| Abdominal Hysterectomy | $1,169$784$5.6k | $4,051 | $6,232 |
| ACL Reconstruction (Arthroscopic) | $7,458$7.2k$28k | $3,998 | $6,150 |
| Allergy Skin Testing | $1,021$24$3.9k | $3 | $5 |
| Basic Metabolic Panel | $12$8$385 | $278 | $428 |
| Bone Marrow Biopsy | $1,748$93$9.9k | $2,474 | $3,807 |
| Breast Biopsy (Ultrasound-guided) | $2,994$205$11k | $5,432 | $8,357 |
| Bunion Correction Surgery | $3,322$3.3k$13k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $24,625$805$95k | $51,640 | $79,446 |
| Cardiac Catheterization (Left Heart) | $9,143$1.4k$19k | $13,623 | $20,958 |
| Cardiac Stress Test (Treadmill) | $114$110$132 | $210 | $323 |
| Carpal Tunnel Release Surgery | $4,025$572$13k | $9,686 | $14,902 |
| Cataract Surgery with Lens Implant | $2,335$2.3k$8.8k | $2,055 | $3,161 |
| Cervical Spinal Fusion (Anterior) | $12,915$5.6k$50k | $6,988 | $10,751 |
| Cesarean Delivery (Global Package) | $1,770$1.7k$2.0k | $9,606 | $14,779 |
| Chemotherapy Infusion (First Hour) | $732$175$2.4k | $1,699 | $2,614 |
| Chest X-ray (2 Views) | $267$46$638 | $457 | $703 |
| Colonoscopy with Biopsy | $2,510$262$7.1k | $3,947 | $6,073 |
| Complete Abdominal Ultrasound | $176$106$764 | $552 | $849 |
| Complete Blood Count (CBC) with Differential | $11$8$158 | $114 | $176 |
| Comprehensive Metabolic Panel | $16$11$463 | $334 | $514 |
| Coronary Angioplasty with Stent | $12,464$747$44k | $29,283 | $45,051 |
| Critical Care, First Hour | $1,970$290$5.7k | $4,122 | $6,342 |
| CT Abdomen and Pelvis with Contrast | $788$358$2.8k | $1,930 | $2,969 |
| CT Cardiac Calcium Scoring | $224$88$2.8k | $457 | $703 |
| CT Chest without Contrast | $284$107$2.8k | $552 | $849 |
| CT Head without Contrast | $284$107$2.8k | $552 | $849 |
| DEXA Bone Density Scan | $136$55$638 | $183 | $281 |
| Diagnostic Colonoscopy | $1,918$240$6.9k | $3,057 | $4,703 |
| Diagnostic Mammogram (Both Breasts) | $245$151$736 | $532 | $818 |
| Ear Tube Placement (Tympanostomy) | $1,561$1.5k$8.4k | $562 | $865 |
| Echocardiogram (Complete with Doppler) | $785$264$3.2k | $2,307 | $3,549 |
| EKG (Electrocardiogram, 12-lead) | $274$18$1.2k | $313 | $481 |
| Emergency Room Visit (Level 3) | $1,048$98$3.4k | $1,327 | $2,041 |
| Group Therapy Session | $112$36$624 | $300 | $462 |
| Hemodialysis Treatment | $108$78$817 | $590 | $908 |
| Hemoglobin A1c (Diabetes Test) | $14$10$96 | $70 | $107 |
| HIV Antibody Test | $9$4$98 | $39 | $61 |
| Holter Monitor (24-48 Hour Heart Monitor) | $92$54$154 | $109 | $168 |
| Home Sleep Study | $467$128$2.5k | $785 | $1,207 |
| Individual Therapy Session (45 Minutes) | $165$161$621 | $551 | $847 |
| Inguinal Hernia Repair (Open) | $6,616$665$16k | $11,571 | $17,802 |
| Initial Hospital Admission (Level 1) | $96$63$528 | $382 | $587 |
| Initial Psychiatric Diagnostic Evaluation | $165$161$621 | $899 | $1,383 |
| Initial Psychiatric Evaluation with Medication Management | $177$110$1.7k | $268 | $412 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,505$581$5.1k | $2,954 | $4,544 |
| IUD Insertion | $320$121$18k | $378 | $582 |
| IUD Removal | $529$87$6.4k | $759 | $1,167 |
| Knee Arthroscopy with Meniscectomy | $3,420$3.3k$13k | $1,965 | $3,023 |
| Laparoscopic Appendectomy | $8,150$768$27k | $19,297 | $29,688 |
| Laparoscopic Gallbladder Removal | $8,374$842$27k | $19,297 | $29,688 |
