| Abdominal Hysterectomy | $9,909$4.1k$11k | $10,830 | $10,830 |
| ACL Reconstruction (Arthroscopic) | $11,742$4.0k$13k | $12,833 | $12,833 |
| Basic Metabolic Panel | $157$104$171 | $174 | $174 |
| Bone Marrow Biopsy | $2,355$281$3.4k | $2,955 | $2,955 |
| Breast Biopsy (Ultrasound-guided) | $4,686$3.1k$5.1k | $5,207 | $5,207 |
| Bunion Correction Surgery | $7,973$2.1k$8.5k | $8,714 | $8,714 |
| Cardiac Catheterization (Left Heart) | $24,301$16k$26k | $27,001 | $27,001 |
| Cardiac Stress Test (Treadmill) | $972$292$1.0k | $1,062 | $1,062 |
| Carpal Tunnel Release Surgery | $8,057$1.8k$8.6k | $8,806 | $8,806 |
| Cervical Spinal Fusion (Anterior) | $18,612$7.0k$20k | $20,341 | $20,341 |
| Cesarean Delivery (Global Package) | $10,348$6.8k$11k | $11,309 | $11,309 |
| Chemotherapy Infusion (First Hour) | $1,004$670$1.1k | $1,116 | $1,116 |
| Chest X-ray (2 Views) | $774$516$843 | $860 | $860 |
| Colonoscopy with Biopsy | $2,600$799$2.8k | $2,841 | $2,841 |
| Complete Abdominal Ultrasound | $1,018$679$1.1k | $1,131 | $1,131 |
| Complete Blood Count (CBC) with Differential | $173$109$233 | $184 | $184 |
| Comprehensive Metabolic Panel | $179$119$195 | $199 | $199 |
| Coronary Angioplasty with Stent | $44,866$30k$49k | $49,851 | $49,851 |
| Critical Care, First Hour | $2,647$517$6.8k | $4,040 | $4,040 |
| CT Abdomen and Pelvis with Contrast | $2,327$344$5.8k | $3,517 | $3,517 |
| CT Cardiac Calcium Scoring | $343$229$373 | $381 | $381 |
| CT Chest without Contrast | $2,966$2.0k$3.2k | $3,296 | $3,296 |
| CT Head without Contrast | $3,887$2.6k$4.2k | $4,319 | $4,319 |
| DEXA Bone Density Scan | $510$340$556 | $567 | $567 |
| Diagnostic Colonoscopy | $2,380$736$2.5k | $2,601 | $2,601 |
| Diagnostic Mammogram (Both Breasts) | $538$359$586 | $598 | $598 |
| Echocardiogram (Complete with Doppler) | $4,048$2.7k$4.4k | $4,498 | $4,498 |
| EKG (Electrocardiogram, 12-lead) | $179$58$192 | $196 | $196 |
| Emergency Room Visit (Level 3) | $587$245$1.2k | $831 | $831 |
| Group Therapy Session | $155$32$632 | $174 | $174 |
| Hemoglobin A1c (Diabetes Test) | $143$95$156 | $159 | $159 |
| HIV Antibody Test | $227$151$247 | $252 | $252 |
| Holter Monitor (24-48 Hour Heart Monitor) | $1,559$1.0k$1.7k | $1,732 | $1,732 |
| Individual Therapy Session (45 Minutes) | $162$90$418 | $289 | $289 |
| Inguinal Hernia Repair (Open) | $4,187$2.1k$4.5k | $4,576 | $4,576 |
| Initial Hospital Admission (Level 1) | $527$202$564 | $576 | $576 |
| Initial Psychiatric Diagnostic Evaluation | $488$288$627 | $575 | $575 |
| Initial Psychiatric Evaluation with Medication Management | $606$330$649 | $662 | $662 |
| IUD Insertion | $832$203$891 | $909 | $909 |
| IUD Removal | $446$267$708 | $591 | $591 |
| Knee Arthroscopy with Meniscectomy | $6,788$2.2k$7.3k | $7,419 | $7,419 |
| Laparoscopic Appendectomy | $5,474$2.5k$5.9k | $5,983 | $5,983 |
| Laparoscopic Gallbladder Removal | $7,246$2.7k$7.8k | $7,919 | $7,919 |
