| Abdominal Hysterectomy | $5,737$895$14k | $10,813 | $21,625 |
| ACL Reconstruction (Arthroscopic) | $7,507$991$24k | $29,003 | $58,007 |
| Allergy Skin Testing | $888$4$2.8k | $15 | $30 |
| Basic Metabolic Panel | $8$8$164 | $91 | $182 |
| Bone Marrow Biopsy | $1,709$70$5.4k | $1,678 | $3,356 |
| Breast Biopsy (Ultrasound-guided) | $1,709$150$5.4k | $1,607 | $3,213 |
| Bunion Correction Surgery | $3,385$517$11k | $5,600 | $11,200 |
| Cardiac Ablation for Atrial Fibrillation | $27,042$949$86k | $17,319 | $34,638 |
| Cardiac Catheterization (Left Heart) | $7,485$751$17k | $9,211 | $18,422 |
| Carpal Tunnel Release Surgery | $2,020$447$6.4k | $3,708 | $7,415 |
| Cataract Surgery with Lens Implant | $2,388$542$7.6k | $5,204 | $10,408 |
| Cervical Spinal Fusion (Anterior) | $13,283$1.7k$42k | $49,385 | $98,769 |
| Chemotherapy Infusion (First Hour) | $342$132$1.1k | $13,146 | $26,291 |
| Chest X-ray (2 Views) | $201$24$527 | $293 | $585 |
| Colonoscopy with Biopsy | $1,238$196$3.9k | $2,441 | $4,882 |
| Complete Abdominal Ultrasound | $241$80$1.6k | $766 | $1,531 |
| Complete Blood Count (CBC) with Differential | $8$8$120 | $67 | $133 |
| Comprehensive Metabolic Panel | $11$11$210 | $117 | $233 |
| Coronary Angioplasty with Stent | $11,944$570$38k | $4,137 | $8,274 |
| Critical Care, First Hour | $855$214$3.4k | $6,647 | $13,295 |
| CT Abdomen and Pelvis with Contrast | $805$235$4.2k | $2,340 | $4,679 |
| CT Cardiac Calcium Scoring | $201$75$850 | $472 | $944 |
| CT Chest without Contrast | $108$88$2.5k | $1,392 | $2,783 |
| CT Head without Contrast | $108$71$1.9k | $1,031 | $2,061 |
| DEXA Bone Density Scan | $241$29$1.4k | $754 | $1,508 |
| Diagnostic Colonoscopy | $962$184$3.1k | $2,477 | $4,954 |
| Diagnostic Mammogram (Both Breasts) | $108$108$975 | $542 | $1,083 |
| Ear Tube Placement (Tympanostomy) | $2,231$1.4k$5.1k | — | — |
| Echocardiogram (Complete with Doppler) | $565$130$3.9k | $2,412 | $4,824 |
| Emergency Room Visit (Level 3) | $630$72$1.3k | $717 | $1,434 |
| Group Therapy Session | $91$23$409 | $139 | $278 |
| Hemoglobin A1c (Diabetes Test) | $10$5$123 | $532 | $1,064 |
| HIV Antibody Test | $9$9$212 | $118 | $235 |
| Home Sleep Study | $499$48$2.9k | $1,599 | $3,198 |
| Individual Therapy Session (45 Minutes) | $162$88$180 | $100 | $200 |
| Inguinal Hernia Repair (Open) | $3,704$532$12k | $10,554 | $21,108 |
| Initial Psychiatric Diagnostic Evaluation | $162$143$180 | $100 | $200 |
| Initial Psychiatric Evaluation with Medication Management | $191$169$212 | $118 | $236 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $2,685$2.4k$3.0k | $1,661 | $3,322 |
| IUD Insertion | $99$35$425 | $247 | $494 |
| IUD Removal | $315$67$1.0k | $212 | $423 |
| Knee Arthroscopy with Meniscectomy | $3,385$553$11k | $6,130 | $12,259 |
| Laparoscopic Appendectomy | $6,255$612$20k | $11,222 | $22,443 |
| Laparoscopic Gallbladder Removal | $6,255$670$20k | $9,113 | $18,225 |
| Laparoscopic Tubal Ligation | $6,255$663$20k | $6,899 | $13,798 |
