| Abdominal Hysterectomy | $813$756$2.3k | $729 | $2,700 |
| ACL Reconstruction (Arthroscopic) | $1,324$1.2k$3.7k | $1,188 | $4,400 |
| Allergy Skin Testing | $3$3$9 | $3 | $10 |
| Basic Metabolic Panel | $68$7$195 | $62 | $230 |
| Bone Marrow Biopsy | $106$98$298 | $95 | $351 |
| Breast Biopsy (Ultrasound-guided) | $240$224$679 | $216 | $799 |
| Bunion Correction Surgery | $464$431$1.3k | $416 | $1,540 |
| Cardiac Ablation for Atrial Fibrillation | $990$921$2.8k | $888 | $3,290 |
| Cardiac Catheterization (Left Heart) | $491$457$1.4k | $441 | $1,632 |
| Carpal Tunnel Release Surgery | $361$336$1.0k | $324 | $1,200 |
| Cataract Surgery with Lens Implant | $903$840$2.5k | $810 | $3,000 |
| Cervical Spinal Fusion (Anterior) | $1,806$1.7k$5.1k | $1,620 | $6,000 |
| Cesarean Delivery (Global Package) | $1,166$1.1k$3.3k | $1,046 | $3,873 |
| Chemotherapy Infusion (First Hour) | $189$176$533 | $169 | $627 |
| Chest X-ray (2 Views) | $31$9$353 | $63 | $234 |
| Colonoscopy with Biopsy | $280$261$791 | $251 | $931 |
| Complete Abdominal Ultrasound | $121$36$1.3k | $238 | $880 |
| Complete Blood Count (CBC) with Differential | $45$3$131 | $41 | $154 |
| Comprehensive Metabolic Panel | $106$10$306 | $97 | $359 |
| Coronary Angioplasty with Stent | $662$616$1.9k | $594 | $2,200 |
| Critical Care, First Hour | $603$121$1.9k | $544 | $2,014 |
| CT Abdomen and Pelvis with Contrast | $305$65$3.9k | $689 | $2,552 |
| CT Cardiac Calcium Scoring | $50$28$146 | $37 | $136 |
| CT Chest without Contrast | $197$69$1.8k | $320 | $1,186 |
| CT Head without Contrast | $147$51$1.7k | $299 | $1,107 |
| DEXA Bone Density Scan | $65$21$628 | $110 | $408 |
| Diagnostic Colonoscopy | $250$232$705 | $224 | $829 |
| Diagnostic Mammogram (Both Breasts) | $194$59$588 | $127 | $471 |
| Ear Tube Placement (Tympanostomy) | $144$134$408 | $130 | $480 |
| Echocardiogram (Complete with Doppler) | $104$53$2.2k | $84 | $310 |
| Emergency Room Visit (Level 3) | $154$36$925 | $113 | $417 |
| Group Therapy Session | $18$17$51 | $16 | $60 |
| Hemodialysis Treatment | $72$67$203 | $65 | $239 |
| Hemoglobin A1c (Diabetes Test) | $31$10$96 | $27 | $99 |
| HIV Antibody Test | $14$9$40 | $13 | $47 |
| Home Sleep Study | $47$43$132 | $42 | $155 |
| Individual Therapy Session (45 Minutes) | $30$6$129 | $23 | $86 |
| Inguinal Hernia Repair (Open) | $361$336$1.0k | $324 | $1,200 |
| Initial Hospital Admission (Level 1) | $54$50$152 | $48 | $179 |
| Initial Psychiatric Diagnostic Evaluation | $45$8$201 | $36 | $132 |
| Initial Psychiatric Evaluation with Medication Management | $76$70$213 | $68 | $251 |
| IUD Insertion | $54$50$153 | $49 | $180 |
| IUD Removal | $40$11$149 | $29 | $106 |
| Knee Arthroscopy with Meniscectomy | $743$692$2.1k | $667 | $2,470 |
| Laparoscopic Appendectomy | $328$305$927 | $294 | $1,090 |
| Laparoscopic Gallbladder Removal | $542$504$1.5k | $486 | $1,800 |
| Laparoscopic Tubal Ligation | $662$616$1.9k | $594 | $2,200 |
| Lipid Panel (Cholesterol Test) | $98$6$284 | $90 | $334 |
