| Abdominal Hysterectomy | $1,450$1.1k$12k | $32,108 | $32,108 |
| ACL Reconstruction (Arthroscopic) | $9,013$4.3k$18k | $14,487 | $14,487 |
| Allergy Skin Testing | $1,077$1.1k$4.3k | $13 | $13 |
| Basic Metabolic Panel | $9$8$4.3k | $444 | $444 |
| Bone Marrow Biopsy | $2,667$165$12k | $5,597 | $5,597 |
| Breast Biopsy (Ultrasound-guided) | $2,667$2.1k$12k | $5,555 | $5,555 |
| Bunion Correction Surgery | $4,958$4.1k$12k | $20,372 | $20,372 |
| Cardiac Ablation for Atrial Fibrillation | $16,396$4.3k$65k | $76,938 | $76,938 |
| Cardiac Catheterization (Left Heart) | $5,235$2.0k$10k | $15,634 | $15,634 |
| Carpal Tunnel Release Surgery | $3,153$2.4k$12k | $9,129 | $9,129 |
| Cataract Surgery with Lens Implant | $3,727$2.9k$12k | $9,635 | $9,635 |
| Cervical Spinal Fusion (Anterior) | $15,948$4.3k$32k | $13,225 | $13,225 |
| Chemotherapy Infusion (First Hour) | $410$164$8.9k | $3,834 | $3,834 |
| Chest X-ray (2 Views) | $109$108$4.3k | $747 | $747 |
| Colonoscopy with Biopsy | $2,103$1.5k$12k | $4,668 | $4,668 |
| Complete Abdominal Ultrasound | $131$130$4.3k | $1,591 | $1,591 |
| Complete Blood Count (CBC) with Differential | $8$8$4.3k | $179 | $179 |
| Comprehensive Metabolic Panel | $11$11$4.3k | $659 | $659 |
| Coronary Angioplasty with Stent | $14,340$4.3k$29k | $30,395 | $30,395 |
| Critical Care, First Hour | $1,334$165$14k | $14,472 | $14,472 |
| CT Abdomen and Pelvis with Contrast | $442$433$4.3k | $6,865 | $6,865 |
| CT Cardiac Calcium Scoring | $110$108$4.3k | $122 | $122 |
| CT Chest without Contrast | $132$130$4.3k | $3,560 | $3,560 |
| CT Head without Contrast | $132$130$4.3k | $2,996 | $2,996 |
| DEXA Bone Density Scan | $131$130$4.3k | $1,299 | $1,299 |
| Diagnostic Colonoscopy | $1,802$1.2k$12k | $7,437 | $7,437 |
| Diagnostic Mammogram (Both Breasts) | $53$52$4.3k | $1,223 | $1,223 |
| Ear Tube Placement (Tympanostomy) | $2,506$1.9k$12k | $4,958 | $4,958 |
| Echocardiogram (Complete with Doppler) | $679$271$10k | $5,457 | $5,457 |
| Emergency Room Visit (Level 3) | $441$150$4.3k | $2,752 | $2,752 |
| Group Therapy Session | $126$72$4.3k | $561 | $561 |
| Hemoglobin A1c (Diabetes Test) | $10$10$4.3k | $278 | $278 |
| HIV Antibody Test | $9$9$4.3k | $175 | $175 |
| Individual Therapy Session (45 Minutes) | $220$166$4.3k | $421 | $421 |
| Inguinal Hernia Repair (Open) | $5,562$4.3k$15k | $22,362 | $22,362 |
| Initial Psychiatric Diagnostic Evaluation | $250$165$4.3k | $3,438 | $3,438 |
| Initial Psychiatric Evaluation with Medication Management | $225$220$4.3k | $637 | $637 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $3,449$2.6k$4.3k | $4,496 | $4,496 |
| IUD Insertion | $5,417$4.3k$12k | $3,673 | $3,673 |
| IUD Removal | $492$165$12k | $1,160 | $1,160 |
| Knee Arthroscopy with Meniscectomy | $4,958$4.1k$12k | $10,621 | $10,621 |
| Laparoscopic Appendectomy | $7,510$4.3k$15k | $15,397 | $15,397 |
| Laparoscopic Gallbladder Removal | $7,660$4.3k$15k | $32,511 | $32,511 |
| Laparoscopic Tubal Ligation | $7,510$4.3k$15k | $17,188 | $17,188 |
