| Abdominal Hysterectomy | $951$172$2.0k | $3,843 | $7,685 |
| ACL Reconstruction (Arthroscopic) | $7,455$172$16k | $7,378 | $14,757 |
| Basic Metabolic Panel | $9$8$172 | $39 | $78 |
| Bone Marrow Biopsy | $1,681$70$3.6k | $2,192 | $4,384 |
| Breast Biopsy (Ultrasound-guided) | $1,681$139$3.6k | $1,875 | $3,749 |
| Bunion Correction Surgery | $3,362$172$7.0k | $1,865 | $3,731 |
| Cardiac Catheterization (Left Heart) | $3,299$172$7.0k | $3,934 | $7,868 |
| Carpal Tunnel Release Surgery | $1,987$172$4.2k | $1,480 | $2,960 |
| Cataract Surgery with Lens Implant | $2,349$172$5.0k | $1,422 | $2,843 |
| Cervical Spinal Fusion (Anterior) | $6,782$172$28k | $4,856 | $9,712 |
| Chemotherapy Infusion (First Hour) | $336$84$711 | $448 | $896 |
| Chest X-ray (2 Views) | $89$8$187 | $147 | $293 |
| Colonoscopy with Biopsy | $1,229$172$2.6k | $343 | $685 |
| Complete Abdominal Ultrasound | $107$29$245 | $250 | $499 |
| Complete Blood Count (CBC) with Differential | $8$6$172 | $26 | $52 |
| Comprehensive Metabolic Panel | $11$10$172 | $49 | $98 |
| Coronary Angioplasty with Stent | $11,749$172$25k | $6,566 | $13,131 |
| Critical Care, First Hour | $849$152$2.5k | $1,144 | $2,288 |
| CT Abdomen and Pelvis with Contrast | $355$65$828 | $906 | $1,811 |
| CT Cardiac Calcium Scoring | $89$21$187 | $99 | $198 |
| CT Chest without Contrast | $107$38$245 | $469 | $938 |
| CT Head without Contrast | $107$30$245 | $277 | $554 |
| DEXA Bone Density Scan | $107$7$245 | $145 | $290 |
| Diagnostic Colonoscopy | $955$105$2.0k | $555 | $1,110 |
| Diagnostic Mammogram (Both Breasts) | $48$35$263 | $294 | $588 |
| Ear Tube Placement (Tympanostomy) | $1,579$99$3.3k | $546 | $1,092 |
| Echocardiogram (Complete with Doppler) | $556$50$1.2k | $1,226 | $2,452 |
| Emergency Room Visit (Level 3) | $280$57$1.6k | $343 | $686 |
| Hemoglobin A1c (Diabetes Test) | $10$7$172 | $72 | $144 |
| HIV Antibody Test | $9$8$172 | $50 | $99 |
| Home Sleep Study | $220$32$465 | $680 | $1,360 |
| Inguinal Hernia Repair (Open) | $3,644$64$7.7k | $2,173 | $4,346 |
| Initial Psychiatric Evaluation with Medication Management | $181$129$382 | $204 | $408 |
| IUD Insertion | $105$17$172 | $388 | $777 |
| IUD Removal | $310$17$656 | $434 | $868 |
| Knee Arthroscopy with Meniscectomy | $3,362$172$7.0k | $2,936 | $5,872 |
| Laparoscopic Appendectomy | $6,153$172$13k | $3,831 | $7,662 |
| Laparoscopic Gallbladder Removal | $6,153$172$13k | $2,291 | $4,581 |
| Laparoscopic Tubal Ligation | $6,153$172$13k | $3,792 | $7,583 |
| Lipid Panel (Cholesterol Test) | $14$13$172 | $63 | $125 |
| Lumbar Epidural Steroid Injection | $718$74$1.5k | $845 | $1,689 |
| Lumbar Puncture (Spinal Tap) | $718$42$1.5k | $406 | $812 |
| Lumbar Spinal Fusion (Posterior) | $17,845$172$38k | $11,475 | $22,950 |
| Lumpectomy (Partial Mastectomy) | $4,023$172$14k | $3,087 | $6,173 |
| MRI Abdomen with and without Contrast | $358$78$828 | $570 | $1,139 |
| MRI Brain with and without Contrast | $355$82$828 | $1,011 | $2,021 |
| MRI Brain with Contrast | $355$63$828 | $765 | $1,530 |
| MRI Brain without Contrast | $245$52$518 | $570 | $1,139 |
| MRI Cervical Spine (Neck) without Contrast | $245$53$518 | $570 | $1,139 |
| MRI Knee without Contrast | $245$48$518 | $566 | $1,132 |
| MRI Lower Back (Lumbar Spine) without Contrast | $243$53$518 | $632 | $1,263 |
| MRI Thoracic Spine (Mid-back) without Contrast | $243$53$518 | $632 | $1,263 |
| Newborn Circumcision | $2,127$79$4.5k | $2,434 | $4,867 |
| Nuclear Cardiac Stress Test | $1,318$56$2.9k | $1,216 | $2,432 |
| Office Visit, Established Patient (Level 3) | $60$40$172 | $203 | $405 |
| Office Visit, New Patient (Level 3) | $74$54$172 | $264 | $529 |
| Pacemaker Insertion (Dual Chamber) | $10,637$172$22k | $5,254 | $10,509 |
| PET/CT Scan, Whole Body | $1,455$83$3.3k | $3,191 | $6,382 |
| Pregnancy Ultrasound (Second or Third Trimester) | $107$35$245 | $250 | $499 |
| Prostate Biopsy | $189$90$210 | $1,252 | $2,505 |
| PSA Prostate Cancer Screening | $19$17$172 | $108 | $215 |
| Pulmonary Function Test with Bronchodilator | $380$7$803 | $316 | $631 |
| Rotator Cuff Repair (Arthroscopic) | $7,455$172$16k | $4,455 | $8,910 |
| Screening Mammogram | $36$27$217 | $129 | $259 |
| Septoplasty (Deviated Septum Repair) | $3,374$172$7.1k | $1,483 | $2,966 |
| Skin Biopsy (Tangential) | $414$32$875 | $467 | $934 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,681$40$3.6k | $1,257 | $2,514 |
| Sleep Study (In-lab Polysomnography) | $765$87$1.8k | $2,806 | $5,611 |
| Spinal Cord Stimulator Trial | $6,486$172$14k | $3,370 | $6,740 |
| Spirometry (Breathing Test) | $220$6$465 | $87 | $173 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,374$172$7.1k | $1,527 | $3,055 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,025$172$13k | $1,890 | $3,779 |
| Total Hip Replacement | $13,191$172$28k | $8,842 | $17,684 |
| Total Knee Replacement | $13,191$172$28k | $7,155 | $14,309 |
| Total Mastectomy | $6,822$172$14k | $4,809 | $9,617 |
| TSH Thyroid Function Test | $18$10$172 | $49 | $98 |
| TURP (Transurethral Prostate Resection) | $5,457$172$12k | $3,583 | $7,165 |
| Upper GI Endoscopy (EGD) | $923$105$2.0k | $492 | $984 |
| Urinalysis with Microscopy | $3$3$172 | $12 | $24 |
| Vaginal Hysterectomy | $5,091$172$11k | $2,016 | $4,031 |
| Vasectomy | $2,127$149$4.5k | $1,721 | $3,441 |
| Vitamin D Blood Test | $31$11$172 | $38 | $75 |