| Lumbar Epidural Steroid Injection | $175$163$493 | $157 | $580 |
| Lumbar Puncture (Spinal Tap) | $88$76$925 | $77 | $286 |
| Lumbar Spinal Fusion (Posterior) | $1,501$1.4k$4.2k | $1,346 | $4,987 |
| Lumpectomy (Partial Mastectomy) | $361$336$1.0k | $324 | $1,200 |
| MRI Abdomen with and without Contrast | $505$157$3.8k | $683 | $2,530 |
| MRI Brain with and without Contrast | $505$147$3.8k | $679 | $2,513 |
| MRI Brain with Contrast | $505$125$2.9k | $524 | $1,939 |
| MRI Brain without Contrast | $505$94$2.9k | $502 | $1,859 |
| MRI Cervical Spine (Neck) without Contrast | $505$94$2.9k | $510 | $1,890 |
| MRI Knee without Contrast | $505$93$3.0k | $514 | $1,902 |
| MRI Lower Back (Lumbar Spine) without Contrast | $505$94$2.9k | $505 | $1,871 |
| MRI Thoracic Spine (Mid-back) without Contrast | $505$94$2.5k | $440 | $1,628 |
| Newborn Circumcision | $137$128$388 | $123 | $456 |
| Nuclear Cardiac Stress Test | $517$145$2.9k | $552 | $2,044 |
| Office Visit, Established Patient (Level 3) | $42$8$141 | $38 | $140 |
| Office Visit, New Patient (Level 3) | $54$50$153 | $49 | $180 |
| Pacemaker Insertion (Dual Chamber) | $572$532$1.6k | $513 | $1,900 |
| PET/CT Scan, Whole Body | $654$608$1.8k | $587 | $2,173 |
| Pregnancy Ultrasound (Second or Third Trimester) | $124$33$637 | $130 | $482 |
| Prostate Biopsy | $134$125$379 | $120 | $446 |
| PSA Prostate Cancer Screening | $54$18$156 | $50 | $184 |
| Pulmonary Function Test with Bronchodilator | $131$28$535 | $99 | $365 |
| Rotator Cuff Repair (Arthroscopic) | $606$564$1.7k | $544 | $2,013 |
| Screening Mammogram | $162$57$521 | $110 | $408 |
| Septoplasty (Deviated Septum Repair) | $480$447$1.4k | $431 | $1,595 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $557$518$1.6k | $500 | $1,850 |
| Skin Biopsy (Tangential) | $54$17$925 | $34 | $126 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $61$57$172 | $55 | $202 |
| Sleep Study (In-lab Polysomnography) | $287$267$811 | $257 | $954 |
| Spinal Cord Stimulator Trial | $1,091$1.0k$3.1k | $979 | $3,624 |
| Spirometry (Breathing Test) | $72$12$323 | $64 | $236 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $262$244$741 | $235 | $872 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $215$200$608 | $193 | $715 |
| Total Hip Replacement | $1,656$1.5k$4.7k | $1,485 | $5,500 |
| Total Knee Replacement | $1,445$1.3k$4.1k | $1,296 | $4,800 |
| Total Mastectomy | $544$506$1.5k | $488 | $1,808 |
| TSH Thyroid Function Test | $80$9$230 | $73 | $271 |
| TURP (Transurethral Prostate Resection) | $554$515$1.6k | $497 | $1,840 |
| Umbilical Hernia Repair | $301$280$850 | $270 | $1,000 |
| Upper GI Endoscopy (EGD) | $189$176$533 | $169 | $627 |
| Urinalysis with Microscopy | $29$3$85 | $27 | $100 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $1,102$1.0k$3.1k | $988 | $3,661 |
| Vaginal Delivery (Global Package) | $1,048$975$3.0k | $940 | $3,483 |
| Vaginal Hysterectomy | $813$756$2.3k | $729 | $2,700 |
| Vasectomy | $266$248$751 | $239 | $884 |
| Vitamin D Blood Test | $70$30$204 | $65 | $240 |