| Abdominal Hysterectomy | $1,169$718$3.3k | $2,100 | $3,500 |
| ACL Reconstruction (Arthroscopic) | $1,137$685$3.2k | $2,038 | $3,397 |
| Allergy Skin Testing | $5$3$21 | $13 | $22 |
| Basic Metabolic Panel | $22$4$48 | $29 | $48 |
| Bone Marrow Biopsy | $112$49$3.8k | $1,306 | $2,177 |
| Breast Biopsy (Ultrasound-guided) | $730$109$3.7k | $2,241 | $3,735 |
| Bunion Correction Surgery | $633$352$3.0k | $1,882 | $3,136 |
| Cardiac Ablation for Atrial Fibrillation | $1,091$786$3.7k | $2,356 | $3,926 |
| Cardiac Catheterization (Left Heart) | $684$210$17k | $1,103 | $1,838 |
| Cardiac Stress Test (Treadmill) | $91$47$245 | $155 | $258 |
| Carpal Tunnel Release Surgery | $507$299$1.4k | $879 | $1,465 |
| Cataract Surgery with Lens Implant | $659$362$2.1k | $1,310 | $2,184 |
| Cervical Spinal Fusion (Anterior) | $1,988$1.2k$5.6k | $3,553 | $5,921 |
| Cesarean Delivery (Global Package) | $2,484$1$7.6k | $4,793 | $3,995 |
| Chemotherapy Infusion (First Hour) | $332$85$844 | $390 | $650 |
| Chest X-ray (2 Views) | $29$7$248 | $64 | $106 |
| Colonoscopy with Biopsy | $256$139$1.3k | $820 | $1,366 |
| Complete Abdominal Ultrasound | $87$27$511 | $207 | $345 |
| Complete Blood Count (CBC) with Differential | $18$4$48 | $25 | $42 |
| Comprehensive Metabolic Panel | $29$5$77 | $43 | $71 |
| Coronary Angioplasty with Stent | $957$400$32k | $10,145 | $16,909 |
| Critical Care, First Hour | $838$153$3.0k | $1,221 | $2,035 |
| CT Abdomen and Pelvis with Contrast | $226$61$1.2k | $532 | $887 |
| CT Cardiac Calcium Scoring | $72$20$1.2k | $174 | $290 |
| CT Chest without Contrast | $106$36$1.2k | $297 | $495 |
| CT Head without Contrast | $77$29$1.2k | $190 | $317 |
| DEXA Bone Density Scan | $31$7$297 | $94 | $157 |
| Diagnostic Colonoscopy | $236$129$1.0k | $482 | $804 |
| Diagnostic Mammogram (Both Breasts) | $115$34$729 | $208 | $346 |
| Ear Tube Placement (Tympanostomy) | $187$109$521 | $329 | $548 |
| Echocardiogram (Complete with Doppler) | $131$48$1.8k | $419 | $699 |
| EKG (Electrocardiogram, 12-lead) | $20$10$54 | $34 | $57 |
| Emergency Room Visit (Level 3) | $206$52$989 | $367 | $612 |
| Group Therapy Session | $30$17$85 | $53 | $89 |
| Hemodialysis Treatment | $115$72$342 | $216 | $360 |
| Hemoglobin A1c (Diabetes Test) | $20$5$89 | $29 | $48 |
| HIV Antibody Test | $34$4$76 | $48 | $80 |
| Holter Monitor (24-48 Hour Heart Monitor) | $101$49$290 | $183 | $305 |
| Home Sleep Study | $69$30$346 | $218 | $364 |
| Individual Therapy Session (45 Minutes) | $100$64$280 | $177 | $295 |
| Inguinal Hernia Repair (Open) | $637$375$1.7k | $1,079 | $1,798 |
| Initial Hospital Admission (Level 1) | $84$70$284 | $179 | $299 |
| Initial Psychiatric Diagnostic Evaluation | $151$108$432 | $273 | $455 |
| Initial Psychiatric Evaluation with Medication Management | $168$123$484 | $305 | $509 |
| IUD Insertion | $91$36$229 | $137 | $229 |
| IUD Removal | $92$47$307 | $171 | $286 |
| Knee Arthroscopy with Meniscectomy | $631$376$1.8k | $1,115 | $1,858 |
| Laparoscopic Appendectomy | $1,819$432$14k | $4,912 | $8,187 |
| Laparoscopic Gallbladder Removal | $764$475$2.2k | $1,366 | $2,277 |
| Laparoscopic Tubal Ligation | $749$263$2.1k | $1,343 | $2,238 |
