| Abdominal Hysterectomy | $930 | $2,114 | $2,643 |
| ACL Reconstruction (Arthroscopic) | $7,654$904$17k | $2,122 | $2,652 |
| Allergy Skin Testing | $906$4$2.0k | $14 | $18 |
| Basic Metabolic Panel | $105$8$112 | $65 | $118 |
| Bone Marrow Biopsy | $1,742$64$3.9k | — | — |
| Breast Biopsy (Ultrasound-guided) | $3,274$142$3.9k | $2,047 | $3,721 |
| Bunion Correction Surgery | $3,452$472$7.8k | $3,184 | $3,980 |
| Cardiac Ablation for Atrial Fibrillation | $27,572$1.0k$62k | — | — |
| Cardiac Catheterization (Left Heart) | $3,420$1.1k$7.7k | — | — |
| Cardiac Stress Test (Treadmill) | $66 | $314 | $392 |
| Carpal Tunnel Release Surgery | $2,060$406$4.6k | $1,511 | $1,889 |
| Cataract Surgery with Lens Implant | $2,434$501$5.5k | — | — |
| Cervical Spinal Fusion (Anterior) | $13,543$1.5k$30k | — | — |
| Cesarean Delivery (Global Package) | $2,395 | $5,400 | $6,750 |
| Chemotherapy Infusion (First Hour) | $523$139$1.1k | $480 | $874 |
| Chest X-ray (2 Views) | $296$32$319 | $185 | $336 |
| Colonoscopy with Biopsy | $1,262$184$2.8k | $1,019 | $1,274 |
| Complete Abdominal Ultrasound | $546$107$590 | $342 | $621 |
| Complete Blood Count (CBC) with Differential | $67$8$71 | $41 | $75 |
| Comprehensive Metabolic Panel | $125$11$134 | $78 | $141 |
| Coronary Angioplasty with Stent | $12,178$528$27k | — | — |
| Critical Care, First Hour | $2,381$198$2.6k | $1,488 | $2,706 |
| CT Abdomen and Pelvis with Contrast | $3,509$316$3.8k | $2,193 | $3,987 |
| CT Cardiac Calcium Scoring | $908$88$980 | $568 | $1,032 |
| CT Chest without Contrast | $1,236$107$1.3k | $773 | $1,405 |
| CT Head without Contrast | $1,969$107$2.1k | $1,231 | $2,238 |
| DEXA Bone Density Scan | $466$36$503 | $291 | $529 |
| Diagnostic Colonoscopy | $981$169$2.2k | $870 | $1,087 |
| Diagnostic Mammogram (Both Breasts) | $515$155$556 | $322 | $585 |
| Ear Tube Placement (Tympanostomy) | $1,637$146$3.7k | — | — |
| Echocardiogram (Complete with Doppler) | $2,214$193$2.4k | $1,384 | $2,516 |
| EKG (Electrocardiogram, 12-lead) | $14 | $54 | $67 |
| Emergency Room Visit (Level 3) | $550$65$648 | $344 | $625 |
| Group Therapy Session | $107$22$241 | — | — |
| Hemodialysis Treatment | $95 | — | — |
| Hemoglobin A1c (Diabetes Test) | $92$10$104 | $57 | $103 |
| HIV Antibody Test | $122$9$130 | $75 | $137 |
| Holter Monitor (24-48 Hour Heart Monitor) | $75 | $145 | $181 |
| Home Sleep Study | $123$38$512 | $73 | $132 |
| Individual Therapy Session (45 Minutes) | $187$82$421 | $107 | $134 |
| Inguinal Hernia Repair (Open) | $3,777$481$8.5k | $1,106 | $1,383 |
| Initial Hospital Admission (Level 1) | $91 | $165 | $206 |
| Initial Psychiatric Diagnostic Evaluation | $187$141$421 | $188 | $235 |
| Initial Psychiatric Evaluation with Medication Management | $187$159$421 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $581 | — | — |
| IUD Insertion | $102$33$107 | $62 | $113 |
| IUD Removal | $438$61$723 | $274 | $498 |
| Knee Arthroscopy with Meniscectomy | $3,452$505$7.8k | $1,195 | $1,494 |
| Laparoscopic Appendectomy | $6,377$553$14k | $1,279 | $1,599 |
| Laparoscopic Gallbladder Removal | $6,377$605$14k | $1,401 | $1,751 |
