| Abdominal Hysterectomy | $305$24$3.2k | $563 | $1,387 |
| ACL Reconstruction (Arthroscopic) | $13,586$3.5k$37k | $22,911 | $1,249 |
| Basic Metabolic Panel | $45$7$148 | $155 | $70 |
| Bone Marrow Biopsy | $545$100$10k | $404 | $622 |
| Breast Biopsy (Ultrasound-guided) | $3,687$514$18k | $3,125 | $4,807 |
| Bunion Correction Surgery | $7,678$1.1k$21k | $17,268 | $2,201 |
| Cardiac Ablation for Atrial Fibrillation | $21,896$721$75k | $22,431 | $34,509 |
| Cardiac Catheterization (Left Heart) | $10,037$553$45k | $16,889 | $23,150 |
| Carpal Tunnel Release Surgery | $2,087$711$13k | $6,674 | — |
| Cervical Spinal Fusion (Anterior) | $12,593$2.9k$37k | $31,011 | $2,180 |
| Cesarean Delivery (Global Package) | $1,002$37$5.3k | $5,400 | $5,400 |
| Chemotherapy Infusion (First Hour) | $651$96$3.0k | $680 | $1,046 |
| Chest X-ray (2 Views) | $177$18$3.9k | $323 | $296 |
| Colonoscopy with Biopsy | $1,292$453$13k | $4,620 | $804 |
| Complete Abdominal Ultrasound | $466$59$629 | $409 | $629 |
| Complete Blood Count (CBC) with Differential | $47$7$12k | $211 | $60 |
| Comprehensive Metabolic Panel | $56$9$12k | $258 | $69 |
| Coronary Angioplasty with Stent | $13,123$447$45k | $12,014 | $18,483 |
| Critical Care, First Hour | $4,865$221$25k | $13,675 | $21,039 |
| CT Abdomen and Pelvis with Contrast | $1,312$167$3.9k | $4,374 | $4,328 |
| CT Cardiac Calcium Scoring | $242$34$3.9k | $51 | $79 |
| CT Chest without Contrast | $588$64$3.9k | $1,134 | $1,745 |
| CT Head without Contrast | $454$52$3.9k | $1,085 | $1,669 |
| DEXA Bone Density Scan | $279$23$603 | $278 | $427 |
| Diagnostic Colonoscopy | $984$344$13k | $3,542 | $739 |
| Diagnostic Mammogram (Both Breasts) | $356$99$608 | $348 | $536 |
| Ear Tube Placement (Tympanostomy) | $3,061$479$18k | $10,805 | $869 |
| Echocardiogram (Complete with Doppler) | $1,349$155$2.8k | $1,817 | $2,796 |
| Emergency Room Visit (Level 3) | $687$57$3.6k | $1,144 | $1,288 |
| Group Therapy Session | $74$11$281 | $24 | $37 |
| Hemoglobin A1c (Diabetes Test) | $42$8$148 | $211 | $63 |
| HIV Antibody Test | $53$8$106 | $69 | $106 |
| Home Sleep Study | $434$77$776 | $504 | $776 |
| Individual Therapy Session (45 Minutes) | $262$56$502 | $120 | $185 |
| Inguinal Hernia Repair (Open) | $3,865$1.2k$22k | $10,648 | $1,157 |
| Initial Hospital Admission (Level 1) | $69$48$228 | $202 | $202 |
| Initial Psychiatric Diagnostic Evaluation | $257$83$502 | $125 | $193 |
| Initial Psychiatric Evaluation with Medication Management | $106$45$502 | $97 | $149 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,195$742$3.5k | $2,290 | $3,523 |
| IUD Insertion | $2,046$40$3.0k | $1,554 | $284 |
| IUD Removal | $329$47$13k | $619 | $295 |
| Knee Arthroscopy with Meniscectomy | $3,532$1.1k$22k | $12,626 | $1,220 |
| Laparoscopic Appendectomy | $6,526$2.1k$22k | $16,119 | $1,324 |
| Laparoscopic Gallbladder Removal | $6,526$2.0k$22k | $14,326 | $933 |
| Laparoscopic Tubal Ligation | $11,216$2.0k$25k | $14,218 | $1,413 |
