| Abdominal Hysterectomy | $5,986$1.7k$21k | $11,333 | $11,333 |
| ACL Reconstruction (Arthroscopic) | $10,770$1.7k$157k | $82,960 | $82,960 |
| Basic Metabolic Panel | $46$8$189 | $100 | $100 |
| Bone Marrow Biopsy | $4,172$1.7k$14k | $7,612 | $7,612 |
| Breast Biopsy (Ultrasound-guided) | $3,891$1.7k$16k | $8,339 | $8,339 |
| Bunion Correction Surgery | $5,986$1.7k$20k | $10,581 | $10,581 |
| Cardiac Catheterization (Left Heart) | $6,670$3.3k$27k | $14,360 | $14,360 |
| Carpal Tunnel Release Surgery | $5,285$1.7k$31k | $16,437 | $16,437 |
| Cervical Spinal Fusion (Anterior) | $10,770$1.7k$84k | $44,286 | $44,286 |
| Cesarean Delivery (Global Package) | $16,584$1.7k$51k | $26,768 | $26,768 |
| Chemotherapy Infusion (First Hour) | $825$441$2.6k | $1,358 | $1,358 |
| Chest X-ray (2 Views) | $250$129$1.0k | $541 | $541 |
| Colonoscopy with Biopsy | $7,020$1.7k$17k | $8,196 | $8,196 |
| Complete Abdominal Ultrasound | $702$174$2.2k | $1,170 | $1,170 |
| Complete Blood Count (CBC) with Differential | $68$8$277 | $147 | $147 |
| Comprehensive Metabolic Panel | $69$11$283 | $150 | $150 |
| Coronary Angioplasty with Stent | $17,113$1.7k$143k | $75,586 | $75,586 |
| Critical Care, First Hour | $2,960$859$13k | $6,629 | $6,629 |
| CT Abdomen and Pelvis with Contrast | $2,630$589$11k | $5,686 | $5,686 |
| CT Cardiac Calcium Scoring | $229$95$889 | $382 | $382 |
| CT Chest without Contrast | $1,892$174$7.7k | $4,090 | $4,090 |
| CT Head without Contrast | $1,419$174$5.8k | $3,068 | $3,068 |
| DEXA Bone Density Scan | $218$141$821 | $435 | $435 |
| Diagnostic Colonoscopy | $4,589$1.7k$16k | $8,652 | $8,652 |
| Diagnostic Mammogram (Both Breasts) | $1,791$187$5.6k | $2,985 | $2,985 |
| Ear Tube Placement (Tympanostomy) | $4,589$1.7k$48k | $25,686 | $25,686 |
| Echocardiogram (Complete with Doppler) | $2,347$767$9.6k | $5,075 | $5,075 |
| Emergency Room Visit (Level 3) | $1,341$412$6.7k | $3,547 | $3,547 |
| Group Therapy Session | $286$116$674 | $357 | $357 |
| Hemoglobin A1c (Diabetes Test) | $23$10$126 | $67 | $67 |
| HIV Antibody Test | $56$9$228 | $121 | $121 |
| Home Sleep Study | $1,336$486$2.8k | $1,494 | $1,494 |
| Inguinal Hernia Repair (Open) | $5,986$1.7k$58k | $30,877 | $30,877 |
| IUD Insertion | $4,066$1.2k$13k | $6,867 | $6,867 |
| IUD Removal | $1,999$1.2k$6.4k | $2,775 | $2,775 |
| Knee Arthroscopy with Meniscectomy | $5,986$1.7k$67k | $35,455 | $35,455 |
| Laparoscopic Appendectomy | $10,770$1.7k$82k | $43,335 | $43,335 |
| Laparoscopic Gallbladder Removal | $10,770$1.7k$110k | $58,550 | $58,550 |
| Laparoscopic Tubal Ligation | $10,770$1.7k$84k | $44,604 | $44,604 |
| Lipid Panel (Cholesterol Test) | $238$13$970 | $514 | $514 |
| Lumbar Epidural Steroid Injection | $3,954$1.7k$11k | $5,965 | $5,965 |
| Lumbar Puncture (Spinal Tap) | $2,356$600$8.3k | $3,438 | $3,438 |
| Lumbar Spinal Fusion (Posterior) | $10,770$1.7k$90k | $47,549 | $47,549 |
