| Abdominal Hysterectomy | $1,210$745$5.6k | $4,051 | $6,232 |
| ACL Reconstruction (Arthroscopic) | $7,171$3.3k$16k | $3,998 | $6,150 |
| Allergy Skin Testing | $1,021$23$2.3k | $3 | $5 |
| Basic Metabolic Panel | $16$8$123 | $100 | $154 |
| Bone Marrow Biopsy | $2,101$95$4.9k | $3,766 | $5,794 |
| Breast Biopsy (Ultrasound-guided) | $2,728$211$10k | $8,133 | $12,513 |
| Bunion Correction Surgery | $3,257$3.3k$7.5k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $24,625$1.1k$64k | $51,640 | $79,446 |
| Cardiac Catheterization (Left Heart) | $5,505$1.4k$17k | $13,623 | $20,958 |
| Cardiac Stress Test (Treadmill) | $110$104$132 | $210 | $323 |
| Carpal Tunnel Release Surgery | $1,960$2.0k$5.1k | $1,164 | $1,790 |
| Cataract Surgery with Lens Implant | $2,289$2.3k$5.2k | — | — |
| Cervical Spinal Fusion (Anterior) | $12,915$13k$30k | $6,988 | $10,751 |
| Cesarean Delivery (Global Package) | $1,702$1.6k$2.0k | $9,606 | $14,779 |
| Chemotherapy Infusion (First Hour) | $713$180$2.1k | $1,699 | $2,614 |
| Chest X-ray (2 Views) | $209$47$572 | $457 | $703 |
| Colonoscopy with Biopsy | $1,207$1.2k$4.7k | $995 | $1,531 |
| Complete Abdominal Ultrasound | $122$101$764 | $552 | $849 |
| Complete Blood Count (CBC) with Differential | $14$8$123 | $100 | $154 |
| Comprehensive Metabolic Panel | $20$11$245 | $199 | $306 |
| Coronary Angioplasty with Stent | $11,383$768$36k | $29,283 | $45,051 |
| Critical Care, First Hour | $1,109$299$5.1k | $4,122 | $6,342 |
| CT Abdomen and Pelvis with Contrast | $734$358$2.4k | $1,930 | $2,969 |
| CT Cardiac Calcium Scoring | $186$88$1.5k | $457 | $703 |
| CT Chest without Contrast | $225$107$1.5k | $552 | $849 |
| CT Head without Contrast | $225$107$1.5k | $552 | $849 |
| DEXA Bone Density Scan | $225$56$679 | $552 | $849 |
| Diagnostic Colonoscopy | $1,611$247$4.1k | $3,057 | $4,703 |
| Diagnostic Mammogram (Both Breasts) | $240$196$654 | $532 | $818 |
| Ear Tube Placement (Tympanostomy) | $1,487$1.5k$3.4k | $562 | $865 |
| Echocardiogram (Complete with Doppler) | $864$123$2.8k | $2,307 | $3,549 |
| Emergency Room Visit (Level 3) | $596$100$1.7k | $1,327 | $2,041 |
| Group Therapy Session | $127$38$554 | $300 | $462 |
| Hemodialysis Treatment | $117$74$817 | $590 | $908 |
| Hemoglobin A1c (Diabetes Test) | $18$10$86 | $70 | $107 |
| HIV Antibody Test | $9$9$21 | — | — |
| Holter Monitor (24-48 Hour Heart Monitor) | $94$51$154 | $109 | $168 |
| Home Sleep Study | $352$132$2.2k | $785 | $1,207 |
| Individual Therapy Session (45 Minutes) | $161$100$369 | $268 | $412 |
| Inguinal Hernia Repair (Open) | $4,308$684$14k | $11,571 | $17,802 |
| Initial Hospital Admission (Level 1) | $105$60$528 | $382 | $587 |
| Initial Psychiatric Diagnostic Evaluation | $169$100$995 | $268 | $412 |
| Initial Psychiatric Evaluation with Medication Management | $169$100$995 | $268 | $412 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,061$417$3.6k | $2,954 | $4,544 |
| IUD Insertion | $349$137$6.0k | $378 | $582 |
| IUD Removal | $495$90$3.1k | $994 | $1,529 |
| Knee Arthroscopy with Meniscectomy | $3,257$3.3k$7.5k | $1,965 | $3,023 |
| Laparoscopic Appendectomy | $6,091$790$24k | $19,297 | $29,688 |
| Laparoscopic Gallbladder Removal | $6,091$866$24k | $19,297 | $29,688 |
