| Abdominal Hysterectomy | $1,235$53$3.7k | $10,811 | $49,140 |
| ACL Reconstruction (Arthroscopic) | $6,542$297$14k | $12,966 | $58,938 |
| Basic Metabolic Panel | $8$4$52 | $21 | $95 |
| Bone Marrow Biopsy | $1,484$250$3.2k | $1,442 | $6,553 |
| Breast Biopsy (Ultrasound-guided) | $1,484$250$3.1k | $1,118 | $5,082 |
| Bunion Correction Surgery | $11,782$250$25k | $16,772 | $76,235 |
| Cardiac Ablation for Atrial Fibrillation | $22,464$50$47k | $28,513 | $129,606 |
| Cardiac Catheterization (Left Heart) | $2,945$50$6.1k | $7,799 | $35,451 |
| Carpal Tunnel Release Surgery | $1,788$297$3.7k | $2,890 | $13,137 |
| Cataract Surgery with Lens Implant | $2,088$297$6.7k | $2,638 | $11,993 |
| Cervical Spinal Fusion (Anterior) | $11,782$297$25k | $14,207 | $64,576 |
| Chemotherapy Infusion (First Hour) | $304$50$2.3k | $240 | $1,090 |
| Chest X-ray (2 Views) | $81$17$207 | $96 | $438 |
| Colonoscopy with Biopsy | $1,080$250$3.5k | $1,307 | $5,942 |
| Complete Abdominal Ultrasound | $97$49$407 | $281 | $1,277 |
| Complete Blood Count (CBC) with Differential | $8$3$59 | $24 | $108 |
| Comprehensive Metabolic Panel | $11$4$65 | $26 | $120 |
| Coronary Angioplasty with Stent | $10,385$50$22k | $7,339 | $33,359 |
| Critical Care, First Hour | $772$51$11k | $4,018 | $18,266 |
| CT Abdomen and Pelvis with Contrast | $327$50$925 | $1,949 | $8,861 |
| CT Cardiac Calcium Scoring | $81$23$304 | $22 | $99 |
| CT Chest without Contrast | $97$50$406 | $704 | $3,202 |
| CT Head without Contrast | $97$50$296 | $704 | $3,202 |
| DEXA Bone Density Scan | $97$33$207 | $254 | $1,156 |
| Diagnostic Colonoscopy | $835$250$3.5k | $1,275 | $5,798 |
| Diagnostic Mammogram (Both Breasts) | $97$50$488 | $254 | $1,156 |
| Ear Tube Placement (Tympanostomy) | $2,970$250$6.2k | $3,107 | $14,123 |
| Echocardiogram (Complete with Doppler) | $502$50$935 | $1,608 | $7,307 |
| EKG (Electrocardiogram, 12-lead) | $13$11$446 | $161 | $731 |
| Emergency Room Visit (Level 3) | $254$51$8.0k | $309 | $1,406 |
| Hemodialysis Treatment | $231$39$2.3k | $984 | $4,474 |
| Hemoglobin A1c (Diabetes Test) | $10$4$6.0k | $4,456 | $20,256 |
| HIV Antibody Test | $9$4$67 | $27 | $123 |
| Individual Therapy Session (45 Minutes) | $118$55$307 | $101 | $457 |
| Inguinal Hernia Repair (Open) | $3,361$250$11k | $3,640 | $16,546 |
| Initial Psychiatric Diagnostic Evaluation | $218$50$783 | $121 | $551 |
| Initial Psychiatric Evaluation with Medication Management | $218$50$783 | $98 | $444 |
| IUD Insertion | $2,912$40$6.1k | $3,348 | $15,218 |
| IUD Removal | $279$24$1.0k | $4,031 | $18,322 |
| Knee Arthroscopy with Meniscectomy | $2,971$297$6.2k | $5,122 | $23,284 |
| Laparoscopic Appendectomy | $5,343$297$11k | $4,910 | $22,319 |
| Laparoscopic Gallbladder Removal | $5,343$297$11k | $4,509 | $20,496 |
| Laparoscopic Tubal Ligation | $5,343$250$13k | $4,298 | $19,538 |
| Lipid Panel (Cholesterol Test) | $13$6$100 | $40 | $184 |
