| Abdominal Hysterectomy | $933$836$1.3k | $2,888 | $2,888 |
| ACL Reconstruction (Arthroscopic) | $934$872$5.8k | $3,579 | $3,579 |
| Allergy Skin Testing | $4$4$852 | $13 | $13 |
| Anesthesia for Screening Colonoscopy | $237 | $473 | $473 |
| Anesthesia for Upper Endoscopy | $214 | $428 | $428 |
| Basic Metabolic Panel | $8$5$167 | $186 | $186 |
| Bone Marrow Biopsy | $719$164$2.0k | $2,192 | $2,192 |
| Breast Biopsy (Ultrasound-guided) | $606$466$2.2k | $2,480 | $2,480 |
| Bunion Correction Surgery | $883$836$2.6k | $2,601 | $2,601 |
| Cardiac Ablation for Atrial Fibrillation | $17,380$791$44k | $40,626 | $40,626 |
| Cardiac Catheterization (Left Heart) | $2,436$990$16k | $11,074 | $11,074 |
| Cardiac Stress Test (Treadmill) | $73$57$99 | $205 | $205 |
| Carpal Tunnel Release Surgery | $507$473$1.6k | $1,215 | $1,215 |
| Cataract Surgery with Lens Implant | $486$453$1.9k | $1,439 | $1,439 |
| Cervical Spinal Fusion (Anterior) | $1,685$1.6k$11k | $4,731 | $4,731 |
| Cesarean Delivery (Global Package) | $2,473$2.4k$3.3k | $7,097 | $7,097 |
| Chemotherapy Infusion (First Hour) | $291$131$662 | $659 | $659 |
| Chest X-ray (2 Views) | $108$32$390 | $259 | $259 |
| Colonoscopy with Biopsy | $601$470$1.1k | $1,231 | $1,231 |
| Complete Abdominal Ultrasound | $120$81$423 | $470 | $470 |
| Complete Blood Count (CBC) with Differential | $9$5$115 | $113 | $113 |
| Comprehensive Metabolic Panel | $11$6$243 | $270 | $270 |
| Coronary Angioplasty with Stent | $4,515$455$14k | $15,771 | $15,771 |
| Critical Care, First Hour | $657$303$1.8k | $1,968 | $1,968 |
| CT Abdomen and Pelvis with Contrast | $477$285$5.6k | $4,192 | $4,192 |
| CT Cardiac Calcium Scoring | $105$67$571 | $634 | $634 |
| CT Chest without Contrast | $464$81$2.5k | $1,188 | $1,188 |
| CT Head without Contrast | $477$81$2.2k | $1,714 | $1,714 |
| DEXA Bone Density Scan | $81$39$652 | $724 | $724 |
| Diagnostic Colonoscopy | $397$371$745 | $903 | $903 |
| Diagnostic Mammogram (Both Breasts) | $157$40$482 | $493 | $493 |
| Ear Tube Placement (Tympanostomy) | $152$142$1.2k | $446 | $446 |
| Echocardiogram (Complete with Doppler) | $797$193$1.8k | $1,891 | $1,891 |
| EKG (Electrocardiogram, 12-lead) | $15$11$21 | $65 | $65 |
| Emergency Room Visit (Level 3) | $211$68$625 | $612 | $612 |
| Group Therapy Session | $30$30$73 | — | — |
| Hemodialysis Treatment | $89$85$119 | $393 | $393 |
| Hemoglobin A1c (Diabetes Test) | $12$6$163 | $151 | $151 |
| HIV Antibody Test | $9$5$27 | $30 | $30 |
| Holter Monitor (24-48 Hour Heart Monitor) | $70$56$95 | $292 | $292 |
| Home Sleep Study | $103$101$139 | — | — |
| Individual Therapy Session (45 Minutes) | $114$112$154 | $167 | $167 |
| Inguinal Hernia Repair (Open) | $533$498$2.8k | $1,465 | $1,465 |
| Initial Hospital Admission (Level 1) | $74$73$101 | $290 | $290 |
| Initial Psychiatric Diagnostic Evaluation | $173$118$234 | $282 | $282 |
| Initial Psychiatric Evaluation with Medication Management | $202$118$273 | $453 | $453 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $482$222$868 | $964 | $964 |
| IUD Insertion | $121$42$279 | $310 | $310 |
| IUD Removal | $202$109$364 | $404 | $404 |
| Knee Arthroscopy with Meniscectomy | $542$505$2.6k | $1,524 | $1,524 |
| Laparoscopic Appendectomy | $607$567$4.7k | $1,694 | $1,694 |
