| Abdominal Hysterectomy | $6,576$1.7k$11k | $3,217 | $9,709 |
| ACL Reconstruction (Arthroscopic) | $8,358$6.5k$41k | $15,384 | $46,434 |
| Allergy Skin Testing | $847$17$4.9k | $31 | $95 |
| Basic Metabolic Panel | $10$7$44 | $18 | $55 |
| Bone Marrow Biopsy | $1,896$1.5k$9.4k | $3,489 | $10,532 |
| Breast Biopsy (Ultrasound-guided) | $1,896$1.5k$9.4k | $3,489 | $10,532 |
| Bunion Correction Surgery | $3,796$2.9k$19k | $6,987 | $21,090 |
| Cardiac Ablation for Atrial Fibrillation | $28,830$24k$149k | $52,829 | $159,460 |
| Cardiac Catheterization (Left Heart) | $3,763$2.9k$18k | $6,926 | $20,907 |
| Carpal Tunnel Release Surgery | $2,285$1.8k$11k | $4,205 | $12,693 |
| Cataract Surgery with Lens Implant | $2,669$2.1k$13k | $4,912 | $14,825 |
| Cervical Spinal Fusion (Anterior) | $15,054$12k$73k | $27,708 | $83,634 |
| Cesarean Delivery (Global Package) | $13,998$3.7k$24k | $6,847 | $20,667 |
| Chemotherapy Infusion (First Hour) | $388$298$1.9k | $714 | $2,156 |
| Chest X-ray (2 Views) | $96$78$496 | $146 | $440 |
| Colonoscopy with Biopsy | $1,380$1.1k$6.8k | $2,539 | $7,664 |
| Complete Abdominal Ultrasound | $115$94$596 | $176 | $532 |
| Complete Blood Count (CBC) with Differential | $10$7$41 | $17 | $51 |
| Comprehensive Metabolic Panel | $12$9$55 | $23 | $69 |
| Coronary Angioplasty with Stent | $13,269$10k$66k | $24,421 | $73,714 |
| Critical Care, First Hour | $986$745$4.7k | $1,815 | $5,477 |
| CT Abdomen and Pelvis with Contrast | $385$315$2.0k | $592 | $1,786 |
| CT Cardiac Calcium Scoring | $96$78$496 | $146 | $440 |
| CT Chest without Contrast | $115$94$596 | $176 | $532 |
| CT Head without Contrast | $115$94$596 | $176 | $532 |
| DEXA Bone Density Scan | $115$94$596 | $176 | $532 |
| Diagnostic Colonoscopy | $1,067$838$5.3k | $1,963 | $5,926 |
| Diagnostic Mammogram (Both Breasts) | $118$86$522 | $216 | $653 |
| Ear Tube Placement (Tympanostomy) | $1,733$1.4k$8.8k | $3,190 | $9,628 |
| Echocardiogram (Complete with Doppler) | $1,851$493$4.1k | $1,441 | $4,350 |
| Emergency Room Visit (Level 3) | $324$246$1.6k | $596 | $1,800 |
| Group Therapy Session | $123$92$579 | $199 | $601 |
| Hemoglobin A1c (Diabetes Test) | $13$8$50 | $21 | $63 |
| HIV Antibody Test | $10$8$46 | $19 | $58 |
| Holter Monitor (24-48 Hour Heart Monitor) | $606$164$730 | $302 | $912 |
| Home Sleep Study | $238$183$1.2k | $337 | $1,017 |
| Individual Therapy Session (45 Minutes) | $216$160$1.0k | $346 | $1,044 |
| Inguinal Hernia Repair (Open) | $4,129$3.2k$20k | $7,600 | $22,939 |
| Initial Psychiatric Diagnostic Evaluation | $216$160$1.0k | $346 | $1,044 |
| Initial Psychiatric Evaluation with Medication Management | $216$160$1.0k | $346 | $1,044 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $2,231$677$3.0k | $1,246 | $3,760 |
| IUD Insertion | $2,368$629$4.1k | $1,158 | $3,496 |
| IUD Removal | $356$275$1.7k | $655 | $1,977 |
| Knee Arthroscopy with Meniscectomy | $3,796$2.9k$19k | $6,987 | $21,090 |
| Laparoscopic Appendectomy | $6,826$5.5k$34k | $12,564 | $37,923 |
| Laparoscopic Gallbladder Removal | $6,826$5.5k$34k | $12,564 | $37,923 |