| Laparoscopic Tubal Ligation | $6,120$5.5k$23k | $3,173 | $4,881 |
| Lipid Panel (Cholesterol Test) | $16$8$160 | $25 | $39 |
| Lumbar Epidural Steroid Injection | $1,901$132$6.9k | $3,470 | $5,338 |
| Lumbar Puncture (Spinal Tap) | $2,051$84$6.9k | $3,470 | $5,338 |
| Lumbar Spinal Fusion (Posterior) | $18,829$18k$71k | $6,577 | $10,118 |
| Lumpectomy (Partial Mastectomy) | $4,036$3.8k$15k | $2,371 | $3,647 |
| MRI Abdomen with and without Contrast | $849$358$2.9k | $1,930 | $2,969 |
| MRI Brain with and without Contrast | $849$358$2.9k | $1,930 | $2,969 |
| MRI Brain with Contrast | $849$358$2.9k | $1,930 | $2,969 |
| MRI Brain without Contrast | $595$243$2.9k | $1,230 | $1,892 |
| MRI Cervical Spine (Neck) without Contrast | $595$243$2.9k | $1,230 | $1,892 |
| MRI Knee without Contrast | $595$243$2.9k | $1,230 | $1,892 |
| MRI Lower Back (Lumbar Spine) without Contrast | $595$243$2.9k | $1,230 | $1,892 |
| MRI Thoracic Spine (Mid-back) without Contrast | $595$243$2.9k | $1,230 | $1,892 |
| Newborn Circumcision | $3,598$128$10k | $6,308 | $9,704 |
| Nuclear Cardiac Stress Test | $1,428$594$9.9k | $7,123 | $10,959 |
| Office Visit, Established Patient (Level 3) | $74$36$157 | $113 | $174 |
| Office Visit, New Patient (Level 3) | $69$34$146 | $105 | $162 |
| Pacemaker Insertion (Dual Chamber) | $11,030$651$50k | $18,906 | $29,086 |
| PET/CT Scan, Whole Body | $1,671$1.1k$11k | $7,849 | $12,076 |
| Pregnancy Ultrasound (Second or Third Trimester) | $252$107$764 | $552 | $849 |
| Prostate Biopsy | $3,692$172$10k | $6,308 | $9,704 |
| PSA Prostate Cancer Screening | $33$12$100 | $70 | $108 |
| Pulmonary Function Test with Bronchodilator | $396$54$1.3k | $973 | $1,497 |
| Rotator Cuff Repair (Arthroscopic) | $7,171$5.6k$28k | $3,648 | $5,613 |
| Screening Mammogram | $212$124$635 | $459 | $706 |
| Septoplasty (Deviated Septum Repair) | $3,418$3.3k$13k | $1,641 | $2,524 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,088$6.9k$27k | $1,607 | $2,473 |
| Skin Biopsy (Tangential) | $284$50$6.4k | $336 | $517 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,295$107$9.9k | $2,712 | $4,172 |
| Sleep Study (In-lab Polysomnography) | $1,072$451$7.3k | $5,246 | $8,071 |
| Spinal Cord Stimulator Trial | $6,970$546$25k | $16,281 | $25,048 |
| Spirometry (Breathing Test) | $284$37$1.1k | $485 | $746 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,320$3.3k$13k | $1,021 | $1,570 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,938$1.4k$23k | $988 | $1,520 |
| Total Hip Replacement | $12,915$5.5k$50k | $5,479 | $8,429 |
| Total Knee Replacement | $12,915$5.5k$50k | $4,587 | $7,057 |
| Total Mastectomy | $6,808$6.5k$25k | $3,511 | $5,401 |
| TSH Thyroid Function Test | $30$17$140 | $78 | $120 |
| TURP (Transurethral Prostate Resection) | $5,332$5.1k$20k | $3,678 | $5,659 |
| Upper GI Endoscopy (EGD) | $1,910$159$6.9k | $2,356 | $3,624 |
| Urinalysis with Microscopy | $17$3$79 | $47 | $72 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,838$2.2k$13k | $9,058 | $13,936 |
| Vaginal Delivery (Global Package) | $1,600$1.5k$1.8k | $8,659 | $13,321 |
| Vaginal Hysterectomy | $5,054$5.0k$19k | $3,312 | $5,095 |
| Vasectomy | $3,806$298$10k | $6,308 | $9,704 |
| Vitamin D Blood Test | $48$16$246 | $110 | $169 |