| Abdominal Hysterectomy | $1,004$926$1.5k | $2,627 | $5,254 |
| ACL Reconstruction (Arthroscopic) | $1,158$890$1.4k | $4,301 | $8,602 |
| Allergy Skin Testing | $5$4$6 | $15 | $30 |
| Basic Metabolic Panel | $8$5$78 | $51 | $102 |
| Bone Marrow Biopsy | $913$44$2.5k | $444 | $888 |
| Breast Biopsy (Ultrasound-guided) | $1,038$96$2.6k | $1,794 | $3,588 |
| Bunion Correction Surgery | $542$471$837 | $1,951 | $3,902 |
| Cardiac Ablation for Atrial Fibrillation | $13,419$590$38k | $7,462 | $14,923 |
| Cardiac Catheterization (Left Heart) | $1,977$286$5.0k | $4,171 | $8,342 |
| Carpal Tunnel Release Surgery | $1,905$408$3.0k | $1,845 | $3,690 |
| Cataract Surgery with Lens Implant | $2,224$447$3.7k | $2,651 | $5,301 |
| Cervical Spinal Fusion (Anterior) | $1,715$1.6k$1.8k | $3,614 | $7,227 |
| Cesarean Delivery (Global Package) | $3,173$2.8k$3.5k | $4,020 | $8,039 |
| Chemotherapy Infusion (First Hour) | $323$181$518 | $322 | $644 |
| Chest X-ray (2 Views) | $77$7$163 | $104 | $209 |
| Colonoscopy with Biopsy | $980$179$1.8k | $1,528 | $3,056 |
| Complete Abdominal Ultrasound | $104$24$778 | $501 | $1,003 |
| Complete Blood Count (CBC) with Differential | $8$4$50 | $26 | $52 |
| Comprehensive Metabolic Panel | $10$6$131 | $87 | $173 |
| Coronary Angioplasty with Stent | $11,060$477$18k | $11,195 | $22,389 |
| Critical Care, First Hour | $680$135$1.6k | $787 | $1,574 |
| CT Abdomen and Pelvis with Contrast | $348$82$3.3k | $2,210 | $4,421 |
| CT Cardiac Calcium Scoring | $86$26$288 | $110 | $220 |
| CT Chest without Contrast | $104$32$1.3k | $806 | $1,611 |
| CT Head without Contrast | $104$39$1.2k | $780 | $1,560 |
| DEXA Bone Density Scan | $104$6$480 | $311 | $623 |
| Diagnostic Colonoscopy | $701$117$1.4k | $968 | $1,936 |
| Diagnostic Mammogram (Both Breasts) | $103$46$412 | $234 | $468 |
| Ear Tube Placement (Tympanostomy) | $1,140$140$2.3k | $1,402 | $2,804 |
| Echocardiogram (Complete with Doppler) | $459$76$856 | $1,181 | $2,361 |
| EKG (Electrocardiogram, 12-lead) | $16$15$17 | $17 | $34 |
| Emergency Room Visit (Level 3) | $270$45$513 | $252 | $504 |
| Group Therapy Session | $29$24$33 | $59 | $117 |
| Hemoglobin A1c (Diabetes Test) | $9$5$53 | $35 | $70 |
| HIV Antibody Test | $9$5$72 | $48 | $97 |
| Home Sleep Study | $153$27$943 | $354 | $708 |
| Individual Therapy Session (45 Minutes) | $137$88$251 | $90 | $181 |
| Inguinal Hernia Repair (Open) | $3,442$511$5.5k | $4,714 | $9,428 |
| Initial Hospital Admission (Level 1) | $80$52$108 | $179 | $358 |
| Initial Psychiatric Diagnostic Evaluation | $167$137$186 | $151 | $301 |
| Initial Psychiatric Evaluation with Medication Management | $157$88$297 | $156 | $311 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $564$316$1.9k | $1,627 | $3,254 |
| IUD Insertion | $74 | $266 | $531 |
| IUD Removal | $185$58$475 | $188 | $377 |
| Knee Arthroscopy with Meniscectomy | $1,828$501$5.1k | $3,951 | $7,902 |
| Laparoscopic Appendectomy | $3,287$572$9.1k | $7,442 | $14,883 |
| Laparoscopic Gallbladder Removal | $5,690$638$9.1k | $5,399 | $10,797 |
| Laparoscopic Tubal Ligation | $3,287$419$9.1k | $4,298 | $8,597 |