| Lumpectomy (Partial Mastectomy) | $5,285$1.7k$44k | $23,449 | $23,449 |
| MRI Abdomen with and without Contrast | $2,994$589$12k | $6,474 | $6,474 |
| MRI Brain with and without Contrast | $4,856$589$18k | $8,093 | $8,093 |
| MRI Brain with Contrast | $3,716$589$15k | $8,034 | $8,034 |
| MRI Brain without Contrast | $3,131$368$13k | $6,770 | $6,770 |
| MRI Cervical Spine (Neck) without Contrast | $2,767$368$11k | $5,982 | $5,982 |
| MRI Knee without Contrast | $2,393$368$7.5k | $3,988 | $3,988 |
| MRI Lower Back (Lumbar Spine) without Contrast | $3,689$368$15k | $7,977 | $7,977 |
| MRI Thoracic Spine (Mid-back) without Contrast | $2,765$368$11k | $5,979 | $5,979 |
| Newborn Circumcision | $3,998$1.6k$9.3k | $4,952 | $4,952 |
| Nuclear Cardiac Stress Test | $4,629$1.3k$26k | $8,008 | $8,008 |
| Office Visit, Established Patient (Level 3) | $289$117$681 | $361 | $361 |
| Office Visit, New Patient (Level 3) | $380$154$896 | $475 | $475 |
| Pacemaker Insertion (Dual Chamber) | $8,280$1.7k$237k | $125,763 | $125,763 |
| Pregnancy Ultrasound (Second or Third Trimester) | $644$174$2.2k | $878 | $878 |
| Prostate Biopsy | $4,238$1.7k$11k | $5,698 | $5,698 |
| PSA Prostate Cancer Screening | $58$18$239 | $126 | $126 |
| Pulmonary Function Test with Bronchodilator | $801$384$2.2k | $1,182 | $1,182 |
| Rotator Cuff Repair (Arthroscopic) | $10,770$1.7k$95k | $50,586 | $50,586 |
| Screening Mammogram | $1,481$155$4.7k | $2,469 | $2,469 |
| Septoplasty (Deviated Septum Repair) | $5,285$1.7k$42k | $22,083 | $22,083 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $5,986$1.7k$68k | $36,247 | $36,247 |
| Skin Biopsy (Tangential) | $946$235$1.4k | $723 | $723 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $4,172$1.7k$14k | $7,612 | $7,612 |
| Sleep Study (In-lab Polysomnography) | $4,287$1.3k$17k | $9,270 | $9,270 |
| Spinal Cord Stimulator Trial | $18,573$1.7k$104k | $40,436 | $40,436 |
| Spirometry (Breathing Test) | $702$207$1.2k | $637 | $637 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $5,285$1.7k$43k | $22,732 | $22,732 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,285$1.7k$57k | $30,219 | $30,219 |
| Total Hip Replacement | $7,947$1.7k$29k | $15,300 | $15,300 |
| Total Knee Replacement | $7,947$1.7k$46k | $24,330 | $24,330 |
| Total Mastectomy | $5,986$1.7k$60k | $31,541 | $31,541 |
| TSH Thyroid Function Test | $80$17$283 | $133 | $133 |
| TURP (Transurethral Prostate Resection) | $6,677$1.7k$65k | $34,504 | $34,504 |
| Umbilical Hernia Repair | $5,986$1.7k$58k | $30,877 | $30,877 |
| Upper GI Endoscopy (EGD) | $6,832$1.7k$15k | $7,263 | $7,263 |
| Urinalysis with Microscopy | $62$3$253 | $134 | $134 |
| Vaginal Delivery (Global Package) | $15,219$1.7k$45k | $24,038 | $24,038 |
| Vaginal Hysterectomy | $5,986$1.7k$81k | $42,695 | $42,695 |
| Vasectomy | $5,285$1.7k$39k | $20,611 | $20,611 |
| Vitamin D Blood Test | $104$30$423 | $224 | $224 |