| Abdominal Hysterectomy | $19,326$9.2k$34k3 plans | — | — |
| ACL Reconstruction (Arthroscopic) | $13,261$6.6k$24k10 plansshared rate · 2 | — | — |
| Basic Metabolic Panel | $9$5$1712 plans | $63 | $157 |
| Bone Marrow Biopsy | $3,346$1.7k$11k10 plansshared rate · 3 | $5,860 | $14,649 |
| Breast Biopsy (Ultrasound-guided) | $3,346$1.7k$11k10 plansshared rate · 3 | $3,558 | $8,895 |
| Bunion Correction Surgery | $6,595$3.2k$24k10 plansshared rate · 2 | — | — |
| Cardiac Ablation for Atrial Fibrillation | $30,298$14k$53k10 plans | $49,632 | $124,080 |
| Cardiac Arrhythmia (with Complications) Inpatient | $9,577$5.4k$25k19 plans | — | — |
| Cardiac Arrhythmia (with Major Complications) Inpatient | $15,050$8.8k$36k19 plans | — | — |
| Cardiac Arrhythmia (without Complications) Inpatient | $7,119$4.1k$17k19 plans | — | — |
| Cardiac Catheterization (Left Heart) | $4,909$3.3k$17k10 plans | $7,455 | $18,637 |
| Carpal Tunnel Release Surgery | $3,936$2.0k$12k10 plans | $2,874 | $7,185 |
| Cataract Surgery with Lens Implant | $4,675$2.4k$12k10 plans | — | — |
| Cellulitis (with Major Complications) Inpatient | $17,766$10k$43k19 plans | — | — |
| Cellulitis (without Major Complications) Inpatient | $10,886$6.4k$26k19 plans | — | — |
| Cervical Spinal Fusion (Anterior) | $15,418$9.8k$26k10 plansshared rate · 3 | — | — |
| Chemotherapy Infusion (First Hour) | — | $1,004 | $2,510 |
| Chest Pain Inpatient | $9,000$5.3k$22k19 plans | — | — |
| Chest X-ray (2 Views) | $105$89$18610 plansshared rate · 2 | $298 | $746 |
| Colonoscopy with Biopsy | $2,424$1.2k$11k10 plans | $3,471 | $8,677 |
| Complete Abdominal Ultrasound | $126$107$25010 plansshared rate · 5 | $804 | $2,010 |
| Complete Blood Count (CBC) with Differential | $8$5$1512 plans | $49 | $122 |
| Comprehensive Metabolic Panel | $11$6$2112 plans | $75 | $188 |
| COPD (with Complications) Inpatient | $10,973$6.2k$28k19 plans | — | — |
| COPD (with Major Complications) Inpatient | $13,930$8.1k$33k19 plans | — | — |
| COPD (without Complications) Inpatient | $8,357$4.7k$28k19 plans | — | — |
| Coronary Angioplasty with Stent | $13,381$9.8k$24k10 plans | $25,806 | $64,516 |
| Critical Care, First Hour | $923$849$1.7k9 plans | $3,820 | $9,551 |
| CT Abdomen and Pelvis with Contrast | $419$358$84610 plansshared rate · 4 | $3,443 | $8,607 |
| CT Cardiac Calcium Scoring | $105$89$18610 plansshared rate · 2 | $232 | $579 |
| CT Chest without Contrast | $126$107$25010 plansshared rate · 5 | $1,460 | $3,650 |
| CT Head without Contrast | $126$107$25010 plansshared rate · 5 | $1,460 | $3,650 |
| DEXA Bone Density Scan | $126$107$25010 plansshared rate · 5 | $494 | $1,235 |
| Diabetes (with Complications) Inpatient | $11,271$6.6k$27k19 plans | — | — |
| Diabetes (with Major Complications) Inpatient | $16,369$10k$43k19 plans | — | — |
| Diabetes (without Complications) Inpatient | $8,086$4.5k$23k19 plans | — | — |
| Diagnostic Colonoscopy | $1,884$956$9.8k10 plans | $3,344 | $8,360 |
| Diagnostic Mammogram (Both Breasts) | $129$111$26010 plans | $499 | $1,248 |
| Digestive Disorders, E.g. Gastroenteritis (with Major Complications) Inpatient | $15,854$9.3k$38k19 plans | — | — |
| Digestive Disorders, E.g. Gastroenteritis (without Major Complications) Inpatient | $9,745$5.7k$24k19 plans | — | — |
| Ear Tube Placement (Tympanostomy) | $3,143$1.6k$11k10 plans | — | — |
| Echocardiogram (Complete with Doppler) | $611$561$1.1k9 plans | $2,290 | $5,725 |
| Emergency Room Visit (Level 3) | $305$281$5569 plans | $1,277 | $3,192 |
| GI Hemorrhage (with Complications) Inpatient | $12,766$7.2k$30k19 plans | — | — |
| GI Hemorrhage (with Major Complications) Inpatient | $21,292$13k$55k19 plans | — | — |
| GI Hemorrhage (without Complications) Inpatient | $7,928$4.6k$19k19 plans | — | — |
| Heart Attack, Discharged Alive (with Complications) Inpatient | $11,964$6.7k$48k19 plans | — | — |
