| Abdominal Hysterectomy | $1,065$926$1.5k | $2,627 | $5,254 |
| ACL Reconstruction (Arthroscopic) | $5,201$872$11k | $13,922 | $27,845 |
| Allergy Skin Testing | $4$3$7 | $15 | $30 |
| Basic Metabolic Panel | $8$5$50 | $18 | $36 |
| Bone Marrow Biopsy | $931$57$3.3k | $627 | $1,253 |
| Breast Biopsy (Ultrasound-guided) | $1,580$130$2.5k | $1,522 | $3,045 |
| Bunion Correction Surgery | $2,362$471$5.1k | $5,868 | $11,736 |
| Cardiac Ablation for Atrial Fibrillation | $14,090$486$38k | $15,875 | $31,749 |
| Cardiac Catheterization (Left Heart) | $1,830$286$5.0k | $7,322 | $14,644 |
| Carpal Tunnel Release Surgery | $1,422$408$3.9k | $3,028 | $6,056 |
| Cataract Surgery with Lens Implant | $1,661$447$6.3k | $3,309 | $6,618 |
| Cervical Spinal Fusion (Anterior) | $1,926$1.6k$2.3k | $3,614 | $7,227 |
| Cesarean Delivery (Global Package) | $2,800$2.5k$2.9k | $4,020 | $8,039 |
| Chemotherapy Infusion (First Hour) | $323$181$518 | $340 | $680 |
| Chest X-ray (2 Views) | $86$7$254 | $101 | $202 |
| Colonoscopy with Biopsy | $1,095$175$1.8k | $1,739 | $3,478 |
| Complete Abdominal Ultrasound | $104$38$895 | $358 | $715 |
| Complete Blood Count (CBC) with Differential | $8$4$53 | $41 | $81 |
| Comprehensive Metabolic Panel | $10$6$62 | $30 | $61 |
| Coronary Angioplasty with Stent | $11,060$468$18k | $11,332 | $22,664 |
| Critical Care, First Hour | $822$180$2.3k | $487 | $975 |
| CT Abdomen and Pelvis with Contrast | $348$82$1.4k | $515 | $1,030 |
| CT Cardiac Calcium Scoring | $86$26$491 | $100 | $200 |
| CT Chest without Contrast | $104$49$1.0k | $417 | $835 |
| CT Head without Contrast | $104$39$1.1k | $429 | $858 |
| DEXA Bone Density Scan | $104$9$317 | $124 | $249 |
| Diagnostic Colonoscopy | $847$163$1.4k | $1,224 | $2,448 |
| Diagnostic Mammogram (Both Breasts) | $402$46$734 | $386 | $773 |
| Ear Tube Placement (Tympanostomy) | $1,078$140$3.6k | $1,953 | $3,906 |
| Echocardiogram (Complete with Doppler) | $399$66$856 | $848 | $1,695 |
| EKG (Electrocardiogram, 12-lead) | $15$15$15 | $17 | $34 |
| Emergency Room Visit (Level 3) | $244$45$450 | $164 | $327 |
| Group Therapy Session | $53$11$144 | $58 | $117 |
| Hemoglobin A1c (Diabetes Test) | $9$5$58 | $47 | $94 |
| HIV Antibody Test | $9$5$48 | $39 | $77 |
| Home Sleep Study | $153$44$976 | $723 | $1,446 |
| Individual Therapy Session (45 Minutes) | $130$88$251 | $90 | $181 |
| Inguinal Hernia Repair (Open) | $2,569$501$5.5k | $7,615 | $15,230 |
| Initial Hospital Admission (Level 1) | $85$74$113 | $179 | $358 |
| Initial Psychiatric Diagnostic Evaluation | $153$88$251 | $151 | $301 |
| Initial Psychiatric Evaluation with Medication Management | $157$88$251 | $155 | $311 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $564$316$2.2k | $1,553 | $3,105 |
| IUD Insertion | $516$63$1.5k | $460 | $921 |
| IUD Removal | $268$58$475 | $241 | $482 |
| Knee Arthroscopy with Meniscectomy | $2,362$501$5.1k | $5,828 | $11,657 |
| Laparoscopic Appendectomy | $5,145$572$9.9k | $8,538 | $17,076 |
| Laparoscopic Gallbladder Removal | $3,319$626$9.1k | $8,404 | $16,809 |
| Laparoscopic Tubal Ligation | $5,145$583$9.1k | $6,273 | $12,546 |
