| Abdominal Hysterectomy | $1,433$927$2.6k | $3,022 | $3,022 |
| ACL Reconstruction (Arthroscopic) | $7,079$6.7k$8.9k | $4,034 | $4,034 |
| Allergy Skin Testing | $3$3$13 | $16 | $16 |
| Basic Metabolic Panel | $62$8$93 | $92 | $92 |
| Bone Marrow Biopsy | $1,818$1.4k$2.5k | $2,498 | $2,498 |
| Breast Biopsy (Ultrasound-guided) | $2,978$1.5k$4.4k | $4,411 | $4,411 |
| Bunion Correction Surgery | $3,215$3.0k$3.3k | $2,050 | $2,050 |
| Cardiac Stress Test (Treadmill) | $111$69$248 | $310 | $310 |
| Carpal Tunnel Release Surgery | $1,935$1.8k$2.1k | $1,776 | $1,776 |
| Cataract Surgery with Lens Implant | $2,260$2.2k$3.5k | — | — |
| Cervical Spinal Fusion (Anterior) | $2,182$1.5k$4.2k | $4,990 | $4,990 |
| Cesarean Delivery (Global Package) | $2,998$2.4k$5.9k | $5,820 | $5,820 |
| Chemotherapy Infusion (First Hour) | $458$316$697 | $702 | $702 |
| Chest X-ray (2 Views) | $282$84$448 | $452 | $452 |
| Colonoscopy with Biopsy | $3,232$1.1k$5.0k | $5,087 | $5,087 |
| Complete Abdominal Ultrasound | $615$101$904 | $911 | $911 |
| Complete Blood Count (CBC) with Differential | $53$7$67 | $64 | $64 |
| Comprehensive Metabolic Panel | $95$10$141 | $140 | $140 |
| Critical Care, First Hour | $1,653$802$2.5k | $2,449 | $2,449 |
| CT Abdomen and Pelvis with Contrast | $3,463$340$5.1k | $5,131 | $5,131 |
| CT Chest without Contrast | $1,494$101$2.2k | $2,213 | $2,213 |
| CT Head without Contrast | $1,382$101$2.0k | $2,047 | $2,047 |
| DEXA Bone Density Scan | $687$101$1.1k | $1,125 | $1,125 |
| Diagnostic Colonoscopy | $2,349$860$3.7k | $3,697 | $3,697 |
| Diagnostic Mammogram (Both Breasts) | $762$414$892 | $899 | $899 |
| Ear Tube Placement (Tympanostomy) | $1,468$1.4k$1.7k | $383 | $383 |
| Echocardiogram (Complete with Doppler) | $1,884$519$2.8k | $2,791 | $2,791 |
| EKG (Electrocardiogram, 12-lead) | $23$13$63 | $78 | $78 |
| Emergency Room Visit (Level 3) | $517$263$5.6k | $766 | $766 |
| Group Therapy Session | $40$23$128 | $160 | $160 |
| Hemoglobin A1c (Diabetes Test) | $71$9$163 | $121 | $121 |
| HIV Antibody Test | $175$9$258 | $260 | $260 |
| Holter Monitor (24-48 Hour Heart Monitor) | $111$66$228 | $234 | $234 |
| Individual Therapy Session (45 Minutes) | $103$55$253 | $312 | $312 |
| Inguinal Hernia Repair (Open) | $3,497$3.3k$6.1k | $1,338 | $1,338 |
| Initial Hospital Admission (Level 1) | $121$66$257 | $247 | $247 |
| Initial Psychiatric Diagnostic Evaluation | $172$55$400 | $385 | $385 |
| Initial Psychiatric Evaluation with Medication Management | $207$55$452 | $391 | $391 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $2,082$550$3.1k | $3,135 | $3,135 |
| IUD Insertion | $50 | $270 | $270 |
| IUD Removal | $490$289$720 | $726 | $726 |
| Knee Arthroscopy with Meniscectomy | $3,215$3.0k$5.5k | $1,965 | $1,965 |
| Laparoscopic Appendectomy | $5,781$5.4k$6.8k | $1,531 | $1,531 |
| Laparoscopic Gallbladder Removal | $5,781$5.4k$8.1k | $1,904 | $1,904 |
| Laparoscopic Tubal Ligation | $5,781$5.4k$5.9k | $1,890 | $1,890 |
| Lipid Panel (Cholesterol Test) | $102$13$126 | $124 | $124 |
