| Abdominal Hysterectomy | $982$837$2.3k | $729 | $2,700 |
| ACL Reconstruction (Arthroscopic) | $1,601$1.4k$3.7k | $1,188 | $4,400 |
| Allergy Skin Testing | $4$3$9 | $3 | $10 |
| Basic Metabolic Panel | $82$7$195 | $62 | $230 |
| Bone Marrow Biopsy | $128$109$298 | $95 | $351 |
| Breast Biopsy (Ultrasound-guided) | $291$248$679 | $216 | $799 |
| Bunion Correction Surgery | $560$477$1.3k | $416 | $1,540 |
| Cardiac Ablation for Atrial Fibrillation | $1,197$1.0k$2.8k | $888 | $3,290 |
| Cardiac Catheterization (Left Heart) | $594$506$1.4k | $441 | $1,632 |
| Carpal Tunnel Release Surgery | $437$372$1.0k | $324 | $1,200 |
| Cataract Surgery with Lens Implant | $1,091$930$2.5k | $810 | $3,000 |
| Cervical Spinal Fusion (Anterior) | $2,183$1.9k$5.1k | $1,620 | $6,000 |
| Cesarean Delivery (Global Package) | $1,409$1.2k$3.3k | $1,046 | $3,873 |
| Chest X-ray (2 Views) | $44$9$360 | $64 | $239 |
| Colonoscopy with Biopsy | $339$289$791 | $251 | $931 |
| Complete Abdominal Ultrasound | $153$36$1.3k | $238 | $880 |
| Complete Blood Count (CBC) with Differential | $55$3$131 | $41 | $154 |
| Comprehensive Metabolic Panel | $129$10$306 | $97 | $359 |
| Coronary Angioplasty with Stent | $800$682$1.9k | $594 | $2,200 |
| Critical Care, First Hour | $691$134$1.9k | $518 | $1,917 |
| CT Abdomen and Pelvis with Contrast | $437$65$4.5k | $787 | $2,915 |
| CT Cardiac Calcium Scoring | $62$53$146 | $46 | $172 |
| CT Chest without Contrast | $264$76$2.2k | $378 | $1,398 |
| CT Head without Contrast | $214$57$2.0k | $349 | $1,292 |
| DEXA Bone Density Scan | $146$24$628 | $110 | $408 |
| Diagnostic Colonoscopy | $302$257$705 | $224 | $829 |
| Diagnostic Mammogram (Both Breasts) | $214$59$588 | $127 | $471 |
| Ear Tube Placement (Tympanostomy) | $175$149$408 | $130 | $480 |
| Echocardiogram (Complete with Doppler) | $152$59$2.2k | $84 | $310 |
| Emergency Room Visit (Level 3) | $164$40$598 | $113 | $417 |
| Group Therapy Session | $22$19$51 | $16 | $60 |
| Hemodialysis Treatment | $87$74$203 | $65 | $239 |
| Hemoglobin A1c (Diabetes Test) | $39$10$96 | $27 | $99 |
| HIV Antibody Test | $17$9$40 | $13 | $47 |
| Home Sleep Study | $56$48$132 | $42 | $155 |
| Individual Therapy Session (45 Minutes) | $55$47$129 | $41 | $152 |
| Inguinal Hernia Repair (Open) | $437$372$1.0k | $324 | $1,200 |
| Initial Hospital Admission (Level 1) | $65$55$152 | $48 | $179 |
| Initial Psychiatric Diagnostic Evaluation | $86$73$201 | $64 | $236 |
| Initial Psychiatric Evaluation with Medication Management | $91$78$213 | $68 | $251 |
| IUD Insertion | $53$19$153 | $32 | $120 |
| IUD Removal | $64$54$149 | $47 | $175 |
| Knee Arthroscopy with Meniscectomy | $899$766$2.1k | $667 | $2,470 |
| Laparoscopic Appendectomy | $397$338$927 | $294 | $1,090 |
| Laparoscopic Gallbladder Removal | $655$558$1.5k | $486 | $1,800 |
| Laparoscopic Tubal Ligation | $800$682$1.9k | $594 | $2,200 |
| Lipid Panel (Cholesterol Test) | $120$6$284 | $90 | $334 |
| Lumbar Epidural Steroid Injection | $211$180$493 | $157 | $580 |
