| Abdominal Hysterectomy | $1,470$926$10k | $8,775 | $17,549 |
| ACL Reconstruction (Arthroscopic) | $1,314$872$1.7k | $4,301 | $8,602 |
| Allergy Skin Testing | $6 | $15 | $30 |
| Basic Metabolic Panel | $8$5$104 | $99 | $198 |
| Bone Marrow Biopsy | $900$57$2.5k | $878 | $1,755 |
| Breast Biopsy (Ultrasound-guided) | $1,508$130$2.5k | $1,244 | $2,488 |
| Bunion Correction Surgery | $487$471$837 | $1,951 | $3,902 |
| Cardiac Ablation for Atrial Fibrillation | $1,476 | $1,668 | $3,335 |
| Cardiac Catheterization (Left Heart) | $371$286$457 | $664 | $1,329 |
| Carpal Tunnel Release Surgery | $1,818$408$3.0k | $1,779 | $3,558 |
| Cataract Surgery with Lens Implant | $2,174$447$4.3k | $2,225 | $4,450 |
| Cervical Spinal Fusion (Anterior) | $2,756 | $3,614 | $7,227 |
| Cesarean Delivery (Global Package) | $2,546$2.5k$3.5k | $4,020 | $8,039 |
| Chest X-ray (2 Views) | $86$10$196 | $77 | $154 |
| Colonoscopy with Biopsy | $881$175$1.8k | $1,784 | $3,569 |
| Complete Abdominal Ultrasound | $104$37$546 | $221 | $442 |
| Complete Blood Count (CBC) with Differential | $8$4$50 | $41 | $83 |
| Comprehensive Metabolic Panel | $10$6$111 | $106 | $213 |
| Coronary Angioplasty with Stent | $692$468$917 | $918 | $1,835 |
| Critical Care, First Hour | $822$198$3.1k | $487 | $975 |
| CT Abdomen and Pelvis with Contrast | $348$82$1.5k | $604 | $1,209 |
| CT Cardiac Calcium Scoring | $86$26$1.3k | $482 | $964 |
| CT Chest without Contrast | $104$49$1.1k | $438 | $877 |
| CT Head without Contrast | $104$39$1.1k | $433 | $865 |
| DEXA Bone Density Scan | $104$9$255 | $98 | $196 |
| Diagnostic Colonoscopy | $514$163$1.4k | $1,665 | $3,330 |
| Diagnostic Mammogram (Both Breasts) | $356$46$596 | $426 | $851 |
| Ear Tube Placement (Tympanostomy) | $1,412$140$2.4k | $1,089 | $2,178 |
| Echocardiogram (Complete with Doppler) | $510$66$924 | $1,212 | $2,425 |
| EKG (Electrocardiogram, 12-lead) | $16$15$19 | $17 | $34 |
| Emergency Room Visit (Level 3) | $270$69$1.0k | $164 | $327 |
| Group Therapy Session | $86$32$144 | $58 | $117 |
| Hemoglobin A1c (Diabetes Test) | $9$5$49 | $47 | $94 |
| HIV Antibody Test | $9$5$41 | $39 | $77 |
| Home Sleep Study | $153$71$750 | $307 | $614 |
| Individual Therapy Session (45 Minutes) | $150$88$251 | $90 | $181 |
| Inguinal Hernia Repair (Open) | $2,637$501$5.5k | $3,047 | $6,095 |
| Initial Hospital Admission (Level 1) | $76$74$113 | $179 | $358 |
| Initial Psychiatric Diagnostic Evaluation | $153$88$251 | $151 | $301 |
| Initial Psychiatric Evaluation with Medication Management | $157$88$278 | $156 | $311 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $564$316$1.4k | $1,627 | $3,254 |
| IUD Insertion | $72$63$993 | $266 | $531 |
| IUD Removal | $229$58$475 | $235 | $469 |
| Knee Arthroscopy with Meniscectomy | $3,020$501$5.1k | $3,024 | $6,048 |
| Laparoscopic Appendectomy | $4,359$572$9.1k | $6,964 | $13,929 |
| Laparoscopic Gallbladder Removal | $4,359$626$9.1k | $4,809 | $9,617 |
| Laparoscopic Tubal Ligation | $4,359$583$9.1k | $3,185 | $6,371 |
| Lipid Panel (Cholesterol Test) | $13$7$53 | $51 | $102 |
