| Abdominal Hysterectomy | $930$149$1.4k | $1,014 | $1,449 |
| ACL Reconstruction (Arthroscopic) | $721$126$2.2k | $822 | $1,174 |
| Allergy Skin Testing | $4$3$1.0k | $23 | $33 |
| Basic Metabolic Panel | $8$7$9 | $78 | $111 |
| Bone Marrow Biopsy | $197$112$1.7k | $521 | $744 |
| Breast Biopsy (Ultrasound-guided) | $194$93$1.7k | $1,331 | $1,902 |
| Bunion Correction Surgery | $828$435$1.3k | $1,125 | $1,607 |
| Carpal Tunnel Release Surgery | $460$59$2.0k | $1,387 | $1,745 |
| Cataract Surgery with Lens Implant | $505$396$1.3k | $1,094 | $1,563 |
| Cervical Spinal Fusion (Anterior) | $1,520$213$2.4k | $1,689 | $2,413 |
| Cesarean Delivery (Global Package) | $2,383$381$3.4k | $2,036 | $2,909 |
| Chemotherapy Infusion (First Hour) | $185$19$356 | $335 | $493 |
| Chest X-ray (2 Views) | $20$7$94 | $260 | $371 |
| Colonoscopy with Biopsy | $336$127$662 | $774 | $1,105 |
| Complete Abdominal Ultrasound | $88$26$190 | $433 | $618 |
| Complete Blood Count (CBC) with Differential | $8$3$8 | $95 | $135 |
| Comprehensive Metabolic Panel | $11$10$12 | $100 | $142 |
| Critical Care, First Hour | $267$77$904 | $466 | $665 |
| CT Abdomen and Pelvis with Contrast | $365$65$383 | $3,387 | $4,839 |
| CT Cardiac Calcium Scoring | $76$19$147 | $54 | $78 |
| CT Chest without Contrast | $66$26$384 | $125 | $178 |
| CT Head without Contrast | $89$27$294 | $924 | $1,320 |
| DEXA Bone Density Scan | $49$6$135 | $274 | $392 |
| Diagnostic Colonoscopy | $258$102$554 | $649 | $927 |
| Diagnostic Mammogram (Both Breasts) | $107$58$131 | $607 | $867 |
| Ear Tube Placement (Tympanostomy) | $150$100$466 | $265 | $379 |
| Echocardiogram (Complete with Doppler) | $148$45$588 | $1,072 | $1,532 |
| EKG (Electrocardiogram, 12-lead) | $13$4$28 | $117 | $167 |
| Emergency Room Visit (Level 3) | $67$24$297 | $159 | $227 |
| Group Therapy Session | $27$20$109 | $54 | $77 |
| Hemodialysis Treatment | $94$56$212 | $188 | $268 |
| Hemoglobin A1c (Diabetes Test) | $10$10$19 | $26 | $38 |
| HIV Antibody Test | $9$9$11 | $149 | $213 |
| Holter Monitor (24-48 Hour Heart Monitor) | $70$12$195 | $237 | $339 |
| Home Sleep Study | $45$29$280 | $111 | $159 |
| Individual Therapy Session (45 Minutes) | $101$58$145 | $119 | $170 |
| Inguinal Hernia Repair (Open) | $476$76$1.0k | $760 | $1,086 |
| Initial Hospital Admission (Level 1) | $78$30$139 | $164 | $234 |
| Initial Psychiatric Diagnostic Evaluation | $162$109$231 | $217 | $310 |
| Initial Psychiatric Evaluation with Medication Management | $181$50$260 | $179 | $255 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $591$108$620 | $1,614 | $2,306 |
| IUD Insertion | $96$49$145 | $176 | $160 |
| IUD Removal | $101$36$326 | $167 | $215 |
| Knee Arthroscopy with Meniscectomy | $400$71$1.1k | $452 | $646 |
| Laparoscopic Appendectomy | $546$87$841 | $569 | $812 |
| Laparoscopic Gallbladder Removal | $597$96$991 | $707 | $1,010 |
| Laparoscopic Tubal Ligation | $594$95$1.5k | $1,024 | $1,463 |
| Lipid Panel (Cholesterol Test) | $13$6$27 | $59 | $84 |