| Lipid Panel (Cholesterol Test) | $14$13$4.3k | $305 | $305 |
| Lumbar Epidural Steroid Injection | $1,362$165$12k | $2,943 | $2,943 |
| Lumbar Puncture (Spinal Tap) | $1,140$877$12k | $4,958 | $4,958 |
| Lumpectomy (Partial Mastectomy) | $5,417$4.3k$16k | $11,585 | $11,585 |
| MRI Abdomen with and without Contrast | $442$433$4.3k | $9,646 | $9,646 |
| MRI Brain with and without Contrast | $442$433$4.3k | $10,825 | $10,825 |
| MRI Brain with Contrast | $442$433$4.3k | $8,748 | $8,748 |
| MRI Brain without Contrast | $302$296$4.3k | $7,538 | $7,538 |
| MRI Cervical Spine (Neck) without Contrast | $302$296$4.3k | $7,119 | $7,119 |
| MRI Knee without Contrast | $326$296$4.3k | $5,982 | $5,982 |
| MRI Lower Back (Lumbar Spine) without Contrast | $302$296$4.3k | $7,030 | $7,030 |
| MRI Thoracic Spine (Mid-back) without Contrast | $302$296$4.3k | $5,973 | $5,973 |
| Newborn Circumcision | $3,376$2.6k$7.0k | $7,274 | $7,274 |
| Nuclear Cardiac Stress Test | $1,639$1.6k$4.3k | $7,672 | $7,672 |
| Office Visit, Established Patient (Level 3) | $66$65$4.3k | $520 | $520 |
| Office Visit, New Patient (Level 3) | $82$61$4.3k | $540 | $540 |
| Pacemaker Insertion (Dual Chamber) | $12,983$4.3k$26k | $50,670 | $50,670 |
| PET/CT Scan, Whole Body | $1,812$1.8k$12k | $15,038 | $15,038 |
| Pregnancy Ultrasound (Second or Third Trimester) | $131$130$4.3k | $1,287 | $1,287 |
| Prostate Biopsy | $5,417$1.0k$12k | $7,236 | $7,236 |
| PSA Prostate Cancer Screening | $19$18$4.3k | $345 | $345 |
| Pulmonary Function Test with Bronchodilator | $464$185$4.3k | $898 | $898 |
| Rotator Cuff Repair (Arthroscopic) | $9,013$4.3k$18k | $15,837 | $15,837 |
| Screening Mammogram | $40$40$4.3k | $1,223 | $1,223 |
| Septoplasty (Deviated Septum Repair) | $5,262$4.1k$12k | $11,745 | $11,745 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $8,767$4.3k$25k | $6,251 | $6,251 |
| Skin Biopsy (Tangential) | $656$165$6.5k | $637 | $637 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,667$2.1k$12k | $5,640 | $5,640 |
| Sleep Study (In-lab Polysomnography) | $1,067$533$4.3k | $14,071 | $14,071 |
| Spinal Cord Stimulator Trial | $7,916$4.3k$16k | $8,652 | $8,652 |
| Spirometry (Breathing Test) | $271$268$4.3k | $494 | $494 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $5,262$4.1k$12k | $17,089 | $17,089 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $7,353$4.3k$15k | $13,905 | $13,905 |
| Total Hip Replacement | $15,948$4.3k$40k | $20,770 | $20,770 |
| Total Knee Replacement | $15,948$4.3k$40k | $18,979 | $18,979 |
| Total Mastectomy | $8,248$4.3k$25k | $13,040 | $13,040 |
| TSH Thyroid Function Test | $17$17$4.3k | $354 | $354 |
| TURP (Transurethral Prostate Resection) | $6,660$4.3k$13k | $6,763 | $6,763 |
| Upper GI Endoscopy (EGD) | $1,784$563$12k | $6,198 | $6,198 |
| Urinalysis with Microscopy | $3$3$4.3k | $219 | $219 |
| Vaginal Hysterectomy | $6,214$4.3k$12k | $33,481 | $33,481 |
| Vasectomy | $3,815$2.6k$12k | $9,527 | $9,527 |
| Vitamin D Blood Test | $30$30$4.3k | $640 | $640 |