| ACL Reconstruction (Arthroscopic) | $1,509$870$2.1k | $8,687 | $21,717 |
| Basic Metabolic Panel | $20$14$44 | $56 | $141 |
| Bone Marrow Biopsy | $355$342$368 | $1,140 | $2,851 |
| Breast Biopsy (Ultrasound-guided) | $1,112$488$1.7k | $2,242 | $5,605 |
| Bunion Correction Surgery | $1,502$870$2.1k | $4,228 | $10,571 |
| Cardiac Ablation for Atrial Fibrillation | $6,636$969$12k | $12,548 | $31,371 |
| Cardiac Catheterization (Left Heart) | $2,698$1.4k$4.0k | $4,365 | $10,912 |
| Carpal Tunnel Release Surgery | $1,309$759$1.9k | $3,444 | $8,611 |
| Cervical Spinal Fusion (Anterior) | $2,859$2.4k$3.4k | $3,437 | $8,592 |
| Cesarean Delivery (Global Package) | $3,419$3.4k$3.4k | $4,260 | $10,650 |
| Chemotherapy Infusion (First Hour) | $310$303$317 | $696 | $1,741 |
| Chest X-ray (2 Views) | $104$12$194 | $154 | $384 |
| Colonoscopy with Biopsy | $1,309$759$1.9k | $1,758 | $4,395 |
| Complete Abdominal Ultrasound | $194$140$337 | $969 | $2,423 |
| Complete Blood Count (CBC) with Differential | $16$13$40 | $37 | $92 |
| Comprehensive Metabolic Panel | $25$18$58 | $60 | $150 |
| Coronary Angioplasty with Stent | $4,992$2.7k$7.2k | $6,062 | $15,154 |
| Critical Care, First Hour | $335$198$471 | $1,409 | $3,523 |
| CT Abdomen and Pelvis with Contrast | $875$571$3.2k | $2,059 | $5,148 |
| CT Cardiac Calcium Scoring | $137$73$267 | $172 | $430 |
| CT Chest without Contrast | $321$235$834 | $735 | $1,837 |
| CT Head without Contrast | $287$235$664 | $824 | $2,061 |
| DEXA Bone Density Scan | $180$114$247 | $219 | $548 |
| Diagnostic Colonoscopy | $1,316$759$1.9k | $1,627 | $4,067 |
| Diagnostic Mammogram (Both Breasts) | $222$77$546 | $274 | $686 |
| Echocardiogram (Complete with Doppler) | $533$354$712 | $990 | $2,474 |
| EKG (Electrocardiogram, 12-lead) | $36$23$49 | $181 | $453 |
| Emergency Room Visit (Level 3) | $202$116$287 | $359 | $898 |
| Group Therapy Session | $187$112$262 | $89 | $224 |
| Hemodialysis Treatment | $837$489$1.2k | $718 | $1,794 |
| Hemoglobin A1c (Diabetes Test) | $20$17$55 | $37 | $92 |
| HIV Antibody Test | $18$15$47 | $40 | $100 |
| Home Sleep Study | $219$142$1.0k | $617 | $1,543 |
| Individual Therapy Session (45 Minutes) | $183 | $82 | $205 |
| Inguinal Hernia Repair (Open) | $1,851$1.1k$2.6k | $3,060 | $7,650 |
| Initial Psychiatric Diagnostic Evaluation | $300 | $134 | $334 |
| Initial Psychiatric Evaluation with Medication Management | $319 | $149 | $372 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $705$292$1.1k | $855 | $2,138 |
| IUD Insertion | $170$97$243 | $158 | $394 |
| IUD Removal | $248$190$305 | $305 | $763 |
| Knee Arthroscopy with Meniscectomy | $1,851$1.1k$2.6k | $5,294 | $13,234 |
| Laparoscopic Appendectomy | $2,939$1.7k$4.2k | $10,296 | $25,741 |
| Laparoscopic Gallbladder Removal | $2,932$1.7k$4.2k | $11,535 | $28,838 |
