4,507 | $4,507 |
| Screening Mammogram | $505$39$588 | $588 | $588 |
| Septoplasty (Deviated Septum Repair) | $2,452$372$2.6k | $2,724 | $2,724 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $1,581$15$3.4k | $2,635 | $2,635 |
| Skin Biopsy (Tangential) | $167$50$286 | $186 | $186 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $315$53$445 | $350 | $350 |
| Sleep Study (In-lab Polysomnography) | $1,173$155$4.0k | $1,303 | $1,303 |
| Spinal Cord Stimulator Trial | $150$40$1.8k | $1,019 | $1,019 |
| Spirometry (Breathing Test) | $31$11$594 | $34 | $34 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $1,246$55$1.3k | $1,384 | $1,384 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $1,155$50$1.2k | $1,283 | $1,283 |
| Total Hip Replacement | $5,298$135$11k | $8,831 | $8,831 |
| Total Knee Replacement | $5,517$298$12k | $9,194 | $9,194 |
| Total Mastectomy | $3,946$763$8.5k | $6,576 | $6,576 |
| TSH Thyroid Function Test | $275$15$296 | $305 | $305 |
| TURP (Transurethral Prostate Resection) | $3,299$961$3.6k | $3,665 | $3,665 |
| Upper GI Endoscopy (EGD) | $609$161$2.1k | $1,387 | $1,387 |
| Urinalysis with Microscopy | $60$3$75 | $70 | $70 |
| Vaginal Delivery (Global Package) | $6,577$1.4k$7.1k | $7,308 | $7,308 |
| Vaginal Hysterectomy | $3,258$811$3.5k | $3,620 | $3,620 |
| Vasectomy | $885$39$7.2k | $983 | $983 |
| Vitamin D Blood Test | $265$25$285 | $294 | $294 |