| Abdominal Hysterectomy | $4,886$2.0k$7.8k | $2,525 | $9,709 |
| ACL Reconstruction (Arthroscopic) | $8,413$6.3k$40k | $12,077 | $46,434 |
| Allergy Skin Testing | $814$24$4.7k | $25 | $95 |
| Basic Metabolic Panel | $10$7$44 | $14 | $55 |
| Bone Marrow Biopsy | $1,915$1.4k$9.1k | $2,739 | $10,532 |
| Breast Biopsy (Ultrasound-guided) | $1,915$1.4k$9.1k | $2,739 | $10,532 |
| Bunion Correction Surgery | $3,794$2.8k$18k | $5,486 | $21,090 |
| Cardiac Ablation for Atrial Fibrillation | $30,306$23k$144k | $41,476 | $159,460 |
| Cardiac Catheterization (Left Heart) | $3,759$2.8k$18k | $5,438 | $20,907 |
| Carpal Tunnel Release Surgery | $2,264$1.7k$11k | $3,301 | $12,693 |
| Cataract Surgery with Lens Implant | $2,676$2.0k$13k | $3,856 | $14,825 |
| Cervical Spinal Fusion (Anterior) | $14,886$11k$71k | $21,753 | $83,634 |
| Cesarean Delivery (Global Package) | $10,400$4.2k$17k | $5,375 | $20,667 |
| Chemotherapy Infusion (First Hour) | $383$286$1.8k | $561 | $2,156 |
| Chest X-ray (2 Views) | $101$75$481 | $114 | $440 |
| Colonoscopy with Biopsy | $1,387$1.0k$6.6k | $1,993 | $7,664 |
| Complete Abdominal Ultrasound | $137$90$578 | $138 | $532 |
| Complete Blood Count (CBC) with Differential | $9$7$41 | $13 | $51 |
| Comprehensive Metabolic Panel | $12$9$55 | $18 | $69 |
| Coronary Angioplasty with Stent | $13,385$10.0k$64k | $19,173 | $73,714 |
| Critical Care, First Hour | $958$714$4.6k | $1,425 | $5,477 |
| CT Abdomen and Pelvis with Contrast | $405$302$1.9k | $465 | $1,786 |
| CT Cardiac Calcium Scoring | $101$75$481 | $114 | $440 |
| CT Chest without Contrast | $121$90$578 | $138 | $532 |
| CT Head without Contrast | $121$90$578 | $138 | $532 |
| DEXA Bone Density Scan | $121$90$578 | $138 | $532 |
| Diagnostic Colonoscopy | $1,078$804$5.1k | $1,541 | $5,926 |
| Diagnostic Mammogram (Both Breasts) | $116$86$522 | $170 | $653 |
| Ear Tube Placement (Tympanostomy) | $1,799$1.3k$8.6k | $2,504 | $9,628 |
| Echocardiogram (Complete with Doppler) | $1,782$472$4.1k | $1,131 | $4,350 |
| Emergency Room Visit (Level 3) | $317$236$1.5k | $468 | $1,800 |
| Group Therapy Session | $118$88$562 | $156 | $601 |
| Hemoglobin A1c (Diabetes Test) | $11$8$50 | $16 | $63 |
| HIV Antibody Test | $10$8$46 | $15 | $58 |
| Holter Monitor (24-48 Hour Heart Monitor) | $474$234$730 | $237 | $912 |
| Home Sleep Study | $244$187$1.2k | $265 | $1,017 |
| Inguinal Hernia Repair (Open) | $4,151$3.1k$20k | $5,966 | $22,939 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,808$966$3.0k | $978 | $3,760 |
| IUD Insertion | $1,885$766$3.0k | $974 | $3,746 |
| IUD Removal | $353$263$1.7k | $514 | $1,977 |
| Knee Arthroscopy with Meniscectomy | $3,794$2.8k$18k | $5,486 | $21,090 |
| Laparoscopic Appendectomy | $7,010$5.2k$33k | $9,864 | $37,923 |
| Laparoscopic Gallbladder Removal | $7,010$5.2k$33k | $9,864 | $37,923 |
| Laparoscopic Tubal Ligation | $7,010$5.2k$33k | $9,864 | $37,923 |
| Lipid Panel (Cholesterol Test) | $22$11$70 | $23 | $87 |
| Lumbar Epidural Steroid Injection | $818$610$3.9k | $1,171 | $4,501 |
