| Abdominal Hysterectomy | $28,898$19k$32k | $32,839 | $32,839 |
| ACL Reconstruction (Arthroscopic) | $11,380$7.0k$14k | $13,422 | $13,422 |
| Allergy Skin Testing | $4,253$2.8k$4.6k | $4,833 | $4,833 |
| Basic Metabolic Panel | $37$22$62 | $52 | $52 |
| Bone Marrow Biopsy | $3,825$2.5k$4.2k | $4,347 | $4,347 |
| Breast Biopsy (Ultrasound-guided) | $3,825$2.5k$4.2k | $4,347 | $4,347 |
| Bunion Correction Surgery | $7,367$4.9k$8.0k | $8,372 | $8,372 |
| Cardiac Ablation for Atrial Fibrillation | $54,564$36k$60k | $62,005 | $62,005 |
| Cardiac Catheterization (Left Heart) | $17,515$12k$19k | $19,903 | $19,903 |
| Carpal Tunnel Release Surgery | $5,706$3.1k$10k | $8,075 | $8,075 |
| Cataract Surgery with Lens Implant | $4,927$3.2k$5.4k | $5,599 | $5,599 |
| Cervical Spinal Fusion (Anterior) | $17,022$11k$19k | $19,343 | $19,343 |
| Chemotherapy Infusion (First Hour) | $1,195$788$1.3k | $1,358 | $1,358 |
| Chest X-ray (2 Views) | $321$212$350 | $365 | $365 |
| Colonoscopy with Biopsy | $2,846$1.9k$3.1k | $3,234 | $3,234 |
| Complete Abdominal Ultrasound | $388$256$423 | $441 | $441 |
| Complete Blood Count (CBC) with Differential | $34$20$58 | $48 | $48 |
| Comprehensive Metabolic Panel | $46$27$78 | $64 | $64 |
| Coronary Angioplasty with Stent | $24,658$16k$27k | $28,020 | $28,020 |
| Critical Care, First Hour | $3,222$2.1k$3.5k | $3,661 | $3,661 |
| CT Abdomen and Pelvis with Contrast | $2,178$1.3k$3.6k | $3,013 | $3,013 |
| CT Cardiac Calcium Scoring | $652$393$1.1k | $902 | $902 |
| CT Chest without Contrast | $788$475$1.3k | $1,090 | $1,090 |
| CT Head without Contrast | $788$475$1.3k | $1,090 | $1,090 |
| DEXA Bone Density Scan | $388$256$423 | $441 | $441 |
| Diagnostic Colonoscopy | $2,208$1.5k$2.4k | $2,509 | $2,509 |
| Diagnostic Mammogram (Both Breasts) | $358$236$391 | $407 | $407 |
| Ear Tube Placement (Tympanostomy) | $3,568$2.4k$3.9k | $4,054 | $4,054 |
| Echocardiogram (Complete with Doppler) | $2,402$1.6k$2.6k | $2,729 | $2,729 |
| Emergency Room Visit (Level 3) | $1,276$698$2.3k | $1,806 | $1,806 |
| Group Therapy Session | $236$155$257 | $268 | $268 |
| Hemoglobin A1c (Diabetes Test) | $42$25$72 | $59 | $59 |
| HIV Antibody Test | $39$23$65 | $62 | $62 |
| Home Sleep Study | $654$431$713 | $743 | $743 |
| Individual Therapy Session (45 Minutes) | $410$270$447 | $466 | $466 |
| Inguinal Hernia Repair (Open) | $9,148$5.0k$17k | $12,945 | $12,945 |
| Initial Psychiatric Diagnostic Evaluation | $410$270$447 | $466 | $466 |
| Initial Psychiatric Evaluation with Medication Management | $410$270$447 | $466 | $466 |
| IUD Insertion | $1,480$976$1.6k | $1,682 | $1,682 |
| IUD Removal | $749$494$817 | $851 | $851 |
| Knee Arthroscopy with Meniscectomy | $6,464$4.0k$8.0k | $7,625 | $7,625 |
| Laparoscopic Appendectomy | $13,315$8.8k$15k | $15,131 | $15,131 |
| Laparoscopic Gallbladder Removal | $13,315$8.8k$15k | $15,131 | $15,131 |
| Laparoscopic Tubal Ligation | $13,315$8.8k$15k | $15,131 | $15,131 |
