| Abdominal Hysterectomy | $5,317$2.1k$7.8k | $2,815 | $9,709 |
| ACL Reconstruction (Arthroscopic) | $7,298$6.1k$37k | $13,461 | $46,434 |
| Basic Metabolic Panel | $9$7$44 | $16 | $55 |
| Bone Marrow Biopsy | $1,661$1.4k$8.4k | $3,053 | $10,532 |
| Breast Biopsy (Ultrasound-guided) | $1,661$1.4k$8.4k | $3,053 | $10,532 |
| Bunion Correction Surgery | $3,291$2.7k$17k | $6,114 | $21,090 |
| Cardiac Ablation for Atrial Fibrillation | $26,289$22k$128k | $46,227 | $159,460 |
| Cardiac Catheterization (Left Heart) | $3,261$2.7k$17k | $6,061 | $20,907 |
| Carpal Tunnel Release Surgery | $1,964$1.6k$10k | $3,680 | $12,693 |
| Cataract Surgery with Lens Implant | $2,321$1.9k$12k | $4,298 | $14,825 |
| Cervical Spinal Fusion (Anterior) | $12,913$11k$67k | $24,246 | $83,634 |
| Cesarean Delivery (Global Package) | $11,317$4.4k$17k | $5,991 | $20,667 |
| Chemotherapy Infusion (First Hour) | $332$276$1.7k | $625 | $2,156 |
| Chest X-ray (2 Views) | $88$73$373 | $128 | $440 |
| Colonoscopy with Biopsy | $1,204$998$6.1k | $2,222 | $7,664 |
| Complete Abdominal Ultrasound | $105$87$448 | $154 | $532 |
| Complete Blood Count (CBC) with Differential | $8$7$41 | $15 | $51 |
| Comprehensive Metabolic Panel | $11$9$55 | $20 | $69 |
| Coronary Angioplasty with Stent | $11,611$9.6k$59k | $21,370 | $73,714 |
| Critical Care, First Hour | $831$689$4.4k | $1,588 | $5,477 |
| CT Abdomen and Pelvis with Contrast | $351$291$1.5k | $518 | $1,786 |
| CT Cardiac Calcium Scoring | $88$73$373 | $128 | $440 |
| CT Chest without Contrast | $105$87$448 | $154 | $532 |
| CT Head without Contrast | $105$87$448 | $154 | $532 |
| DEXA Bone Density Scan | $105$87$448 | $154 | $532 |
| Diagnostic Colonoscopy | $935$776$4.7k | $1,718 | $5,926 |
| Diagnostic Mammogram (Both Breasts) | $104$86$522 | $189 | $653 |
| Ear Tube Placement (Tympanostomy) | $1,561$1.3k$7.7k | $2,791 | $9,628 |
| Echocardiogram (Complete with Doppler) | $1,793$456$4.1k | $1,261 | $4,350 |
| Emergency Room Visit (Level 3) | $275$228$1.4k | $522 | $1,800 |
| Group Therapy Session | $102$85$481 | $174 | $601 |
| Hemoglobin A1c (Diabetes Test) | $10$8$50 | $18 | $63 |
| HIV Antibody Test | $9$8$46 | $17 | $58 |
| Holter Monitor (24-48 Hour Heart Monitor) | $548$329$730 | $264 | $912 |
| Home Sleep Study | $217$180$926 | $295 | $1,017 |
| Individual Therapy Session (45 Minutes) | $179$148$835 | $303 | $1,044 |
| Inguinal Hernia Repair (Open) | $3,601$3.0k$18k | $6,650 | $22,939 |
| IUD Insertion | $2,051$794$3.0k | $1,086 | $3,746 |
| IUD Removal | $307$254$1.6k | $573 | $1,977 |
| Knee Arthroscopy with Meniscectomy | $3,291$2.7k$17k | $6,114 | $21,090 |
| Laparoscopic Appendectomy | $6,081$5.0k$30k | $10,994 | $37,923 |
| Laparoscopic Gallbladder Removal | $6,081$5.0k$30k | $10,994 | $37,923 |
| Laparoscopic Tubal Ligation | $6,081$5.0k$30k | $10,994 | $37,923 |
| Lipid Panel (Cholesterol Test) | $14$11$70 | $25 | $87 |
| Lumbar Epidural Steroid Injection | $710$589$3.6k | $1,305 | $4,501 |