| Lipid Panel (Cholesterol Test) | $13$7$63 | $51 | $102 |
| Lumbar Epidural Steroid Injection | $675$88$1.4k | $582 | $1,165 |
| Lumbar Puncture (Spinal Tap) | $424$59$1.1k | $469 | $938 |
| Lumbar Spinal Fusion (Posterior) | $1,498$1.0k$2.2k | $4,318 | $8,636 |
| Lumpectomy (Partial Mastectomy) | $2,788$625$7.7k | $5,603 | $11,206 |
| MRI Abdomen with and without Contrast | $348$100$2.5k | $999 | $1,998 |
| MRI Brain with and without Contrast | $348$103$3.0k | $1,182 | $2,363 |
| MRI Brain with Contrast | $260$80$2.3k | $1,079 | $2,157 |
| MRI Brain without Contrast | $236$67$2.7k | $1,045 | $2,090 |
| MRI Cervical Spine (Neck) without Contrast | $236$67$2.4k | $945 | $1,890 |
| MRI Knee without Contrast | $236$62$1.8k | $1,370 | $2,741 |
| MRI Lower Back (Lumbar Spine) without Contrast | $236$88$2.4k | $946 | $1,892 |
| MRI Thoracic Spine (Mid-back) without Contrast | $236$87$2.4k | $945 | $1,890 |
| Newborn Circumcision | $1,154$84$3.2k | $995 | $1,990 |
| Nuclear Cardiac Stress Test | $1,197$73$2.3k | $604 | $1,208 |
| Office Visit, Established Patient (Level 3) | $103$51$306 | $95 | $190 |
| Office Visit, New Patient (Level 3) | $100$51$306 | $89 | $178 |
| Pacemaker Insertion (Dual Chamber) | $9,228$454$16k | $11,754 | $23,509 |
| PET/CT Scan, Whole Body | $1,423$108$6.0k | $4,069 | $8,138 |
| Pregnancy Ultrasound (Second or Third Trimester) | $104$46$892 | $357 | $714 |
| Prostate Biopsy | $1,806$165$3.2k | $896 | $1,792 |
| PSA Prostate Cancer Screening | $18$10$112 | $91 | $182 |
| Pulmonary Function Test with Bronchodilator | $196$10$486 | $93 | $186 |
| Rotator Cuff Repair (Arthroscopic) | $1,399$958$1.7k | $1,969 | $3,937 |
| Screening Mammogram | $338$34$607 | $302 | $603 |
| Septoplasty (Deviated Septum Repair) | $2,361$587$6.4k | $4,254 | $8,507 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $460$272$514 | $516 | $1,032 |
| Skin Biopsy (Tangential) | $167$30$310 | $123 | $246 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $913$53$3.3k | $361 | $723 |
| Sleep Study (In-lab Polysomnography) | $992$117$3.3k | $1,491 | $2,982 |
| Spinal Cord Stimulator Trial | $3,734$369$13k | $6,064 | $12,127 |
| Spirometry (Breathing Test) | $130$8$244 | $58 | $115 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $2,227$265$5.1k | $4,480 | $8,959 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $3,398$254$9.2k | $4,555 | $9,110 |
| Total Hip Replacement | $11,947$1.1k$35k | $19,772 | $39,545 |
| Total Knee Replacement | $11,346$1.1k$34k | $17,652 | $35,305 |
| Total Mastectomy | $5,751$906$15k | $8,013 | $16,026 |
| TSH Thyroid Function Test | $16$9$103 | $83 | $166 |
| TURP (Transurethral Prostate Resection) | $4,720$518$8.0k | $7,101 | $14,201 |
| Upper GI Endoscopy (EGD) | $513$109$1.5k | $1,279 | $2,557 |
| Urinalysis with Microscopy | $3$2$27 | $22 | $43 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,784$2.3k$2.8k | $3,816 | $7,631 |
| Vaginal Delivery (Global Package) | $2,648$2.2k$2.8k | $3,809 | $7,618 |
| Vaginal Hysterectomy | $4,353$735$9.5k | $10,357 | $20,715 |
| Vasectomy | $1,491$149$4.3k | $2,413 | $4,826 |
| Vitamin D Blood Test | $29$16$156 | $126 | $252 |