| Abdominal Hysterectomy | $1,423$190$26k | $6,612 | $56,671 |
| ACL Reconstruction (Arthroscopic) | $14,242$900$24k | $16,379 | $31,199 |
| Anesthesia for Screening Colonoscopy | $1,368$492$12k | $2,360 | $10,663 |
| Anesthesia for Upper Endoscopy | $2,100$274$12k | $2,415 | $12,676 |
| Basic Metabolic Panel | $16$4$97 | $61 | $674 |
| Bone Marrow Biopsy | $1,880$137$12k | $2,162 | $9,737 |
| Breast Biopsy (Ultrasound-guided) | $1,793$298$12k | $2,116 | $6,294 |
| Bunion Correction Surgery | $3,665$900$12k | $4,130 | $21,276 |
| Cardiac Ablation for Atrial Fibrillation | $28,465$664$28k | $41,362 | $226,633 |
| Cardiac Catheterization (Left Heart) | $3,560$1.7k$16k | $4,094 | $10,729 |
| Carpal Tunnel Release Surgery | $2,161$876$12k | $2,486 | $10,436 |
| Cataract Surgery with Lens Implant | $2,646$900$12k | $3,043 | $14,854 |
| Cervical Spinal Fusion (Anterior) | $14,242$900$27k | $16,593 | $35,218 |
| Chemotherapy Infusion (First Hour) | $367$235$1.2k | $8,716 | $16,129 |
| Chest X-ray (2 Views) | $97$21$478 | $112 | $800 |
| Colonoscopy with Biopsy | $1,305$388$12k | $1,501 | $11,838 |
| Complete Abdominal Ultrasound | $118$111$1.4k | $135 | $1,423 |
| Complete Blood Count (CBC) with Differential | $9$4$104 | $52 | $991 |
| Comprehensive Metabolic Panel | $13$6$135 | $64 | $863 |
| Coronary Angioplasty with Stent | $14,325$364$26k | $26,046 | $26,046 |
| Critical Care, First Hour | $1,100$344$5.4k | $1,333 | $6,727 |
| CT Abdomen and Pelvis with Contrast | $395$185$5.7k | $455 | $5,721 |
| CT Cardiac Calcium Scoring | $97$59$1.2k | $112 | $294 |
| CT Chest without Contrast | $178$118$1.8k | $135 | $1,967 |
| CT Head without Contrast | $178$118$2.4k | $135 | $2,420 |
| DEXA Bone Density Scan | $118$58$754 | $207 | $1,010 |
| Diagnostic Colonoscopy | $505$357$12k | $1,774 | $9,827 |
| Diagnostic Mammogram (Both Breasts) | $228$79$456 | $204 | $755 |
| Ear Tube Placement (Tympanostomy) | $3,763$125$12k | $4,327 | $16,401 |
| Echocardiogram (Complete with Doppler) | $607$190$3.1k | $698 | $3,141 |
| Emergency Room Visit (Level 3) | $575$114$3.9k | $491 | $2,909 |
| Group Therapy Session | $101$24$202 | $116 | $917 |
| Hemoglobin A1c (Diabetes Test) | $12$5$95 | $62 | $801 |
| HIV Antibody Test | $11$5$84 | $139 | $1,118 |
| Home Sleep Study | $173$132$5.5k | $199 | $950 |
| Individual Therapy Session (45 Minutes) | $176$79$391 | $202 | $968 |
| Inguinal Hernia Repair (Open) | $4,595$900$12k | $4,949 | $13,884 |
| Initial Hospital Admission (Level 1) | $67$22$159 | $112 | $112 |
| Initial Psychiatric Diagnostic Evaluation | $186$79$391 | $214 | $749 |
| Initial Psychiatric Evaluation with Medication Management | $176$53$781 | $202 | $1,116 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,016$50$4.9k | $4,671 | $31,458 |
| IUD Insertion | $5,464$98$12k | $6,284 | $19,046 |
| IUD Removal | $3,689$128$12k | $4,243 | $16,203 |
| Knee Arthroscopy with Meniscectomy | $3,591$900$12k | $4,130 | $10,955 |
| Laparoscopic Appendectomy | $6,770$900$14k | $7,785 | $31,339 |
| Laparoscopic Gallbladder Removal | $6,458$900$18k | $7,884 | $17,377 |
