| Abdominal Hysterectomy | $1,232$944$1.5k | $2,627 | $5,254 |
| ACL Reconstruction (Arthroscopic) | $6,889$890$11k | $13,541 | $27,083 |
| Allergy Skin Testing | $5$4$6 | $15 | $30 |
| Basic Metabolic Panel | $8$5$58 | $60 | $121 |
| Bone Marrow Biopsy | $1,229$44$2.5k | $444 | $888 |
| Breast Biopsy (Ultrasound-guided) | $1,125$96$2.5k | $1,047 | $2,094 |
| Bunion Correction Surgery | $617$481$753 | $1,951 | $3,902 |
| Cardiac Ablation for Atrial Fibrillation | $13,620$813$38k | $7,760 | $15,521 |
| Cardiac Catheterization (Left Heart) | $3,067$183$5.2k | $664 | $1,329 |
| Carpal Tunnel Release Surgery | $1,100$287$3.0k | $1,632 | $3,265 |
| Cataract Surgery with Lens Implant | $2,175$344$4.0k | $2,468 | $4,937 |
| Cervical Spinal Fusion (Anterior) | $2,496$1.6k$2.8k | $3,614 | $7,227 |
| Cesarean Delivery (Global Package) | $3,013$2.5k$3.5k | $4,020 | $8,039 |
| Chemotherapy Infusion (First Hour) | $323$181$631 | $724 | $1,447 |
| Chest X-ray (2 Views) | $84$7$160 | $64 | $128 |
| Colonoscopy with Biopsy | $863$127$1.8k | $1,595 | $3,190 |
| Complete Abdominal Ultrasound | $104$37$513 | $203 | $405 |
| Complete Blood Count (CBC) with Differential | $8$4$50 | $43 | $86 |
| Comprehensive Metabolic Panel | $10$6$93 | $97 | $194 |
| Coronary Angioplasty with Stent | $11,060$477$18k | $22,109 | $44,219 |
| Critical Care, First Hour | $813$135$2.4k | $487 | $975 |
| CT Abdomen and Pelvis with Contrast | $348$82$2.1k | $825 | $1,651 |
| CT Cardiac Calcium Scoring | $85$26$496 | $187 | $374 |
| CT Chest without Contrast | $104$49$1.1k | $429 | $858 |
| CT Head without Contrast | $104$39$1.8k | $658 | $1,317 |
| DEXA Bone Density Scan | $104$9$230 | $89 | $178 |
| Diagnostic Colonoscopy | $691$117$1.4k | $1,571 | $3,142 |
| Diagnostic Mammogram (Both Breasts) | $103$30$741 | $360 | $720 |
| Ear Tube Placement (Tympanostomy) | $1,412$103$2.3k | $2,031 | $4,063 |
| Echocardiogram (Complete with Doppler) | $529$66$929 | $1,384 | $2,767 |
| EKG (Electrocardiogram, 12-lead) | $17$15$20 | $17 | $34 |
| Emergency Room Visit (Level 3) | $270$70$547 | $164 | $327 |
| Group Therapy Session | $70$25$144 | $58 | $117 |
| Hemoglobin A1c (Diabetes Test) | $9$5$45 | $47 | $94 |
| HIV Antibody Test | $9$5$37 | $39 | $77 |
| Home Sleep Study | $153$45$390 | $604 | $1,208 |
| Individual Therapy Session (45 Minutes) | $153$88$251 | $90 | $181 |
| Inguinal Hernia Repair (Open) | $3,365$340$5.5k | $4,179 | $8,358 |
| Initial Hospital Admission (Level 1) | $76$52$108 | $179 | $358 |
| Initial Psychiatric Diagnostic Evaluation | $157$88$278 | $151 | $301 |
| Initial Psychiatric Evaluation with Medication Management | $157$88$278 | $156 | $311 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $564$316$2.2k | $1,627 | $3,254 |
| IUD Insertion | $499$63$935 | $304 | $608 |
| IUD Removal | $198$58$475 | $440 | $880 |
| Knee Arthroscopy with Meniscectomy | $3,129$511$5.1k | $3,794 | $7,587 |
| Laparoscopic Appendectomy | $5,627$572$9.1k | $7,175 | $14,350 |
| Laparoscopic Gallbladder Removal | $3,287$427$9.1k | $5,728 | $11,456 |
| Laparoscopic Tubal Ligation | $3,287$419$9.1k | $5,129 | $10,259 |
