| Abdominal Hysterectomy | $1,207$654$1.6k | $2,627 | $5,254 |
| ACL Reconstruction (Arthroscopic) | $6,808$630$11k | $16,467 | $32,934 |
| Allergy Skin Testing | $5$3$6 | $15 | $30 |
| Basic Metabolic Panel | $8$5$54 | $43 | $85 |
| Bone Marrow Biopsy | $1,210$44$2.5k | $444 | $888 |
| Breast Biopsy (Ultrasound-guided) | $1,580$96$3.8k | $2,699 | $5,398 |
| Bunion Correction Surgery | $3,020$335$5.1k | $7,367 | $14,734 |
| Cardiac Ablation for Atrial Fibrillation | $13,822$813$38k | $6,860 | $13,720 |
| Cardiac Catheterization (Left Heart) | $2,994$286$5.0k | $2,239 | $4,478 |
| Carpal Tunnel Release Surgery | $1,100$287$3.0k | $1,627 | $3,254 |
| Cataract Surgery with Lens Implant | $1,704$344$4.2k | $2,567 | $5,134 |
| Cervical Spinal Fusion (Anterior) | $7,249$1.1k$38k | $16,331 | $32,662 |
| Cesarean Delivery (Global Package) | $3,505 | $4,020 | $8,039 |
| Chemotherapy Infusion (First Hour) | $323$181$518 | $339 | $678 |
| Chest X-ray (2 Views) | $86$7$272 | $104 | $208 |
| Colonoscopy with Biopsy | $664$127$1.8k | $1,904 | $3,808 |
| Complete Abdominal Ultrasound | $104$24$1.1k | $422 | $844 |
| Complete Blood Count (CBC) with Differential | $8$4$54 | $28 | $57 |
| Comprehensive Metabolic Panel | $10$6$66 | $53 | $105 |
| Coronary Angioplasty with Stent | $11,060$917$18k | $15,672 | $31,345 |
| Critical Care, First Hour | $803$135$1.9k | $487 | $975 |
| CT Abdomen and Pelvis with Contrast | $348$55$4.3k | $3,071 | $6,141 |
| CT Cardiac Calcium Scoring | $86$17$364 | $132 | $264 |
| CT Chest without Contrast | $104$32$2.2k | $829 | $1,659 |
| CT Head without Contrast | $104$26$1.8k | $653 | $1,306 |
| DEXA Bone Density Scan | $100$6$172 | $68 | $137 |
| Diagnostic Colonoscopy | $506$117$1.4k | $1,947 | $3,894 |
| Diagnostic Mammogram (Both Breasts) | $139$30$544 | $277 | $553 |
| Ear Tube Placement (Tympanostomy) | $1,379$140$2.4k | $1,318 | $2,637 |
| Echocardiogram (Complete with Doppler) | $510$43$856 | $925 | $1,850 |
| EKG (Electrocardiogram, 12-lead) | $17$15$19 | $17 | $34 |
| Emergency Room Visit (Level 3) | $270$45$743 | $164 | $327 |
| Group Therapy Session | $69$16$144 | $58 | $117 |
| Hemoglobin A1c (Diabetes Test) | $9$5$60 | $30 | $60 |
| HIV Antibody Test | $9$5$49 | $39 | $77 |
| Home Sleep Study | $153$27$880 | $629 | $1,257 |
| Individual Therapy Session (45 Minutes) | $150$88$251 | $90 | $181 |
| Inguinal Hernia Repair (Open) | $3,285$340$5.5k | $3,527 | $7,054 |
| Initial Hospital Admission (Level 1) | $85$52$96 | $179 | $358 |
| Initial Psychiatric Diagnostic Evaluation | $157$88$251 | $151 | $301 |
| Initial Psychiatric Evaluation with Medication Management | $157$83$251 | $155 | $311 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $564$316$2.3k | $1,847 | $3,694 |
| IUD Insertion | $178$32$982 | $256 | $512 |
| IUD Removal | $171$42$475 | $225 | $451 |
| Knee Arthroscopy with Meniscectomy | $3,020$354$5.1k | $3,596 | $7,192 |
| Laparoscopic Appendectomy | $3,287$390$9.1k | $7,242 | $14,484 |
| Laparoscopic Gallbladder Removal | $5,431$427$9.1k | $4,088 | $8,175 |
| Laparoscopic Tubal Ligation | $3,287$419$9.1k | $4,667 | $9,333 |