| Lumbar Epidural Steroid Injection | $114$55$743 | $1,153 | $1,647 |
| Lumbar Puncture (Spinal Tap) | $136$37$743 | $336 | $412 |
| Lumbar Spinal Fusion (Posterior) | $1,425$200$2.2k | $1,572 | $2,245 |
| Lumpectomy (Partial Mastectomy) | $598$96$1.3k | $894 | $1,277 |
| MRI Abdomen with and without Contrast | $365$70$1.2k | $1,615 | $2,307 |
| MRI Brain with and without Contrast | $365$73$1.1k | $1,654 | $2,363 |
| MRI Brain with Contrast | $365$57$859 | $1,560 | $2,229 |
| MRI Brain without Contrast | $247$47$769 | $1,493 | $2,132 |
| MRI Cervical Spine (Neck) without Contrast | $247$47$703 | $1,478 | $2,112 |
| MRI Knee without Contrast | $247$43$735 | $1,508 | $2,154 |
| MRI Lower Back (Lumbar Spine) without Contrast | $247$47$711 | $1,519 | $2,170 |
| MRI Thoracic Spine (Mid-back) without Contrast | $247$47$720 | $1,283 | $1,832 |
| Newborn Circumcision | $137$50$2.1k | $344 | $491 |
| Nuclear Cardiac Stress Test | $322$50$1.4k | $2,508 | $3,583 |
| Office Visit, Established Patient (Level 3) | $86$22$123 | $144 | $205 |
| Office Visit, New Patient (Level 3) | $103$30$150 | $182 | $244 |
| Pacemaker Insertion (Dual Chamber) | $457$101$961 | $2,411 | $3,445 |
| PET/CT Scan, Whole Body | $487$105$1.6k | $2,433 | $3,476 |
| Pregnancy Ultrasound (Second or Third Trimester) | $101$32$203 | $443 | $633 |
| Prostate Biopsy | $237$152$2.1k | $421 | $469 |
| PSA Prostate Cancer Screening | $18$18$22 | $225 | $321 |
| Pulmonary Function Test with Bronchodilator | $63$7$334 | $100 | $125 |
| Rotator Cuff Repair (Arthroscopic) | $986$138$1.5k | $1,077 | $1,538 |
| Screening Mammogram | $89$58$131 | $550 | $786 |
| Septoplasty (Deviated Septum Repair) | $629$331$899 | $915 | $1,307 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $294$118$719 | $667 | $953 |
| Skin Biopsy (Tangential) | $76$22$203 | $160 | $229 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $120$38$1.7k | $500 | $670 |
| Sleep Study (In-lab Polysomnography) | $492$78$1.1k | $287 | $410 |
| Spinal Cord Stimulator Trial | $1,759$201$7.0k | $1,680 | $2,400 |
| Spirometry (Breathing Test) | $38$5$168 | $56 | $70 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $285$176$449 | $486 | $695 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $273$168$441 | $465 | $665 |
| Total Hip Replacement | $1,176$165$3.7k | $1,870 | $2,671 |
| Total Knee Replacement | $943$165$4.0k | $1,039 | $1,485 |
| Total Mastectomy | $867$139$1.9k | $1,102 | $1,574 |
| TSH Thyroid Function Test | $17$9$18 | $181 | $258 |
| TURP (Transurethral Prostate Resection) | $669$266$1.3k | $1,385 | $1,979 |
| Upper GI Endoscopy (EGD) | $269$78$1.0k | $497 | $710 |
| Urinalysis with Microscopy | $3$3$4 | $100 | $144 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,245$733$3.2k | $2,912 | $4,161 |
| Vaginal Delivery (Global Package) | $2,160$653$3.1k | $2,768 | $3,955 |
| Vaginal Hysterectomy | $766$123$1.2k | $850 | $1,214 |
| Vasectomy | $386$120$2.1k | $848 | $986 |
| Vitamin D Blood Test | $30$30$36 | $187 | $268 |