| Abdominal Hysterectomy | $5,634$52$13k | $23,243 | $2,205 |
| ACL Reconstruction (Arthroscopic) | $8,128$10$21k | $34,320 | $2,153 |
| Basic Metabolic Panel | $40$8$176 | $120 | $185 |
| Bone Marrow Biopsy | $503$80$4.8k | $1,217 | $1,873 |
| Breast Biopsy (Ultrasound-guided) | $2,616$160$8.5k | $3,354 | $3,687 |
| Bunion Correction Surgery | $3,220$1.6k$9.5k | $22,469 | — |
| Cardiac Ablation for Atrial Fibrillation | $6,805$1.1k$76k | $15,347 | $23,610 |
| Cardiac Catheterization (Left Heart) | $6,805$1.1k$10k | $11,910 | $10,923 |
| Carpal Tunnel Release Surgery | $1,780$345$5.7k | $9,968 | $995 |
| Cervical Spinal Fusion (Anterior) | $3,823$1.1k$37k | $60,103 | $2,180 |
| Cesarean Delivery (Global Package) | $893$37$5.6k | $5,715 | $5,715 |
| Chemotherapy Infusion (First Hour) | $250$72$963 | $360 | $554 |
| Chest X-ray (2 Views) | $116$17$299 | $205 | $315 |
| Colonoscopy with Biopsy | $2,213$78$5.0k | $4,660 | $560 |
| Complete Abdominal Ultrasound | $135$83$385 | $569 | $875 |
| Complete Blood Count (CBC) with Differential | $37$7$152 | $603 | $111 |
| Comprehensive Metabolic Panel | $50$11$128 | $708 | $259 |
| Coronary Angioplasty with Stent | $6,805$1.1k$34k | $17,510 | $26,938 |
| Critical Care, First Hour | $746$152$3.8k | $2,585 | $3,977 |
| CT Abdomen and Pelvis with Contrast | $442$279$1.7k | $3,227 | $4,448 |
| CT Chest without Contrast | $203$90$2.1k | $1,431 | $2,201 |
| CT Head without Contrast | $202$90$1.7k | $3,029 | $2,589 |
| DEXA Bone Density Scan | $262$69$692 | $473 | $728 |
| Diagnostic Colonoscopy | $2,213$208$5.0k | $2,683 | $475 |
| Diagnostic Mammogram (Both Breasts) | $269$89$765 | $523 | $805 |
| Ear Tube Placement (Tympanostomy) | $2,504$113$9.7k | $15,113 | $525 |
| Echocardiogram (Complete with Doppler) | $707$161$2.2k | $1,481 | $2,279 |
| Emergency Room Visit (Level 3) | $746$35$1.6k | $994 | $823 |
| Hemoglobin A1c (Diabetes Test) | $50$8$130 | $687 | $129 |
| HIV Antibody Test | $47$6$122 | $38 | $58 |
| Inguinal Hernia Repair (Open) | $3,440$365$10k | $28,757 | $763 |
| Initial Hospital Admission (Level 1) | $76$52$210 | $193 | $193 |
| Initial Psychiatric Evaluation with Medication Management | $185$91$412 | $365 | $365 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $4,137$327$4.6k | $2,982 | $4,587 |
| IUD Insertion | $2,616$20$9.4k | $23,001 | $107 |
| IUD Removal | $2,616$20$9.4k | $17,649 | $1,706 |
| Knee Arthroscopy with Meniscectomy | $2,765$625$9.5k | $14,766 | $1,220 |
| Laparoscopic Appendectomy | $4,226$13$18k | $27,907 | $1,324 |
| Laparoscopic Gallbladder Removal | $4,857$19$18k | $27,106 | $1,451 |
| Laparoscopic Tubal Ligation | $4,226$39$18k | $23,480 | $1,413 |
| Lipid Panel (Cholesterol Test) | $65$13$204 | $140 | $215 |
| Lumbar Epidural Steroid Injection | $1,207$94$3.8k | $2,335 | $2,515 |
| Lumbar Puncture (Spinal Tap) | $503$48$3.8k | $4,483 | $2,891 |
| Lumpectomy (Partial Mastectomy) | $3,220$105$19k | $20,420 | $1,451 |
| MRI Abdomen with and without Contrast | $754$301$4.0k | $2,768 | $4,259 |
| MRI Brain with and without Contrast | $677$301$4.0k | $2,768 | $4,259 |
| MRI Brain with Contrast | $677$301$3.6k | $2,469 | $3,798 |
| MRI Brain without Contrast | $479$206$3.1k | $2,143 | $3,297 |
| MRI Cervical Spine (Neck) without Contrast | $480$206$3.1k | $2,143 | $3,297 |
| MRI Knee without Contrast | $561$206$4.7k | $2,679 | $4,122 |
| MRI Lower Back (Lumbar Spine) without Contrast | $463$206$3.1k | $2,143 | $3,297 |
| MRI Thoracic Spine (Mid-back) without Contrast | $463$206$3.1k | $2,143 | $3,297 |
| Newborn Circumcision | $1,163$91$6.1k | $4,093 | $6,297 |
| Nuclear Cardiac Stress Test | $1,519$392$5.3k | $3,619 | $5,568 |
| Office Visit, Established Patient (Level 3) | $71$40$413 | $1,960 | $195 |
| Office Visit, New Patient (Level 3) | $120$54$240 | $240 | $240 |
| Pacemaker Insertion (Dual Chamber) | $4,226$533$30k | $27,980 | $11,041 |
| PET/CT Scan, Whole Body | $6,036$874$7.5k | $5,166 | $7,947 |
| Pregnancy Ultrasound (Second or Third Trimester) | $340$76$706 | $483 | $743 |
| Prostate Biopsy | $2,213$103$10k | $12,005 | $325 |
| PSA Prostate Cancer Screening | $89$11$313 | $111 | $170 |
| Pulmonary Function Test with Bronchodilator | $600$19$1.4k | $973 | $1,497 |
| Rotator Cuff Repair (Arthroscopic) | $2,722$625$21k | $29,380 | $653 |
| Screening Mammogram | $204$76$766 | $524 | $806 |
| Septoplasty (Deviated Septum Repair) | $2,504$44$9.7k | $17,405 | $1,425 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $3,947$39$21k | $21,604 | $870 |
| Skin Biopsy (Tangential) | $503$37$3.7k | $15,327 | $925 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $503$92$8.5k | $11,659 | $175 |
| Spinal Cord Stimulator Trial | $2,213$429$19k | $4,404 | $6,776 |
| Spirometry (Breathing Test) | $331$15$629 | $205 | $315 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $2,504$38$9.7k | $21,342 | $660 |
| Total Hip Replacement | $4,829$40$37k | $54,173 | $2,825 |
| Total Knee Replacement | $4,226$28$37k | $56,005 | $1,862 |
| Total Mastectomy | $3,220$176$19k | $35,249 | $2,065 |
| TSH Thyroid Function Test | $89$17$230 | $137 | $211 |
| TURP (Transurethral Prostate Resection) | $3,220$39$16k | $16,926 | $1,950 |
| Upper GI Endoscopy (EGD) | $782$144$2.6k | $3,493 | $267 |
| Urinalysis with Microscopy | $15$3$39 | $256 | $74 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $1,390$675$5.6k | $5,668 | $5,400 |
| Vaginal Delivery (Global Package) | $1,142$893$5.0k | $5,204 | $5,204 |
| Vitamin D Blood Test | $153$30$453 | $310 | $477 |