| Lipid Panel (Cholesterol Test) | $13$7$202 | $497 | $994 |
| Lumbar Epidural Steroid Injection | $744$99$2.3k | $1,016 | $2,033 |
| Lumbar Puncture (Spinal Tap) | $941$63$2.3k | $687 | $1,373 |
| Lumbar Spinal Fusion (Posterior) | $18,140$1.6k$58k | $46,823 | $93,646 |
| Lumpectomy (Partial Mastectomy) | $5,486$671$22k | $9,172 | $18,344 |
| MRI Abdomen with and without Contrast | $3,320$254$8.9k | $3,628 | $7,256 |
| MRI Brain with and without Contrast | $805$228$4.6k | $2,582 | $5,164 |
| MRI Brain with Contrast | $805$197$3.0k | $1,648 | $3,296 |
| MRI Brain without Contrast | $551$136$2.5k | $1,374 | $2,747 |
| MRI Cervical Spine (Neck) without Contrast | $551$130$2.2k | $1,242 | $2,483 |
| MRI Knee without Contrast | $551$149$1.9k | $1,061 | $2,121 |
| MRI Lower Back (Lumbar Spine) without Contrast | $247$131$2.0k | $1,132 | $2,263 |
| MRI Thoracic Spine (Mid-back) without Contrast | $551$130$2.2k | $1,247 | $2,494 |
| Newborn Circumcision | $2,163$97$6.9k | $1,817 | $3,634 |
| Nuclear Cardiac Stress Test | $2,989$368$5.5k | $3,065 | $6,130 |
| Office Visit, Established Patient (Level 3) | $176$66$439 | $123 | $246 |
| Office Visit, New Patient (Level 3) | $138$83$232 | $129 | $258 |
| Pacemaker Insertion (Dual Chamber) | $15,371$509$34k | $10,748 | $21,495 |
| PET/CT Scan, Whole Body | $1,941$1.5k$6.7k | $2,427 | $4,853 |
| Pregnancy Ultrasound (Second or Third Trimester) | $108$90$1.2k | $652 | $1,303 |
| Prostate Biopsy | $668$54$2.3k | $4,819 | $9,637 |
| PSA Prostate Cancer Screening | $18$18$239 | $133 | $265 |
| Pulmonary Function Test with Bronchodilator | $546$29$1.2k | $382 | $764 |
| Rotator Cuff Repair (Arthroscopic) | $7,507$1.1k$24k | $14,234 | $28,467 |
| Screening Mammogram | $90$90$659 | $366 | $732 |
| Septoplasty (Deviated Septum Repair) | $3,430$1.1k$11k | $1,731 | $3,462 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $5,737$1.9k$23k | — | — |
| Skin Biopsy (Tangential) | $421$38$1.3k | $75 | $150 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,709$83$5.4k | $398 | $796 |
| Sleep Study (In-lab Polysomnography) | $1,983$497$5.0k | $2,778 | $5,555 |
| Spinal Cord Stimulator Trial | $6,593$416$21k | $3,288 | $6,576 |
| Spirometry (Breathing Test) | $248$19$712 | $174 | $347 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,430$311$11k | $2,741 | $5,482 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,125$297$20k | $2,659 | $5,317 |
| Total Hip Replacement | $13,283$1.3k$42k | $29,503 | $59,006 |
| Total Knee Replacement | $13,283$1.3k$42k | $29,065 | $58,129 |
| Total Mastectomy | $6,870$859$22k | $8,694 | $17,389 |
| TSH Thyroid Function Test | $17$17$181 | $101 | $201 |
| TURP (Transurethral Prostate Resection) | $5,547$727$18k | $3,590 | $7,180 |
| Upper GI Endoscopy (EGD) | $938$120$3.0k | $3,644 | $7,288 |
| Urinalysis with Microscopy | $3$3$65 | $36 | $72 |
| Vaginal Hysterectomy | $5,176$854$16k | $8,867 | $17,733 |
| Vasectomy | $2,163$230$6.9k | $2,549 | $5,099 |
| Vitamin D Blood Test | $30$15$200 | $737 | $1,475 |