| Abdominal Hysterectomy | $242$13$2.2k | $354 | $2,212 |
| ACL Reconstruction (Arthroscopic) | $6,518$80$21k | $18,208 | $2,153 |
| Basic Metabolic Panel | $17$8$392 | $68 | $104 |
| Bone Marrow Biopsy | $1,573$392$4.8k | $1,500 | $2,308 |
| Breast Biopsy (Ultrasound-guided) | $1,573$392$8.4k | $1,783 | $2,743 |
| Bunion Correction Surgery | $3,000$28$9.4k | $10,428 | $1,302 |
| Cardiac Ablation for Atrial Fibrillation | $33,507$392$75k | $22,724 | $34,960 |
| Cardiac Catheterization (Left Heart) | $4,901$392$9.3k | $2,898 | $4,459 |
| Cardiac Stress Test (Treadmill) | $60$54$247 | $184 | $184 |
| Carpal Tunnel Release Surgery | $1,866$392$5.6k | $4,374 | $1,058 |
| Cervical Spinal Fusion (Anterior) | $12,252$20$37k | $17,857 | $2,180 |
| Cesarean Delivery (Global Package) | $1,197$37$5.6k | $5,860 | $5,860 |
| Chemotherapy Infusion (First Hour) | $503$272$1.6k | $393 | $605 |
| Chest X-ray (2 Views) | $71$28$392 | $179 | $276 |
| Colonoscopy with Biopsy | $1,120$392$3.4k | $2,090 | $1,205 |
| Complete Abdominal Ultrasound | $129$123$709 | $461 | $709 |
| Complete Blood Count (CBC) with Differential | $15$8$392 | $51 | $79 |
| Comprehensive Metabolic Panel | $21$10$392 | $60 | $93 |
| Critical Care, First Hour | $1,291$387$3.3k | $1,274 | $1,960 |
| CT Abdomen and Pelvis with Contrast | $441$262$1.3k | $930 | $1,295 |
| CT Chest without Contrast | $129$123$999 | $649 | $999 |
| CT Head without Contrast | $129$90$509 | $927 | $1,426 |
| DEXA Bone Density Scan | $129$60$424 | $276 | $424 |
| Diagnostic Colonoscopy | $852$392$2.7k | $1,058 | $700 |
| Diagnostic Mammogram (Both Breasts) | $214$114$520 | $264 | $406 |
| Echocardiogram (Complete with Doppler) | $868$259$1.9k | $1,205 | $1,854 |
| EKG (Electrocardiogram, 12-lead) | $15$9$80 | $71 | $80 |
| Emergency Room Visit (Level 3) | $389$55$2.6k | $1,023 | $1,108 |
| Hemoglobin A1c (Diabetes Test) | $19$10$392 | $41 | $63 |
| HIV Antibody Test | $17$9$392 | $17 | $26 |
| Inguinal Hernia Repair (Open) | $3,370$392$10k | $5,575 | $1,157 |
| Initial Hospital Admission (Level 1) | $61$45$204 | $190 | $190 |
| Initial Psychiatric Diagnostic Evaluation | $137$98$307 | $307 | $307 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $971$387$2.0k | $917 | $1,411 |
| IUD Insertion | $90$90$9.3k | $7,901 | $107 |
| IUD Removal | $190$190$876 | $5,740 | $169 |
| Knee Arthroscopy with Meniscectomy | $3,000$80$9.4k | $7,909 | $1,220 |
| Laparoscopic Appendectomy | $5,256$392$17k | $9,101 | $1,324 |
| Laparoscopic Gallbladder Removal | $5,256$21$17k | $11,332 | $1,451 |
| Laparoscopic Tubal Ligation | $5,256$392$17k | $14,890 | $1,413 |
| Lipid Panel (Cholesterol Test) | $26$13$392 | $37 | $57 |
| Lumbar Epidural Steroid Injection | $685$392$2.0k | $629 | $968 |
| Lumbar Puncture (Spinal Tap) | $685$392$2.0k | $657 | $1,010 |
| Lumbar Spinal Fusion (Posterior) | $12,252$80$50k | $21,588 | $3,488 |
| Lumpectomy (Partial Mastectomy) | $3,220$392$19k | $8,143 | $1,451 |
| MRI Abdomen with and without Contrast | $441$392$2.7k | $1,256 | $1,932 |
| MRI Brain with and without Contrast | $441$392$3.0k | $1,978 | $3,043 |
| MRI Brain with Contrast | $441$375$2.0k | $1,330 | $2,046 |
| MRI Brain without Contrast | $264$256$1.9k | $1,244 | $1,914 |
| MRI Cervical Spine (Neck) without Contrast | $264$246$2.0k | $1,286 | $1,979 |
| MRI Knee without Contrast | $284$264$2.1k | $1,121 | $1,725 |
| MRI Lower Back (Lumbar Spine) without Contrast | $264$247$2.4k | $1,570 | $2,416 |
| MRI Thoracic Spine (Mid-back) without Contrast | $264$245$2.0k | $1,286 | $1,979 |
| Newborn Circumcision | $1,990$392$6.0k | $1,897 | $2,919 |
| Nuclear Cardiac Stress Test | $1,406$392$4.5k | $1,379 | $2,122 |
| Office Visit, Established Patient (Level 3) | $2,546$29$9.1k | $582 | $152 |
| Office Visit, New Patient (Level 3) | $61$50$203 | $189 | $189 |
| Pacemaker Insertion (Dual Chamber) | $11,298$21$30k | $16,631 | $14,913 |
| PET/CT Scan, Whole Body | $1,573$392$5.1k | $2,745 | $4,223 |
| Pregnancy Ultrasound (Second or Third Trimester) | $129$123$561 | $365 | $561 |
| Prostate Biopsy | $64$62$392 | $7,025 | $2,919 |
| PSA Prostate Cancer Screening | $36$18$392 | $54 | $83 |
| Pulmonary Function Test with Bronchodilator | $440$66$1.1k | $281 | $432 |
| Rotator Cuff Repair (Arthroscopic) | $6,518$80$21k | $16,580 | $653 |
| Screening Mammogram | $177$94$429 | $235 | $362 |
| Septoplasty (Deviated Septum Repair) | $2,552$392$9.5k | $6,482 | — |
| Skin Biopsy (Tangential) | $202$202$1.2k | $7,804 | $93 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,573$32$4.8k | $4,851 | $210 |
| Spinal Cord Stimulator Trial | $6,838$392$21k | $13,950 | $21,462 |
| Spirometry (Breathing Test) | $237$43$695 | $137 | $210 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $2,552$392$9.5k | $5,821 | — |
| Total Hip Replacement | $10,154$80$37k | $19,969 | $2,825 |
| Total Knee Replacement | $12,252$80$37k | $21,665 | $1,862 |
| Total Mastectomy | $5,621$10$19k | $16,430 | $2,105 |
| TSH Thyroid Function Test | $33$16$392 | $42 | $65 |
| TURP (Transurethral Prostate Resection) | $4,598$8$15k | $10,679 | — |
| Upper GI Endoscopy (EGD) | $871$392$2.6k | $1,172 | $267 |
| Urinalysis with Microscopy | $6$3$612 | $774 | $49 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $1,127$462$5.3k | $6,093 | $6,249 |
| Vaginal Delivery (Global Package) | $1,076$439$5.1k | $5,632 | $5,632 |
| Vaginal Hysterectomy | $4,718$9$21k | $17,091 | — |
| Vitamin D Blood Test | $58$29$392 | $110 | $169 |