| Laparoscopic Tubal Ligation | $5,856$3.3k$13k | $3,173 | $4,881 |
| Lipid Panel (Cholesterol Test) | $16$6$142 | $66 | $102 |
| Lumbar Epidural Steroid Injection | $1,592$136$4.3k | $3,470 | $5,338 |
| Lumbar Puncture (Spinal Tap) | $1,194$86$4.3k | $3,470 | $5,338 |
| Lumbar Spinal Fusion (Posterior) | $18,460$18k$42k | $6,577 | $10,118 |
| Lumpectomy (Partial Mastectomy) | $3,844$3.3k$8.8k | $2,371 | $3,647 |
| MRI Abdomen with and without Contrast | $770$358$2.4k | $1,930 | $2,969 |
| MRI Brain with and without Contrast | $770$358$2.4k | $1,930 | $2,969 |
| MRI Brain with Contrast | $770$358$2.4k | $1,930 | $2,969 |
| MRI Brain without Contrast | $505$243$1.6k | $1,230 | $1,892 |
| MRI Cervical Spine (Neck) without Contrast | $505$243$1.6k | $1,230 | $1,892 |
| MRI Knee without Contrast | $505$243$1.6k | $1,230 | $1,892 |
| MRI Lower Back (Lumbar Spine) without Contrast | $505$243$1.6k | $1,230 | $1,892 |
| MRI Thoracic Spine (Mid-back) without Contrast | $505$243$1.6k | $1,230 | $1,892 |
| Newborn Circumcision | $2,882$132$7.8k | $6,308 | $9,704 |
| Nuclear Cardiac Stress Test | $2,131$611$8.8k | $7,123 | $10,959 |
| Office Visit, Established Patient (Level 3) | $66$41$139 | $113 | $174 |
| Office Visit, New Patient (Level 3) | $62$38$130 | $105 | $162 |
| Pacemaker Insertion (Dual Chamber) | $10,505$670$24k | $18,906 | $29,086 |
| PET/CT Scan, Whole Body | $2,173$1.5k$9.7k | $7,849 | $12,076 |
| Pregnancy Ultrasound (Second or Third Trimester) | $225$107$764 | $552 | $849 |
| Prostate Biopsy | $2,872$177$7.8k | $6,308 | $9,704 |
| PSA Prostate Cancer Screening | $32$10$122 | $70 | $108 |
| Pulmonary Function Test with Bronchodilator | $365$55$1.2k | $973 | $1,497 |
| Rotator Cuff Repair (Arthroscopic) | $7,171$5.6k$16k | $3,648 | $5,613 |
| Screening Mammogram | $201$166$565 | $459 | $706 |
| Septoplasty (Deviated Septum Repair) | $3,255$3.3k$7.5k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,949$6.9k$16k | — | — |
| Skin Biopsy (Tangential) | $214$51$3.1k | $336 | $517 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,042$110$4.9k | $2,712 | $4,172 |
| Sleep Study (In-lab Polysomnography) | $1,366$906$6.5k | $5,246 | $8,071 |
| Spinal Cord Stimulator Trial | $6,588$6.6k$15k | — | — |
| Spirometry (Breathing Test) | $247$39$1.0k | $485 | $746 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,255$3.3k$7.5k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,938$1.3k$14k | — | — |
| Total Hip Replacement | $12,915$3.3k$30k | $5,479 | $8,429 |
| Total Knee Replacement | $12,915$5.6k$30k | $4,587 | $7,057 |
| Total Mastectomy | $6,546$3.3k$15k | $3,511 | $5,401 |
| TSH Thyroid Function Test | $38$17$125 | $93 | $143 |
| TURP (Transurethral Prostate Resection) | $5,103$3.3k$12k | $3,678 | $5,659 |
| Upper GI Endoscopy (EGD) | $1,656$164$4.1k | $3,033 | $4,666 |
| Urinalysis with Microscopy | $3$3$45 | $36 | $56 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,896$2.2k$13k | $9,058 | $13,936 |
| Vaginal Delivery (Global Package) | $1,539$1.5k$1.8k | $8,659 | $13,321 |
| Vaginal Hysterectomy | $4,955$5.0k$11k | $3,312 | $5,095 |
| Vasectomy | $2,872$306$7.8k | $6,308 | $9,704 |
| Vitamin D Blood Test | $42$13$218 | $110 | $169 |