| Lumbar Epidural Steroid Injection | $645$88$1.1k | $1,146 | $2,291 |
| Lumbar Puncture (Spinal Tap) | $645$59$1.2k | $733 | $1,465 |
| Lumbar Spinal Fusion (Posterior) | $2,162$1.5k$2.8k | $4,318 | $8,636 |
| Lumpectomy (Partial Mastectomy) | $2,157$625$6.0k | $3,159 | $6,318 |
| MRI Abdomen with and without Contrast | $348$100$1.6k | $836 | $1,672 |
| MRI Brain with and without Contrast | $348$103$3.1k | $1,171 | $2,342 |
| MRI Brain with Contrast | $348$80$2.0k | $757 | $1,514 |
| MRI Brain without Contrast | $236$67$1.5k | $586 | $1,171 |
| MRI Cervical Spine (Neck) without Contrast | $236$67$1.5k | $586 | $1,171 |
| MRI Knee without Contrast | $236$62$1.5k | $1,075 | $2,151 |
| MRI Lower Back (Lumbar Spine) without Contrast | $236$67$2.2k | $822 | $1,644 |
| MRI Thoracic Spine (Mid-back) without Contrast | $236$67$2.2k | $821 | $1,642 |
| Newborn Circumcision | $1,285$84$3.2k | $444 | $888 |
| Nuclear Cardiac Stress Test | $1,273$73$2.4k | $894 | $1,789 |
| Office Visit, Established Patient (Level 3) | $90$41$226 | $89 | $178 |
| Office Visit, New Patient (Level 3) | $85$41$301 | $89 | $178 |
| Pacemaker Insertion (Dual Chamber) | $635$454$815 | $2,661 | $5,322 |
| PET/CT Scan, Whole Body | $1,423$108$8.9k | $6,330 | $12,660 |
| Pregnancy Ultrasound (Second or Third Trimester) | $104$46$454 | $243 | $486 |
| Prostate Biopsy | $1,952$197$3.2k | $401 | $802 |
| PSA Prostate Cancer Screening | $18$10$95 | $91 | $182 |
| Pulmonary Function Test with Bronchodilator | $297$10$543 | $319 | $639 |
| Rotator Cuff Repair (Arthroscopic) | $1,429$958$1.7k | $1,969 | $3,937 |
| Screening Mammogram | $298$34$499 | $356 | $713 |
| Septoplasty (Deviated Septum Repair) | $3,091$587$5.1k | $3,503 | $7,005 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $505$272$514 | $516 | $1,032 |
| Skin Biopsy (Tangential) | $112$30$310 | $123 | $246 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,210$73$2.5k | $1,410 | $2,821 |
| Sleep Study (In-lab Polysomnography) | $992$142$3.9k | $1,661 | $3,323 |
| Spinal Cord Stimulator Trial | $6,109$369$10k | $2,484 | $4,967 |
| Spirometry (Breathing Test) | $146$10$244 | $284 | $568 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $2,749$451$5.1k | $2,055 | $4,111 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $3,676$286$9.2k | $1,789 | $3,578 |
| Total Hip Replacement | $12,263$1.1k$24k | $15,297 | $30,594 |
| Total Knee Replacement | $11,976$1.1k$23k | $15,361 | $30,722 |
| Total Mastectomy | $6,215$906$10k | $6,108 | $12,216 |
| TSH Thyroid Function Test | $16$9$87 | $83 | $166 |
| TURP (Transurethral Prostate Resection) | $4,732$518$7.9k | $4,394 | $8,787 |
| Upper GI Endoscopy (EGD) | $700$109$1.5k | $1,457 | $2,914 |
| Urinalysis with Microscopy | $3$2$25 | $16 | $32 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,400$2.3k$3.7k | $3,816 | $7,631 |
| Vaginal Delivery (Global Package) | $2,460$2.2k$3.5k | $3,809 | $7,618 |
| Vaginal Hysterectomy | $1,040$735$1.3k | $2,367 | $4,734 |
| Vasectomy | $1,154$212$3.2k | $962 | $1,924 |
| Vitamin D Blood Test | $29$16$132 | $126 | $252 |