| Heart Attack, Discharged Alive (with Major Complications) Inpatient | $20,881$12k$49k19 plans | — | — |
| Heart Attack, Discharged Alive (without Complications) Inpatient | $9,413$5.3k$31k19 plans | — | — |
| Heart Failure and Shock (with Complications) Inpatient | $11,051$6.2k$31k19 plans | — | — |
| Heart Failure and Shock (with Major Complications) Inpatient | $16,114$9.4k$39k19 plans | — | — |
| Heart Failure and Shock (without Complications) Inpatient | $7,368$4.1k$31k19 plans | — | — |
| Hemoglobin A1c (Diabetes Test) | $10$6$1912 plans | $35 | $87 |
| Hip and Femur Procedures (with Complications) Inpatient | $26,340$15k$63k19 plans | — | — |
| Hip and Femur Procedures (with Major Complications) Inpatient | $36,404$21k$88k19 plans | — | — |
| Hip and Femur Procedures (without Complications) Inpatient | $20,388$12k$49k19 plans | — | — |
| Hip or Knee Replacement (with Major Complications) Inpatient | $37,915$22k$92k19 plans | — | — |
| Hip or Knee Replacement (without Major Complications) Inpatient | $25,109$14k$60k19 plans | — | — |
| HIV Antibody Test | $9$5$1712 plans | $34 | $85 |
| Home Sleep Study | $241$222$4409 plansshared rate · 2 | $404 | $1,010 |
| Inguinal Hernia Repair (Open) | $7,254$3.7k$24k10 plans | — | — |
| Initial Hospital Admission (Level 1) | — | $69 | $172 |
| Inpatient Rehabilitation (with Complications) Inpatient | $19,358$11k$47k19 plans | — | — |
| Inpatient Rehabilitation (without Complications) Inpatient | $14,544$8.4k$37k19 plans | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | — | $4,071 | $10,179 |
| IUD Insertion | $5,549$944$5.6k1 plan | $875 | $2,187 |
| IUD Removal | $617$313$5.6k10 plans | $946 | $2,364 |
| Kidney Failure (with Complications) Inpatient | $11,400$6.4k$42k19 plans | — | — |
| Kidney Failure (with Major Complications) Inpatient | $18,813$11k$45k19 plans | — | — |
| Kidney Failure (without Complications) Inpatient | $7,814$4.4k$42k19 plans | — | — |
| Kidney or Urinary Tract Infection (with Major Complications) Inpatient | $14,504$8.5k$35k19 plans | — | — |
| Kidney or Urinary Tract Infection (without Major Complications) Inpatient | $10,119$5.9k$24k19 plans | — | — |
| Knee Arthroscopy with Meniscectomy | $6,595$3.2k$24k10 plansshared rate · 2 | — | — |
| Laparoscopic Appendectomy | $11,774$6.2k$24k10 plansshared rate · 2 | — | — |
| Laparoscopic Gallbladder Removal | $11,774$6.2k$24k10 plansshared rate · 2 | — | — |
| Laparoscopic Gallbladder Removal (with Complications) Inpatient | $22,020$12k$56k19 plans | — | — |
| Laparoscopic Gallbladder Removal (with Major Complications) Inpatient | $29,830$17k$72k19 plans | — | — |
| Laparoscopic Gallbladder Removal (without Complications) Inpatient | $17,073$10.0k$41k19 plans | — | — |
| Laparoscopic Tubal Ligation | $11,364$5.4k$24k10 plans | — | — |
| Lipid Panel (Cholesterol Test) | $14$8$2612 plans | $16 | $41 |
| Lumbar Epidural Steroid Injection | $1,430$725$9.8k10 plansshared rate · 2 | $4,186 | $10,466 |
| Lumbar Puncture (Spinal Tap) | $1,430$725$9.8k10 plansshared rate · 2 | $2,424 | $6,060 |
| Lumbar Spinal Fusion (Posterior) | $19,592$9.8k$36k10 plans | — | — |
| Lumpectomy (Partial Mastectomy) | $7,626$4.0k$24k10 plans | — | — |
| Major Bowel Procedure (with Complications) Inpatient | $31,205$18k$107k19 plans | — | — |
| Major Bowel Procedure (with Major Complications) Inpatient | $57,456$34k$139k19 plans | — | — |
| Major Bowel Procedure (without Complications) Inpatient | $21,164$12k$51k19 plans | — | — |
| MRI Abdomen with and without Contrast | $419$358$84610 plansshared rate · 4 | $2,954 | $7,384 |
| MRI Brain with and without Contrast | $419$358$84610 plansshared rate · 4 | $2,954 | $7,384 |
| MRI Brain with Contrast | $419$358$84610 plansshared rate · 4 | $2,611 | $6,529 |
| MRI Brain without Contrast | $287$245$52910 plansshared rate · 5 | $1,813 | $4,534 |
