| Abdominal Hysterectomy | $6,706$839$8.8k | $1,496 | $2,991 |
| ACL Reconstruction (Arthroscopic) | $6,687$1.4k$9.5k | $8,537 | $17,075 |
| Basic Metabolic Panel | $11 | $54 | $108 |
| Bone Marrow Biopsy | $1,383$189$3.9k | $114 | $227 |
| Breast Biopsy (Ultrasound-guided) | $3,905$1.2k$6.5k | $2,923 | $5,845 |
| Bunion Correction Surgery | $5,081$1.4k$8.8k | $774 | $1,547 |
| Cardiac Ablation for Atrial Fibrillation | $24,754$1.1k$36k | $17,613 | $35,226 |
| Cardiac Catheterization (Left Heart) | $9,126$3.0k$14k | $6,465 | $12,929 |
| Carpal Tunnel Release Surgery | $3,905$1.2k$6.5k | $628 | $1,255 |
| Cervical Spinal Fusion (Anterior) | $8,276$2.6k$9.5k | $2,539 | $5,078 |
| Cesarean Delivery (Global Package) | $2,164$865$8.8k | $3,395 | $6,789 |
| Chemotherapy Infusion (First Hour) | $304$140$675 | $488 | $976 |
| Chest X-ray (2 Views) | $54$24$105 | $208 | $416 |
| Colonoscopy with Biopsy | $1,148$1.1k$3.9k | $1,564 | $3,129 |
| Complete Abdominal Ultrasound | $184$83$391 | $423 | $845 |
| Complete Blood Count (CBC) with Differential | $10 | $52 | $103 |
| Comprehensive Metabolic Panel | $13 | $70 | $139 |
| Coronary Angioplasty with Stent | $790$599$9.4k | $547 | $1,094 |
| Critical Care, First Hour | $1,129$224$1.9k | $1,497 | $2,994 |
| CT Abdomen and Pelvis with Contrast | $341$245$1.1k | $1,079 | $2,158 |
| CT Cardiac Calcium Scoring | $111$78$361 | $35 | $70 |
| CT Chest without Contrast | $128$90$476 | $578 | $1,155 |
| CT Head without Contrast | $103$72$346 | $612 | $1,224 |
| DEXA Bone Density Scan | $67$28$142 | $223 | $446 |
| Diagnostic Colonoscopy | $1,148$1.1k$2.8k | $282 | $563 |
| Diagnostic Mammogram (Both Breasts) | $260$116$565 | $804 | $1,607 |
| Ear Tube Placement (Tympanostomy) | $4,536$1.4k$6.5k | $240 | $479 |
| Echocardiogram (Complete with Doppler) | $300$135$641 | $931 | $1,862 |
| EKG (Electrocardiogram, 12-lead) | $34$15$80 | $71 | $141 |
| Emergency Room Visit (Level 3) | $986$227$1.5k | $98 | $1,262 |
| Group Therapy Session | $54$25$107 | $107 | $213 |
| Hemoglobin A1c (Diabetes Test) | $12 | $65 | $129 |
| HIV Antibody Test | $11 | $46 | $92 |
| Home Sleep Study | $113$48$342 | $118 | $236 |
| Individual Therapy Session (45 Minutes) | $205$94$364 | $190 | $380 |
| Inguinal Hernia Repair (Open) | $5,513$1.7k$8.8k | $774 | $1,547 |
| Initial Hospital Admission (Level 1) | $195$103$472 | $151 | $301 |
| Initial Psychiatric Diagnostic Evaluation | $351$160$545 | $191 | $381 |
| Initial Psychiatric Evaluation with Medication Management | $400$182$610 | $211 | $422 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | — | $1,187 | $2,373 |
| IUD Insertion | $849$139$2.8k | $200 | $399 |
| IUD Removal | $524$55$2.8k | $101 | $202 |
| Knee Arthroscopy with Meniscectomy | $5,513$1.7k$6.5k | $5,384 | $10,767 |
| Laparoscopic Appendectomy | $6,706$1.9k$12k | $894 | $1,787 |
| Laparoscopic Gallbladder Removal | $10,769$5.4k$12k | $978 | $1,955 |
| Laparoscopic Tubal Ligation | $6,706$1.9k$12k | $7,233 | $14,467 |
| Lipid Panel (Cholesterol Test) | $17 | $90 | $179 |