| Lumbar Puncture (Spinal Tap) | $172$93$417 | $107 | $395 |
| Lumbar Spinal Fusion (Posterior) | $1,814$1.5k$4.2k | $1,346 | $4,987 |
| Lumpectomy (Partial Mastectomy) | $437$372$1.0k | $324 | $1,200 |
| MRI Abdomen with and without Contrast | $871$173$3.8k | $683 | $2,530 |
| MRI Brain with and without Contrast | $871$163$3.8k | $679 | $2,513 |
| MRI Brain with Contrast | $379$138$3.0k | $535 | $1,983 |
| MRI Brain without Contrast | $827$104$2.9k | $502 | $1,859 |
| MRI Cervical Spine (Neck) without Contrast | $837$104$2.9k | $510 | $1,890 |
| MRI Knee without Contrast | $871$103$3.1k | $542 | $2,009 |
| MRI Lower Back (Lumbar Spine) without Contrast | $831$104$2.9k | $505 | $1,871 |
| MRI Thoracic Spine (Mid-back) without Contrast | $807$104$2.8k | $484 | $1,793 |
| Newborn Circumcision | $166$141$388 | $123 | $456 |
| Nuclear Cardiac Stress Test | $251$214$585 | $186 | $689 |
| Office Visit, Established Patient (Level 3) | $50$29$119 | $31 | $116 |
| Office Visit, New Patient (Level 3) | $65$56$153 | $49 | $180 |
| Pacemaker Insertion (Dual Chamber) | $691$589$1.6k | $513 | $1,900 |
| PET/CT Scan, Whole Body | $790$674$1.8k | $587 | $2,173 |
| Pregnancy Ultrasound (Second or Third Trimester) | $178$33$701 | $140 | $520 |
| Prostate Biopsy | $162$138$379 | $120 | $446 |
| PSA Prostate Cancer Screening | $66$18$156 | $50 | $184 |
| Pulmonary Function Test with Bronchodilator | $140$31$535 | $99 | $365 |
| Rotator Cuff Repair (Arthroscopic) | $732$624$1.7k | $544 | $2,013 |
| Screening Mammogram | $172$59$521 | $110 | $408 |
| Septoplasty (Deviated Septum Repair) | $580$494$1.4k | $431 | $1,595 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $673$574$1.6k | $500 | $1,850 |
| Skin Biopsy (Tangential) | $70$60$163 | $52 | $192 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $73$63$172 | $55 | $202 |
| Sleep Study (In-lab Polysomnography) | $347$296$811 | $257 | $954 |
| Spinal Cord Stimulator Trial | $1,319$1.1k$3.1k | $979 | $3,624 |
| Spirometry (Breathing Test) | $85$13$323 | $64 | $236 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $317$270$741 | $235 | $872 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $260$222$608 | $193 | $715 |
| Total Hip Replacement | $2,001$1.7k$4.7k | $1,485 | $5,500 |
| Total Knee Replacement | $1,746$1.5k$4.1k | $1,296 | $4,800 |
| Total Mastectomy | $658$560$1.5k | $488 | $1,808 |
| TSH Thyroid Function Test | $97$9$230 | $73 | $271 |
| TURP (Transurethral Prostate Resection) | $669$570$1.6k | $497 | $1,840 |
| Umbilical Hernia Repair | $364$310$850 | $270 | $1,000 |
| Upper GI Endoscopy (EGD) | $228$194$533 | $169 | $627 |
| Urinalysis with Microscopy | $36$3$85 | $27 | $100 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $1,332$1.1k$3.1k | $988 | $3,661 |
| Vaginal Delivery (Global Package) | $1,267$1.1k$3.0k | $940 | $3,483 |
| Vaginal Hysterectomy | $982$837$2.3k | $729 | $2,700 |
| Vasectomy | $322$274$751 | $239 | $884 |
| Vitamin D Blood Test | $86$30$204 | $65 | $240 |