| Laparoscopic Tubal Ligation | $2,222$1.3k$3.2k | $7,809 | $19,522 |
| Lipid Panel (Cholesterol Test) | $28$23$57 | $37 | $92 |
| Lumbar Epidural Steroid Injection | $822$160$1.5k | $808 | $2,020 |
| Lumbar Puncture (Spinal Tap) | $976$567$1.4k | $811 | $2,028 |
| Lumbar Spinal Fusion (Posterior) | $2,025$1.3k$2.7k | $5,351 | $13,378 |
| Lumpectomy (Partial Mastectomy) | $2,179$931$3.4k | $6,078 | $15,195 |
| MRI Abdomen with and without Contrast | $948$820$1.7k | $1,544 | $3,861 |
| MRI Brain with and without Contrast | $1,053$820$3.1k | $1,985 | $4,962 |
| MRI Brain with Contrast | $764$697$1.7k | $1,118 | $2,794 |
| MRI Brain without Contrast | $566$523$1.5k | $938 | $2,345 |
| MRI Cervical Spine (Neck) without Contrast | $570$523$1.5k | $953 | $2,383 |
| MRI Knee without Contrast | $548$523$1.4k | $878 | $2,195 |
| MRI Lower Back (Lumbar Spine) without Contrast | $593$523$1.6k | $1,017 | $2,542 |
| MRI Thoracic Spine (Mid-back) without Contrast | $597$523$1.6k | $1,028 | $2,569 |
| Newborn Circumcision | $230$135$325 | $460 | $1,151 |
| Nuclear Cardiac Stress Test | $1,537$538$3.0k | $1,285 | $3,213 |
| Office Visit, Established Patient (Level 3) | $72$18$126 | $272 | $680 |
| Office Visit, New Patient (Level 3) | $130$26$234 | $272 | $680 |
| Pacemaker Insertion (Dual Chamber) | $3,806$950$6.7k | $7,292 | $18,229 |
| PET/CT Scan, Whole Body | $2,801$1.7k$3.5k | $1,937 | $4,842 |
| Pregnancy Ultrasound (Second or Third Trimester) | $196$154$394 | $254 | $635 |
| Prostate Biopsy | $1,317$759$1.9k | $1,207 | $3,017 |
| PSA Prostate Cancer Screening | $37$31$76 | $54 | $135 |
| Pulmonary Function Test with Bronchodilator | $83$51$114 | $344 | $859 |
| Rotator Cuff Repair (Arthroscopic) | $2,113$1.3k$2.9k | $4,146 | $10,365 |
| Screening Mammogram | $185$63$446 | $274 | $686 |
| Skin Biopsy (Tangential) | $275$61$489 | $259 | $648 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $977$567$1.4k | $892 | $2,231 |
| Sleep Study (In-lab Polysomnography) | $644$525$764 | $1,902 | $4,756 |
| Spinal Cord Stimulator Trial | $1,317$759$1.9k | $7,472 | $18,679 |
| Spirometry (Breathing Test) | $45$29$60 | $141 | $353 |
| Total Hip Replacement | $2,568 | $8,911 | $22,278 |
| Total Knee Replacement | $7,408$2.8k$12k | $7,970 | $19,925 |
| Total Mastectomy | $1,130$1.1k$1.1k | $9,453 | $23,633 |
| TSH Thyroid Function Test | $34$29$82 | $53 | $133 |
| TURP (Transurethral Prostate Resection) | $1,851$1.1k$2.6k | $11,572 | $28,929 |
| Upper GI Endoscopy (EGD) | $976$567$1.4k | $1,522 | $3,804 |
| Urinalysis with Microscopy | $8$5$11 | $31 | $78 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $3,207 | $3,970 | $9,926 |
| Vaginal Delivery (Global Package) | $2,601$2.2k$3.0k | $3,758 | $9,396 |
| Vasectomy | $1,509$870$2.1k | $2,373 | $5,933 |
| Vitamin D Blood Test | $59$50$141 | $92 | $230 |