| Abdominal Hysterectomy | $953$926$1.5k | $2,627 | $5,254 |
| ACL Reconstruction (Arthroscopic) | $5,201$872$12k | $11,417 | $22,833 |
| Allergy Skin Testing | $5$4$6 | $15 | $30 |
| Basic Metabolic Panel | $8$5$174 | $121 | $241 |
| Bone Marrow Biopsy | $931$46$2.9k | $436 | $872 |
| Breast Biopsy (Ultrasound-guided) | $1,407$100$2.5k | $872 | $1,744 |
| Bunion Correction Surgery | $2,362$348$5.1k | $4,368 | $8,737 |
| Cardiac Ablation for Atrial Fibrillation | $13,956$614$38k | $7,963 | $15,926 |
| Cardiac Catheterization (Left Heart) | $2,335$190$5.0k | $2,256 | $4,512 |
| Carpal Tunnel Release Surgery | $1,422$299$3.5k | $2,627 | $5,253 |
| Cataract Surgery with Lens Implant | $461 | $1,399 | $2,797 |
| Cervical Spinal Fusion (Anterior) | $1,643$1.1k$2.8k | $3,614 | $7,227 |
| Cesarean Delivery (Global Package) | $3,219$2.9k$3.5k | $4,020 | $8,039 |
| Chemotherapy Infusion (First Hour) | $323$181$518 | $285 | $570 |
| Chest X-ray (2 Views) | $86$7$165 | $64 | $128 |
| Colonoscopy with Biopsy | $858$175$1.8k | $1,580 | $3,160 |
| Complete Abdominal Ultrasound | $104$25$447 | $162 | $323 |
| Complete Blood Count (CBC) with Differential | $8$4$62 | $32 | $63 |
| Comprehensive Metabolic Panel | $10$6$308 | $214 | $428 |
| Coronary Angioplasty with Stent | $11,060$917$18k | $10,682 | $21,364 |
| Critical Care, First Hour | $822$180$1.7k | $487 | $975 |
| CT Abdomen and Pelvis with Contrast | $348$57$1.9k | $732 | $1,465 |
| CT Cardiac Calcium Scoring | $86$18$432 | $52 | $104 |
| CT Chest without Contrast | $104$34$1.4k | $523 | $1,046 |
| CT Head without Contrast | $104$27$1.4k | $518 | $1,037 |
| DEXA Bone Density Scan | $104$6$299 | $110 | $221 |
| Diagnostic Colonoscopy | $664$163$1.4k | $1,912 | $3,824 |
| Diagnostic Mammogram (Both Breasts) | $187$31$646 | $326 | $651 |
| Ear Tube Placement (Tympanostomy) | $1,078$107$3.2k | $1,398 | $2,796 |
| Echocardiogram (Complete with Doppler) | $505$66$856 | $881 | $1,763 |
| EKG (Electrocardiogram, 12-lead) | $17$15$19 | $17 | $34 |
| Emergency Room Visit (Level 3) | $265$47$483 | $164 | $327 |
| Group Therapy Session | $53$17$144 | $58 | $117 |
| Hemoglobin A1c (Diabetes Test) | $9$5$68 | $36 | $72 |
| HIV Antibody Test | $9$5$56 | $39 | $77 |
| Home Sleep Study | $153$45$244 | $817 | $1,634 |
| Individual Therapy Session (45 Minutes) | $118$63$251 | $90 | $181 |
| Inguinal Hernia Repair (Open) | $3,112$501$6.6k | $4,256 | $8,511 |
| Initial Hospital Admission (Level 1) | $76$55$113 | $179 | $358 |
| Initial Psychiatric Diagnostic Evaluation | $145$79$251 | $151 | $301 |
| Initial Psychiatric Evaluation with Medication Management | $157$88$251 | $155 | $311 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $564$316$1.9k | $1,607 | $3,214 |
| IUD Insertion | $68$33$1.3k | $266 | $531 |
| IUD Removal | $177$44$475 | $126 | $253 |
| Knee Arthroscopy with Meniscectomy | $2,861$516$5.5k | $4,259 | $8,519 |
| Laparoscopic Appendectomy | $5,417$589$9.1k | $6,819 | $13,639 |
| Laparoscopic Gallbladder Removal | $5,145$626$9.1k | $8,026 | $16,052 |
| Laparoscopic Tubal Ligation | $5,145$583$9.1k | $4,457 | $8,914 |