| Laparoscopic Gallbladder Removal | $664$619$4.7k | $1,854 | $1,854 |
| Laparoscopic Tubal Ligation | $616$574$4.7k | $1,850 | $1,850 |
| Lipid Panel (Cholesterol Test) | $16$12$284 | $242 | $242 |
| Lumbar Epidural Steroid Injection | $483$268$1.1k | $1,096 | $1,096 |
| Lumbar Puncture (Spinal Tap) | $501$162$918 | $947 | $947 |
| Lumbar Spinal Fusion (Posterior) | $1,541$1.4k$15k | $4,436 | $4,436 |
| Lumpectomy (Partial Mastectomy) | $645$620$3.1k | $1,833 | $1,833 |
| MRI Abdomen with and without Contrast | $818$285$4.2k | $3,853 | $3,853 |
| MRI Brain with and without Contrast | $818$285$4.6k | $4,019 | $4,019 |
| MRI Brain with Contrast | $305$264$1.7k | $1,878 | $1,878 |
| MRI Brain without Contrast | $818$182$3.1k | $2,602 | $2,602 |
| MRI Cervical Spine (Neck) without Contrast | $818$182$3.5k | $2,773 | $2,773 |
| MRI Knee without Contrast | $883$182$3.1k | $3,319 | $3,319 |
| MRI Lower Back (Lumbar Spine) without Contrast | $818$182$3.4k | $2,759 | $2,759 |
| MRI Thoracic Spine (Mid-back) without Contrast | $818$182$3.2k | $2,637 | $2,637 |
| Newborn Circumcision | $196$143$2.3k | $1,429 | $1,429 |
| Nuclear Cardiac Stress Test | $1,072$419$4.4k | $2,070 | $2,070 |
| Office Visit, Established Patient (Level 3) | $95$55$158 | $175 | $175 |
| Office Visit, New Patient (Level 3) | $113$68$159 | $171 | $171 |
| Pacemaker Insertion (Dual Chamber) | $5,643$447$14k | $15,551 | $15,551 |
| PET/CT Scan, Whole Body | $1,616$572$3.2k | $3,037 | $3,037 |
| Pregnancy Ultrasound (Second or Third Trimester) | $255$81$608 | $593 | $593 |
| Prostate Biopsy | $1,509$477$1.7k | — | — |
| PSA Prostate Cancer Screening | $19$11$308 | $241 | $241 |
| Pulmonary Function Test with Bronchodilator | $167$43$478 | $405 | $405 |
| Rotator Cuff Repair (Arthroscopic) | $1,025$957$5.8k | $2,998 | $2,998 |
| Screening Mammogram | $216$70$482 | $484 | $484 |
| Septoplasty (Deviated Septum Repair) | $635$601$2.6k | $1,776 | $1,776 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $287$268$5.6k | $1,386 | $1,386 |
| Skin Biopsy (Tangential) | $135$94$262 | $277 | $277 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $537$122$1.3k | $1,425 | $1,425 |
| Sleep Study (In-lab Polysomnography) | $1,580$660$3.5k | $3,049 | $3,049 |
| Spinal Cord Stimulator Trial | $2,508$2.3k$5.6k | $5,847 | $5,847 |
| Spirometry (Breathing Test) | $113$29$326 | $282 | $282 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $286$267$2.6k | $855 | $855 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $274$256$4.8k | $824 | $824 |
| Total Hip Replacement | $1,220$1.1k$11k | $4,318 | $4,318 |
| Total Knee Replacement | $1,217$1.1k$11k | $3,833 | $3,833 |
| Total Mastectomy | $916$836$5.3k | $2,690 | $2,690 |
| TSH Thyroid Function Test | $20$10$202 | $217 | $217 |
| TURP (Transurethral Prostate Resection) | $552$516$4.2k | $2,382 | $2,382 |
| Upper GI Endoscopy (EGD) | $339$316$739 | $788 | $788 |
| Urinalysis with Microscopy | $4$2$95 | $80 | $80 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,331$2.3k$3.1k | $6,141 | $6,141 |
| Vaginal Delivery (Global Package) | $2,214$2.2k$3.0k | $5,868 | $5,868 |
| Vaginal Hysterectomy | $779$727$4.1k | $2,355 | $2,355 |
| Vasectomy | $364$340$1.7k | $748 | $748 |
| Vitamin D Blood Test | $36$17$643 | $462 | $462 |