| Abdominal Hysterectomy | $1,250$745$4.7k | $4,051 | $6,232 |
| ACL Reconstruction (Arthroscopic) | $7,314$7.2k$15k | $3,998 | $6,150 |
| Allergy Skin Testing | $1,021$23$2.2k | $3 | $5 |
| Basic Metabolic Panel | $13$8$131 | $100 | $154 |
| Bone Marrow Biopsy | $1,909$91$4.9k | $3,766 | $5,794 |
| Breast Biopsy (Ultrasound-guided) | $2,547$202$11k | $8,133 | $12,513 |
| Bunion Correction Surgery | $3,322$3.3k$7.0k | $1,931 | $2,971 |
| Cardiac Ablation for Atrial Fibrillation | $24,625$1.2k$68k | $51,640 | $79,446 |
| Cardiac Catheterization (Left Heart) | $6,974$1.3k$31k | $13,623 | $20,958 |
| Cardiac Stress Test (Treadmill) | $110$104$132 | $210 | $323 |
| Carpal Tunnel Release Surgery | $2,915$561$13k | $9,686 | $14,902 |
| Cataract Surgery with Lens Implant | $2,335$2.3k$4.9k | $2,055 | $3,161 |
| Cervical Spinal Fusion (Anterior) | $12,915$11k$28k | $6,988 | $10,751 |
| Cesarean Delivery (Global Package) | $1,702$1.6k$2.0k | — | — |
| Chemotherapy Infusion (First Hour) | $549$172$2.2k | $1,699 | $2,614 |
| Chest X-ray (2 Views) | $186$45$598 | $457 | $703 |
| Colonoscopy with Biopsy | $1,940$257$5.2k | $3,947 | $6,073 |
| Complete Abdominal Ultrasound | $228$101$722 | $552 | $849 |
| Complete Blood Count (CBC) with Differential | $12$8$131 | $100 | $154 |
| Comprehensive Metabolic Panel | $16$11$260 | $199 | $306 |
| Coronary Angioplasty with Stent | $13,335$733$38k | $29,283 | $45,051 |
| Critical Care, First Hour | $1,449$285$5.4k | $4,122 | $6,342 |
| CT Abdomen and Pelvis with Contrast | $828$358$2.5k | $1,930 | $2,969 |
| CT Cardiac Calcium Scoring | $190$88$2.0k | $457 | $703 |
| CT Chest without Contrast | $252$107$2.0k | $552 | $849 |
| CT Head without Contrast | $252$107$2.0k | $552 | $849 |
| DEXA Bone Density Scan | $228$54$722 | $552 | $849 |
| Diagnostic Colonoscopy | $1,428$236$4.0k | $3,057 | $4,703 |
| Diagnostic Mammogram (Both Breasts) | $215$132$695 | $532 | $818 |
| Ear Tube Placement (Tympanostomy) | $1,517$1.5k$3.2k | $562 | $865 |
| Echocardiogram (Complete with Doppler) | $1,016$259$3.0k | $2,307 | $3,549 |
| EKG (Electrocardiogram, 12-lead) | $212$18$409 | $313 | $481 |
| Emergency Room Visit (Level 3) | $633$96$1.8k | $1,327 | $2,041 |
| Group Therapy Session | $97$36$201 | $150 | $231 |
| Hemodialysis Treatment | $117$74$681 | $590 | $908 |
| Hemoglobin A1c (Diabetes Test) | $15$10$91 | $70 | $107 |
| HIV Antibody Test | $10$3$93 | $39 | $61 |
| Holter Monitor (24-48 Hour Heart Monitor) | $98$51$154 | $109 | $168 |
| Home Sleep Study | $604$126$3.0k | $785 | $1,207 |
| Individual Therapy Session (45 Minutes) | $169$107$350 | $268 | $412 |
| Inguinal Hernia Repair (Open) | $3,613$3.5k$7.7k | $1,863 | $2,866 |
| Initial Hospital Admission (Level 1) | $106$60$440 | $382 | $587 |
| Initial Psychiatric Diagnostic Evaluation | $193$107$1.9k | $268 | $412 |
| Initial Psychiatric Evaluation with Medication Management | $193$107$1.9k | $268 | $412 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,014$581$3.9k | $2,954 | $4,544 |
| IUD Insertion | $378$98$25k | $378 | $582 |
| IUD Removal | $715$86$2.8k | $994 | $1,529 |
| Knee Arthroscopy with Meniscectomy | $3,322$3.3k$7.0k | $1,965 | $3,023 |
| Laparoscopic Appendectomy | $5,856$1.9k$13k | $2,212 | $3,403 |
