| Abdominal Hysterectomy | $992$206$1.4k | $26,937 | $53,874 |
| ACL Reconstruction (Arthroscopic) | $7,333$7.0k$10k | $7,439 | $14,878 |
| Allergy Skin Testing | $864$3$1.2k | $532 | $1,065 |
| Basic Metabolic Panel | $9$8$13 | $39 | $78 |
| Bone Marrow Biopsy | $1,661$206$2.4k | $1,899 | $3,797 |
| Breast Biopsy (Ultrasound-guided) | $1,669$206$2.4k | $1,814 | $3,627 |
| Bunion Correction Surgery | $3,307$3.1k$4.7k | $7,411 | $14,822 |
| Cardiac Catheterization (Left Heart) | $3,276$223$4.7k | $7,294 | $14,588 |
| Carpal Tunnel Release Surgery | $1,973$206$2.8k | $2,482 | $4,964 |
| Cervical Spinal Fusion (Anterior) | $12,974$206$19k | $14,687 | $29,374 |
| Chemotherapy Infusion (First Hour) | $334$84$477 | $724 | $1,447 |
| Chest X-ray (2 Views) | $88$8$126 | $159 | $317 |
| Colonoscopy with Biopsy | $1,209$206$1.7k | $353 | $705 |
| Complete Abdominal Ultrasound | $105$29$151 | $404 | $807 |
| Complete Blood Count (CBC) with Differential | $8$7$12 | $47 | $93 |
| Comprehensive Metabolic Panel | $11$10$16 | $49 | $98 |
| Coronary Angioplasty with Stent | $11,666$451$17k | $11,875 | $23,750 |
| Critical Care, First Hour | $835$25$1.2k | $974 | $1,948 |
| CT Abdomen and Pelvis with Contrast | $353$65$504 | $1,993 | $3,985 |
| CT Cardiac Calcium Scoring | $88$21$126 | $124 | $248 |
| CT Chest without Contrast | $106$38$151 | $758 | $1,516 |
| CT Head without Contrast | $106$30$151 | $784 | $1,567 |
| DEXA Bone Density Scan | $106$7$151 | $334 | $668 |
| Diagnostic Colonoscopy | $940$25$1.3k | $458 | $915 |
| Diagnostic Mammogram (Both Breasts) | $48$35$69 | $321 | $641 |
| Ear Tube Placement (Tympanostomy) | $1,568$206$2.2k | $2,110 | $4,219 |
| Echocardiogram (Complete with Doppler) | $552$50$789 | $1,474 | $2,947 |
| Emergency Room Visit (Level 3) | $276$25$394 | $243 | $486 |
| Group Therapy Session | $102$19$147 | $111 | $222 |
| Hemoglobin A1c (Diabetes Test) | $10$9$15 | $52 | $104 |
| HIV Antibody Test | $9$8$13 | $21 | $43 |
| Home Sleep Study | $109$32$312 | $277 | $554 |
| Individual Therapy Session (45 Minutes) | $88$68$256 | $139 | $277 |
| Inguinal Hernia Repair (Open) | $3,653$3.4k$8.8k | $5,110 | $10,220 |
| Initial Psychiatric Diagnostic Evaluation | $171$68$256 | $76 | $152 |
| Initial Psychiatric Evaluation with Medication Management | $179$129$256 | $174 | $347 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $232$231$235 | $757 | $1,514 |
| IUD Insertion | $106$105$107 | $373 | $746 |
| IUD Removal | $160$25$440 | $222 | $443 |
| Knee Arthroscopy with Meniscectomy | $3,307$3.1k$4.7k | $4,277 | $8,553 |
| Laparoscopic Appendectomy | $6,109$206$8.7k | $6,872 | $13,744 |
| Laparoscopic Gallbladder Removal | $6,080$206$8.7k | $5,901 | $11,802 |
| Laparoscopic Tubal Ligation | $6,109$206$8.7k | $4,533 | $9,066 |
| Lipid Panel (Cholesterol Test) | $14$13$20 | $63 | $125 |
