| Abdominal Hysterectomy | $1,212$926$1.6k | $2,627 | $5,254 |
| ACL Reconstruction (Arthroscopic) | $1,106$872$1.7k | $4,301 | $8,602 |
| Allergy Skin Testing | $5$3$6 | $15 | $30 |
| Basic Metabolic Panel | $6$6$60 | $35 | $69 |
| Bone Marrow Biopsy | $63$46$110 | $253 | $506 |
| Breast Biopsy (Ultrasound-guided) | $1,196$130$1.2k | $1,208 | $2,415 |
| Bunion Correction Surgery | $502$471$837 | $1,951 | $3,902 |
| Cardiac Ablation for Atrial Fibrillation | $813$614$1.5k | $1,668 | $3,335 |
| Cardiac Catheterization (Left Heart) | $2,374$190$2.4k | $2,637 | $5,274 |
| Carpal Tunnel Release Surgery | $1,441$299$1.8k | $1,707 | $3,413 |
| Cataract Surgery with Lens Implant | $823$461$859 | $1,399 | $2,797 |
| Cervical Spinal Fusion (Anterior) | $1,772$1.6k$2.8k | $3,614 | $7,227 |
| Cesarean Delivery (Global Package) | $2,934$2.6k$3.5k | $4,020 | $8,039 |
| Chemotherapy Infusion (First Hour) | $245$245$5.2k | $7,283 | $14,566 |
| Chest X-ray (2 Views) | $59$7$130 | $45 | $89 |
| Colonoscopy with Biopsy | $870$175$2.5k | $2,097 | $4,194 |
| Complete Abdominal Ultrasound | $78$37$212 | $176 | $351 |
| Complete Blood Count (CBC) with Differential | $6$6$73 | $43 | $85 |
| Comprehensive Metabolic Panel | $8$8$73 | $43 | $85 |
| Coronary Angioplasty with Stent | $475$381$917 | $918 | $1,835 |
| Critical Care, First Hour | $397$180$1.1k | $487 | $975 |
| CT Abdomen and Pelvis with Contrast | $264$57$4.0k | $1,226 | $2,452 |
| CT Cardiac Calcium Scoring | $31$18$44 | $29 | $58 |
| CT Chest without Contrast | $78$34$629 | $475 | $950 |
| CT Head without Contrast | $78$27$1.5k | $469 | $938 |
| DEXA Bone Density Scan | $15$6$116 | $88 | $177 |
| Diagnostic Colonoscopy | $499$163$2.1k | $1,730 | $3,461 |
| Diagnostic Mammogram (Both Breasts) | $51$31$90 | $127 | $253 |
| Ear Tube Placement (Tympanostomy) | $140$107$258 | $565 | $1,131 |
| Echocardiogram (Complete with Doppler) | $405$108$417 | $420 | $839 |
| EKG (Electrocardiogram, 12-lead) | $18$15$31 | $17 | $34 |
| Emergency Room Visit (Level 3) | $196$47$323 | $164 | $327 |
| Group Therapy Session | $24$17$34 | $59 | $117 |
| Hemoglobin A1c (Diabetes Test) | $7$7$98 | $57 | $113 |
| HIV Antibody Test | $7$7$51 | $30 | $60 |
| Home Sleep Study | $115$115$139 | $196 | $391 |
| Individual Therapy Session (45 Minutes) | $91$79$118 | $80 | $160 |
| Inguinal Hernia Repair (Open) | $2,604$501$5.2k | $4,215 | $8,430 |
| Initial Hospital Admission (Level 1) | $76$55$113 | $179 | $358 |
| Initial Psychiatric Diagnostic Evaluation | $145$137$186 | $151 | $301 |
| Initial Psychiatric Evaluation with Medication Management | $136$119$213 | $156 | $311 |
| IUD Insertion | $60$33$72 | $155 | $309 |
| IUD Removal | $65$44$101 | $150 | $300 |
| Knee Arthroscopy with Meniscectomy | $2,395$501$5.2k | $4,547 | $9,095 |
| Laparoscopic Appendectomy | $611$405$974 | $1,341 | $2,682 |
| Laparoscopic Gallbladder Removal | $4,306$626$5.7k | $4,723 | $9,446 |
| Laparoscopic Tubal Ligation | $863$435$1.0k | $1,554 | $3,108 |