| Lumbar Puncture (Spinal Tap) | $710$589$3.6k | $1,305 | $4,501 |
| Lumbar Spinal Fusion (Posterior) | $17,635$15k$96k | $34,653 | $119,535 |
| Lumpectomy (Partial Mastectomy) | $3,938$3.3k$20k | $7,216 | $24,890 |
| MRI Abdomen with and without Contrast | $351$291$1.5k | $518 | $1,786 |
| MRI Brain with and without Contrast | $351$291$1.5k | $518 | $1,786 |
| MRI Brain with Contrast | $351$291$1.5k | $518 | $1,786 |
| MRI Brain without Contrast | $240$199$1.0k | $350 | $1,209 |
| MRI Cervical Spine (Neck) without Contrast | $240$199$1.0k | $350 | $1,209 |
| MRI Knee without Contrast | $240$199$1.0k | $350 | $1,209 |
| MRI Lower Back (Lumbar Spine) without Contrast | $240$199$1.0k | $350 | $1,209 |
| MRI Thoracic Spine (Mid-back) without Contrast | $240$199$1.0k | $350 | $1,209 |
| Newborn Circumcision | $2,103$1.7k$11k | $3,860 | $13,315 |
| Nuclear Cardiac Stress Test | $1,302$1.1k$6.8k | $2,460 | $8,486 |
| Pacemaker Insertion (Dual Chamber) | $10,513$8.7k$54k | $19,720 | $68,025 |
| PET/CT Scan, Whole Body | $1,438$1.2k$6.1k | $2,114 | $7,293 |
| Pregnancy Ultrasound (Second or Third Trimester) | $105$87$448 | $154 | $532 |
| Prostate Biopsy | $8,001$4.8k$11k | $3,860 | $13,315 |
| PSA Prostate Cancer Screening | $45$16$101 | $36 | $123 |
| Pulmonary Function Test with Bronchodilator | $375$311$1.6k | $587 | $2,024 |
| Rotator Cuff Repair (Arthroscopic) | $7,298$6.1k$37k | $13,461 | $46,434 |
| Screening Mammogram | $86$71$432 | $157 | $540 |
| Septoplasty (Deviated Septum Repair) | $3,335$2.8k$17k | $6,111 | $21,080 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,098$5.9k$36k | $13,044 | $44,996 |
| Skin Biopsy (Tangential) | $409$339$1.7k | $375 | $1,292 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,661$1.4k$8.4k | $3,053 | $10,532 |
| Sleep Study (In-lab Polysomnography) | $864$716$5.3k | $1,917 | $6,613 |
| Spinal Cord Stimulator Trial | $6,410$5.3k$34k | $12,367 | $42,659 |
| Spirometry (Breathing Test) | $217$180$926 | $295 | $1,017 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,335$2.8k$17k | $6,111 | $21,080 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,954$4.9k$31k | $11,147 | $38,452 |
| Total Hip Replacement | $12,913$11k$67k | $24,246 | $83,634 |
| Total Knee Replacement | $12,913$11k$67k | $24,246 | $83,634 |
| Total Mastectomy | $6,679$5.5k$34k | $12,289 | $42,389 |
| TSH Thyroid Function Test | $17$14$87 | $32 | $109 |
| TURP (Transurethral Prostate Resection) | $5,393$4.5k$26k | $9,579 | $33,044 |
| Upper GI Endoscopy (EGD) | $912$756$4.9k | $1,767 | $6,094 |
| Urinalysis with Microscopy | $3$3$17 | $6 | $21 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $15,018$5.8k$22k | $7,951 | $27,426 |
| Vaginal Delivery (Global Package) | $11,317$4.4k$17k | $5,991 | $20,667 |
| Vaginal Hysterectomy | $5,031$4.2k$26k | $9,302 | $32,087 |
| Vasectomy | $2,103$1.7k$11k | $3,860 | $13,315 |
| Vitamin D Blood Test | $30$25$154 | $56 | $192 |