| Lumbar Epidural Steroid Injection | $707$74$1.0k | $675 | $1,349 |
| Lumbar Puncture (Spinal Tap) | $713$206$1.0k | $1,006 | $2,011 |
| Lumbar Spinal Fusion (Posterior) | $17,634$1.2k$25k | $14,232 | $28,464 |
| Lumpectomy (Partial Mastectomy) | $3,957$3.8k$5.7k | $3,176 | $6,351 |
| MRI Abdomen with and without Contrast | $353$78$504 | $1,713 | $3,426 |
| MRI Brain with and without Contrast | $353$82$504 | $1,822 | $3,643 |
| MRI Brain with Contrast | $351$63$504 | $1,417 | $2,834 |
| MRI Brain without Contrast | $241$52$344 | $1,165 | $2,330 |
| MRI Cervical Spine (Neck) without Contrast | $241$53$344 | $1,165 | $2,330 |
| MRI Knee without Contrast | $241$48$760 | $1,115 | $2,230 |
| MRI Lower Back (Lumbar Spine) without Contrast | $241$53$344 | $1,114 | $2,227 |
| MRI Thoracic Spine (Mid-back) without Contrast | $241$53$344 | $1,114 | $2,227 |
| Newborn Circumcision | $2,102$206$3.0k | $2,403 | $4,806 |
| Nuclear Cardiac Stress Test | $1,308$56$1.9k | $3,149 | $6,297 |
| Office Visit, Established Patient (Level 3) | $60$49$86 | $94 | $187 |
| Office Visit, New Patient (Level 3) | $76$62$108 | $71 | $142 |
| Pacemaker Insertion (Dual Chamber) | $10,562$206$15k | $5,492 | $10,983 |
| PET/CT Scan, Whole Body | $1,445$83$2.1k | $3,214 | $6,427 |
| Pregnancy Ultrasound (Second or Third Trimester) | $106$35$151 | $410 | $820 |
| Prostate Biopsy | $207$206$210 | $3,469 | $6,937 |
| PSA Prostate Cancer Screening | $19$17$28 | $111 | $222 |
| Pulmonary Function Test with Bronchodilator | $377$7$539 | $384 | $768 |
| Rotator Cuff Repair (Arthroscopic) | $7,333$7.0k$10k | $5,223 | $10,447 |
| Screening Mammogram | $36$27$52 | $159 | $317 |
| Septoplasty (Deviated Septum Repair) | $3,350$25$4.8k | $4,088 | $8,176 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,132$6.8k$10k | $2,129 | $4,258 |
| Skin Biopsy (Tangential) | $222$157$587 | $353 | $706 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,613$206$2.4k | $2,044 | $4,088 |
| Sleep Study (In-lab Polysomnography) | $434$87$1.2k | $2,441 | $4,881 |
| Spinal Cord Stimulator Trial | $6,410$206$9.2k | $5,816 | $11,631 |
| Spirometry (Breathing Test) | $218$6$312 | $221 | $442 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,334$206$4.8k | $3,504 | $7,008 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,982$206$8.5k | $4,769 | $9,539 |
| Total Hip Replacement | $12,789$6.2k$19k | $16,988 | $33,975 |
| Total Knee Replacement | $12,974$12k$19k | $20,786 | $41,571 |
| Total Mastectomy | $6,710$6.4k$9.6k | $11,345 | $22,689 |
| TSH Thyroid Function Test | $18$16$25 | $56 | $111 |
| TURP (Transurethral Prostate Resection) | $5,393$206$7.7k | $3,504 | $7,008 |
| Upper GI Endoscopy (EGD) | $917$105$1.3k | $335 | $670 |
| Urinalysis with Microscopy | $3$3$5 | $33 | $65 |
| Vasectomy | $2,102$206$3.0k | $2,403 | $4,806 |
| Vitamin D Blood Test | $31$28$44 | $72 | $143 |