| Laparoscopic Tubal Ligation | $6,377$599$14k | $1,402 | $1,753 |
| Lipid Panel (Cholesterol Test) | $117$13$125 | $73 | $132 |
| Lumbar Epidural Steroid Injection | $2,271$91$2.5k | $1,420 | $2,581 |
| Lumbar Puncture (Spinal Tap) | $973$56$1.7k | $608 | $1,106 |
| Lumbar Spinal Fusion (Posterior) | $18,496$1.4k$42k | — | — |
| Lumpectomy (Partial Mastectomy) | $4,130$605$9.3k | $1,384 | $1,730 |
| MRI Abdomen with and without Contrast | $3,297$359$3.6k | $2,061 | $3,747 |
| MRI Brain with and without Contrast | $3,934$337$4.2k | $2,459 | $4,470 |
| MRI Brain with Contrast | $3,177$286$3.4k | $1,986 | $3,610 |
| MRI Brain without Contrast | $2,991$205$3.2k | $1,869 | $3,399 |
| MRI Cervical Spine (Neck) without Contrast | $2,066$200$2.2k | $1,291 | $2,348 |
| MRI Knee without Contrast | $2,352$212$2.5k | $1,437 | $2,613 |
| MRI Lower Back (Lumbar Spine) without Contrast | $2,442$201$2.6k | $1,526 | $2,775 |
| MRI Thoracic Spine (Mid-back) without Contrast | $2,066$200$2.2k | $1,291 | $2,348 |
| Newborn Circumcision | $2,205$88$5.0k | $492 | $615 |
| Nuclear Cardiac Stress Test | $4,555$455$4.9k | $2,847 | $5,176 |
| Office Visit, Established Patient (Level 3) | $59$19$63 | $36 | $66 |
| Office Visit, New Patient (Level 3) | $59$19$76 | $36 | $66 |
| Pacemaker Insertion (Dual Chamber) | $11,026$474$25k | — | — |
| PET/CT Scan, Whole Body | $6,539$1.5k$6.9k | $3,996 | $7,266 |
| Pregnancy Ultrasound (Second or Third Trimester) | $421$107$454 | $263 | $478 |
| Prostate Biopsy | $1,088$118$2.1k | — | — |
| PSA Prostate Cancer Screening | $149$18$159 | $92 | $167 |
| Pulmonary Function Test with Bronchodilator | $523$44$886 | $320 | $581 |
| Rotator Cuff Repair (Arthroscopic) | $7,654$988$17k | $2,305 | $2,881 |
| Screening Mammogram | $476$125$503 | $291 | $529 |
| Septoplasty (Deviated Septum Repair) | $3,497$632$7.9k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,445$293$17k | — | — |
| Skin Biopsy (Tangential) | $287$34$965 | $175 | $319 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,190$76$3.9k | $1,369 | $2,489 |
| Sleep Study (In-lab Polysomnography) | $3,061$587$3.4k | $1,861 | $3,383 |
| Spinal Cord Stimulator Trial | $6,723$382$15k | — | — |
| Spirometry (Breathing Test) | $227$28$512 | $136 | $247 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,497$278$7.9k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,245$266$14k | — | — |
| Total Hip Replacement | $13,543$1.2k$30k | $3,006 | $3,757 |
| Total Knee Replacement | $13,543$1.2k$30k | $3,208 | $4,010 |
| Total Mastectomy | $7,005$878$16k | $2,142 | $2,678 |
| TSH Thyroid Function Test | $25$7$146 | $50 | $90 |
| TURP (Transurethral Prostate Resection) | $5,656$666$13k | $2,592 | $3,240 |
| Umbilical Hernia Repair | $412 | — | — |
| Upper GI Endoscopy (EGD) | $957$112$2.2k | $650 | $812 |
| Urinalysis with Microscopy | $61$3$66 | $38 | $69 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,266 | — | — |
| Vaginal Delivery (Global Package) | $2,176 | $4,905 | $6,131 |
| Vaginal Hysterectomy | $5,277$773$12k | $1,798 | $2,247 |
| Vasectomy | $429$134$5.0k | $256 | $466 |
| Vitamin D Blood Test | $138$30$147 | $85 | $155 |