| Abdominal Hysterectomy | $916$258$16k | $23,310 | $38,851 |
| ACL Reconstruction (Arthroscopic) | $7,566$866$27k | $24,792 | $41,321 |
| Anesthesia for Screening Colonoscopy | $1,248$131$4.5k | $4,890 | $8,150 |
| Anesthesia for Upper Endoscopy | $946$66$3.4k | $4,813 | $8,021 |
| Basic Metabolic Panel | $8$5$20 | $97 | $162 |
| Bone Marrow Biopsy | $1,722$57$6.2k | $7,130 | $11,884 |
| Breast Biopsy (Ultrasound-guided) | $1,722$130$6.2k | $5,052 | $8,420 |
| Bunion Correction Surgery | $3,412$470$12k | $15,526 | $25,877 |
| Cardiac Ablation for Atrial Fibrillation | $27,253$801$99k | $63,460 | $105,767 |
| Cardiac Catheterization (Left Heart) | $3,380$663$12k | $11,235 | $18,725 |
| Carpal Tunnel Release Surgery | $2,036$406$7.4k | $6,258 | $10,429 |
| Cataract Surgery with Lens Implant | $2,406$447$8.7k | $8,333 | $13,889 |
| Cervical Spinal Fusion (Anterior) | $13,386$1.6k$49k | $30,383 | $50,639 |
| Chemotherapy Infusion (First Hour) | $344$123$1.2k | $12,633 | $21,055 |
| Chest X-ray (2 Views) | $91$21$285 | $325 | $542 |
| Colonoscopy with Biopsy | $970$65$4.5k | $5,862 | $9,770 |
| Complete Abdominal Ultrasound | $109$71$343 | $347 | $578 |
| Complete Blood Count (CBC) with Differential | $13$5$19 | $119 | $199 |
| Comprehensive Metabolic Panel | $21$7$229 | $234 | $308 |
| Coronary Angioplasty with Stent | $12,037$462$44k | $50,752 | $84,587 |
| Critical Care, First Hour | $1,934$1.2k$2.9k | $1,950 | $3,250 |
| CT Abdomen and Pelvis with Contrast | $199 | $3,022 | $5,037 |
| CT Cardiac Calcium Scoring | $91$67$285 | $99 | $165 |
| CT Chest without Contrast | $109$76$343 | $599 | $999 |
| CT Head without Contrast | $109$62$343 | $599 | $999 |
| DEXA Bone Density Scan | $109$28$343 | $1,316 | $2,194 |
| Diagnostic Colonoscopy | $970$81$3.5k | $4,450 | $7,416 |
| Diagnostic Mammogram (Both Breasts) | $102$102$203 | $1,511 | $2,518 |
| Ear Tube Placement (Tympanostomy) | $1,618$139$22k | $5,084 | $8,473 |
| Echocardiogram (Complete with Doppler) | $817$119$2.6k | $1,492 | $2,487 |
| Emergency Room Visit (Level 3) | $285$69$2.3k | $675 | $1,125 |
| Group Therapy Session | $73$73$106 | $1,580 | $2,633 |
| Hemoglobin A1c (Diabetes Test) | $10$6$23 | $63 | $104 |
| HIV Antibody Test | $9$9$18 | $648 | $1,079 |
| Home Sleep Study | $225$27$817 | $381 | $635 |
| Individual Therapy Session (45 Minutes) | $92$92$582 | $629 | $1,049 |
| Inguinal Hernia Repair (Open) | $3,733$495$23k | $10,721 | $17,869 |
| Initial Psychiatric Diagnostic Evaluation | $137$137$582 | $540 | $900 |
| Initial Psychiatric Evaluation with Medication Management | $312$241$446 | $315 | $525 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $85$85$441 | $12,094 | $20,156 |
| IUD Insertion | $3,375$66$12k | $9,006 | $15,010 |
| IUD Removal | $5,216$57$19k | $9,106 | $15,176 |
| Knee Arthroscopy with Meniscectomy | $3,412$498$12k | $9,477 | $15,795 |
| Laparoscopic Appendectomy | $6,303$565$23k | $15,205 | $25,342 |
| Laparoscopic Gallbladder Removal | $6,303$618$23k | $11,672 | $19,453 |
