| Abdominal Hysterectomy | $892$875$2.2k | $4,388 | $7,314 |
| ACL Reconstruction (Arthroscopic) | $7,333$7.2k$18k | $9,023 | $15,039 |
| Anesthesia for Screening Colonoscopy | — | $416 | $693 |
| Anesthesia for Upper Endoscopy | — | $475 | $792 |
| Basic Metabolic Panel | $9$8$91 | $122 | $203 |
| Bone Marrow Biopsy | $1,669$1.6k$4.1k | $1,510 | $2,517 |
| Breast Biopsy (Ultrasound-guided) | $1,669$1.6k$7.2k | $1,325 | $2,208 |
| Bunion Correction Surgery | $3,307$3.2k$8.1k | $3,841 | $6,402 |
| Cardiac Ablation for Atrial Fibrillation | $26,413$26k$65k | $27,086 | $45,144 |
| Cardiac Catheterization (Left Heart) | $3,276$3.2k$8.0k | $11,146 | $18,576 |
| Carpal Tunnel Release Surgery | $1,973$1.9k$4.8k | $2,272 | $1,894 |
| Cervical Spinal Fusion (Anterior) | $12,974$13k$32k | $9,238 | $15,397 |
| Chemotherapy Infusion (First Hour) | $327$131$818 | $501 | $835 |
| Chest X-ray (2 Views) | $88$78$216 | $196 | $327 |
| Colonoscopy with Biopsy | $1,209$1.2k$3.0k | $1,600 | $2,666 |
| Complete Abdominal Ultrasound | $106$104$259 | $805 | $1,342 |
| Complete Blood Count (CBC) with Differential | $8$8$91 | $101 | $169 |
| Comprehensive Metabolic Panel | $11$11$91 | $162 | $270 |
| Coronary Angioplasty with Stent | $11,666$11k$29k | $16,357 | $27,261 |
| Critical Care, First Hour | $835$818$2.0k | $2,368 | $3,947 |
| CT Abdomen and Pelvis with Contrast | $353$346$864 | $3,610 | $6,017 |
| CT Cardiac Calcium Scoring | $88$86$216 | $259 | $432 |
| CT Chest without Contrast | $106$104$259 | $1,333 | $2,221 |
| CT Head without Contrast | $106$104$259 | $1,314 | $2,190 |
| DEXA Bone Density Scan | $106$104$259 | $451 | $752 |
| Diagnostic Colonoscopy | $940$921$2.3k | $1,338 | $2,230 |
| Diagnostic Mammogram (Both Breasts) | $46$45$112 | $277 | $461 |
| Ear Tube Placement (Tympanostomy) | $1,568$1.5k$3.8k | $1,751 | $2,918 |
| Echocardiogram (Complete with Doppler) | $552$541$1.4k | $1,659 | $2,765 |
| Emergency Room Visit (Level 3) | $276$270$676 | $727 | $1,211 |
| Group Therapy Session | $103$101$252 | $220 | $367 |
| Hemoglobin A1c (Diabetes Test) | $10$10$91 | $55 | $91 |
| HIV Antibody Test | $9$9$91 | $85 | $141 |
| Home Sleep Study | $218$214$535 | $229 | $381 |
| Individual Therapy Session (45 Minutes) | $179$176$440 | $182 | $304 |
| Inguinal Hernia Repair (Open) | $3,725$3.5k$15k | $5,787 | $9,645 |
| Initial Psychiatric Diagnostic Evaluation | $179$176$440 | $117 | $195 |
| Initial Psychiatric Evaluation with Medication Management | $179$176$440 | $209 | $348 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | — | $1,546 | $2,576 |
| IUD Insertion | — | $71 | $119 |
| IUD Removal | $308$302$755 | $449 | $748 |
| Knee Arthroscopy with Meniscectomy | $3,307$3.2k$8.1k | $3,429 | $5,715 |
| Laparoscopic Appendectomy | $6,109$6.0k$15k | $4,142 | $6,903 |
| Laparoscopic Gallbladder Removal | $6,109$6.0k$15k | $5,697 | $9,495 |
| Laparoscopic Tubal Ligation | $6,109$6.0k$15k | $3,296 | $5,391 |
