| Abdominal Hysterectomy | $1,089$680$1.5k | $2,627 | $5,254 |
| ACL Reconstruction (Arthroscopic) | $872$630$1.4k | $4,301 | $8,602 |
| Allergy Skin Testing | $6$3$6 | $15 | $30 |
| Basic Metabolic Panel | $8$5$86 | $58 | $115 |
| Bone Marrow Biopsy | $900$44$2.5k | $444 | $888 |
| Breast Biopsy (Ultrasound-guided) | $1,037$96$2.5k | $1,851 | $3,702 |
| Bunion Correction Surgery | $1,828$335$5.1k | $3,865 | $7,730 |
| Cardiac Ablation for Atrial Fibrillation | $17,727$467$38k | $5,357 | $10,714 |
| Cardiac Catheterization (Left Heart) | $2,324$183$5.0k | $2,691 | $5,382 |
| Carpal Tunnel Release Surgery | $1,722$287$3.0k | $2,017 | $4,034 |
| Cataract Surgery with Lens Implant | $2,224$1.2k$3.7k | $3,558 | $7,115 |
| Cervical Spinal Fusion (Anterior) | $1,799$1.1k$2.5k | $3,614 | $7,227 |
| Cesarean Delivery (Global Package) | $3,505$2.5k$3.8k | $4,020 | $8,039 |
| Chemotherapy Infusion (First Hour) | $308$181$518 | $433 | $867 |
| Chest X-ray (2 Views) | $86$7$287 | $102 | $205 |
| Colonoscopy with Biopsy | $822$127$1.8k | $1,982 | $3,965 |
| Complete Abdominal Ultrasound | $104$24$667 | $249 | $498 |
| Complete Blood Count (CBC) with Differential | $8$4$65 | $43 | $85 |
| Comprehensive Metabolic Panel | $10$6$151 | $101 | $202 |
| Coronary Angioplasty with Stent | $11,060$809$18k | $7,433 | $14,866 |
| Critical Care, First Hour | $822$135$2.5k | $487 | $975 |
| CT Abdomen and Pelvis with Contrast | $348$55$1.9k | $701 | $1,401 |
| CT Cardiac Calcium Scoring | $78$17$187 | $91 | $183 |
| CT Chest without Contrast | $104$32$1.7k | $611 | $1,221 |
| CT Head without Contrast | $104$26$1.5k | $512 | $1,025 |
| DEXA Bone Density Scan | $96$6$211 | $77 | $154 |
| Diagnostic Colonoscopy | $514$117$1.4k | $1,827 | $3,654 |
| Diagnostic Mammogram (Both Breasts) | $103$30$497 | $331 | $663 |
| Ear Tube Placement (Tympanostomy) | $226$103$258 | $565 | $1,131 |
| Echocardiogram (Complete with Doppler) | $483$108$856 | $939 | $1,878 |
| EKG (Electrocardiogram, 12-lead) | $26$20$31 | $17 | $34 |
| Emergency Room Visit (Level 3) | $258$45$458 | $164 | $327 |
| Group Therapy Session | $32$16$33 | $59 | $117 |
| Hemoglobin A1c (Diabetes Test) | $9$5$106 | $59 | $118 |
| HIV Antibody Test | $9$5$58 | $39 | $78 |
| Home Sleep Study | $145$86$244 | $222 | $445 |
| Individual Therapy Session (45 Minutes) | $114$61$118 | $80 | $160 |
| Inguinal Hernia Repair (Open) | $2,550$340$5.5k | $3,939 | $7,878 |
| Initial Hospital Admission (Level 1) | $85$52$108 | $179 | $358 |
| Initial Psychiatric Diagnostic Evaluation | $125$118$186 | $151 | $301 |
| Initial Psychiatric Evaluation with Medication Management | $141$129$213 | $155 | $311 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $564$316$2.5k | $1,635 | $3,270 |
| IUD Insertion | $60$32$862 | $247 | $495 |
| IUD Removal | $171$42$475 | $244 | $487 |
| Knee Arthroscopy with Meniscectomy | $2,861$354$5.1k | $3,887 | $7,775 |
| Laparoscopic Appendectomy | $3,287$390$9.1k | $6,843 | $13,686 |
| Laparoscopic Gallbladder Removal | $3,287$427$9.1k | $5,589 | $11,178 |
| Laparoscopic Tubal Ligation | $4,216$419$9.1k | $4,708 | $9,416 |