| Lumbar Epidural Steroid Injection | $809$631$1.1k | $1,147 | $1,147 |
| Lumbar Puncture (Spinal Tap) | $962$651$1.5k | $1,515 | $1,515 |
| Lumbar Spinal Fusion (Posterior) | $2,314$1.4k$4.0k | $4,958 | $4,958 |
| Lumpectomy (Partial Mastectomy) | $3,794$3.6k$5.8k | $1,653 | $1,653 |
| MRI Abdomen with and without Contrast | $3,752$340$6.3k | $6,317 | $6,317 |
| MRI Brain with and without Contrast | $3,558$340$6.3k | $6,317 | $6,317 |
| MRI Brain with Contrast | $2,656$340$3.9k | $3,935 | $3,935 |
| MRI Brain without Contrast | $2,318$230$3.5k | $3,521 | $3,521 |
| MRI Cervical Spine (Neck) without Contrast | $2,334$230$3.5k | $3,521 | $3,521 |
| MRI Knee without Contrast | $2,377$230$3.5k | $3,521 | $3,521 |
| MRI Lower Back (Lumbar Spine) without Contrast | $2,377$230$3.5k | $3,521 | $3,521 |
| MRI Thoracic Spine (Mid-back) without Contrast | $2,334$230$3.5k | $3,521 | $3,521 |
| Newborn Circumcision | $2,030$1.2k$3.2k | $3,179 | $3,179 |
| Nuclear Cardiac Stress Test | $2,045$1.2k$3.0k | $3,029 | $3,029 |
| Office Visit, Established Patient (Level 3) | $179$51$222 | $224 | $224 |
| Office Visit, New Patient (Level 3) | $189$94$234 | $236 | $236 |
| Pacemaker Insertion (Dual Chamber) | $850$455$1.4k | $1,700 | $1,700 |
| PET/CT Scan, Whole Body | $3,822$1.4k$5.6k | $5,662 | $5,662 |
| Pregnancy Ultrasound (Second or Third Trimester) | $618$101$908 | $915 | $915 |
| Prostate Biopsy | $2,030$1.9k$2.1k | $3,198 | $3,198 |
| PSA Prostate Cancer Screening | $160$18$236 | $211 | $211 |
| Pulmonary Function Test with Bronchodilator | $446$296$655 | $660 | $660 |
| Rotator Cuff Repair (Arthroscopic) | $7,079$5.4k$7.2k | $2,699 | $2,699 |
| Screening Mammogram | $656$356$768 | $775 | $775 |
| Septoplasty (Deviated Septum Repair) | $3,213$3.0k$3.3k | $1,534 | $1,534 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,859$1.8k$7.0k | $968 | $968 |
| Skin Biopsy (Tangential) | $197$188$337 | $527 | $527 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,835$1.4k$2.5k | $2,541 | $2,541 |
| Spirometry (Breathing Test) | $242$147$446 | $450 | $450 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,213$3.0k$3.3k | $777 | $777 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,862$5.5k$6.0k | $745 | $745 |
| Total Hip Replacement | $12,749$12k$17k | $4,603 | $4,603 |
| Total Knee Replacement | $12,749$12k$18k | $4,912 | $4,912 |
| Total Mastectomy | $6,462$6.1k$6.6k | $2,560 | $2,560 |
| TSH Thyroid Function Test | $149$16$218 | $220 | $220 |
| TURP (Transurethral Prostate Resection) | $5,037$4.8k$5.1k | $2,629 | $2,629 |
| Upper GI Endoscopy (EGD) | $2,098$853$3.3k | $3,303 | $3,303 |
| Urinalysis with Microscopy | $70$3$127 | $128 | $128 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,719$2.2k$5.6k | $5,514 | $5,514 |
| Vaginal Delivery (Global Package) | $2,721$2.1k$5.3k | $5,270 | $5,270 |
| Vaginal Hysterectomy | $4,891$4.7k$5.0k | $2,521 | $2,521 |
| Vasectomy | $2,030$1.9k$3.0k | $3,327 | $3,327 |
| Vitamin D Blood Test | $77$28$329 | $208 | $208 |