| Lumbar Epidural Steroid Injection | $940$250$3.9k | $1,928 | $8,765 |
| Lumbar Puncture (Spinal Tap) | $971$250$3.3k | $1,959 | $8,904 |
| Lumbar Spinal Fusion (Posterior) | $16,840$148$35k | $29,574 | $134,425 |
| Lumpectomy (Partial Mastectomy) | $3,506$297$7.3k | $6,421 | $29,188 |
| MRI Abdomen with and without Contrast | $327$50$1.2k | $1,859 | $8,449 |
| MRI Brain with and without Contrast | $327$50$1.0k | $1,859 | $8,449 |
| MRI Brain with Contrast | $327$50$914 | $1,551 | $7,052 |
| MRI Brain without Contrast | $221$50$618 | $1,364 | $6,202 |
| MRI Cervical Spine (Neck) without Contrast | $221$50$593 | $1,364 | $6,202 |
| MRI Knee without Contrast | $221$50$669 | $1,364 | $6,202 |
| MRI Lower Back (Lumbar Spine) without Contrast | $221$50$595 | $1,364 | $6,202 |
| MRI Thoracic Spine (Mid-back) without Contrast | $221$50$595 | $1,364 | $6,202 |
| Newborn Circumcision | $1,876$250$3.9k | $2,181 | $9,914 |
| Nuclear Cardiac Stress Test | $1,195$50$2.5k | $1,934 | $8,790 |
| Office Visit, Established Patient (Level 3) | $60$34$135 | $62 | $281 |
| Office Visit, New Patient (Level 3) | $75$45$135 | $62 | $281 |
| Pacemaker Insertion (Dual Chamber) | $9,583$50$25k | $19,626 | $89,209 |
| PET/CT Scan, Whole Body | $1,336$50$9.1k | $1,151 | $5,231 |
| Pregnancy Ultrasound (Second or Third Trimester) | $97$49$391 | $268 | $1,217 |
| Prostate Biopsy | $1,876$250$3.5k | $630 | $2,864 |
| PSA Prostate Cancer Screening | $18$8$140 | $56 | $256 |
| Pulmonary Function Test with Bronchodilator | $285$39$1.0k | $384 | $1,744 |
| Rotator Cuff Repair (Arthroscopic) | $6,542$50$14k | $9,037 | $41,079 |
| Screening Mammogram | $80$50$403 | $115 | $524 |
| Septoplasty (Deviated Septum Repair) | $2,970$297$6.2k | $5,712 | $25,962 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,339$297$13k | $7,253 | $32,968 |
| Skin Biopsy (Tangential) | $182$88$2.1k | $148 | $673 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,484$250$3.1k | $2,161 | $9,824 |
| Spirometry (Breathing Test) | $143$22$1.0k | $181 | $823 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $2,970$297$6.2k | $4,861 | $22,096 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,417$297$11k | $4,334 | $19,698 |
| Total Hip Replacement | $11,782$297$25k | $13,645 | $62,023 |
| Total Knee Replacement | $11,782$297$25k | $12,597 | $57,258 |
| Total Mastectomy | $15,932$297$33k | $11,959 | $54,359 |
| TSH Thyroid Function Test | $17$7$126 | $51 | $232 |
| TURP (Transurethral Prostate Resection) | $4,655$297$9.7k | $5,050 | $22,955 |
| Upper GI Endoscopy (EGD) | $859$250$2.4k | $1,405 | $6,387 |
| Urinalysis with Microscopy | $3$1$24 | $10 | $44 |
| Vaginal Delivery (Global Package) | $2,120$13$2.1k | $491 | $2,231 |
| Vaginal Hysterectomy | $4,520$297$9.4k | $9,863 | $44,834 |
| Vasectomy | $1,876$297$3.9k | $2,577 | $11,712 |
| Vitamin D Blood Test | $30$12$223 | $90 | $410 |