| Abdominal Hysterectomy | $10,090$1.8k$30k | $6,529 | $11,870 |
| ACL Reconstruction (Arthroscopic) | $10,152$1.9k$16k | $6,980 | $12,690 |
| Allergy Skin Testing | $922$74$2.3k | — | — |
| Anesthesia for Screening Colonoscopy | $32 | — | — |
| Anesthesia for Upper Endoscopy | $32 | — | — |
| Basic Metabolic Panel | $44$8$104 | $63 | $115 |
| Bone Marrow Biopsy | $2,303$432$3.6k | $1,583 | $2,879 |
| Breast Biopsy (Ultrasound-guided) | $2,372$432$3.6k | $1,607 | $2,922 |
| Bunion Correction Surgery | $6,885$1.5k$9.1k | $5,551 | $10,092 |
| Cardiac Ablation for Atrial Fibrillation | $35,907$6.7k$55k | $24,686 | $44,884 |
| Cardiac Catheterization (Left Heart) | $4,708$883$7.2k | $3,237 | $5,885 |
| Cardiac Stress Test (Treadmill) | $507$89$593 | $328 | $596 |
| Carpal Tunnel Release Surgery | $2,775$520$4.4k | $1,908 | $3,469 |
| Cataract Surgery with Lens Implant | $2,618$2.1k$5.1k | — | — |
| Cervical Spinal Fusion (Anterior) | $15,966$12k$29k | — | — |
| Cesarean Delivery (Global Package) | $3,918 | — | — |
| Chemotherapy Infusion (First Hour) | $521$92$747 | $342 | $622 |
| Chest X-ray (2 Views) | $130$24$198 | $88 | $160 |
| Colonoscopy with Biopsy | $1,726$324$2.7k | $1,187 | $2,158 |
| Complete Abdominal Ultrasound | $267$49$327 | $184 | $334 |
| Complete Blood Count (CBC) with Differential | $56$8$65 | $39 | $71 |
| Comprehensive Metabolic Panel | $51$11$117 | $72 | $130 |
| Coronary Angioplasty with Stent | $16,599$3.1k$26k | $11,412 | $20,749 |
| Critical Care, First Hour | $1,272$231$1.9k | $848 | $1,542 |
| CT Abdomen and Pelvis with Contrast | $631$118$804 | $434 | $789 |
| CT Cardiac Calcium Scoring | $162$15$210 | $124 | $226 |
| CT Chest without Contrast | $188$34$239 | $126 | $230 |
| CT Head without Contrast | $502$94$565 | $345 | $628 |
| DEXA Bone Density Scan | $184$35$239 | $127 | $230 |
| Diagnostic Colonoscopy | $1,544$290$2.1k | $1,062 | $1,930 |
| Diagnostic Mammogram (Both Breasts) | $164$31$287 | $113 | $205 |
| Ear Tube Placement (Tympanostomy) | $2,243$1.3k$3.3k | — | — |
| Echocardiogram (Complete with Doppler) | $814$148$1.2k | $552 | $1,003 |
| EKG (Electrocardiogram, 12-lead) | $42 | — | — |
| Emergency Room Visit (Level 3) | $406$76$624 | $279 | $507 |
| Group Therapy Session | $292$55$338 | $204 | $371 |
| Hemodialysis Treatment | $1,043 | — | — |
| Hemoglobin A1c (Diabetes Test) | $18$3$111 | $39 | $70 |
| HIV Antibody Test | $20$5$30 | $18 | $33 |
| Holter Monitor (24-48 Hour Heart Monitor) | $116$20$135 | $75 | $136 |
| Home Sleep Study | $278$142$1.2k | — | — |
| Individual Therapy Session (45 Minutes) | $236$43$362 | $160 | $291 |
| Inguinal Hernia Repair (Open) | $5,407$1.0k$7.9k | $3,717 | $6,759 |
| Initial Hospital Admission (Level 1) | $76$13$353 | $132 | $240 |
| Initial Psychiatric Diagnostic Evaluation | $195$146$362 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $195$146$362 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,045$196$1.3k | $720 | $1,309 |
| IUD Insertion | $314$59$353 | $216 | $392 |
| IUD Removal | $434$81$685 | $298 | $542 |
| Knee Arthroscopy with Meniscectomy | $4,611$865$7.3k | $3,170 | $5,764 |
| Laparoscopic Appendectomy | $6,190$5.3k$13k | — | — |