| Lipid Panel (Cholesterol Test) | $14$13$91 | $84 | $140 |
| Lumbar Epidural Steroid Injection | $713$699$1.7k | $844 | $1,407 |
| Lumbar Puncture (Spinal Tap) | $713$699$1.7k | $983 | $1,638 |
| Lumbar Spinal Fusion (Posterior) | $17,719$17k$43k | — | $1 |
| Lumpectomy (Partial Mastectomy) | $4,073$3.9k$16k | $4,444 | $6,831 |
| MRI Abdomen with and without Contrast | $353$346$864 | $5,438 | $9,063 |
| MRI Brain with and without Contrast | $353$346$864 | $4,130 | $6,884 |
| MRI Brain with Contrast | $353$346$864 | $3,769 | $6,281 |
| MRI Brain without Contrast | $241$236$591 | $3,277 | $5,461 |
| MRI Cervical Spine (Neck) without Contrast | $241$236$591 | $3,092 | $5,153 |
| MRI Knee without Contrast | $241$236$1.3k | $2,135 | $3,559 |
| MRI Lower Back (Lumbar Spine) without Contrast | $241$236$591 | $3,072 | $5,120 |
| MRI Thoracic Spine (Mid-back) without Contrast | $241$236$591 | $3,234 | $5,390 |
| Newborn Circumcision | $2,112$2.1k$5.2k | $2,911 | $2,427 |
| Nuclear Cardiac Stress Test | $1,308$1.3k$3.2k | $4,108 | $6,846 |
| Office Visit, Established Patient (Level 3) | $57$56$139 | $137 | $229 |
| Office Visit, New Patient (Level 3) | $70$69$172 | $148 | $246 |
| Pacemaker Insertion (Dual Chamber) | $10,562$10k$26k | $9,855 | $16,425 |
| PET/CT Scan, Whole Body | $1,445$1.4k$3.5k | $3,952 | $6,587 |
| Pregnancy Ultrasound (Second or Third Trimester) | $106$104$259 | $642 | $1,070 |
| Prostate Biopsy | — | $2,746 | $4,576 |
| PSA Prostate Cancer Screening | $19$18$91 | $110 | $184 |
| Pulmonary Function Test with Bronchodilator | $377$370$924 | $523 | $872 |
| Rotator Cuff Repair (Arthroscopic) | $7,333$7.2k$18k | $7,057 | $11,366 |
| Screening Mammogram | $35$34$85 | $229 | $381 |
| Septoplasty (Deviated Septum Repair) | $3,350$3.3k$8.2k | $3,217 | $2,681 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,132$7.0k$17k | $4,763 | $7,249 |
| Skin Biopsy (Tangential) | $411$403$1.0k | $249 | $415 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,669$1.6k$4.1k | $1,939 | $1,617 |
| Sleep Study (In-lab Polysomnography) | $851$425$2.1k | $1,781 | $2,969 |
| Spirometry (Breathing Test) | $218$214$535 | $232 | $386 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,350$3.3k$8.2k | — | $1 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,982$5.9k$15k | $1,902 | $3,170 |
| Total Hip Replacement | $12,974$13k$32k | $5,604 | $9,341 |
| Total Knee Replacement | $12,974$13k$32k | $4,600 | $7,667 |
| Total Mastectomy | $6,710$6.6k$16k | $8,265 | $13,776 |
| TSH Thyroid Function Test | $17$17$91 | $152 | $253 |
| TURP (Transurethral Prostate Resection) | $5,418$5.3k$13k | $5,159 | $8,598 |
| Upper GI Endoscopy (EGD) | $917$899$2.2k | $1,325 | $2,208 |
| Urinalysis with Microscopy | $3$3$91 | $60 | $100 |
| Vaginal Hysterectomy | $5,055$5.0k$12k | $4,444 | $7,407 |
| Vasectomy | $2,112$2.1k$5.2k | $269 | $449 |
| Vitamin D Blood Test | $30$30$91 | $57 | $95 |