| Abdominal Hysterectomy | $963$206$1.4k | $23,710 | $47,419 |
| ACL Reconstruction (Arthroscopic) | $7,229$4.5k$10k | $14,320 | $28,640 |
| Allergy Skin Testing | $851$2$1.2k | $282 | $564 |
| Basic Metabolic Panel | $9$6$13 | $39 | $78 |
| Bone Marrow Biopsy | $1,637$70$2.4k | $1,931 | $3,862 |
| Breast Biopsy (Ultrasound-guided) | $1,653$139$4.2k | $1,972 | $3,944 |
| Bunion Correction Surgery | $3,260$2.0k$4.7k | $6,539 | $13,077 |
| Cardiac Ablation for Atrial Fibrillation | $25,159$722$38k | $11,327 | $22,653 |
| Cardiac Catheterization (Left Heart) | $3,214$223$4.7k | $14,245 | $28,489 |
| Carpal Tunnel Release Surgery | $1,936$206$2.8k | $2,921 | $5,842 |
| Cataract Surgery with Lens Implant | $2,288$25$3.3k | $3,075 | $6,149 |
| Cervical Spinal Fusion (Anterior) | $12,358$206$19k | $17,436 | $34,871 |
| Chemotherapy Infusion (First Hour) | $327$84$477 | $329 | $657 |
| Chest X-ray (2 Views) | $86$8$126 | $147 | $294 |
| Colonoscopy with Biopsy | $1,186$206$1.7k | $847 | $1,693 |
| Complete Abdominal Ultrasound | $104$29$151 | $438 | $875 |
| Complete Blood Count (CBC) with Differential | $8$3$12 | $72 | $144 |
| Comprehensive Metabolic Panel | $11$7$16 | $49 | $98 |
| Coronary Angioplasty with Stent | $11,445$451$17k | $9,712 | $19,424 |
| Critical Care, First Hour | $807$25$1.2k | $2,901 | $5,802 |
| CT Abdomen and Pelvis with Contrast | $346$65$504 | $1,520 | $3,039 |
| CT Cardiac Calcium Scoring | $86$21$126 | $90 | $179 |
| CT Chest without Contrast | $104$38$151 | $983 | $1,965 |
| CT Head without Contrast | $104$30$151 | $983 | $1,965 |
| DEXA Bone Density Scan | $104$7$151 | $290 | $579 |
| Diagnostic Colonoscopy | $922$25$1.3k | $800 | $1,600 |
| Diagnostic Mammogram (Both Breasts) | $47$30$91 | $304 | $608 |
| Ear Tube Placement (Tympanostomy) | $1,538$99$2.2k | $1,971 | $3,941 |
| Echocardiogram (Complete with Doppler) | $542$50$789 | $1,616 | $3,232 |
| Emergency Room Visit (Level 3) | $273$25$1.2k | $505 | $1,009 |
| Group Therapy Session | $98$19$147 | $198 | $396 |
| Hemoglobin A1c (Diabetes Test) | $10$6$15 | $87 | $173 |
| HIV Antibody Test | $9$6$13 | $33 | $65 |
| Home Sleep Study | $208$32$312 | $298 | $596 |
| Individual Therapy Session (45 Minutes) | $176$44$256 | $222 | $444 |
| Inguinal Hernia Repair (Open) | $3,619$64$8.8k | $9,619 | $19,237 |
| Initial Psychiatric Diagnostic Evaluation | $176$111$256 | $354 | $708 |
| Initial Psychiatric Evaluation with Medication Management | $176$111$256 | $274 | $547 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $234$231$284 | $1,180 | $2,360 |
| IUD Insertion | $105$17$107 | $195 | $390 |
| IUD Removal | $293$17$440 | $236 | $471 |
| Knee Arthroscopy with Meniscectomy | $3,260$2.0k$4.7k | $4,402 | $8,805 |
| Laparoscopic Appendectomy | $5,994$206$8.7k | $5,367 | $10,735 |
| Laparoscopic Gallbladder Removal | $5,994$206$8.7k | $6,393 | $12,786 |
| Laparoscopic Tubal Ligation | $5,994$206$8.7k | $7,870 | $15,740 |
| Lipid Panel (Cholesterol Test) | $14$9$20 | $63 | $125 |
| Lumbar Epidural Steroid Injection | $700$74$1.0k | $1,109 | $2,217 |