| Lumbar Puncture (Spinal Tap) | $818$610$3.9k | $1,171 | $4,501 |
| Lumbar Spinal Fusion (Posterior) | $20,330$15k$97k | $31,091 | $119,535 |
| Lumpectomy (Partial Mastectomy) | $4,540$3.4k$22k | $6,474 | $24,890 |
| MRI Abdomen with and without Contrast | $405$302$1.9k | $465 | $1,786 |
| MRI Brain with and without Contrast | $405$302$1.9k | $465 | $1,786 |
| MRI Brain with Contrast | $405$302$1.9k | $465 | $1,786 |
| MRI Brain without Contrast | $277$206$1.3k | $314 | $1,209 |
| MRI Cervical Spine (Neck) without Contrast | $277$206$1.3k | $314 | $1,209 |
| MRI Knee without Contrast | $277$206$1.3k | $314 | $1,209 |
| MRI Lower Back (Lumbar Spine) without Contrast | $277$206$1.3k | $314 | $1,209 |
| MRI Thoracic Spine (Mid-back) without Contrast | $277$206$1.3k | $314 | $1,209 |
| Newborn Circumcision | $2,424$1.8k$12k | $3,463 | $13,315 |
| Nuclear Cardiac Stress Test | $2,181$1.1k$7.2k | $2,207 | $8,486 |
| Office Visit, Established Patient (Level 3) | $58$24$92 | $30 | $115 |
| Office Visit, New Patient (Level 3) | $58$24$92 | $30 | $115 |
| Pacemaker Insertion (Dual Chamber) | $12,119$9.0k$58k | $17,693 | $68,025 |
| PET/CT Scan, Whole Body | $1,658$1.2k$7.9k | $1,897 | $7,293 |
| Pregnancy Ultrasound (Second or Third Trimester) | $121$90$578 | $138 | $532 |
| Prostate Biopsy | $6,920$3.4k$11k | $3,463 | $13,315 |
| PSA Prostate Cancer Screening | $51$16$101 | $32 | $123 |
| Pulmonary Function Test with Bronchodilator | $433$323$2.1k | $526 | $2,024 |
| Rotator Cuff Repair (Arthroscopic) | $8,413$6.3k$40k | $12,077 | $46,434 |
| Screening Mammogram | $95$71$432 | $140 | $540 |
| Septoplasty (Deviated Septum Repair) | $3,844$2.9k$18k | $5,483 | $21,080 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $8,183$6.1k$39k | $11,703 | $44,996 |
| Skin Biopsy (Tangential) | $424$332$2.2k | $336 | $1,292 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,915$1.4k$9.1k | $2,739 | $10,532 |
| Sleep Study (In-lab Polysomnography) | $996$742$5.3k | $1,720 | $6,613 |
| Spinal Cord Stimulator Trial | $7,389$5.5k$35k | $11,096 | $42,659 |
| Spirometry (Breathing Test) | $244$187$1.2k | $265 | $1,017 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,844$2.9k$18k | $5,483 | $21,080 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,864$5.1k$33k | $10,001 | $38,452 |
| Total Hip Replacement | $14,886$11k$71k | $21,753 | $83,634 |
| Total Knee Replacement | $14,886$11k$71k | $21,753 | $83,634 |
| Total Mastectomy | $7,699$5.7k$37k | $11,025 | $42,389 |
| TSH Thyroid Function Test | $28$14$87 | $28 | $109 |
| TURP (Transurethral Prostate Resection) | $6,217$4.6k$30k | $8,595 | $33,044 |
| Upper GI Endoscopy (EGD) | $1,052$784$5.0k | $1,585 | $6,094 |
| Urinalysis with Microscopy | $4$3$17 | $5 | $21 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $13,801$5.6k$22k | $7,134 | $27,426 |
| Vaginal Hysterectomy | $5,800$4.3k$28k | $8,346 | $32,087 |
| Vasectomy | $2,424$1.8k$12k | $3,463 | $13,315 |
| Vitamin D Blood Test | $49$25$154 | $50 | $192 |