| Laparoscopic Tubal Ligation | $6,303$66$23k | $12,555 | $20,925 |
| Lipid Panel (Cholesterol Test) | $13$6$31 | $171 | $286 |
| Lumbar Epidural Steroid Injection | $736$88$2.7k | $1,257 | $2,096 |
| Lumbar Puncture (Spinal Tap) | $785$607$1.1k | $791 | $1,319 |
| Lumbar Spinal Fusion (Posterior) | $18,282$1.4k$66k | $54,872 | $91,453 |
| Lumpectomy (Partial Mastectomy) | $4,082$258$31k | $14,618 | $24,364 |
| MRI Abdomen with and without Contrast | $364$215$1.1k | $4,278 | $7,130 |
| MRI Brain with and without Contrast | $364$194$1.1k | $2,423 | $4,038 |
| MRI Brain with Contrast | $364$172$1.1k | $2,270 | $3,784 |
| MRI Brain without Contrast | $249$117$782 | $2,223 | $3,704 |
| MRI Cervical Spine (Neck) without Contrast | $249$113$782 | $2,398 | $3,996 |
| MRI Knee without Contrast | $249$130$782 | $1,199 | $1,998 |
| MRI Lower Back (Lumbar Spine) without Contrast | $249$113$782 | $2,398 | $3,996 |
| MRI Thoracic Spine (Mid-back) without Contrast | $249$112$782 | $2,398 | $3,996 |
| Newborn Circumcision | $2,180$83$7.9k | $6,601 | $11,001 |
| Nuclear Cardiac Stress Test | $1,350$324$4.9k | $5,494 | $9,156 |
| Office Visit, Established Patient (Level 3) | $57$57$805 | $423 | $705 |
| Office Visit, New Patient (Level 3) | $71$9$805 | $234 | $390 |
| Pacemaker Insertion (Dual Chamber) | $10,898$449$40k | $36,569 | $60,949 |
| PET/CT Scan, Whole Body | $1,491$50$5.4k | $7,287 | $12,146 |
| Pregnancy Ultrasound (Second or Third Trimester) | $109$82$343 | $1,308 | $2,180 |
| Prostate Biopsy | — | $4,587 | $7,646 |
| PSA Prostate Cancer Screening | $19$12$43 | $228 | $380 |
| Pulmonary Function Test with Bronchodilator | $389$30$1.4k | $1,148 | $1,913 |
| Rotator Cuff Repair (Arthroscopic) | $7,566$950$27k | $25,136 | $41,894 |
| Screening Mammogram | $84$42$167 | $1,046 | $1,743 |
| Septoplasty (Deviated Septum Repair) | $3,457$586$13k | $10,268 | $17,113 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,359$131$27k | $13,258 | $22,097 |
| Skin Biopsy (Tangential) | $424$30$1.5k | $717 | $1,195 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $4,082$146$15k | $7,392 | $12,320 |
| Sleep Study (In-lab Polysomnography) | $895$254$3.2k | $2,784 | $4,641 |
| Spinal Cord Stimulator Trial | $6,645$367$117k | $33,775 | $56,292 |
| Spirometry (Breathing Test) | $389$20$1.4k | $828 | $1,381 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,457$264$13k | $8,143 | $13,572 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,172$253$22k | $8,187 | $13,644 |
| Total Hip Replacement | $13,386$1.1k$49k | $26,319 | $43,865 |
| Total Knee Replacement | $13,386$1.1k$49k | $29,999 | $49,998 |
| Total Mastectomy | $6,923$347$25k | $25,763 | $42,938 |
| TSH Thyroid Function Test | $17$8$39 | $191 | $319 |
| TURP (Transurethral Prostate Resection) | $5,591$66$20k | $10,318 | $17,197 |
| Upper GI Endoscopy (EGD) | $946$66$3.4k | $3,926 | $6,543 |
| Urinalysis with Microscopy | $3$2$27 | $83 | $138 |
| Vaginal Hysterectomy | $7,732$66$28k | $29,545 | $49,242 |
| Vitamin D Blood Test | $30$19$69 | $126 | $210 |