| Lipid Panel (Cholesterol Test) | $13$7$73 | $51 | $102 |
| Lumbar Epidural Steroid Injection | $504$90$1.1k | $545 | $1,090 |
| Lumbar Puncture (Spinal Tap) | $424$43$1.6k | $627 | $1,254 |
| Lumbar Spinal Fusion (Posterior) | $1,476$1.1k$2.8k | $4,318 | $8,636 |
| Lumpectomy (Partial Mastectomy) | $3,377$625$6.9k | $4,286 | $8,572 |
| MRI Abdomen with and without Contrast | $348$69$4.0k | $1,460 | $2,919 |
| MRI Brain with and without Contrast | $348$72$4.0k | $1,461 | $2,921 |
| MRI Brain with Contrast | $260$56$1.1k | $847 | $1,694 |
| MRI Brain without Contrast | $236$46$2.2k | $795 | $1,590 |
| MRI Cervical Spine (Neck) without Contrast | $236$46$2.1k | $778 | $1,555 |
| MRI Knee without Contrast | $236$42$2.0k | $1,420 | $2,841 |
| MRI Lower Back (Lumbar Spine) without Contrast | $236$46$2.2k | $812 | $1,624 |
| MRI Thoracic Spine (Mid-back) without Contrast | $236$46$2.1k | $778 | $1,555 |
| Newborn Circumcision | $1,177$64$3.2k | $1,365 | $2,731 |
| Nuclear Cardiac Stress Test | $1,273$49$2.0k | $642 | $1,285 |
| Office Visit, Established Patient (Level 3) | $74$44$128 | $67 | $134 |
| Office Visit, New Patient (Level 3) | $97$54$225 | $89 | $177 |
| Pacemaker Insertion (Dual Chamber) | $9,717$810$24k | $9,447 | $18,893 |
| PET/CT Scan, Whole Body | $1,423$75$5.3k | $3,505 | $7,010 |
| Pregnancy Ultrasound (Second or Third Trimester) | $104$31$503 | $156 | $313 |
| Prostate Biopsy | $1,491$86$3.2k | $401 | $802 |
| PSA Prostate Cancer Screening | $18$10$131 | $91 | $182 |
| Pulmonary Function Test with Bronchodilator | $177$7$486 | $140 | $279 |
| Rotator Cuff Repair (Arthroscopic) | $1,207$719$1.7k | $1,969 | $3,937 |
| Screening Mammogram | $311$24$534 | $286 | $572 |
| Septoplasty (Deviated Septum Repair) | $772$605$1.1k | $1,538 | $3,077 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $364$214$514 | $516 | $1,032 |
| Skin Biopsy (Tangential) | $147$30$310 | $123 | $246 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $900$56$2.9k | $442 | $884 |
| Sleep Study (In-lab Polysomnography) | $897$121$1.6k | $824 | $1,648 |
| Spinal Cord Stimulator Trial | $4,778$369$12k | $3,318 | $6,635 |
| Spirometry (Breathing Test) | $90$8$244 | $112 | $224 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $273$205$494 | $860 | $1,719 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $4,859$197$9.2k | $2,736 | $5,473 |
| Total Hip Replacement | $11,947$1.1k$31k | $17,550 | $35,101 |
| Total Knee Replacement | $11,346$861$30k | $17,174 | $34,349 |
| Total Mastectomy | $6,055$644$13k | $30,268 | $60,535 |
| TSH Thyroid Function Test | $16$9$120 | $83 | $166 |
| TURP (Transurethral Prostate Resection) | $4,483$518$7.9k | $5,666 | $11,331 |
| Upper GI Endoscopy (EGD) | $528$109$1.5k | $749 | $1,499 |
| Urinalysis with Microscopy | $3$2$54 | $38 | $76 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $3,680 | $3,816 | $7,631 |
| Vaginal Delivery (Global Package) | $2,648$2.3k$3.5k | $3,809 | $7,618 |
| Vaginal Hysterectomy | $1,345 | $2,367 | $4,734 |
| Vasectomy | $1,491$212$3.2k | $962 | $1,924 |
| Vitamin D Blood Test | $29$16$182 | $126 | $252 |