| MRI Cervical Spine (Neck) without Contrast | $287$245$52910 plansshared rate · 5 | $1,813 | $4,534 |
| MRI Knee without Contrast | $287$245$52910 plansshared rate · 5 | $1,813 | $4,534 |
| MRI Lower Back (Lumbar Spine) without Contrast | $287$245$52910 plansshared rate · 5 | $1,813 | $4,534 |
| MRI Thoracic Spine (Mid-back) without Contrast | $287$245$52910 plansshared rate · 5 | $1,813 | $4,534 |
| Newborn Circumcision | $4,235$2.1k$12k10 plansshared rate · 2 | $3,948 | $9,871 |
| Nuclear Cardiac Stress Test | $1,555$1.3k$3.0k10 plans | $2,731 | $6,828 |
| Office Visit, Established Patient (Level 3) | — | $102 | $256 |
| Office Visit, New Patient (Level 3) | — | $102 | $256 |
| Pacemaker Insertion (Dual Chamber) | $14,362$11k$52k10 plans | $25,079 | $62,697 |
| PET/CT Scan, Whole Body | $1,717$1.5k$3.4k10 plans | $6,718 | $16,796 |
| Pneumonia and Pleurisy (with Complications) Inpatient | $10,490$5.9k$32k19 plans | — | — |
| Pneumonia and Pleurisy (with Major Complications) Inpatient | $16,530$9.6k$40k19 plans | — | — |
| Pneumonia and Pleurisy (without Complications) Inpatient | $8,181$4.6k$24k19 plans | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $126$107$25010 plansshared rate · 5 | $807 | $2,018 |
| Prostate Biopsy | $7,518$5.0k$12k2 plans | $5,788 | $14,471 |
| PSA Prostate Cancer Screening | $19$11$3612 plans | $62 | $155 |
| Psychiatric Admission (Psychoses) Inpatient | $15,102$10k$42k19 plans | — | — |
| Pulmonary Edema and Respiratory Failure Inpatient | $16,081$9.0k$43k19 plans | — | — |
| Pulmonary Function Test with Bronchodilator | — | $566 | $1,416 |
| Rotator Cuff Repair (Arthroscopic) | $13,261$7.1k$24k10 plansshared rate · 2 | — | — |
| Screening Mammogram | $100$86$21510 plans | $93 | $232 |
| Sepsis (with Major Complications) Inpatient | $24,383$14k$59k19 plans | — | — |
| Sepsis (without Major Complications) Inpatient | $13,320$7.5k$49k19 plans | — | — |
| Septoplasty (Deviated Septum Repair) | $6,457$3.4k$24k10 plansshared rate · 2 | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $11,780$7.3k$24k10 plans | — | — |
| Skin Biopsy (Tangential) | $824$418$6.7k10 plans | $1,030 | $2,575 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $3,346$1.7k$11k10 plansshared rate · 3 | $4,793 | $11,983 |
| Sleep Study (In-lab Polysomnography) | — | $2,488 | $6,219 |
| Spinal Cord Stimulator Trial | $12,151$6.5k$24k10 plans | $10,650 | $26,625 |
| Spinal Fusion, Except Cervical (without Major Complications) Inpatient | $55,0821 plan | — | — |
| Spirometry (Breathing Test) | $241$222$4409 plansshared rate · 2 | $334 | $835 |
| Stroke (with Complications) Inpatient | $13,151$7.4k$35k19 plans | — | — |
| Stroke (with Major Complications) Inpatient | $24,187$15k$61k19 plans | — | — |
| Stroke (without Complications) Inpatient | $8,909$5.0k$35k19 plans | — | — |
| Syncope and Collapse Inpatient | $10,895$6.4k$26k19 plans | — | — |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $6,457$3.4k$24k10 plansshared rate · 2 | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $9,707$5.7k$24k10 plans | — | — |
| Total Hip Replacement | $15,418$12k$36k10 plansshared rate · 3 | — | — |
| Total Knee Replacement | $15,418$12k$36k10 plansshared rate · 3 | — | — |
| Total Mastectomy | $11,685$6.8k$24k10 plans | — | — |
| TSH Thyroid Function Test | $18$10$3312 plans | $32 | $81 |
| TURP (Transurethral Prostate Resection) | $10,443$5.5k$24k10 plans | — | — |
| Upper GI Endoscopy (EGD) | $1,837$932$9.8k10 plans | $2,216 | $5,540 |
| Urinalysis with Microscopy | $3$2$612 plans | $33 | $83 |
| Uterine and Adnexa Surgery, Non-cancer (without Complications) Inpatient | $14,038$9.1k$38k19 plans | — | — |
| Vaginal Hysterectomy | $9,403$5.1k$24k10 plans | — | — |
| Vasectomy | $4,235$2.1k$12k10 plansshared rate · 2 | $5,018 | $12,546 |
| Vitamin D Blood Test | $31$18$5812 plans | $24 | $60 |