| Laparoscopic Tubal Ligation | $6,826$5.5k$34k | $12,564 | $37,923 |
| Lipid Panel (Cholesterol Test) | $18$11$70 | $29 | $87 |
| Lumbar Epidural Steroid Injection | $810$636$4.0k | $1,491 | $4,501 |
| Lumbar Puncture (Spinal Tap) | $810$636$4.0k | $1,491 | $4,501 |
| Lumbar Spinal Fusion (Posterior) | $21,516$16k$100k | $39,602 | $119,535 |
| Lumpectomy (Partial Mastectomy) | $4,480$3.5k$22k | $8,246 | $24,890 |
| MRI Abdomen with and without Contrast | $385$315$2.0k | $592 | $1,786 |
| MRI Brain with and without Contrast | $385$315$2.0k | $592 | $1,786 |
| MRI Brain with Contrast | $385$315$2.0k | $592 | $1,786 |
| MRI Brain without Contrast | $263$215$1.4k | $401 | $1,209 |
| MRI Cervical Spine (Neck) without Contrast | $263$215$1.4k | $401 | $1,209 |
| MRI Knee without Contrast | $263$215$1.4k | $401 | $1,209 |
| MRI Lower Back (Lumbar Spine) without Contrast | $263$215$1.4k | $401 | $1,209 |
| MRI Thoracic Spine (Mid-back) without Contrast | $263$215$1.4k | $401 | $1,209 |
| Newborn Circumcision | $2,397$1.9k$12k | $4,411 | $13,315 |
| Nuclear Cardiac Stress Test | $1,527$1.2k$7.4k | $2,811 | $8,486 |
| Pacemaker Insertion (Dual Chamber) | $12,245$9.4k$60k | $22,537 | $68,025 |
| PET/CT Scan, Whole Body | $1,577$1.3k$8.2k | $2,416 | $7,293 |
| Pregnancy Ultrasound (Second or Third Trimester) | $115$94$596 | $176 | $532 |
| Prostate Biopsy | $8,852$2.4k$11k | $4,411 | $13,315 |
| PSA Prostate Cancer Screening | $45$16$101 | $41 | $123 |
| Pulmonary Function Test with Bronchodilator | $412$336$2.1k | $671 | $2,024 |
| Rotator Cuff Repair (Arthroscopic) | $8,358$6.5k$41k | $15,384 | $46,434 |
| Screening Mammogram | $97$71$432 | $179 | $540 |
| Septoplasty (Deviated Septum Repair) | $3,794$3.0k$19k | $6,984 | $21,080 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $8,099$6.4k$40k | $14,907 | $44,996 |
| Skin Biopsy (Tangential) | $444$233$2.3k | $428 | $1,292 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,896$1.5k$9.4k | $3,489 | $10,532 |
| Sleep Study (In-lab Polysomnography) | $1,138$774$5.3k | $2,191 | $6,613 |
| Spinal Cord Stimulator Trial | $7,679$5.7k$36k | $14,133 | $42,659 |
| Spirometry (Breathing Test) | $238$183$1.2k | $337 | $1,017 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,794$3.0k$19k | $6,984 | $21,080 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,921$5.3k$34k | $12,739 | $38,452 |
| Total Hip Replacement | $15,054$12k$73k | $27,708 | $83,634 |
| Total Knee Replacement | $15,054$12k$73k | $27,708 | $83,634 |
| Total Mastectomy | $7,630$6.0k$38k | $14,043 | $42,389 |
| TSH Thyroid Function Test | $20$14$87 | $36 | $109 |
| TURP (Transurethral Prostate Resection) | $5,948$4.8k$31k | $10,947 | $33,044 |
| Upper GI Endoscopy (EGD) | $1,097$818$5.2k | $2,019 | $6,094 |
| Urinalysis with Microscopy | $4$3$17 | $7 | $21 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $18,576$4.9k$32k | $9,086 | $27,426 |
| Vaginal Delivery (Global Package) | $13,998$3.7k$24k | $6,847 | $20,667 |
| Vaginal Hysterectomy | $5,776$4.5k$29k | $10,630 | $32,087 |
| Vasectomy | $2,397$1.9k$12k | $4,411 | $13,315 |
| Vitamin D Blood Test | $41$25$154 | $64 | $192 |