| Lumbar Epidural Steroid Injection | $2,707$849$6.5k | $1,348 | $2,695 |
| Lumbar Puncture (Spinal Tap) | $1,383$167$2.8k | $958 | $1,915 |
| Lumbar Spinal Fusion (Posterior) | $8,233$1.3k$9.5k | $2,336 | $4,671 |
| Lumpectomy (Partial Mastectomy) | $5,081$1.4k$8.8k | $965 | $1,929 |
| MRI Abdomen with and without Contrast | $647$264$1.3k | $165 | $330 |
| MRI Brain with and without Contrast | $627$235$1.2k | $2,508 | $5,016 |
| MRI Brain with Contrast | $608$207$1.0k | $1,922 | $3,843 |
| MRI Brain without Contrast | $451$140$709 | $1,509 | $3,017 |
| MRI Cervical Spine (Neck) without Contrast | $432$135$709 | $1,045 | $2,090 |
| MRI Knee without Contrast | $462$153$766 | $1,045 | $2,090 |
| MRI Lower Back (Lumbar Spine) without Contrast | $433$135$709 | $1,045 | $2,090 |
| MRI Thoracic Spine (Mid-back) without Contrast | $432$135$709 | $836 | $1,672 |
| Newborn Circumcision | $3,263$865$6.5k | $147 | $294 |
| Nuclear Cardiac Stress Test | $846$387$1.9k | $2,204 | $4,407 |
| Office Visit, Established Patient (Level 3) | $153$69$523 | $112 | $223 |
| Office Visit, New Patient (Level 3) | $192$86$523 | $45 | $90 |
| Pacemaker Insertion (Dual Chamber) | $7,888$420$9.5k | $9,526 | $19,051 |
| PET/CT Scan, Whole Body | — | $2,192 | $4,383 |
| Pregnancy Ultrasound (Second or Third Trimester) | $208$92$430 | $359 | $718 |
| Prostate Biopsy | $1,924$353$3.9k | $183 | $365 |
| PSA Prostate Cancer Screening | $23 | $108 | $215 |
| Pulmonary Function Test with Bronchodilator | $66$29$223 | $355 | $710 |
| Rotator Cuff Repair (Arthroscopic) | $7,407$1.7k$9.5k | $6,503 | $13,005 |
| Screening Mammogram | $216$96$469 | $643 | $1,285 |
| Septoplasty (Deviated Septum Repair) | $5,302$1.7k$6.5k | $3,689 | $7,378 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $4,453$1.9k$9.5k | $600 | $1,200 |
| Skin Biopsy (Tangential) | $483$31$2.8k | $60 | $119 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $544$68$3.9k | $121 | $242 |
| Sleep Study (In-lab Polysomnography) | $1,528$502$2.5k | $1,334 | $2,667 |
| Spinal Cord Stimulator Trial | $5,212$1.2k$9.5k | $616 | $1,232 |
| Spirometry (Breathing Test) | $44$19$130 | $72 | $143 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $6,162$1.9k$6.5k | $454 | $908 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,483$1.4k$6.5k | $438 | $875 |
| Total Hip Replacement | $8,276$2.6k$9.5k | $7,702 | $15,403 |
| Total Knee Replacement | $7,571$1.9k$9.5k | $8,100 | $16,201 |
| Total Mastectomy | $7,119$1.7k$9.5k | $1,422 | $2,844 |
| TSH Thyroid Function Test | $21 | $111 | $221 |
| TURP (Transurethral Prostate Resection) | $5,915$1.7k$8.8k | $1,023 | $2,046 |
| Upper GI Endoscopy (EGD) | $2,707$849$2.9k | $195 | $390 |
| Urinalysis with Microscopy | $4 | $22 | $44 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,048$865$8.8k | $3,218 | $6,436 |
| Vaginal Delivery (Global Package) | $1,962$865$8.8k | $3,082 | $6,164 |
| Vaginal Hysterectomy | $6,368$697$8.8k | $1,217 | $2,433 |
| Vasectomy | $3,905$865$6.5k | $4,899 | $9,798 |
| Vitamin D Blood Test | $37 | $154 | $307 |