| Laparoscopic Tubal Ligation | $6,458$900$14k | $7,883 | $18,965 |
| Lipid Panel (Cholesterol Test) | $17$7$115 | $65 | $801 |
| Lumbar Epidural Steroid Injection | $804$192$12k | $924 | $3,759 |
| Lumbar Puncture (Spinal Tap) | $804$119$12k | $924 | $4,750 |
| Lumbar Spinal Fusion (Posterior) | $21,338$900$27k | $25,230 | $134,582 |
| Lumpectomy (Partial Mastectomy) | $4,238$1.3k$12k | $4,875 | $19,382 |
| MRI Abdomen with and without Contrast | $414$241$1.9k | $477 | $3,889 |
| MRI Brain with and without Contrast | $414$241$1.9k | $477 | $3,828 |
| MRI Brain with Contrast | $414$241$1.9k | $477 | $3,613 |
| MRI Brain without Contrast | $280$150$1.9k | $323 | $4,469 |
| MRI Cervical Spine (Neck) without Contrast | $280$150$1.9k | $313 | $3,357 |
| MRI Knee without Contrast | $280$150$1.9k | $323 | $2,611 |
| MRI Lower Back (Lumbar Spine) without Contrast | $280$150$1.9k | $323 | $2,611 |
| MRI Thoracic Spine (Mid-back) without Contrast | $565$150$1.9k | $522 | $4,846 |
| Newborn Circumcision | $2,377$186$12k | $2,734 | $14,726 |
| Nuclear Cardiac Stress Test | $1,445$282$6.3k | $1,662 | $7,054 |
| Office Visit, Established Patient (Level 3) | $128$26$12k | $78 | $175 |
| Office Visit, New Patient (Level 3) | $124$36$12k | $97 | $517 |
| Pacemaker Insertion (Dual Chamber) | $12,143$900$38k | $13,643 | $46,731 |
| PET/CT Scan, Whole Body | $1,692$1.2k$3.5k | $1,946 | $15,389 |
| Pregnancy Ultrasound (Second or Third Trimester) | $123$104$629 | $142 | $646 |
| Prostate Biopsy | $2,267$248$12k | $2,608 | $16,747 |
| PSA Prostate Cancer Screening | $24$10$340 | $62 | $736 |
| Pulmonary Function Test with Bronchodilator | $345$66$586 | $396 | $1,158 |
| Rotator Cuff Repair (Arthroscopic) | $7,907$900$14k | $9,318 | $23,768 |
| Screening Mammogram | $206$58$411 | $129 | $511 |
| Septoplasty (Deviated Septum Repair) | $6,965$900$12k | $9,237 | $37,617 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $8,032$629$12k | $9,237 | $35,681 |
| Skin Biopsy (Tangential) | $329$73$12k | $503 | $2,321 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $4,002$125$12k | $4,602 | $15,643 |
| Sleep Study (In-lab Polysomnography) | $1,706$1.0k$7.6k | $1,295 | $7,600 |
| Spinal Cord Stimulator Trial | $7,615$807$18k | $12,190 | $67,470 |
| Spirometry (Breathing Test) | $247$45$586 | $298 | $1,014 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,763$602$12k | $4,327 | $29,819 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,864$576$12k | $7,894 | $19,137 |
| Total Hip Replacement | $14,242$900$29k | $16,500 | $32,406 |
| Total Knee Replacement | $14,242$900$28k | $16,499 | $33,052 |
| Total Mastectomy | $20,188$1.9k$20k | $23,324 | $77,680 |
| TSH Thyroid Function Test | $21$9$188 | $63 | $801 |
| TURP (Transurethral Prostate Resection) | $5,627$900$12k | $6,471 | $17,044 |
| Upper GI Endoscopy (EGD) | $11,524$125$18k | $13,252 | $28,538 |
| Urinalysis with Microscopy | $7$3$326 | $154 | $868 |
| Vaginal Hysterectomy | $8,580$125$12k | $9,867 | $48,864 |
| Vasectomy | $2,377$449$12k | $2,733 | $11,282 |
| Vitamin D Blood Test | $37$16$140 | $81 | $725 |