| Lipid Panel (Cholesterol Test) | $29$7$155 | $65 | $109 |
| Lumbar Epidural Steroid Injection | $372$69$2.2k | $898 | $1,497 |
| Lumbar Puncture (Spinal Tap) | $372$44$1.7k | $661 | $1,101 |
| Lumbar Spinal Fusion (Posterior) | $1,843$1.1k$5.2k | $3,298 | $5,497 |
| Lumpectomy (Partial Mastectomy) | $759$473$2.1k | $1,347 | $2,245 |
| MRI Abdomen with and without Contrast | $311$73$2.1k | $881 | $1,469 |
| MRI Brain with and without Contrast | $263$77$2.1k | $527 | $879 |
| MRI Brain with Contrast | $179$60$1.0k | $462 | $770 |
| MRI Brain without Contrast | $156$50$1.6k | $362 | $603 |
| MRI Cervical Spine (Neck) without Contrast | $150$50$1.6k | $401 | $669 |
| MRI Knee without Contrast | $169$46$1.6k | $440 | $733 |
| MRI Lower Back (Lumbar Spine) without Contrast | $149$50$1.6k | $398 | $664 |
| MRI Thoracic Spine (Mid-back) without Contrast | $150$50$1.6k | $404 | $674 |
| Newborn Circumcision | $463$69$5.9k | $1,923 | $3,205 |
| Nuclear Cardiac Stress Test | $317$54$3.6k | $894 | $1,490 |
| Office Visit, Established Patient (Level 3) | $58$40$206 | $130 | $217 |
| Office Visit, New Patient (Level 3) | $88$58$317 | $200 | $334 |
| Pacemaker Insertion (Dual Chamber) | $1,586$370$20k | $6,600 | $11,001 |
| PET/CT Scan, Whole Body | $394$80$4.0k | $249 | $415 |
| Pregnancy Ultrasound (Second or Third Trimester) | $97$33$579 | $186 | $310 |
| Prostate Biopsy | $737$91$5.0k | $1,767 | $2,945 |
| PSA Prostate Cancer Screening | $61$5$152 | $84 | $140 |
| Pulmonary Function Test with Bronchodilator | $36$7$559 | $109 | $181 |
| Rotator Cuff Repair (Arthroscopic) | $1,231$749$3.5k | $2,186 | $3,643 |
| Screening Mammogram | $92$26$571 | $173 | $289 |
| Septoplasty (Deviated Septum Repair) | $752$461$2.0k | $1,264 | $2,107 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $388$228$1.3k | $830 | $1,383 |
| Skin Biopsy (Tangential) | $72$26$535 | $251 | $418 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $98$55$391 | $247 | $412 |
| Sleep Study (In-lab Polysomnography) | $424$83$2.4k | $1,001 | $1,668 |
| Spinal Cord Stimulator Trial | $3,849$288$15k | $5,862 | $9,770 |
| Spirometry (Breathing Test) | $23$6$324 | $51 | $86 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $371$210$990 | $625 | $1,042 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $341$201$949 | $599 | $999 |
| Total Hip Replacement | $1,530$904$4.5k | $2,813 | $4,688 |
| Total Knee Replacement | $1,529$903$4.5k | $2,812 | $4,686 |
| Total Mastectomy | $1,231$687$3.3k | $2,088 | $3,480 |
| TSH Thyroid Function Test | $39$11$96 | $54 | $91 |
| TURP (Transurethral Prostate Resection) | $872$508$2.8k | $1,777 | $2,961 |
| Umbilical Hernia Repair | $695$319$1.5k | $921 | $1,535 |
| Upper GI Endoscopy (EGD) | $503$85$3.9k | $1,418 | $2,364 |
| Urinalysis with Microscopy | $9$2$29 | $10 | $17 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,675$2.4k$7.2k | $4,545 | $7,575 |
| Vaginal Delivery (Global Package) | $2,240$1$6.8k | $4,323 | $3,603 |
| Vaginal Hysterectomy | $956$596$2.7k | $1,703 | $2,838 |
| Vasectomy | $275$156$1.2k | $786 | $1,310 |
| Vitamin D Blood Test | $57$5$128 | $71 | $119 |