| Abdominal Hysterectomy | $1,820$843$2.2k | $1,752 | $2,920 |
| ACL Reconstruction (Arthroscopic) | $1,737$806$5.2k | $4,185 | $6,975 |
| Allergy Skin Testing | $7$3$12 | $10 | $16 |
| Anesthesia for Screening Colonoscopy | $101$71$117 | $94 | $156 |
| Anesthesia for Upper Endoscopy | $102$71$118 | $94 | $157 |
| Basic Metabolic Panel | $15$4$140 | $36 | $60 |
| Breast Biopsy (Ultrasound-guided) | $1,384$122$4.2k | $1,913 | $3,188 |
| Bunion Correction Surgery | $931$452$1.6k | $1,255 | $2,091 |
| Cardiac Stress Test (Treadmill) | $135$67$340 | $272 | $453 |
| Carpal Tunnel Release Surgery | $1,647$384$5.4k | $2,276 | $3,793 |
| Cervical Spinal Fusion (Anterior) | $3,098$1.4k$4.2k | $3,398 | $5,664 |
| Cesarean Delivery (Global Package) | $3,377$2.2k$4.2k | $2,760 | $4,600 |
| Chemotherapy Infusion (First Hour) | $893$408$1.2k | $765 | $1,275 |
| Chest X-ray (2 Views) | $67$10$324 | $40 | $67 |
| Colonoscopy with Biopsy | $418$165$1.1k | $842 | $1,403 |
| Complete Abdominal Ultrasound | $324$36$1.3k | $479 | $799 |
| Complete Blood Count (CBC) with Differential | $12$4$152 | $22 | $37 |
| Comprehensive Metabolic Panel | $25$5$354 | $18 | $30 |
| Critical Care, First Hour | $371$187$1.6k | $624 | $1,040 |
| CT Abdomen and Pelvis with Contrast | $774$80$5.2k | $1,690 | $2,817 |
| CT Cardiac Calcium Scoring | $98$26$362 | $93 | $155 |
| CT Chest without Contrast | $327$47$2.3k | $787 | $1,312 |
| CT Head without Contrast | $456$38$2.0k | $696 | $1,160 |
| DEXA Bone Density Scan | $149$9$659 | $220 | $367 |
| Diagnostic Colonoscopy | $386$153$964 | $771 | $1,285 |
| Diagnostic Mammogram (Both Breasts) | $235$44$713 | $175 | $292 |
| Ear Tube Placement (Tympanostomy) | $296$133$345 | $276 | $460 |
| Echocardiogram (Complete with Doppler) | $571$65$2.2k | $752 | $1,254 |
| EKG (Electrocardiogram, 12-lead) | $100$14$304 | $123 | $205 |
| Emergency Room Visit (Level 3) | $113$63$484 | $197 | $328 |
| Group Therapy Session | $72$24$250 | $102 | $170 |
| Hemoglobin A1c (Diabetes Test) | $38$6$274 | $59 | $98 |
| HIV Antibody Test | $10$6$33 | $26 | $44 |
| Holter Monitor (24-48 Hour Heart Monitor) | $168$65$327 | $262 | $436 |
| Home Sleep Study | $389$43$1.0k | $397 | $661 |
| Individual Therapy Session (45 Minutes) | $107$83$150 | $101 | $168 |
| Inguinal Hernia Repair (Open) | $1,013$451$1.5k | $1,191 | $1,985 |
| Initial Hospital Admission (Level 1) | $144$69$176 | $116 | $194 |
| Initial Psychiatric Diagnostic Evaluation | $163$124$375 | $239 | $399 |
| Initial Psychiatric Evaluation with Medication Management | $183$139$255 | $197 | $329 |
| IUD Insertion | $274$51$831 | $362 | $604 |
| IUD Removal | $144$53$317 | $149 | $248 |
| Knee Arthroscopy with Meniscectomy | $960$467$3.0k | $2,418 | $4,030 |
| Laparoscopic Appendectomy | $1,153$514$1.4k | $1,135 | $1,891 |
| Laparoscopic Gallbladder Removal | $1,344$561$1.6k | $1,249 | $2,082 |
| Laparoscopic Tubal Ligation | $1,166$531$1.5k | $1,191 | $1,985 |
