| Abdominal Hysterectomy | $1,980$934$3.0k | $1,815 | $2,792 |
| ACL Reconstruction (Arthroscopic) | $1,896$896$2.9k | $3,872 | $5,957 |
| Allergy Skin Testing | $12$3$340 | $14 | $21 |
| Basic Metabolic Panel | $12$6$25 | $26 | $40 |
| Bone Marrow Biopsy | $220$66$2.2k | $855 | $1,315 |
| Breast Biopsy (Ultrasound-guided) | $475$146$2.3k | $2,209 | $3,399 |
| Bunion Correction Surgery | $1,064$482$1.6k | $1,951 | $3,002 |
| Cardiac Ablation for Atrial Fibrillation | $2,728$1000$24k | $14,121 | $21,725 |
| Cardiac Catheterization (Left Heart) | $759$602$11k | $6,616 | $10,178 |
| Cardiac Stress Test (Treadmill) | $160$67$177 | $150 | $230 |
| Carpal Tunnel Release Surgery | $1,255$400$4.3k | $3,315 | $5,100 |
| Cataract Surgery with Lens Implant | $1,655$509$8.1k | $2,942 | $4,527 |
| Cervical Spinal Fusion (Anterior) | $3,276$1.5k$4.8k | $2,587 | $3,981 |
| Cesarean Delivery (Global Package) | $5,057$2.1k$6.7k | $3,042 | $4,680 |
| Chemotherapy Infusion (First Hour) | $517$133$1.8k | $572 | $880 |
| Chest X-ray (2 Views) | $148$19$190 | $115 | $177 |
| Colonoscopy with Biopsy | $609$187$2.3k | $1,124 | $1,729 |
| Complete Abdominal Ultrasound | $84$72$309 | $310 | $477 |
| Complete Blood Count (CBC) with Differential | $11$5$21 | $20 | $30 |
| Comprehensive Metabolic Panel | $15$7$31 | $34 | $52 |
| Coronary Angioplasty with Stent | $1,437$523$13k | $7,731 | $11,893 |
| Critical Care, First Hour | $641$187$1.8k | $983 | $1,513 |
| CT Abdomen and Pelvis with Contrast | $925$160$1.9k | $1,024 | $1,575 |
| CT Cardiac Calcium Scoring | $101$51$418 | $257 | $396 |
| CT Chest without Contrast | $566$87$716 | $650 | $1,000 |
| CT Head without Contrast | $325$69$604 | $524 | $806 |
| DEXA Bone Density Scan | $26$18$175 | $162 | $249 |
| Diagnostic Colonoscopy | $560$172$2.3k | $1,069 | $1,645 |
| Diagnostic Mammogram (Both Breasts) | $155$89$585 | $189 | $290 |
| Ear Tube Placement (Tympanostomy) | $314$146$467 | $587 | $903 |
| Echocardiogram (Complete with Doppler) | $733$124$1.5k | $878 | $1,350 |
| EKG (Electrocardiogram, 12-lead) | $33$14$42 | $39 | $60 |
| Emergency Room Visit (Level 3) | $363$62$1.9k | $384 | $590 |
| Group Therapy Session | $64$29$97 | $109 | $168 |
| Hemodialysis Treatment | $196$99$265 | $218 | $336 |
| Hemoglobin A1c (Diabetes Test) | $14$7$29 | $26 | $40 |
| HIV Antibody Test | $47$6$131 | $55 | $85 |
| Holter Monitor (24-48 Hour Heart Monitor) | $226$74$998 | $255 | $393 |
| Home Sleep Study | $190$61$696 | $263 | $404 |
| Individual Therapy Session (45 Minutes) | $151$98$211 | $179 | $275 |
| Inguinal Hernia Repair (Open) | $1,061$471$1.5k | $1,155 | $1,778 |
| Initial Hospital Admission (Level 1) | $163$85$252 | $156 | $240 |
| Initial Psychiatric Diagnostic Evaluation | $203$179$423 | $242 | $373 |
| Initial Psychiatric Evaluation with Medication Management | $221$167$423 | $263 | $404 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,140$1.1k$1.2k | $1,300 | $2,000 |
| IUD Insertion | $115$48$2.2k | $111 | $170 |
| IUD Removal | $163$61$2.2k | $177 | $273 |
| Knee Arthroscopy with Meniscectomy | $1,100$498$1.6k | $1,749 | $2,690 |
| Laparoscopic Appendectomy | $1,208$542$1.7k | $1,020 | $1,569 |
| Laparoscopic Gallbladder Removal | $1,318$593$1.9k | $1,437 | $2,210 |
