| ACL Reconstruction (Arthroscopic) | $969$796$4.2k | $2,250 | $2,501 |
| Anesthesia for Screening Colonoscopy | $17$9$44 | $15 | $17 |
| Anesthesia for Upper Endoscopy | $17$9$44 | $15 | $17 |
| Basic Metabolic Panel | $20$10$110 | $23 | $25 |
| Bone Marrow Biopsy | $132$55$427 | $296 | $329 |
| Breast Biopsy (Ultrasound-guided) | $2,167$122$6.6k | $2,438 | $2,709 |
| Bunion Correction Surgery | $737$453$2.3k | $2,030 | $2,256 |
| Cardiac Catheterization (Left Heart) | $12,946$260$34k | $14,745 | $16,384 |
| Carpal Tunnel Release Surgery | $549$385$3.7k | $2,467 | $2,741 |
| Cervical Spinal Fusion (Anterior) | $1,657$1.3k$7.0k | $3,756 | $4,173 |
| Cesarean Delivery (Global Package) | $2,905$2.1k$4.8k | $4,344 | $4,827 |
| Chemotherapy Infusion (First Hour) | $478$230$846 | $594 | $660 |
| Chest X-ray (2 Views) | $322$130$481 | $374 | $416 |
| Colonoscopy with Biopsy | $1,155$165$4.3k | $1,040 | $1,155 |
| Complete Abdominal Ultrasound | $770$434$1.2k | $953 | $1,059 |
| Complete Blood Count (CBC) with Differential | $18$9$80 | $21 | $23 |
| Comprehensive Metabolic Panel | $26$13$131 | $29 | $32 |
| Coronary Angioplasty with Stent | $12,036$411$32k | $13,395 | $14,883 |
| Critical Care, First Hour | $583$187$2.5k | $524 | $583 |
| CT Abdomen and Pelvis with Contrast | $3,973$2.5k$6.8k | $5,434 | $6,038 |
| CT Cardiac Calcium Scoring | $99$51$139 | $112 | $124 |
| CT Chest without Contrast | $2,270$1.2k$3.2k | $2,553 | $2,837 |
| CT Head without Contrast | $1,704$1.0k$2.8k | $2,291 | $2,546 |
| Diagnostic Colonoscopy | $1,565$153$4.1k | $1,433 | $1,592 |
| Diagnostic Mammogram (Both Breasts) | $440$226$615 | $495 | $550 |
| Ear Tube Placement (Tympanostomy) | $191$133$380 | $342 | $380 |
| Echocardiogram (Complete with Doppler) | $2,148$1.1k$3.0k | $2,417 | $2,685 |
| EKG (Electrocardiogram, 12-lead) | $133$26$533 | $243 | $270 |
| Emergency Room Visit (Level 3) | $157$59$740 | $141 | $157 |
| Hemoglobin A1c (Diabetes Test) | $22$11$31 | $25 | $28 |
| HIV Antibody Test | $22$11$31 | $25 | $28 |
| Home Sleep Study | $535$274$748 | $602 | $669 |
| Inguinal Hernia Repair (Open) | $529$287$2.7k | $1,338 | $1,487 |
| Initial Hospital Admission (Level 1) | $136$69$231 | $193 | $215 |
| Initial Psychiatric Diagnostic Evaluation | $201$136$332 | $299 | $332 |
| Initial Psychiatric Evaluation with Medication Management | $228$154$370 | $333 | $370 |
| IUD Insertion | $216$93$744 | $224 | $249 |
| IUD Removal | $265$114$744 | $260 | $289 |
| Knee Arthroscopy with Meniscectomy | $550$444$2.3k | $1,245 | $1,383 |
| Laparoscopic Appendectomy | $606$360$2.4k | $1,242 | $1,381 |
| Laparoscopic Gallbladder Removal | $663$361$2.0k | $1,085 | $1,205 |
| Lipid Panel (Cholesterol Test) | $31$16$98 | $35 | $39 |