| Lipid Panel (Cholesterol Test) | $71$6$288 | $86 | $144 |
| Lumbar Epidural Steroid Injection | $956$84$2.9k | $1,299 | $2,165 |
| Lumbar Puncture (Spinal Tap) | $350$52$1.8k | $486 | $810 |
| Lumbar Spinal Fusion (Posterior) | $2,873$1.3k$4.6k | $3,650 | $6,083 |
| Lumpectomy (Partial Mastectomy) | $1,100$563$1.4k | $841 | $1,402 |
| MRI Abdomen with and without Contrast | $935$97$5.9k | $2,042 | $3,403 |
| MRI Brain with and without Contrast | $908$100$6.8k | $2,321 | $3,868 |
| MRI Brain with Contrast | $850$78$4.3k | $1,424 | $2,374 |
| MRI Brain without Contrast | $611$65$3.5k | $1,216 | $2,027 |
| MRI Cervical Spine (Neck) without Contrast | $604$65$3.7k | $1,280 | $2,134 |
| MRI Knee without Contrast | $616$60$4.0k | $1,337 | $2,229 |
| MRI Lower Back (Lumbar Spine) without Contrast | $605$65$4.3k | $1,463 | $2,439 |
| MRI Thoracic Spine (Mid-back) without Contrast | $604$65$3.3k | $1,166 | $1,944 |
| Newborn Circumcision | $402$78$3.8k | $548 | $913 |
| Nuclear Cardiac Stress Test | $1,237$72$4.5k | $1,511 | $2,518 |
| Office Visit, Established Patient (Level 3) | $135$49$500 | $115 | $191 |
| Office Visit, New Patient (Level 3) | $120$67$221 | $135 | $225 |
| PET/CT Scan, Whole Body | $4,009$109$18k | $5,536 | $9,227 |
| Pregnancy Ultrasound (Second or Third Trimester) | $224$45$564 | $241 | $402 |
| Prostate Biopsy | $2,624$127$8.0k | $2,692 | $4,486 |
| PSA Prostate Cancer Screening | $22$7$86 | $29 | $48 |
| Pulmonary Function Test with Bronchodilator | $228$10$1.0k | $328 | $546 |
| Rotator Cuff Repair (Arthroscopic) | $1,894$884$2.5k | $2,026 | $3,376 |
| Screening Mammogram | $190$34$576 | $90 | $150 |
| Septoplasty (Deviated Septum Repair) | $1,220$563$1.5k | $1,211 | $2,019 |
| Skin Biopsy (Tangential) | $75$28$224 | $179 | $298 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $156$71$289 | $231 | $385 |
| Sleep Study (In-lab Polysomnography) | $2,195$114$4.2k | $2,407 | $4,011 |
| Spinal Cord Stimulator Trial | $2,570$350$12k | $3,845 | $6,409 |
| Spirometry (Breathing Test) | $15$8$72 | $17 | $28 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $589$251$750 | $600 | $1,000 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $558$240$704 | $535 | $892 |
| Total Hip Replacement | $2,519$1.0k$3.1k | $2,443 | $4,071 |
| Total Knee Replacement | $2,557$1.0k$5.0k | $4,030 | $6,716 |
| Total Mastectomy | $1,686$815$2.1k | $1,309 | $2,181 |
| TSH Thyroid Function Test | $27$8$170 | $39 | $65 |
| Umbilical Hernia Repair | $921$419$1.2k | $981 | $1,635 |
| Upper GI Endoscopy (EGD) | $256$103$964 | $771 | $1,285 |
| Urinalysis with Microscopy | $20$1$59 | $20 | $33 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $3,259$2.0k$4.0k | $2,928 | $4,880 |
| Vaginal Delivery (Global Package) | $3,221$1.9k$4.2k | $3,360 | $5,600 |
| Vaginal Hysterectomy | $1,508$676$1.8k | $1,472 | $2,453 |
| Vasectomy | $410$202$938 | $750 | $1,250 |
| Vitamin D Blood Test | $77$16$235 | $88 | $146 |