| Laparoscopic Tubal Ligation | $1,247$602$1.9k | $2,124 | $3,268 |
| Lipid Panel (Cholesterol Test) | $38$9$70 | $26 | $40 |
| Lumbar Epidural Steroid Injection | $304$93$2.2k | $793 | $1,220 |
| Lumbar Puncture (Spinal Tap) | $185$57$2.2k | $325 | $500 |
| Lumbar Spinal Fusion (Posterior) | $3,039$1.4k$4.6k | $2,759 | $4,244 |
| Lumpectomy (Partial Mastectomy) | $1,323$593$1.9k | $1,434 | $2,206 |
| MRI Abdomen with and without Contrast | $808$194$1.9k | $1,618 | $2,489 |
| MRI Brain with and without Contrast | $792$201$1.9k | $1,628 | $2,505 |
| MRI Brain with Contrast | $885$157$1.9k | $1,481 | $2,278 |
| MRI Brain without Contrast | $1,116$130$1.5k | $1,300 | $2,000 |
| MRI Cervical Spine (Neck) without Contrast | $568$130$1.2k | $1,042 | $1,603 |
| MRI Knee without Contrast | $674$120$1.6k | $1,616 | $2,486 |
| MRI Lower Back (Lumbar Spine) without Contrast | $568$131$1.2k | $1,029 | $1,583 |
| MRI Thoracic Spine (Mid-back) without Contrast | $568$130$1.2k | $1,044 | $1,605 |
| Newborn Circumcision | $293$90$2.2k | $720 | $1,107 |
| Nuclear Cardiac Stress Test | $370$143$1.8k | $1,472 | $2,265 |
| Office Visit, Established Patient (Level 3) | $120$58$934 | $127 | $195 |
| Office Visit, New Patient (Level 3) | $157$71$934 | $156 | $240 |
| Pacemaker Insertion (Dual Chamber) | $1,237$468$16k | $9,262 | $14,249 |
| PET/CT Scan, Whole Body | $2,374$210$7.7k | $2,234 | $3,436 |
| Pregnancy Ultrasound (Second or Third Trimester) | $103$85$196 | $211 | $325 |
| Prostate Biopsy | $367$121$1000 | $759 | $1,168 |
| PSA Prostate Cancer Screening | $45$13$55 | $43 | $66 |
| Pulmonary Function Test with Bronchodilator | $248$23$1.3k | $276 | $424 |
| Rotator Cuff Repair (Arthroscopic) | $2,079$979$3.1k | $2,863 | $4,405 |
| Screening Mammogram | $116$67$484 | $191 | $294 |
| Septoplasty (Deviated Septum Repair) | $1,866$626$7.0k | $2,032 | $3,127 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $591$297$967 | $1,134 | $1,745 |
| Skin Biopsy (Tangential) | $115$35$2.2k | $192 | $295 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $251$76$2.3k | $387 | $595 |
| Sleep Study (In-lab Polysomnography) | $618$266$1.8k | $1,666 | $2,564 |
| Spinal Cord Stimulator Trial | $1,267$390$9.8k | $4,391 | $6,755 |
| Spirometry (Breathing Test) | $140$18$1.3k | $156 | $239 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $590$279$893 | $623 | $959 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $565$267$860 | $560 | $861 |
| Total Hip Replacement | $2,463$1.2k$3.8k | $4,434 | $6,821 |
| Total Knee Replacement | $2,458$1.2k$3.8k | $4,996 | $7,686 |
| Total Mastectomy | $1,915$861$2.8k | $2,319 | $3,568 |
| TSH Thyroid Function Test | $24$12$50 | $31 | $48 |
| TURP (Transurethral Prostate Resection) | $1,146$679$2.2k | $1,637 | $2,518 |
| Umbilical Hernia Repair | $368$76$2.0k | $1,727 | $2,657 |
| Upper GI Endoscopy (EGD) | $372$114$2.2k | $850 | $1,307 |
| Urinalysis with Microscopy | $5$2$12 | $7 | $10 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $4,757$2.0k$6.3k | $2,828 | $4,350 |
| Vaginal Delivery (Global Package) | $4,576$1.9k$6.1k | $2,743 | $4,220 |
| Vaginal Hysterectomy | $1,590$777$2.5k | $1,267 | $1,949 |
| Vasectomy | $585$184$1000 | $819 | $1,260 |
| Vitamin D Blood Test | $52$21$88 | $60 | $92 |