| Abdominal Hysterectomy | $924$837$2.3k | $729 | $2,700 |
| ACL Reconstruction (Arthroscopic) | $1,507$1.4k$3.7k | $1,188 | $4,400 |
| Allergy Skin Testing | $3$3$9 | $3 | $10 |
| Basic Metabolic Panel | $78$7$195 | $62 | $230 |
| Bone Marrow Biopsy | $120$109$298 | $95 | $351 |
| Breast Biopsy (Ultrasound-guided) | $274$248$679 | $216 | $799 |
| Bunion Correction Surgery | $527$477$1.3k | $416 | $1,540 |
| Cardiac Ablation for Atrial Fibrillation | $1,127$1.0k$2.8k | $888 | $3,290 |
| Cardiac Catheterization (Left Heart) | $559$506$1.4k | $441 | $1,632 |
| Carpal Tunnel Release Surgery | $411$372$1.0k | $324 | $1,200 |
| Cataract Surgery with Lens Implant | $1,027$930$2.5k | $810 | $3,000 |
| Cervical Spinal Fusion (Anterior) | $2,054$1.9k$5.1k | $1,620 | $6,000 |
| Cesarean Delivery (Global Package) | $1,326$1.2k$3.3k | $1,046 | $3,873 |
| Chemotherapy Infusion (First Hour) | $215$194$533 | $169 | $627 |
| Chest X-ray (2 Views) | $43$15$360 | $64 | $239 |
| Colonoscopy with Biopsy | $319$289$791 | $251 | $931 |
| Complete Abdominal Ultrasound | $148$57$1.3k | $238 | $880 |
| Complete Blood Count (CBC) with Differential | $51$3$131 | $41 | $154 |
| Comprehensive Metabolic Panel | $120$10$306 | $97 | $359 |
| Coronary Angioplasty with Stent | $753$682$1.9k | $594 | $2,200 |
| Critical Care, First Hour | $653$134$1.9k | $519 | $1,924 |
| CT Abdomen and Pelvis with Contrast | $424$109$4.5k | $787 | $2,915 |
| CT Cardiac Calcium Scoring | $59$53$146 | $46 | $172 |
| CT Chest without Contrast | $197$76$2.2k | $378 | $1,398 |
| CT Head without Contrast | $147$57$2.0k | $349 | $1,292 |
| DEXA Bone Density Scan | $105$24$628 | $110 | $408 |
| Diagnostic Colonoscopy | $284$257$705 | $224 | $829 |
| Diagnostic Mammogram (Both Breasts) | $200$78$588 | $127 | $471 |
| Ear Tube Placement (Tympanostomy) | $164$149$408 | $130 | $480 |
| Echocardiogram (Complete with Doppler) | $152$59$2.2k | $84 | $310 |
| Emergency Room Visit (Level 3) | $164$40$1.8k | $113 | $417 |
| Group Therapy Session | $21$19$51 | $16 | $60 |
| Hemodialysis Treatment | $82$74$203 | $65 | $239 |
| Hemoglobin A1c (Diabetes Test) | $36$10$96 | $27 | $99 |
| HIV Antibody Test | $16$9$40 | $13 | $47 |
| Home Sleep Study | $135$48$934 | $169 | $627 |
| Individual Therapy Session (45 Minutes) | $52$47$129 | $41 | $152 |
| Inguinal Hernia Repair (Open) | $411$372$1.0k | $324 | $1,200 |
| Initial Hospital Admission (Level 1) | $61$55$152 | $48 | $179 |
| Initial Psychiatric Diagnostic Evaluation | $81$73$201 | $64 | $236 |
| Initial Psychiatric Evaluation with Medication Management | $86$78$213 | $68 | $251 |
| IUD Insertion | $62$56$153 | $49 | $180 |
| IUD Removal | $60$51$149 | $46 | $170 |
| Knee Arthroscopy with Meniscectomy | $846$766$2.1k | $667 | $2,470 |
| Laparoscopic Appendectomy | $373$338$927 | $294 | $1,090 |
| Laparoscopic Gallbladder Removal | $616$558$1.5k | $486 | $1,800 |
| Laparoscopic Tubal Ligation | $753$682$1.9k | $594 | $2,200 |
| Lipid Panel (Cholesterol Test) | $111$6$284 | $90 | $334 |