| Laparoscopic Gallbladder Removal | $5,856$2.5k$13k | $2,451 | $3,770 |
| Laparoscopic Tubal Ligation | $5,856$2.5k$13k | $3,173 | $4,881 |
| Lipid Panel (Cholesterol Test) | $15$7$151 | $18 | $28 |
| Lumbar Epidural Steroid Injection | $1,463$129$4.5k | $3,470 | $5,338 |
| Lumbar Puncture (Spinal Tap) | $1,463$82$4.5k | $3,470 | $5,338 |
| Lumbar Spinal Fusion (Posterior) | $18,460$6.9k$40k | $6,577 | $10,118 |
| Lumpectomy (Partial Mastectomy) | $3,998$1.9k$8.3k | $2,371 | $3,647 |
| MRI Abdomen with and without Contrast | $859$358$2.7k | $1,930 | $2,969 |
| MRI Brain with and without Contrast | $859$358$2.7k | $1,930 | $2,969 |
| MRI Brain with Contrast | $859$358$2.7k | $1,930 | $2,969 |
| MRI Brain without Contrast | $524$243$2.7k | $1,230 | $1,892 |
| MRI Cervical Spine (Neck) without Contrast | $524$243$2.7k | $1,230 | $1,892 |
| MRI Knee without Contrast | $524$243$2.7k | $1,230 | $1,892 |
| MRI Lower Back (Lumbar Spine) without Contrast | $524$243$2.7k | $1,230 | $1,892 |
| MRI Thoracic Spine (Mid-back) without Contrast | $524$243$2.7k | $1,230 | $1,892 |
| Newborn Circumcision | $2,097$2.1k$4.4k | $445 | $685 |
| Nuclear Cardiac Stress Test | $2,849$583$9.3k | $7,123 | $10,959 |
| Office Visit, Established Patient (Level 3) | $87$29$148 | $113 | $174 |
| Office Visit, New Patient (Level 3) | $81$27$138 | $105 | $162 |
| Pacemaker Insertion (Dual Chamber) | $10,505$639$39k | $18,906 | $29,086 |
| PET/CT Scan, Whole Body | $3,309$1.5k$10k | $7,849 | $12,076 |
| Pregnancy Ultrasound (Second or Third Trimester) | $249$107$722 | $552 | $849 |
| Prostate Biopsy | $2,659$169$8.2k | $6,308 | $9,704 |
| PSA Prostate Cancer Screening | $33$10$94 | $70 | $108 |
| Pulmonary Function Test with Bronchodilator | $344$53$1.3k | $973 | $1,497 |
| Rotator Cuff Repair (Arthroscopic) | $7,171$2.5k$15k | $3,648 | $5,613 |
| Screening Mammogram | $181$132$600 | $459 | $706 |
| Septoplasty (Deviated Septum Repair) | $3,402$2.9k$7.0k | $1,641 | $2,524 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,949$3.4k$15k | $1,607 | $2,473 |
| Skin Biopsy (Tangential) | $311$49$24k | $336 | $517 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,824$105$4.3k | $2,712 | $4,172 |
| Sleep Study (In-lab Polysomnography) | $1,425$672$6.9k | $5,246 | $8,071 |
| Spinal Cord Stimulator Trial | $6,719$6.6k$14k | $1,999 | $3,075 |
| Spirometry (Breathing Test) | $212$37$1.3k | $485 | $746 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,320$3.3k$7.0k | $1,021 | $1,570 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,938$1.3k$13k | $988 | $1,520 |
| Total Hip Replacement | $12,915$3.8k$28k | $5,479 | $8,429 |
| Total Knee Replacement | $12,915$3.8k$28k | $4,587 | $7,057 |
| Total Mastectomy | $6,546$2.1k$14k | $3,511 | $5,401 |
| TSH Thyroid Function Test | $26$17$133 | $101 | $156 |
| TURP (Transurethral Prostate Resection) | $5,205$4.1k$11k | $3,678 | $5,659 |
| Upper GI Endoscopy (EGD) | $1,468$156$4.0k | $3,033 | $4,666 |
| Urinalysis with Microscopy | $5$3$48 | $36 | $56 |
| Vaginal Delivery (Global Package) | $1,539$1.5k$1.8k | — | — |
| Vaginal Hysterectomy | $4,955$4.1k$11k | $3,312 | $5,095 |
| Vasectomy | $2,659$292$8.2k | $6,308 | $9,704 |
| Vitamin D Blood Test | $45$13$232 | $110 | $169 |