| Lipid Panel (Cholesterol Test) | $13$7$68 | $45 | $90 |
| Lumbar Epidural Steroid Injection | $390$88$1.1k | $687 | $1,374 |
| Lumbar Puncture (Spinal Tap) | $420$60$1.1k | $900 | $1,800 |
| Lumbar Spinal Fusion (Posterior) | $1,469$1.0k$1.7k | $4,318 | $8,636 |
| Lumpectomy (Partial Mastectomy) | $2,946$637$6.0k | $5,153 | $10,306 |
| MRI Abdomen with and without Contrast | $348$66$1.8k | $1,544 | $3,088 |
| MRI Brain with and without Contrast | $348$103$2.4k | $1,560 | $3,120 |
| MRI Brain with Contrast | $275$80$704 | $609 | $1,218 |
| MRI Brain without Contrast | $236$67$1.6k | $1,040 | $2,080 |
| MRI Cervical Spine (Neck) without Contrast | $236$67$1.8k | $1,132 | $2,264 |
| MRI Knee without Contrast | $236$41$1.6k | $1,062 | $2,124 |
| MRI Lower Back (Lumbar Spine) without Contrast | $236$77$1.8k | $1,134 | $2,269 |
| MRI Thoracic Spine (Mid-back) without Contrast | $236$77$735 | $1,136 | $2,272 |
| Newborn Circumcision | $1,192$84$3.2k | $324 | $648 |
| Nuclear Cardiac Stress Test | $1,273$73$3.6k | $1,241 | $2,481 |
| Office Visit, Established Patient (Level 3) | $86$42$183 | $108 | $216 |
| Office Visit, New Patient (Level 3) | $102$46$225 | $89 | $178 |
| Pacemaker Insertion (Dual Chamber) | $10,207$464$16k | $8,887 | $17,774 |
| PET/CT Scan, Whole Body | $1,423$108$5.6k | $2,786 | $5,572 |
| Pregnancy Ultrasound (Second or Third Trimester) | $75$46$321 | $373 | $745 |
| Prostate Biopsy | $1,998$185$3.2k | $666 | $1,331 |
| PSA Prostate Cancer Screening | $18$10$76 | $52 | $103 |
| Pulmonary Function Test with Bronchodilator | $255$10$486 | $104 | $209 |
| Rotator Cuff Repair (Arthroscopic) | $1,101$977$1.6k | $1,969 | $3,937 |
| Screening Mammogram | $98$34$341 | $211 | $422 |
| Septoplasty (Deviated Septum Repair) | $772$599$944 | $1,538 | $3,077 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $312$272$514 | $516 | $1,032 |
| Skin Biopsy (Tangential) | $110$30$310 | $121 | $243 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $900$53$2.5k | $183 | $367 |
| Sleep Study (In-lab Polysomnography) | $992$74$3.0k | $1,994 | $3,987 |
| Spinal Cord Stimulator Trial | $424$376$664 | $1,911 | $3,823 |
| Spirometry (Breathing Test) | $153$8$244 | $62 | $124 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $370$271$469 | $860 | $1,719 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $354$259$449 | $729 | $1,458 |
| Total Hip Replacement | $9,899$1.1k$21k | $13,385 | $26,771 |
| Total Knee Replacement | $1,241$1.1k$2.3k | $5,628 | $11,257 |
| Total Mastectomy | $1,088$924$1.3k | $1,848 | $3,697 |
| TSH Thyroid Function Test | $16$9$102 | $69 | $138 |
| TURP (Transurethral Prostate Resection) | $4,804$595$7.9k | $5,607 | $11,215 |
| Upper GI Endoscopy (EGD) | $513$109$1.5k | $983 | $1,967 |
| Urinalysis with Microscopy | $3$2$25 | $14 | $28 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $3,180$2.7k$3.7k | $3,816 | $7,631 |
| Vaginal Delivery (Global Package) | $2,392$2.2k$3.4k | $3,809 | $7,618 |
| Vaginal Hysterectomy | $1,095$845$1.3k | $2,367 | $4,734 |
| Vasectomy | $230$212$333 | $601 | $1,202 |
| Vitamin D Blood Test | $29$16$58 | $38 | $76 |