| Laparoscopic Tubal Ligation | $6,573$2.7k$7.0k | $7,184 | $7,184 |
| Lipid Panel (Cholesterol Test) | $120$74$134 | $136 | $136 |
| Lumbar Epidural Steroid Injection | $4,155$400$5.2k | $4,807 | $4,807 |
| Lumbar Puncture (Spinal Tap) | $1,321$257$2.1k | $1,777 | $1,777 |
| Lumbar Spinal Fusion (Posterior) | $17,000$6.5k$18k | $18,579 | $18,579 |
| Lumpectomy (Partial Mastectomy) | $2,885$1.9k$3.1k | $3,153 | $3,153 |
| MRI Abdomen with and without Contrast | $6,220$4.1k$6.8k | $6,911 | $6,911 |
| MRI Brain with and without Contrast | $4,857$3.2k$5.3k | $5,397 | $5,397 |
| MRI Brain with Contrast | $4,467$3.0k$4.9k | $4,963 | $4,963 |
| MRI Brain without Contrast | $4,352$2.9k$4.7k | $4,836 | $4,836 |
| MRI Cervical Spine (Neck) without Contrast | $4,507$3.0k$4.9k | $5,008 | $5,008 |
| MRI Knee without Contrast | $4,043$2.5k$4.6k | $4,454 | $4,454 |
| MRI Lower Back (Lumbar Spine) without Contrast | $4,265$2.8k$4.6k | $4,739 | $4,739 |
| MRI Thoracic Spine (Mid-back) without Contrast | $4,265$2.8k$4.6k | $4,739 | $4,739 |
| Newborn Circumcision | $466$287$970 | $734 | $734 |
| Nuclear Cardiac Stress Test | $5,144$3.4k$5.6k | $5,715 | $5,715 |
| Office Visit, Established Patient (Level 3) | $500$161$1.0k | $577 | $577 |
| Office Visit, New Patient (Level 3) | $300$191$330 | $328 | $328 |
| Pacemaker Insertion (Dual Chamber) | $43,911$29k$48k | $48,790 | $48,790 |
| Pregnancy Ultrasound (Second or Third Trimester) | $781$189$1.2k | $1,022 | $1,022 |
| Prostate Biopsy | $1,849$521$2.3k | $2,114 | $2,114 |
| PSA Prostate Cancer Screening | $193$110$337 | $264 | $264 |
| Pulmonary Function Test with Bronchodilator | $897$598$977 | $997 | $997 |
| Rotator Cuff Repair (Arthroscopic) | $9,631$4.4k$10k | $10,526 | $10,526 |
| Screening Mammogram | $391$242$510 | $462 | $462 |
| Skin Biopsy (Tangential) | $337$151$653 | $506 | $506 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,211$335$2.1k | $1,643 | $1,643 |
| Sleep Study (In-lab Polysomnography) | $2,601$468$6.4k | $3,910 | $3,910 |
| Spinal Cord Stimulator Trial | $8,199$1.7k$12k | $10,111 | $10,111 |
| Spirometry (Breathing Test) | $409$32$542 | $472 | $472 |
| Total Hip Replacement | $21,958$5.2k$24k | $23,998 | $23,998 |
| Total Knee Replacement | $13,488$5.2k$14k | $14,741 | $14,741 |
| Total Mastectomy | $4,962$3.3k$5.3k | $5,423 | $5,423 |
| TSH Thyroid Function Test | $168$103$221 | $187 | $187 |
| TURP (Transurethral Prostate Resection) | $6,875$2.9k$7.4k | $7,514 | $7,514 |
| Upper GI Endoscopy (EGD) | $1,827$490$2.0k | $1,997 | $1,997 |
| Urinalysis with Microscopy | $100$67$109 | $111 | $111 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $13,208$8.0k$14k | $14,435 | $14,435 |
| Vaginal Delivery (Global Package) | $9,160$6.0k$9.8k | $10,011 | $10,011 |
| Vaginal Hysterectomy | $8,866$3.4k$9.5k | $9,690 | $9,690 |
| Vasectomy | $2,083$936$2.2k | $2,277 | $2,277 |
| Vitamin D Blood Test | $106$65$169 | $141 | $141 |