| Abdominal Hysterectomy | $895$895$1.2k | $1,713 | $2,141 |
| ACL Reconstruction (Arthroscopic) | $7,746$5.2k$11k | $8,040 | $10,050 |
| Allergy Skin Testing | $917$917$1.3k | $384 | $480 |
| Anesthesia for Screening Colonoscopy | — | $338 | $422 |
| Anesthesia for Upper Endoscopy | — | $422 | $528 |
| Basic Metabolic Panel | $8$8$93 | $160 | $200 |
| Bone Marrow Biopsy | $1,763$1.8k$5.2k | $1,115 | $1,394 |
| Breast Biopsy (Ultrasound-guided) | $1,763$1.8k$2.4k | $3,300 | $4,125 |
| Bunion Correction Surgery | $3,493$3.5k$5.2k | $5,783 | $7,229 |
| Cardiac Catheterization (Left Heart) | $3,461$3.5k$4.7k | $11,189 | $13,986 |
| Cardiac Stress Test (Treadmill) | — | $266 | $333 |
| Carpal Tunnel Release Surgery | $2,084$2.1k$5.2k | $5,498 | $6,873 |
| Cataract Surgery with Lens Implant | $2,464$1.2k$5.2k | $3,540 | $4,425 |
| Cervical Spinal Fusion (Anterior) | $13,705$5.2k$19k | $3,895 | $4,869 |
| Cesarean Delivery (Global Package) | $2,370$2.4k$3.2k | $3,252 | $4,065 |
| Chemotherapy Infusion (First Hour) | $353$353$481 | $594 | $743 |
| Chest X-ray (2 Views) | $93$81$139 | $65 | $81 |
| Colonoscopy with Biopsy | $1,277$1.3k$5.2k | $1,472 | $1,840 |
| Complete Abdominal Ultrasound | $115$112$682 | $1,377 | $1,722 |
| Complete Blood Count (CBC) with Differential | $8$8$85 | $92 | $115 |
| Comprehensive Metabolic Panel | $11$11$116 | $187 | $234 |
| Coronary Angioplasty with Stent | $12,323$12k$17k | $14,787 | $18,483 |
| Critical Care, First Hour | $882$882$1.2k | $1,895 | $2,369 |
| CT Abdomen and Pelvis with Contrast | $372$372$2.0k | $5,013 | $6,267 |
| CT Cardiac Calcium Scoring | $93$74$127 | $59 | $74 |
| CT Chest without Contrast | $113$112$1.1k | $2,279 | $2,848 |
| CT Head without Contrast | $112$112$667 | $2,105 | $2,632 |
| DEXA Bone Density Scan | $113$112$256 | $533 | $667 |
| Diagnostic Colonoscopy | $993$993$5.2k | $1,641 | $2,051 |
| Diagnostic Mammogram (Both Breasts) | $46$45$309 | $690 | $863 |
| Ear Tube Placement (Tympanostomy) | $1,656$1.7k$5.2k | $554 | $693 |
| Echocardiogram (Complete with Doppler) | $583$583$796 | $2,119 | $2,648 |
| EKG (Electrocardiogram, 12-lead) | — | $84 | $105 |
| Emergency Room Visit (Level 3) | $291$291$398 | $531 | $664 |
| Group Therapy Session | $108$108$148 | $65 | $81 |
| Hemoglobin A1c (Diabetes Test) | $10$10$107 | $89 | $111 |
| HIV Antibody Test | $9$9$46 | $23 | $29 |
| Home Sleep Study | $237$230$463 | $691 | $864 |
| Individual Therapy Session (45 Minutes) | $189$189$259 | $244 | $305 |
| Inguinal Hernia Repair (Open) | $3,937$3.8k$8.8k | $6,847 | $8,558 |
| Initial Hospital Admission (Level 1) | $72$72$99 | $169 | $211 |
| Initial Psychiatric Diagnostic Evaluation | $189$189$259 | $426 | $532 |
| Initial Psychiatric Evaluation with Medication Management | $189$189$259 | $406 | $508 |
| IUD Insertion | $5,182 | $1,427 | $1,784 |
| IUD Removal | $325$325$5.2k | $266 | $332 |
| Knee Arthroscopy with Meniscectomy | $3,493$3.5k$5.2k | $4,165 | $5,207 |
| Laparoscopic Appendectomy | $6,453$5.2k$8.8k | $7,279 | $9,098 |
| Laparoscopic Gallbladder Removal | $5,351$3.2k$8.8k | $6,296 | $7,871 |
| Laparoscopic Tubal Ligation | $6,453$5.2k$8.8k | $7,904 | $9,880 |