| Lipid Panel (Cholesterol Test) | $50$12$173 | $48 | $74 |
| Lumbar Epidural Steroid Injection | $1,629$282$10k | $1,210 | $1,862 |
| Lumbar Puncture (Spinal Tap) | $1,397$282$10k | $1,009 | $1,552 |
| Lumbar Spinal Fusion (Posterior) | $9,545$261$50k | $35,505 | $3,488 |
| Lumpectomy (Partial Mastectomy) | $7,248$998$19k | $14,635 | $1,451 |
| MRI Abdomen with and without Contrast | $2,054$265$3.9k | $2,420 | $3,723 |
| MRI Brain with and without Contrast | $1,879$250$3.9k | $2,508 | $3,858 |
| MRI Brain with Contrast | $1,324$212$3.9k | $2,049 | $3,152 |
| MRI Brain without Contrast | $1,483$99$3.9k | $1,594 | $2,452 |
| MRI Cervical Spine (Neck) without Contrast | $1,237$150$3.9k | $1,593 | $2,451 |
| MRI Knee without Contrast | $2,291$108$3.9k | $2,241 | $2,873 |
| MRI Lower Back (Lumbar Spine) without Contrast | $1,234$150$3.9k | $1,535 | $2,361 |
| MRI Thoracic Spine (Mid-back) without Contrast | $1,230$150$3.9k | $1,535 | $2,361 |
| Newborn Circumcision | $40$27$342 | $380 | $380 |
| Nuclear Cardiac Stress Test | $2,187$263$5.6k | $3,613 | $5,559 |
| Office Visit, Established Patient (Level 3) | $71$45$198 | $178 | $209 |
| Office Visit, New Patient (Level 3) | $86$46$240 | $211 | $240 |
| Pacemaker Insertion (Dual Chamber) | $10,619$6.6k$30k | $16,304 | $9,537 |
| PET/CT Scan, Whole Body | $5,169$1.2k$9.0k | $7,155 | $9,239 |
| Pregnancy Ultrasound (Second or Third Trimester) | $452$104$603 | $320 | $492 |
| PSA Prostate Cancer Screening | $75$16$92 | $59 | $90 |
| Pulmonary Function Test with Bronchodilator | $520$23$1.1k | $925 | $880 |
| Rotator Cuff Repair (Arthroscopic) | $7,833$2.5k$35k | $22,688 | $180 |
| Screening Mammogram | $278$70$501 | $249 | $325 |
| Septoplasty (Deviated Septum Repair) | $4,287$941$25k | $18,287 | $2,269 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,756$1.7k$25k | $15,174 | $1,784 |
| Skin Biopsy (Tangential) | $180$68$9.5k | $164 | $253 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,765$98$5.1k | $1,604 | $1,883 |
| Sleep Study (In-lab Polysomnography) | $2,697$495$4.7k | $3,029 | $4,660 |
| Spinal Cord Stimulator Trial | $6,881$1.7k$35k | $5,682 | $5,112 |
| Spirometry (Breathing Test) | $277$15$1.1k | $1,099 | $644 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,508$941$25k | $8,897 | $1,215 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,264$2.0k$18k | $8,904 | $1,163 |
| Total Hip Replacement | $13,089$7.9k$37k | $18,550 | $66 |
| Total Knee Replacement | $12,593$7.7k$37k | $24,900 | $2,821 |
| Total Mastectomy | $7,072$2.0k$22k | $26,349 | $2,105 |
| TSH Thyroid Function Test | $100$15$117 | $69 | $107 |
| Upper GI Endoscopy (EGD) | $979$354$10k | $2,765 | $267 |
| Urinalysis with Microscopy | $19$3$19 | $234 | $25 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $1,010$944$5.3k | $5,100 | $5,100 |
| Vaginal Delivery (Global Package) | $970$772$4.7k | $5,094 | $5,094 |
| Vitamin D Blood Test | $108$26$153 | $92 | $141 |