| Abdominal Hysterectomy | $992$206$4.4k | $33,351 | $66,703 |
| ACL Reconstruction (Arthroscopic) | $7,273$6.9k$32k | $16,773 | $33,545 |
| Basic Metabolic Panel | $9$8$39 | $54 | $108 |
| Bone Marrow Biopsy | $1,655$206$7.3k | $3,251 | $6,502 |
| Breast Biopsy (Ultrasound-guided) | $1,655$206$7.3k | $2,240 | $4,479 |
| Bunion Correction Surgery | $3,279$3.1k$14k | $16,429 | $32,857 |
| Cardiac Ablation for Atrial Fibrillation | $26,073$722$115k | $16,229 | $32,458 |
| Cardiac Catheterization (Left Heart) | $3,249$223$14k | $5,341 | $10,682 |
| Carpal Tunnel Release Surgery | $1,957$1.9k$8.6k | $4,515 | $9,029 |
| Cataract Surgery with Lens Implant | $2,313$206$10k | $2,897 | $5,793 |
| Cervical Spinal Fusion (Anterior) | $12,807$206$57k | $17,640 | $35,281 |
| Chemotherapy Infusion (First Hour) | $331$84$1.5k | $1,342 | $2,683 |
| Chest X-ray (2 Views) | $87$8$384 | $378 | $755 |
| Colonoscopy with Biopsy | $1,199$206$5.3k | $894 | $1,787 |
| Complete Abdominal Ultrasound | $105$29$462 | $662 | $1,323 |
| Complete Blood Count (CBC) with Differential | $8$7$36 | $48 | $95 |
| Comprehensive Metabolic Panel | $11$10$49 | $68 | $135 |
| Coronary Angioplasty with Stent | $11,571$451$51k | $21,230 | $42,459 |
| Critical Care, First Hour | $828$162$3.6k | $1,782 | $3,564 |
| CT Abdomen and Pelvis with Contrast | $350$65$1.5k | $2,516 | $5,031 |
| CT Cardiac Calcium Scoring | $87$21$384 | $99 | $198 |
| CT Chest without Contrast | $105$38$462 | $914 | $1,827 |
| CT Head without Contrast | $105$30$462 | $914 | $1,827 |
| DEXA Bone Density Scan | $105$7$462 | $381 | $762 |
| Diagnostic Colonoscopy | $932$105$4.1k | $3,962 | $7,924 |
| Diagnostic Mammogram (Both Breasts) | $48$35$212 | $324 | $648 |
| Ear Tube Placement (Tympanostomy) | $1,555$206$6.9k | $1,847 | $3,694 |
| Echocardiogram (Complete with Doppler) | $548$50$2.4k | $1,392 | $2,783 |
| EKG (Electrocardiogram, 12-lead) | $11$11$11 | $37 | $74 |
| Emergency Room Visit (Level 3) | $274$103$1.2k | $532 | $1,064 |
| Group Therapy Session | $101$19$449 | $155 | $309 |
| Hemoglobin A1c (Diabetes Test) | $10$9$45 | $27 | $53 |
| HIV Antibody Test | $9$8$41 | $20 | $39 |
| Home Sleep Study | $216$32$954 | $424 | $848 |
| Individual Therapy Session (45 Minutes) | $178$72$784 | $265 | $530 |
| Inguinal Hernia Repair (Open) | $3,606$206$27k | $13,287 | $26,575 |
| Initial Hospital Admission (Level 1) | $78$63$349 | $290 | $579 |
| Initial Psychiatric Diagnostic Evaluation | $178$68$784 | $285 | $570 |
| Initial Psychiatric Evaluation with Medication Management | $178$68$784 | $285 | $570 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $232$231$235 | $1,115 | $2,230 |
| IUD Insertion | $106$105$107 | $759 | $1,518 |
| IUD Removal | $304$105$1.3k | $1,173 | $2,345 |
| Knee Arthroscopy with Meniscectomy | $3,279$206$14k | $7,856 | $15,711 |
| Laparoscopic Appendectomy | $6,059$206$27k | $8,980 | $17,959 |
| Laparoscopic Gallbladder Removal | $6,030$206$27k | $16,127 | $32,254 |
