| Abdominal Hysterectomy | $7,758$2.2k$14k | $14,005 | $18,673 |
| ACL Reconstruction (Arthroscopic) | $7,413$3.3k$17k | $16,787 | $22,383 |
| Basic Metabolic Panel | $9$8$91 | $68 | $91 |
| Bone Marrow Biopsy | $1,964$884$3.9k | $2,908 | $3,877 |
| Breast Biopsy (Ultrasound-guided) | $1,964$613$2.9k | $2,389 | $3,185 |
| Bunion Correction Surgery | $3,343$2.7k$7.4k | $7,395 | $9,860 |
| Cardiac Catheterization (Left Heart) | $4,006$2.0k$8.2k | $6,172 | $8,229 |
| Carpal Tunnel Release Surgery | $2,068$2.0k$4.0k | $2,820 | $3,760 |
| Cataract Surgery with Lens Implant | $2,850$2.4k$5.2k | $4,347 | $5,796 |
| Chemotherapy Infusion (First Hour) | $413$262$1.4k | $1,081 | $1,441 |
| Chest X-ray (2 Views) | $108$76$411 | $308 | $411 |
| Colonoscopy with Biopsy | $1,597$1.1k$2.4k | $1,527 | $2,036 |
| Complete Abdominal Ultrasound | $199$123$1.9k | $1,443 | $1,924 |
| Complete Blood Count (CBC) with Differential | $8$7$164 | $123 | $164 |
| Comprehensive Metabolic Panel | $11$10$160 | $120 | $160 |
| Critical Care, First Hour | $1,047$217$3.3k | $2,504 | $3,338 |
| CT Abdomen and Pelvis with Contrast | $555$204$2.8k | $2,127 | $2,836 |
| CT Cardiac Calcium Scoring | $104$30$326 | $113 | $150 |
| CT Chest without Contrast | $213$96$935 | $701 | $935 |
| CT Head without Contrast | $252$123$1.9k | $1,430 | $1,906 |
| DEXA Bone Density Scan | $133$112$686 | $515 | $686 |
| Diagnostic Colonoscopy | $1,170$1.1k$2.4k | $1,745 | $2,326 |
| Diagnostic Mammogram (Both Breasts) | $232$90$720 | $540 | $720 |
| Ear Tube Placement (Tympanostomy) | $1,902$1.6k$4.0k | $2,962 | $3,950 |
| Echocardiogram (Complete with Doppler) | $656$223$2.3k | $1,700 | $2,266 |
| EKG (Electrocardiogram, 12-lead) | $98$25$249 | $187 | $249 |
| Emergency Room Visit (Level 3) | $328$193$1.1k | $854 | $1,138 |
| Group Therapy Session | $120$105$177 | $133 | $177 |
| Hemoglobin A1c (Diabetes Test) | $10$9$64 | $48 | $64 |
| HIV Antibody Test | $9$8$42 | $32 | $42 |
| Home Sleep Study | $257$202$1.1k | $814 | $1,085 |
| Individual Therapy Session (45 Minutes) | $209$115$411 | $308 | $411 |
| Inguinal Hernia Repair (Open) | $3,658$3.5k$8.5k | $8,527 | $11,369 |
| Initial Hospital Admission (Level 1) | $539$217$2.9k | $382 | $509 |
| Initial Psychiatric Diagnostic Evaluation | $209$190$411 | $308 | $411 |
| Initial Psychiatric Evaluation with Medication Management | $209$190$411 | $308 | $411 |
| IUD Insertion | $1,635$117$2.9k | $2,871 | $3,828 |
| IUD Removal | $365$198$712 | $534 | $712 |
| Knee Arthroscopy with Meniscectomy | $3,423$3.3k$7.9k | $7,859 | $10,479 |
| Laparoscopic Appendectomy | $6,176$2.7k$12k | $11,714 | $15,619 |
| Laparoscopic Gallbladder Removal | $6,176$4.0k$10k | $10,486 | $13,981 |
| Laparoscopic Tubal Ligation | $6,176$3.7k$8.0k | $8,046 | $10,728 |
| Lipid Panel (Cholesterol Test) | $13$7$236 | $177 | $236 |
| Lumbar Epidural Steroid Injection | $870$679$2.3k | $1,745 | $2,326 |
| Lumbar Puncture (Spinal Tap) | $890$613$2.3k | $1,745 | $2,326 |
| Lumpectomy (Partial Mastectomy) | $4,000$2.7k$6.2k | $6,241 | $8,321 |
| MRI Abdomen with and without Contrast | $615$398$2.8k | $2,127 | $2,836 |
| MRI Brain with and without Contrast | $615$398$3.6k | $2,678 | $3,571 |
| MRI Brain with Contrast | $509$398$2.8k | $2,127 | $2,836 |
| MRI Brain without Contrast | $422$237$2.2k | $1,652 | $2,203 |
| MRI Cervical Spine (Neck) without Contrast | $422$237$2.2k | $1,675 | $2,233 |
| MRI Knee without Contrast | $1,017$237$3.1k | $1,942 | $2,589 |
| MRI Lower Back (Lumbar Spine) without Contrast | $422$237$2.4k | $1,805 | $2,407 |
| MRI Thoracic Spine (Mid-back) without Contrast | $422$237$2.4k | $1,827 | $2,436 |
| Nuclear Cardiac Stress Test | $1,554$942$9.0k | $6,776 | $9,034 |
| Office Visit, Established Patient (Level 3) | $121$29$217 | $117 | $156 |
| Pacemaker Insertion (Dual Chamber) | $12,541$4.6k$23k | $17,159 | $22,878 |
| PET/CT Scan, Whole Body | $1,829$1.5k$7.6k | $5,717 | $7,622 |
| Pregnancy Ultrasound (Second or Third Trimester) | $156$123$1.2k | $889 | $1,185 |
| PSA Prostate Cancer Screening | $18$16$108 | $81 | $108 |
| Pulmonary Function Test with Bronchodilator | $440$110$1.2k | $911 | $1,214 |
| Rotator Cuff Repair (Arthroscopic) | $7,413$3.3k$9.3k | $4,238 | $5,650 |
| Screening Mammogram | $297$90$657 | $434 | $579 |
| Septoplasty (Deviated Septum Repair) | $3,387$3.3k$6.8k | $6,767 | $9,023 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,687$1.7k$2.9k | $2,893 | $3,857 |
| Sleep Study (In-lab Polysomnography) | $1,427$1.0k$4.1k | $2,750 | $3,666 |
| Spirometry (Breathing Test) | $255$110$593 | $445 | $593 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,387$3.3k$8.2k | $5,391 | $7,188 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,048$2.9k$7.3k | $5,926 | $7,901 |
| Total Hip Replacement | $13,117$3.3k$24k | $24,385 | $32,513 |
| Total Knee Replacement | $13,117$4.4k$19k | $19,035 | $25,380 |
| Total Mastectomy | $6,784$3.3k$9.6k | $9,638 | $12,851 |
| TSH Thyroid Function Test | $17$15$161 | $121 | $161 |
| TURP (Transurethral Prostate Resection) | $5,478$3.3k$7.6k | $7,585 | $10,113 |
| Upper GI Endoscopy (EGD) | $1,190$1.1k$2.3k | $1,745 | $2,326 |
| Vaginal Hysterectomy | $5,111$3.7k$11k | $10,572 | $14,096 |
| Vasectomy | $2,485$613$3.7k | $3,022 | $4,029 |
| Vitamin D Blood Test | $30$26$126 | $93 | $124 |