| Lumbar Puncture (Spinal Tap) | $700$25$1.0k | $1,216 | $2,432 |
| Lumbar Spinal Fusion (Posterior) | $16,877$776$25k | $19,327 | $38,655 |
| Lumpectomy (Partial Mastectomy) | $3,920$206$9.6k | $6,053 | $12,106 |
| MRI Abdomen with and without Contrast | $348$78$504 | $1,874 | $3,747 |
| MRI Brain with and without Contrast | $346$82$504 | $1,893 | $3,786 |
| MRI Brain with Contrast | $346$63$504 | $1,477 | $2,953 |
| MRI Brain without Contrast | $237$52$345 | $1,340 | $2,680 |
| MRI Cervical Spine (Neck) without Contrast | $237$53$345 | $863 | $1,726 |
| MRI Knee without Contrast | $237$48$345 | $869 | $1,738 |
| MRI Lower Back (Lumbar Spine) without Contrast | $237$53$345 | $976 | $1,952 |
| MRI Thoracic Spine (Mid-back) without Contrast | $237$53$345 | $976 | $1,952 |
| Newborn Circumcision | $2,012$79$3.0k | $2,789 | $5,577 |
| Nuclear Cardiac Stress Test | $1,284$56$1.9k | $2,024 | $4,047 |
| Office Visit, Established Patient (Level 3) | $59$37$86 | $68 | $135 |
| Office Visit, New Patient (Level 3) | $74$47$108 | $68 | $135 |
| Pacemaker Insertion (Dual Chamber) | $10,362$206$15k | $7,918 | $15,835 |
| PET/CT Scan, Whole Body | $1,418$83$2.1k | $3,703 | $7,406 |
| Pregnancy Ultrasound (Second or Third Trimester) | $104$35$151 | $438 | $875 |
| Prostate Biopsy | $206$90$209 | $2,843 | $5,685 |
| PSA Prostate Cancer Screening | $19$12$28 | $82 | $163 |
| Pulmonary Function Test with Bronchodilator | $370$7$539 | $530 | $1,060 |
| Rotator Cuff Repair (Arthroscopic) | $7,229$4.5k$10k | $18,265 | $36,531 |
| Screening Mammogram | $35$22$75 | $215 | $429 |
| Septoplasty (Deviated Septum Repair) | $3,287$25$4.8k | $4,837 | $9,675 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,031$4.4k$10k | $7,419 | $14,839 |
| Skin Biopsy (Tangential) | $403$32$587 | $386 | $772 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,637$40$2.4k | $2,201 | $4,402 |
| Sleep Study (In-lab Polysomnography) | $827$87$1.2k | $3,356 | $6,711 |
| Spinal Cord Stimulator Trial | $6,318$206$9.2k | $6,694 | $13,387 |
| Spirometry (Breathing Test) | $214$6$312 | $301 | $601 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,287$206$4.8k | $4,699 | $9,398 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,869$206$8.5k | $4,459 | $8,918 |
| Total Hip Replacement | $12,729$776$19k | $25,813 | $51,625 |
| Total Knee Replacement | $12,729$206$19k | $21,978 | $43,955 |
| Total Mastectomy | $6,583$206$9.6k | $12,003 | $24,006 |
| TSH Thyroid Function Test | $17$11$25 | $73 | $146 |
| TURP (Transurethral Prostate Resection) | $5,316$206$7.7k | $5,846 | $11,691 |
| Upper GI Endoscopy (EGD) | $899$25$1.3k | $1,192 | $2,384 |
| Urinalysis with Microscopy | $3$2$5 | $52 | $104 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,428$1.6k$3.6k | $6,086 | $12,172 |
| Vaginal Delivery (Global Package) | $2,284$1.5k$3.4k | $5,700 | $11,400 |
| Vaginal Hysterectomy | $4,815$206$7.2k | $8,162 | $16,325 |
| Vasectomy | $2,012$149$3.0k | $2,854 | $5,708 |
| Vitamin D Blood Test | $30$17$44 | $72 | $143 |