| Lumbar Epidural Steroid Injection | $1,883$84$5.0k | $2,295 | $2,551 |
| Lumbar Puncture (Spinal Tap) | $93$52$1.1k | $1,011 | $1,123 |
| Lumbar Spinal Fusion (Posterior) | $1,547$1.3k$6.6k | $3,550 | $3,944 |
| Lumpectomy (Partial Mastectomy) | $664$542$2.3k | $1,282 | $1,424 |
| MRI Abdomen with and without Contrast | $4,026$2.1k$5.6k | $4,530 | $5,033 |
| MRI Brain with and without Contrast | $4,253$2.2k$5.9k | $4,784 | $5,316 |
| MRI Brain with Contrast | $3,740$1.9k$5.2k | $4,208 | $4,675 |
| MRI Brain without Contrast | $3,675$1.9k$5.1k | $4,135 | $4,594 |
| MRI Cervical Spine (Neck) without Contrast | $3,626$1.9k$5.1k | $4,080 | $4,533 |
| MRI Knee without Contrast | $2,610$1.2k$6.6k | $4,004 | $4,449 |
| MRI Lower Back (Lumbar Spine) without Contrast | $2,983$1.9k$5.1k | $4,080 | $4,533 |
| MRI Thoracic Spine (Mid-back) without Contrast | $3,626$1.9k$5.1k | $4,080 | $4,533 |
| Newborn Circumcision | $140$78$397 | $357 | $397 |
| Nuclear Cardiac Stress Test | $3,490$2.2k$5.9k | $4,774 | $5,304 |
| Office Visit, Established Patient (Level 3) | $131$55$744 | $147 | $163 |
| Office Visit, New Patient (Level 3) | $206$67$744 | $206 | $229 |
| Pacemaker Insertion (Dual Chamber) | $3,406$407$33k | $3,065 | $3,406 |
| PET/CT Scan, Whole Body | $5,195$2.7k$7.3k | $5,845 | $6,494 |
| Pregnancy Ultrasound (Second or Third Trimester) | $838$429$1.2k | $942 | $1,047 |
| PSA Prostate Cancer Screening | $43$22$60 | $49 | $54 |
| Pulmonary Function Test with Bronchodilator | $612$314$855 | $689 | $765 |
| Rotator Cuff Repair (Arthroscopic) | $1,061$871$4.5k | $2,457 | $2,730 |
| Screening Mammogram | $214$110$432 | $241 | $268 |
| Septoplasty (Deviated Septum Repair) | $825$565$1.6k | $1,466 | $1,629 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $377$252$734 | $661 | $734 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,029$71$2.7k | $1,252 | $1,392 |
| Sleep Study (In-lab Polysomnography) | $3,650$1.9k$5.1k | $4,107 | $4,563 |
| Spinal Cord Stimulator Trial | $627$350$2.4k | $1,084 | $1,204 |
| Spirometry (Breathing Test) | $306$157$427 | $344 | $382 |
| Total Hip Replacement | $1,265$1.0k$5.7k | $3,076 | $3,418 |
| Total Knee Replacement | $1,268$1.0k$11k | $5,161 | $5,734 |
| Total Mastectomy | $978$560$3.9k | $1,741 | $1,934 |
| TSH Thyroid Function Test | $38$20$85 | $43 | $48 |
| TURP (Transurethral Prostate Resection) | $805$488$2.1k | $1,893 | $2,103 |
| Umbilical Hernia Repair | $408$125$2.0k | $1,012 | $1,125 |
| Upper GI Endoscopy (EGD) | $780$103$4.5k | $702 | $780 |
| Urinalysis with Microscopy | $9$5$29 | $10 | $11 |
| Vaginal Delivery (Global Package) | $2,630$1.9k$5.8k | $5,235 | $5,817 |
| Vaginal Hysterectomy | $774$383$1.3k | $363 | $403 |
| Vasectomy | $988$202$2.8k | $1,112 | $1,235 |
| Vitamin D Blood Test | $55$28$77 | $62 | $69 |