| Lumbar Epidural Steroid Injection | $764$180$2.8k | $529 | $1,959 |
| Lumbar Puncture (Spinal Tap) | $209$93$1.8k | $124 | $458 |
| Lumbar Spinal Fusion (Posterior) | $1,708$1.5k$4.2k | $1,346 | $4,987 |
| Lumpectomy (Partial Mastectomy) | $411$372$1.0k | $324 | $1,200 |
| MRI Abdomen with and without Contrast | $523$173$3.8k | $683 | $2,530 |
| MRI Brain with and without Contrast | $523$163$3.8k | $679 | $2,513 |
| MRI Brain with Contrast | $505$138$3.0k | $535 | $1,983 |
| MRI Brain without Contrast | $523$104$2.9k | $502 | $1,859 |
| MRI Cervical Spine (Neck) without Contrast | $523$104$2.9k | $510 | $1,890 |
| MRI Knee without Contrast | $523$103$3.1k | $542 | $2,009 |
| MRI Lower Back (Lumbar Spine) without Contrast | $523$104$2.9k | $505 | $1,871 |
| MRI Thoracic Spine (Mid-back) without Contrast | $523$104$2.8k | $484 | $1,793 |
| Newborn Circumcision | $156$141$388 | $123 | $456 |
| Nuclear Cardiac Stress Test | $236$214$585 | $186 | $689 |
| Office Visit, Established Patient (Level 3) | $47$29$119 | $32 | $117 |
| Office Visit, New Patient (Level 3) | $62$56$153 | $49 | $180 |
| Pacemaker Insertion (Dual Chamber) | $651$589$1.6k | $513 | $1,900 |
| PET/CT Scan, Whole Body | $744$674$1.8k | $587 | $2,173 |
| Pregnancy Ultrasound (Second or Third Trimester) | $172$56$701 | $140 | $520 |
| Prostate Biopsy | $357$138$969 | $214 | $793 |
| PSA Prostate Cancer Screening | $62$18$156 | $50 | $184 |
| Pulmonary Function Test with Bronchodilator | $140$31$535 | $99 | $365 |
| Rotator Cuff Repair (Arthroscopic) | $689$624$1.7k | $544 | $2,013 |
| Screening Mammogram | $162$63$521 | $110 | $408 |
| Septoplasty (Deviated Septum Repair) | $546$494$1.4k | $431 | $1,595 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $633$574$1.6k | $500 | $1,850 |
| Skin Biopsy (Tangential) | $66$60$163 | $52 | $192 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $219$63$1.8k | $143 | $531 |
| Sleep Study (In-lab Polysomnography) | $826$296$2.3k | $495 | $1,833 |
| Spinal Cord Stimulator Trial | $1,241$1.1k$3.1k | $979 | $3,624 |
| Spirometry (Breathing Test) | $83$13$323 | $64 | $236 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $299$270$741 | $235 | $872 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $245$222$608 | $193 | $715 |
| Total Hip Replacement | $1,883$1.7k$4.7k | $1,485 | $5,500 |
| Total Knee Replacement | $1,644$1.5k$4.1k | $1,296 | $4,800 |
| Total Mastectomy | $619$560$1.5k | $488 | $1,808 |
| TSH Thyroid Function Test | $92$9$230 | $73 | $271 |
| TURP (Transurethral Prostate Resection) | $630$570$1.6k | $497 | $1,840 |
| Umbilical Hernia Repair | $342$310$850 | $270 | $1,000 |
| Upper GI Endoscopy (EGD) | $215$194$533 | $169 | $627 |
| Urinalysis with Microscopy | $33$3$85 | $27 | $100 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $1,254$1.1k$3.1k | $988 | $3,661 |
| Vaginal Delivery (Global Package) | $1,193$1.1k$3.0k | $940 | $3,483 |
| Vaginal Hysterectomy | $924$837$2.3k | $729 | $2,700 |
| Vasectomy | $303$274$751 | $239 | $884 |
| Vitamin D Blood Test | $81$30$204 | $65 | $240 |