| Lipid Panel (Cholesterol Test) | $14$13$147 | $131 | $163 |
| Lumbar Epidural Steroid Injection | $754$754$1.0k | $488 | $610 |
| Lumbar Puncture (Spinal Tap) | $754$754$1.0k | $761 | $951 |
| Lumbar Spinal Fusion (Posterior) | $18,717$5.2k$26k | $5,368 | $6,710 |
| Lumpectomy (Partial Mastectomy) | $4,180$4.2k$5.7k | $3,855 | $4,819 |
| MRI Abdomen with and without Contrast | $372$186$1.4k | $4,048 | $5,060 |
| MRI Brain with and without Contrast | $376$372$2.4k | $3,900 | $4,875 |
| MRI Brain with Contrast | $384$372$839 | $3,270 | $4,088 |
| MRI Brain without Contrast | $262$255$1.4k | $2,709 | $3,386 |
| MRI Cervical Spine (Neck) without Contrast | $262$255$1.4k | $3,000 | $3,750 |
| MRI Knee without Contrast | $262$255$767 | $2,825 | $3,532 |
| MRI Lower Back (Lumbar Spine) without Contrast | $262$255$1.3k | $2,955 | $3,693 |
| MRI Thoracic Spine (Mid-back) without Contrast | $262$255$542 | $3,129 | $3,912 |
| Newborn Circumcision | $2,231$2.2k$5.2k | $2,775 | $3,469 |
| Nuclear Cardiac Stress Test | $1,423$1.4k$3.4k | $4,598 | $5,748 |
| Office Visit, Established Patient (Level 3) | $56$56$76 | $105 | $131 |
| Office Visit, New Patient (Level 3) | $70$70$95 | $105 | $131 |
| Pacemaker Insertion (Dual Chamber) | $11,157$11k$15k | $12,460 | $15,575 |
| PET/CT Scan, Whole Body | $1,526$1.5k$5.4k | $6,958 | $8,698 |
| Pregnancy Ultrasound (Second or Third Trimester) | $135$112$337 | $252 | $315 |
| Prostate Biopsy | $5,182 | $1,300 | $1,626 |
| PSA Prostate Cancer Screening | $19$18$94 | $115 | $144 |
| Pulmonary Function Test with Bronchodilator | $398$398$544 | $468 | $586 |
| Rotator Cuff Repair (Arthroscopic) | $7,746$5.2k$11k | $6,847 | $8,558 |
| Screening Mammogram | $34$34$219 | $271 | $338 |
| Septoplasty (Deviated Septum Repair) | $3,539$3.5k$5.2k | $2,548 | $3,185 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,534$7.5k$10k | $5,339 | $6,674 |
| Skin Biopsy (Tangential) | $434$434$5.2k | $158 | $198 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,763$1.8k$5.2k | $751 | $939 |
| Sleep Study (In-lab Polysomnography) | $944$917$2.3k | $4,288 | $5,360 |
| Spinal Cord Stimulator Trial | $6,803$5.2k$9.3k | $2,506 | $3,132 |
| Spirometry (Breathing Test) | $230$230$315 | $255 | $319 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,539$3.5k$5.2k | $2,416 | $3,020 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,319$5.2k$8.6k | $6,434 | $8,043 |
| Total Hip Replacement | $13,705$5.2k$19k | $3,855 | $4,819 |
| Total Knee Replacement | $13,705$5.2k$19k | $4,168 | $5,210 |
| Total Mastectomy | $7,088$5.2k$9.7k | $4,719 | $5,898 |
| TSH Thyroid Function Test | $17$17$185 | $173 | $216 |
| TURP (Transurethral Prostate Resection) | $5,724$5.2k$7.8k | $3,383 | $4,229 |
| Upper GI Endoscopy (EGD) | $968$968$5.2k | $2,374 | $2,968 |
| Urinalysis with Microscopy | $3$3$16 | $60 | $75 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,234$2.2k$3.0k | $3,490 | $4,362 |
| Vaginal Delivery (Global Package) | $2,119$2.1k$2.9k | $2,866 | $3,583 |
| Vaginal Hysterectomy | $5,340$5.2k$7.3k | $7,189 | $8,987 |
| Vasectomy | $2,231$2.2k$5.2k | $720 | $900 |
| Vitamin D Blood Test | $30$30$326 | $186 | $232 |