| Abdominal Hysterectomy | $1,829$933$9.0k | $11,316 | $16,165 |
| ACL Reconstruction (Arthroscopic) | $16,313$8.6k$21k | $11,845 | $16,921 |
| Anesthesia for Screening Colonoscopy | — | $1,238 | $1,768 |
| Anesthesia for Upper Endoscopy | — | $1,238 | $1,768 |
| Basic Metabolic Panel | $17$9$21 | $60 | $85 |
| Bone Marrow Biopsy | $3,858$2.0k$5.8k | $2,639 | $3,770 |
| Breast Biopsy (Ultrasound-guided) | $3,858$2.0k$8.4k | $3,329 | $4,756 |
| Bunion Correction Surgery | $7,609$3.9k$9.4k | $4,502 | $6,431 |
| Cardiac Ablation for Atrial Fibrillation | $58,763$14k$75k | $70,752 | $101,074 |
| Cardiac Catheterization (Left Heart) | $7,572$3.9k$9.3k | $10,437 | $14,909 |
| Cardiac Stress Test (Treadmill) | $132$126$138 | $92 | $132 |
| Carpal Tunnel Release Surgery | $4,561$2.3k$5.8k | $1,871 | $2,672 |
| Cervical Spinal Fusion (Anterior) | $28,864$13k$37k | $4,515 | $6,450 |
| Chemotherapy Infusion (First Hour) | $772$393$950 | $1,092 | $1,560 |
| Chest X-ray (2 Views) | $203$79$490 | $365 | $521 |
| Colonoscopy with Biopsy | $2,795$1.4k$5.8k | $2,367 | $3,382 |
| Complete Abdominal Ultrasound | $244$125$490 | $645 | $921 |
| Complete Blood Count (CBC) with Differential | $16$8$19 | $54 | $78 |
| Comprehensive Metabolic Panel | $21$11$26 | $74 | $106 |
| Coronary Angioplasty with Stent | $25,953$14k$33k | $29,255 | $41,793 |
| Critical Care, First Hour | $1,929$984$9.0k | $3,496 | $4,995 |
| CT Abdomen and Pelvis with Contrast | $815$416$1.0k | $2,058 | $2,940 |
| CT Cardiac Calcium Scoring | $203$104$850 | $310 | $443 |
| CT Chest without Contrast | $244$125$850 | $574 | $820 |
| CT Head without Contrast | $244$125$850 | $630 | $899 |
| DEXA Bone Density Scan | $244$102$1.0k | $454 | $649 |
| Diagnostic Colonoscopy | $2,172$1.1k$3.3k | $1,459 | $2,085 |
| Diagnostic Mammogram (Both Breasts) | $92$47$535 | $372 | $531 |
| Ear Tube Placement (Tympanostomy) | $3,624$1.8k$5.8k | $3,612 | $5,159 |
| Echocardiogram (Complete with Doppler) | $1,276$429$1.6k | $1,799 | $2,570 |
| EKG (Electrocardiogram, 12-lead) | $15 | $11 | $15 |
| Emergency Room Visit (Level 3) | $638$325$9.0k | $1,065 | $1,521 |
| Group Therapy Session | $237$121$300 | $301 | $430 |
| Hemoglobin A1c (Diabetes Test) | $19$10$24 | $68 | $97 |
| HIV Antibody Test | $18$9$22 | $60 | $85 |
| Individual Therapy Session (45 Minutes) | $399$211$511 | $373 | $533 |
| Inguinal Hernia Repair (Open) | $8,363$4.3k$17k | $10,797 | $15,424 |
| Initial Psychiatric Diagnostic Evaluation | $399$211$511 | $562 | $803 |
| Initial Psychiatric Evaluation with Medication Management | $399$211$511 | $313 | $448 |
| IUD Insertion | $3,333 | $1,648 | $2,354 |
| IUD Removal | $712$363$9.0k | $806 | $1,151 |
| Knee Arthroscopy with Meniscectomy | $7,609$3.9k$9.4k | $5,148 | $7,354 |
| Laparoscopic Appendectomy | $13,591$7.2k$17k | $6,834 | $9,762 |
| Laparoscopic Gallbladder Removal | $13,591$7.2k$17k | $8,398 | $11,997 |
| Laparoscopic Tubal Ligation | $13,591$7.2k$17k | $5,774 | $8,248 |