| Lipid Panel (Cholesterol Test) | $13$7$77 | $51 | $102 |
| Lumbar Epidural Steroid Injection | $611$63$2.0k | $726 | $1,452 |
| Lumbar Puncture (Spinal Tap) | $500$41$1.6k | $1,226 | $2,452 |
| Lumbar Spinal Fusion (Posterior) | $1,357$1.0k$2.3k | $4,318 | $8,636 |
| Lumpectomy (Partial Mastectomy) | $2,767$443$6.0k | $4,037 | $8,074 |
| MRI Abdomen with and without Contrast | $348$66$3.8k | $1,345 | $2,690 |
| MRI Brain with and without Contrast | $348$69$2.5k | $896 | $1,793 |
| MRI Brain with Contrast | $348$53$2.5k | $874 | $1,747 |
| MRI Brain without Contrast | $236$44$2.4k | $861 | $1,722 |
| MRI Cervical Spine (Neck) without Contrast | $236$45$2.4k | $842 | $1,684 |
| MRI Knee without Contrast | $236$41$2.4k | $1,631 | $3,261 |
| MRI Lower Back (Lumbar Spine) without Contrast | $236$45$2.4k | $843 | $1,686 |
| MRI Thoracic Spine (Mid-back) without Contrast | $236$45$2.4k | $842 | $1,684 |
| Newborn Circumcision | $1,154$61$3.2k | $1,561 | $3,123 |
| Nuclear Cardiac Stress Test | $1,151$48$3.5k | $1,209 | $2,419 |
| Office Visit, Established Patient (Level 3) | $116$42$798 | $89 | $178 |
| Office Visit, New Patient (Level 3) | $90$52$798 | $89 | $178 |
| Pacemaker Insertion (Dual Chamber) | $9,228$326$16k | $6,674 | $13,347 |
| PET/CT Scan, Whole Body | $1,423$72$5.2k | $3,457 | $6,915 |
| Pregnancy Ultrasound (Second or Third Trimester) | $104$30$605 | $228 | $456 |
| Prostate Biopsy | $1,154$82$3.2k | $1,045 | $2,090 |
| PSA Prostate Cancer Screening | $18$10$137 | $91 | $182 |
| Pulmonary Function Test with Bronchodilator | $275$6$486 | $145 | $290 |
| Rotator Cuff Repair (Arthroscopic) | $958$692$1.6k | $1,969 | $3,937 |
| Screening Mammogram | $231$23$476 | $317 | $634 |
| Septoplasty (Deviated Septum Repair) | $587$430$944 | $1,538 | $3,077 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $454$206$514 | $516 | $1,032 |
| Skin Biopsy (Tangential) | $110$24$310 | $123 | $246 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $913$53$2.5k | $183 | $367 |
| Sleep Study (In-lab Polysomnography) | $857$77$1.6k | $1,209 | $2,417 |
| Spinal Cord Stimulator Trial | $6,401$266$10k | $5,541 | $11,083 |
| Spirometry (Breathing Test) | $138$5$246 | $69 | $139 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $399$197$494 | $860 | $1,719 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $382$189$473 | $729 | $1,458 |
| Total Hip Replacement | $11,947$1.9k$21k | $16,590 | $33,179 |
| Total Knee Replacement | $9,298$828$20k | $15,457 | $30,913 |
| Total Mastectomy | $6,055$619$10k | $5,543 | $11,087 |
| TSH Thyroid Function Test | $16$9$125 | $84 | $167 |
| TURP (Transurethral Prostate Resection) | $4,483$466$7.9k | $7,013 | $14,027 |
| Upper GI Endoscopy (EGD) | $528$78$1.5k | $1,047 | $2,095 |
| Urinalysis with Microscopy | $3$2$43 | $29 | $57 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,950$2.3k$3.6k | $3,816 | $7,631 |
| Vaginal Delivery (Global Package) | $2,810$2.0k$3.5k | $3,809 | $7,618 |
| Vaginal Hysterectomy | $897$538$1.3k | $2,367 | $4,734 |
| Vasectomy | $1,154$149$3.2k | $1,262 | $2,524 |
| Vitamin D Blood Test | $29$16$190 | $127 | $253 |