| Lipid Panel (Cholesterol Test) | $10$10$113 | $66 | $131 |
| Lumbar Epidural Steroid Injection | $106$66$158 | $119 | $238 |
| Lumbar Puncture (Spinal Tap) | $141$43$526 | $386 | $772 |
| Lumbar Spinal Fusion (Posterior) | $1,650$1.5k$2.8k | $4,318 | $8,636 |
| Lumpectomy (Partial Mastectomy) | $807$643$1.1k | $686 | $1,371 |
| MRI Abdomen with and without Contrast | $264$69$1.1k | $840 | $1,680 |
| MRI Brain with and without Contrast | $264$72$990 | $770 | $1,540 |
| MRI Brain with Contrast | $95$56$134 | $102 | $203 |
| MRI Brain without Contrast | $178$46$629 | $491 | $981 |
| MRI Cervical Spine (Neck) without Contrast | $178$46$651 | $506 | $1,011 |
| MRI Knee without Contrast | $178$42$1.0k | $958 | $1,916 |
| MRI Lower Back (Lumbar Spine) without Contrast | $178$67$1.6k | $506 | $1,013 |
| MRI Thoracic Spine (Mid-back) without Contrast | $178$67$650 | $505 | $1,011 |
| Newborn Circumcision | $620$64$1.6k | $444 | $888 |
| Nuclear Cardiac Stress Test | $858$49$992 | $580 | $1,160 |
| Office Visit, Established Patient (Level 3) | $57$43$93 | $63 | $127 |
| Office Visit, New Patient (Level 3) | $80$54$225 | $85 | $171 |
| Pacemaker Insertion (Dual Chamber) | $7,723$454$8.0k | $4,830 | $9,659 |
| PET/CT Scan, Whole Body | $114$75$179 | $136 | $272 |
| Pregnancy Ultrasound (Second or Third Trimester) | $78$46$419 | $150 | $299 |
| Prostate Biopsy | $151$86$206 | $289 | $578 |
| PSA Prostate Cancer Screening | $14$14$108 | $63 | $125 |
| Pulmonary Function Test with Bronchodilator | $97$7$237 | $130 | $260 |
| Rotator Cuff Repair (Arthroscopic) | $1,369$958$1.7k | $1,969 | $3,937 |
| Screening Mammogram | $74$24$219 | $127 | $253 |
| Septoplasty (Deviated Septum Repair) | $832$587$1.1k | $1,538 | $3,077 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $463$272$514 | $516 | $1,032 |
| Skin Biopsy (Tangential) | $40$30$50 | $79 | $159 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $79$56$105 | $126 | $252 |
| Sleep Study (In-lab Polysomnography) | $751$117$2.3k | $959 | $1,917 |
| Spinal Cord Stimulator Trial | $518$369$665 | $1,911 | $3,823 |
| Spirometry (Breathing Test) | $106$8$119 | $72 | $143 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $494 | $860 | $1,719 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $473 | $729 | $1,458 |
| Total Hip Replacement | $9,496$1.1k$16k | $14,177 | $28,353 |
| Total Knee Replacement | $9,496$1.1k$15k | $13,476 | $26,953 |
| Total Mastectomy | $1,094$644$1.5k | $1,848 | $3,697 |
| TSH Thyroid Function Test | $12$12$124 | $72 | $144 |
| TURP (Transurethral Prostate Resection) | $841$518$1.2k | $2,518 | $5,036 |
| Upper GI Endoscopy (EGD) | $692$109$1.8k | $1,428 | $2,855 |
| Urinalysis with Microscopy | $2$2$25 | $14 | $28 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,784$2.4k$3.7k | $3,816 | $7,631 |
| Vaginal Delivery (Global Package) | $2,479$2.2k$3.5k | $3,809 | $7,618 |
| Vaginal Hysterectomy | $735$560$1.3k | $2,367 | $4,734 |
| Vasectomy | $240$155$317 | $601 | $1,202 |
| Vitamin D Blood Test | $22$22$175 | $101 | $202 |