| Lipid Panel (Cholesterol Test) | $13$7$64 | $51 | $102 |
| Lumbar Epidural Steroid Injection | $645$63$1.1k | $616 | $1,233 |
| Lumbar Puncture (Spinal Tap) | $390$41$1.2k | $955 | $1,911 |
| Lumbar Spinal Fusion (Posterior) | $1,672$1.0k$2.8k | $4,318 | $8,636 |
| Lumpectomy (Partial Mastectomy) | $2,861$426$6.0k | $4,031 | $8,062 |
| MRI Abdomen with and without Contrast | $348$66$3.0k | $1,161 | $2,322 |
| MRI Brain with and without Contrast | $348$69$4.7k | $1,763 | $3,526 |
| MRI Brain with Contrast | $198$53$931 | $1,250 | $2,501 |
| MRI Brain without Contrast | $236$44$2.5k | $948 | $1,895 |
| MRI Cervical Spine (Neck) without Contrast | $236$67$3.1k | $1,155 | $2,311 |
| MRI Knee without Contrast | $236$41$3.4k | $2,026 | $4,053 |
| MRI Lower Back (Lumbar Spine) without Contrast | $236$45$2.9k | $1,071 | $2,142 |
| MRI Thoracic Spine (Mid-back) without Contrast | $236$45$3.7k | $1,377 | $2,754 |
| Newborn Circumcision | $1,154$61$3.2k | $1,462 | $2,924 |
| Nuclear Cardiac Stress Test | $880$48$2.0k | $498 | $997 |
| Office Visit, Established Patient (Level 3) | $95$42$713 | $97 | $193 |
| Office Visit, New Patient (Level 3) | $110$52$713 | $89 | $178 |
| Pacemaker Insertion (Dual Chamber) | $9,974$326$18k | $20,704 | $41,408 |
| PET/CT Scan, Whole Body | $1,423$72$4.4k | $2,729 | $5,458 |
| Pregnancy Ultrasound (Second or Third Trimester) | $101$30$490 | $201 | $403 |
| Prostate Biopsy | $1,530$82$3.2k | $755 | $1,510 |
| PSA Prostate Cancer Screening | $18$10$114 | $91 | $182 |
| Pulmonary Function Test with Bronchodilator | $250$6$555 | $113 | $226 |
| Rotator Cuff Repair (Arthroscopic) | $6,649$692$11k | $8,801 | $17,601 |
| Screening Mammogram | $215$23$450 | $263 | $527 |
| Septoplasty (Deviated Septum Repair) | $3,091$430$5.1k | $2,595 | $5,190 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $272$206$514 | $516 | $1,032 |
| Skin Biopsy (Tangential) | $111$24$310 | $113 | $227 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $913$53$2.5k | $464 | $928 |
| Sleep Study (In-lab Polysomnography) | $992$74$5.0k | $2,042 | $4,084 |
| Spinal Cord Stimulator Trial | $3,698$266$10k | $3,810 | $7,619 |
| Spirometry (Breathing Test) | $125$5$244 | $67 | $133 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $380$265$494 | $860 | $1,719 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $4,571$254$9.2k | $2,561 | $5,123 |
| Total Hip Replacement | $7,249$829$23k | $17,705 | $35,411 |
| Total Knee Replacement | $9,613$828$23k | $15,208 | $30,416 |
| Total Mastectomy | $6,360$1.5k$10k | $5,769 | $11,537 |
| TSH Thyroid Function Test | $16$9$105 | $83 | $166 |
| TURP (Transurethral Prostate Resection) | $4,732$466$7.9k | $4,907 | $9,814 |
| Upper GI Endoscopy (EGD) | $700$78$1.5k | $670 | $1,340 |
| Urinalysis with Microscopy | $3$2$25 | $9 | $19 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,336$2.3k$3.7k | $3,816 | $7,631 |
| Vaginal Delivery (Global Package) | $2,510$2.2k$3.5k | $3,809 | $7,618 |
| Vaginal Hysterectomy | $735$538$1.3k | $2,367 | $4,734 |
| Vasectomy | $1,137$149$3.2k | $1,142 | $2,283 |
| Vitamin D Blood Test | $29$16$159 | $126 | $252 |