| Lipid Panel (Cholesterol Test) | $53$12$99 | $60 | $60 |
| Lumbar Epidural Steroid Injection | $1,660$1.1k$1.8k | $1,886 | $1,886 |
| Lumbar Puncture (Spinal Tap) | $1,660$1.1k$1.8k | $1,886 | $1,886 |
| Lumbar Spinal Fusion (Posterior) | $18,334$12k$20k | $20,834 | $20,834 |
| Lumpectomy (Partial Mastectomy) | $9,145$6.0k$10.0k | $10,392 | $10,392 |
| MRI Abdomen with and without Contrast | $2,178$1.3k$3.6k | $3,013 | $3,013 |
| MRI Brain with and without Contrast | $2,178$1.3k$3.6k | $3,013 | $3,013 |
| MRI Brain with Contrast | $2,178$1.3k$3.6k | $3,013 | $3,013 |
| MRI Brain without Contrast | $1,787$1.1k$3.0k | $2,472 | $2,472 |
| MRI Cervical Spine (Neck) without Contrast | $1,787$1.1k$3.0k | $2,472 | $2,472 |
| MRI Knee without Contrast | $1,787$1.1k$3.0k | $2,472 | $2,472 |
| MRI Lower Back (Lumbar Spine) without Contrast | $1,787$1.1k$3.0k | $2,472 | $2,472 |
| MRI Thoracic Spine (Mid-back) without Contrast | $1,787$1.1k$3.0k | $2,472 | $2,472 |
| Newborn Circumcision | $107$71$117 | $122 | $122 |
| Nuclear Cardiac Stress Test | $3,758$2.5k$4.1k | $4,271 | $4,271 |
| Office Visit, Established Patient (Level 3) | $283$187$309 | $322 | $322 |
| Pacemaker Insertion (Dual Chamber) | $11,199$7.4k$12k | $12,726 | $12,726 |
| PET/CT Scan, Whole Body | $14,466$9.5k$16k | $16,439 | $16,439 |
| Pregnancy Ultrasound (Second or Third Trimester) | $388$256$423 | $441 | $441 |
| PSA Prostate Cancer Screening | $57$8$136 | $82 | $82 |
| Pulmonary Function Test with Bronchodilator | $624$411$681 | $709 | $709 |
| Rotator Cuff Repair (Arthroscopic) | $11,380$7.0k$14k | $13,422 | $13,422 |
| Screening Mammogram | $286$84$324 | $337 | $337 |
| Septoplasty (Deviated Septum Repair) | $7,740$5.1k$8.4k | $8,795 | $8,795 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $15,602$10k$17k | $17,730 | $17,730 |
| Skin Biopsy (Tangential) | $489$322$534 | $556 | $556 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $3,825$2.5k$4.2k | $4,347 | $4,347 |
| Sleep Study (In-lab Polysomnography) | $4,253$2.8k$4.6k | $4,833 | $4,833 |
| Spinal Cord Stimulator Trial | $7,754$5.1k$8.5k | $8,811 | $8,811 |
| Spirometry (Breathing Test) | $317$209$346 | $360 | $360 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $7,740$5.1k$8.4k | $8,795 | $8,795 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $13,657$9.0k$15k | $15,519 | $15,519 |
| Total Hip Replacement | $13,982$9.2k$15k | $15,889 | $15,889 |
| Total Knee Replacement | $13,982$9.2k$15k | $15,889 | $15,889 |
| Total Mastectomy | $18,338$10k$33k | $25,950 | $25,950 |
| TSH Thyroid Function Test | $73$44$124 | $102 | $102 |
| TURP (Transurethral Prostate Resection) | $10,990$7.2k$12k | $12,489 | $12,489 |
| Upper GI Endoscopy (EGD) | $2,223$1.5k$2.4k | $2,526 | $2,526 |
| Urinalysis with Microscopy | $14$8$23 | $19 | $19 |
| Vaginal Hysterectomy | $10,316$6.8k$11k | $11,723 | $11,723 |
| Vasectomy | $4,668$3.1k$5.1k | $5,304 | $5,304 |
| Vitamin D Blood Test | $116$19$219 | $132 | $132 |