| Laparoscopic Gallbladder Removal | $6,190$5.3k$13k | — | — |
| Laparoscopic Tubal Ligation | $8,540$1.6k$13k | $5,871 | $10,675 |
| Lipid Panel (Cholesterol Test) | $78$13$88 | $54 | $98 |
| Lumbar Epidural Steroid Injection | $1,230$628$1.6k | — | — |
| Lumbar Puncture (Spinal Tap) | $1,321$248$1.6k | $922 | $1,676 |
| Lumbar Spinal Fusion (Posterior) | $16,667$16k$41k | — | — |
| Lumpectomy (Partial Mastectomy) | $4,500$3.5k$8.6k | — | — |
| MRI Abdomen with and without Contrast | $693$138$825 | $504 | $917 |
| MRI Brain with and without Contrast | $693$129$804 | $481 | $874 |
| MRI Brain with Contrast | $693$129$804 | $481 | $874 |
| MRI Brain without Contrast | $470$88$545 | $328 | $597 |
| MRI Cervical Spine (Neck) without Contrast | $406$74$544 | $275 | $500 |
| MRI Knee without Contrast | $406$74$544 | $279 | $507 |
| MRI Lower Back (Lumbar Spine) without Contrast | $406$74$544 | $275 | $500 |
| MRI Thoracic Spine (Mid-back) without Contrast | $406$74$544 | $275 | $500 |
| Newborn Circumcision | $3,122$585$4.6k | $2,147 | $3,903 |
| Nuclear Cardiac Stress Test | $2,066$376$2.9k | $1,399 | $2,545 |
| Office Visit, Established Patient (Level 3) | $110$20$122 | $73 | $133 |
| Office Visit, New Patient (Level 3) | $110$20$122 | $73 | $133 |
| Pacemaker Insertion (Dual Chamber) | $16,434$3.1k$24k | $11,299 | $20,543 |
| PET/CT Scan, Whole Body | $2,339$439$3.3k | $1,608 | $2,924 |
| Pregnancy Ultrasound (Second or Third Trimester) | $184$33$239 | $125 | $227 |
| Prostate Biopsy | $3,182$579$4.6k | $2,156 | $3,920 |
| PSA Prostate Cancer Screening | $48$13$79 | $48 | $88 |
| Pulmonary Function Test with Bronchodilator | $457$83$701 | $309 | $563 |
| Rotator Cuff Repair (Arthroscopic) | $10,152$1.9k$16k | $6,980 | $12,690 |
| Screening Mammogram | $136$25$232 | $94 | $170 |
| Septoplasty (Deviated Septum Repair) | $4,609$864$7.3k | $3,169 | $5,761 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,274$5.0k$16k | — | — |
| Skin Biopsy (Tangential) | $665$133$1.1k | $487 | $886 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,372$432$3.6k | $1,607 | $2,922 |
| Sleep Study (In-lab Polysomnography) | $2,371$613$3.7k | $2,247 | $4,085 |
| Spinal Cord Stimulator Trial | $7,236$5.9k$15k | — | — |
| Spirometry (Breathing Test) | $229$42$352 | $155 | $282 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $2,951$2.9k$7.3k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,361$3.0k$13k | — | — |
| Total Hip Replacement | $18,922$3.5k$29k | $13,009 | $23,652 |
| Total Knee Replacement | $18,922$3.5k$29k | $13,009 | $23,652 |
| Total Mastectomy | $5,910$4.5k$15k | — | — |
| TSH Thyroid Function Test | $66$12$76 | $46 | $83 |
| TURP (Transurethral Prostate Resection) | $7,442$1.4k$11k | $5,116 | $9,302 |
| Umbilical Hernia Repair | $3,904 | — | — |
| Upper GI Endoscopy (EGD) | $1,521$285$2.1k | $1,046 | $1,901 |
| Urinalysis with Microscopy | $17$3$40 | $24 | $44 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,197 | — | — |
| Vaginal Delivery (Global Package) | $3,062 | — | — |
| Vaginal Hysterectomy | $6,466$4.5k$11k | — | — |
| Vasectomy | $3,274$614$4.6k | $2,251 | $4,092 |
| Vitamin D Blood Test | $91$29$171 | $105 | $190 |