| Lipid Panel (Cholesterol Test) | $13$7$49 | $51 | $102 |
| Lumbar Epidural Steroid Injection | $525$88$1.1k | $120 | $240 |
| Lumbar Puncture (Spinal Tap) | $420$59$1.2k | $345 | $690 |
| Lumbar Spinal Fusion (Posterior) | $1,900$1.5k$2.8k | $4,318 | $8,636 |
| Lumpectomy (Partial Mastectomy) | $2,904$426$6.0k | $4,681 | $9,362 |
| MRI Abdomen with and without Contrast | $348$100$2.3k | $896 | $1,792 |
| MRI Brain with and without Contrast | $348$103$2.3k | $894 | $1,788 |
| MRI Brain with Contrast | $271$80$1.3k | $836 | $1,672 |
| MRI Brain without Contrast | $236$67$1.4k | $537 | $1,073 |
| MRI Cervical Spine (Neck) without Contrast | $236$67$1.4k | $538 | $1,075 |
| MRI Knee without Contrast | $236$62$1.4k | $977 | $1,955 |
| MRI Lower Back (Lumbar Spine) without Contrast | $236$69$1.4k | $538 | $1,075 |
| MRI Thoracic Spine (Mid-back) without Contrast | $236$68$941 | $537 | $1,073 |
| Newborn Circumcision | $1,154$61$3.2k | $444 | $888 |
| Nuclear Cardiac Stress Test | $1,235$73$2.3k | $686 | $1,372 |
| Office Visit, Established Patient (Level 3) | $84$25$547 | $89 | $178 |
| Office Visit, New Patient (Level 3) | $108$45$376 | $89 | $178 |
| Pacemaker Insertion (Dual Chamber) | $10,093$464$17k | $16,443 | $32,887 |
| PET/CT Scan, Whole Body | $1,423$108$6.1k | $4,328 | $8,657 |
| Pregnancy Ultrasound (Second or Third Trimester) | $104$46$578 | $167 | $333 |
| Prostate Biopsy | $1,914$82$3.2k | $2,197 | $4,394 |
| PSA Prostate Cancer Screening | $18$10$87 | $91 | $182 |
| Pulmonary Function Test with Bronchodilator | $234$10$486 | $128 | $255 |
| Rotator Cuff Repair (Arthroscopic) | $1,270$977$1.6k | $1,969 | $3,937 |
| Screening Mammogram | $157$34$613 | $310 | $619 |
| Septoplasty (Deviated Septum Repair) | $772$599$944 | $1,538 | $3,077 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $393$272$514 | $516 | $1,032 |
| Skin Biopsy (Tangential) | $189$30$598 | $123 | $246 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,229$73$2.5k | $183 | $367 |
| Sleep Study (In-lab Polysomnography) | $992$119$3.0k | $1,350 | $2,699 |
| Spinal Cord Stimulator Trial | $520$266$665 | $1,911 | $3,823 |
| Spirometry (Breathing Test) | $149$8$244 | $143 | $285 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $370$271$469 | $860 | $1,719 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $4,550$259$9.2k | $2,493 | $4,985 |
| Total Hip Replacement | $12,408$1.2k$22k | $22,602 | $45,205 |
| Total Knee Replacement | $9,759$1.1k$22k | $19,347 | $38,694 |
| Total Mastectomy | $6,289$924$10k | $7,173 | $14,345 |
| TSH Thyroid Function Test | $16$9$80 | $83 | $166 |
| TURP (Transurethral Prostate Resection) | $4,847$466$7.9k | $5,828 | $11,655 |
| Upper GI Endoscopy (EGD) | $521$78$1.5k | $1,777 | $3,554 |
| Urinalysis with Microscopy | $3$2$25 | $12 | $24 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $3,028$2.4k$3.7k | $3,816 | $7,631 |
| Vaginal Delivery (Global Package) | $2,249$2.2k$3.5k | $3,809 | $7,618 |
| Vaginal Hysterectomy | $4,707$538$7.7k | $7,821 | $15,642 |
| Vasectomy | $1,154$149$3.2k | $962 | $1,924 |
| Vitamin D Blood Test | $29$16$121 | $126 | $252 |