| Lipid Panel (Cholesterol Test) | $27$14$33 | $94 | $134 |
| Lumbar Epidural Steroid Injection | $1,649$841$3.3k | $3,713 | $5,304 |
| Lumbar Puncture (Spinal Tap) | $1,649$841$9.0k | $2,148 | $3,068 |
| Lumbar Spinal Fusion (Posterior) | $39,419$13k$50k | $5,830 | $8,328 |
| Lumpectomy (Partial Mastectomy) | $9,146$4.7k$19k | $2,211 | $3,159 |
| MRI Abdomen with and without Contrast | $815$416$2.2k | $2,311 | $3,301 |
| MRI Brain with and without Contrast | $815$416$1.1k | $2,311 | $3,301 |
| MRI Brain with Contrast | $815$416$1.1k | $1,857 | $2,653 |
| MRI Brain without Contrast | $557$284$1.7k | $1,231 | $1,758 |
| MRI Cervical Spine (Neck) without Contrast | $557$284$1.1k | $1,370 | $1,957 |
| MRI Knee without Contrast | $599$284$1.7k | $1,370 | $1,957 |
| MRI Lower Back (Lumbar Spine) without Contrast | $557$142$1.7k | $1,370 | $1,957 |
| MRI Thoracic Spine (Mid-back) without Contrast | $557$284$1.1k | $1,370 | $1,957 |
| Newborn Circumcision | $4,883$2.5k$6.0k | $5,937 | $8,482 |
| Nuclear Cardiac Stress Test | $2,911$1.1k$3.7k | $3,853 | $5,505 |
| Office Visit, Established Patient (Level 3) | $114$58$325 | $185 | $265 |
| Office Visit, New Patient (Level 3) | $147$72$325 | $194 | $277 |
| Pacemaker Insertion (Dual Chamber) | $23,498$12k$30k | $27,297 | $38,995 |
| PET/CT Scan, Whole Body | $3,340$1.7k$4.1k | $6,150 | $8,785 |
| Pregnancy Ultrasound (Second or Third Trimester) | $244$125$1.0k | $305 | $436 |
| Prostate Biopsy | $5,757 | $4,183 | $5,975 |
| PSA Prostate Cancer Screening | $37$19$45 | $129 | $184 |
| Pulmonary Function Test with Bronchodilator | $839$98$1.1k | $1,073 | $1,533 |
| Rotator Cuff Repair (Arthroscopic) | $16,313$8.6k$21k | $4,927 | $7,039 |
| Screening Mammogram | $70$36$490 | $357 | $511 |
| Septoplasty (Deviated Septum Repair) | $7,454$3.9k$9.5k | $2,176 | $3,108 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $15,866$8.4k$20k | $4,893 | $6,990 |
| Skin Biopsy (Tangential) | $950$484$1.2k | $539 | $770 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $3,858$2.0k$5.8k | $2,008 | $2,868 |
| Spinal Cord Stimulator Trial | $14,328$7.6k$18k | $3,566 | $5,095 |
| Spirometry (Breathing Test) | $485$65$621 | $611 | $873 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $7,454$3.9k$9.5k | $6,865 | $9,807 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $13,309$7.1k$17k | $5,910 | $8,443 |
| Total Hip Replacement | $28,864$12k$37k | $14,703 | $21,005 |
| Total Knee Replacement | $28,864$13k$37k | $13,828 | $19,754 |
| Total Mastectomy | $14,928$7.9k$19k | $4,138 | $5,911 |
| TSH Thyroid Function Test | $34$17$41 | $118 | $168 |
| TURP (Transurethral Prostate Resection) | $12,054$6.4k$15k | $7,145 | $10,207 |
| Upper GI Endoscopy (EGD) | $2,119$1.1k$3.3k | $2,531 | $3,616 |
| Urinalysis with Microscopy | $6$3$8 | $16 | $23 |
| Vasectomy | $4,883$2.5k$6.0k | $6,247 | $8,925 |
| Vitamin D Blood Test | $59$30$73 | $205 | $293 |