| Laparoscopic Tubal Ligation | $6,059$206$27k | $10,511 | $21,021 |
| Lipid Panel (Cholesterol Test) | $14$13$62 | $86 | $172 |
| Lumbar Epidural Steroid Injection | $707$74$3.1k | $1,428 | $2,856 |
| Lumbar Puncture (Spinal Tap) | $704$206$3.1k | $1,159 | $2,317 |
| Lumbar Spinal Fusion (Posterior) | $17,574$1.2k$77k | $4,207 | $8,415 |
| Lumpectomy (Partial Mastectomy) | $3,924$206$17k | $5,277 | $10,554 |
| MRI Abdomen with and without Contrast | $350$78$1.5k | $2,875 | $5,749 |
| MRI Brain with and without Contrast | $350$82$1.5k | $2,848 | $5,696 |
| MRI Brain with Contrast | $348$63$1.5k | $3,063 | $6,125 |
| MRI Brain without Contrast | $239$52$1.1k | $1,730 | $3,460 |
| MRI Cervical Spine (Neck) without Contrast | $239$53$1.1k | $1,731 | $3,461 |
| MRI Knee without Contrast | $239$48$1.1k | $1,746 | $3,492 |
| MRI Lower Back (Lumbar Spine) without Contrast | $239$53$1.1k | $1,747 | $3,493 |
| MRI Thoracic Spine (Mid-back) without Contrast | $239$53$1.1k | $1,747 | $3,493 |
| Nuclear Cardiac Stress Test | $1,298$56$5.7k | $3,987 | $7,973 |
| Office Visit, Established Patient (Level 3) | $60$49$265 | $173 | $345 |
| Office Visit, New Patient (Level 3) | $76$62$334 | $250 | $499 |
| Pacemaker Insertion (Dual Chamber) | $10,476$206$46k | $5,363 | $10,725 |
| PET/CT Scan, Whole Body | $1,433$83$6.3k | $3,393 | $6,786 |
| Pregnancy Ultrasound (Second or Third Trimester) | $105$35$462 | $687 | $1,374 |
| Prostate Biopsy | $207$206$210 | $3,619 | $7,238 |
| PSA Prostate Cancer Screening | $19$17$85 | $115 | $229 |
| Pulmonary Function Test with Bronchodilator | $374$7$1.6k | $549 | $1,098 |
| Rotator Cuff Repair (Arthroscopic) | $7,273$6.9k$32k | $6,083 | $12,167 |
| Screening Mammogram | $36$27$159 | $321 | $641 |
| Septoplasty (Deviated Septum Repair) | $3,323$206$15k | $1,861 | $3,723 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,074$206$31k | $4,474 | $8,948 |
| Skin Biopsy (Tangential) | $407$206$1.8k | $629 | $1,258 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,655$206$7.3k | $1,407 | $2,813 |
| Sleep Study (In-lab Polysomnography) | $853$87$3.8k | $2,763 | $5,526 |
| Spinal Cord Stimulator Trial | $6,388$206$28k | $3,402 | $6,804 |
| Spirometry (Breathing Test) | $216$6$954 | $292 | $583 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,307$206$15k | $5,671 | $11,342 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,905$206$26k | $6,314 | $12,627 |
| Total Hip Replacement | $12,868$6.1k$57k | $9,538 | $19,076 |
| Total Knee Replacement | $12,868$206$57k | $12,843 | $25,686 |
| Total Mastectomy | $6,655$206$29k | $7,950 | $15,900 |
| TSH Thyroid Function Test | $18$16$78 | $102 | $203 |
| TURP (Transurethral Prostate Resection) | $5,348$206$24k | $9,424 | $18,848 |
| Upper GI Endoscopy (EGD) | $909$105$4.0k | $1,553 | $3,106 |
| Urinalysis with Microscopy | $3$3$15 | $23 | $46 |
| Vasectomy | $2,085$206$9.2k | $3,996 | $7,991 |
| Vitamin D Blood Test | $31$28$137 | $187 | $374 |