| Abdominal Hysterectomy | $20,802$11k$34k3 plans | — | — |
| ACL Reconstruction (Arthroscopic) | $13,640$6.6k$24k10 plansshared rate · 2 | — | — |
| Basic Metabolic Panel | $9$5$1714 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 | $39,578$27k$53k10 plans | $49,632 | $124,080 |
| Cardiac Arrhythmia (with Complications) Inpatient | $10,423$6.1k$25k21 plans | — | — |
| Cardiac Arrhythmia (with Major Complications) Inpatient | $15,096$9.6k$36k21 plans | — | — |
| Cardiac Arrhythmia (without Complications) Inpatient | $7,706$4.9k$17k21 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 | $17,820$11k$43k21 plans | — | — |
| Cellulitis (without Major Complications) Inpatient | $10,919$7.1k$26k21 plans | — | — |
| Cervical Spinal Fusion (Anterior) | $19,556$12k$26k10 plans | — | — |
| Chemotherapy Infusion (First Hour) | — | $1,004 | $2,510 |
| Chest Pain Inpatient | $9,027$6.0k$22k21 plans | — | — |
| Chest X-ray (2 Views) | $132$89$18610 plansshared rate · 2 | $298 | $746 |
| Colonoscopy with Biopsy | $2,424$1.2k$11k10 plans | $3,471 | $8,677 |
| Complete Abdominal Ultrasound | $158$107$25010 plansshared rate · 5 | $804 | $2,010 |
| Complete Blood Count (CBC) with Differential | $8$5$1514 plans | $49 | $122 |
| Comprehensive Metabolic Panel | $11$6$2114 plans | $75 | $188 |
| COPD (with Complications) Inpatient | $11,954$6.9k$28k21 plans | — | — |
| COPD (with Major Complications) Inpatient | $14,708$8.9k$33k21 plans | — | — |
| COPD (without Complications) Inpatient | $9,258$5.4k$28k21 plans | — | — |
| Coronary Angioplasty with Stent | $16,710$12k$24k10 plans | $25,806 | $64,516 |
| Critical Care, First Hour | $958$849$1.7k9 plans | $3,820 | $9,551 |
| CT Abdomen and Pelvis with Contrast | $528$358$84610 plansshared rate · 4 | $3,443 | $8,607 |
| CT Cardiac Calcium Scoring | $132$89$18610 plansshared rate · 2 | $232 | $579 |
| CT Chest without Contrast | $158$107$25010 plansshared rate · 5 | $1,460 | $3,650 |
| CT Head without Contrast | $158$107$25010 plansshared rate · 5 | $1,460 | $3,650 |
| DEXA Bone Density Scan | $158$107$25010 plansshared rate · 5 | $494 | $1,235 |
| Diabetes (with Complications) Inpatient | $11,836$7.3k$27k21 plans | — | — |
| Diabetes (with Major Complications) Inpatient | $17,959$10k$43k21 plans | — | — |
| Diabetes (without Complications) Inpatient | $8,472$5.3k$23k21 plans | — | — |
| Diagnostic Colonoscopy | $1,884$956$9.8k10 plans | $3,344 | $8,360 |
| Diagnostic Mammogram (Both Breasts) | $163$111$26010 plans | $499 | $1,248 |
| Digestive Disorders, E.g. Gastroenteritis (with Major Complications) Inpatient | $15,902$10k$38k21 plans | — | — |
| Digestive Disorders, E.g. Gastroenteritis (without Major Complications) Inpatient | $9,775$6.4k$24k21 plans | — | — |
| Ear Tube Placement (Tympanostomy) | $3,143$1.6k$11k10 plans | — | — |
| Echocardiogram (Complete with Doppler) | $633$561$1.1k9 plans | $2,290 | $5,725 |
| Emergency Room Visit (Level 3) | $316$281$5569 plans | $1,277 | $3,192 |
| GI Hemorrhage (with Complications) Inpatient | $13,527$7.9k$30k21 plans | — | — |
| GI Hemorrhage (with Major Complications) Inpatient | $22,850$14k$55k21 plans | — | — |
| GI Hemorrhage (without Complications) Inpatient | $8,577$5.4k$19k21 plans | — | — |
| Heart Attack, Discharged Alive (with Complications) Inpatient | $12,975$7.5k$48k21 plans | — | — |
| Heart Attack, Discharged Alive (with Major Complications) Inpatient | $21,877$12k$49k21 plans | — | — |
| Heart Attack, Discharged Alive (without Complications) Inpatient | $10,133$6.0k$31k21 plans | — | — |
| Heart Failure and Shock (with Complications) Inpatient | $12,035$7.0k$31k21 plans | — | — |
| Heart Failure and Shock (with Major Complications) Inpatient | $16,296$10k$39k21 plans | — | — |
| Heart Failure and Shock (without Complications) Inpatient | $8,238$4.9k$31k21 plans | — | — |
| Hemoglobin A1c (Diabetes Test) | $10$6$1914 plans | $35 | $87 |
| Hip and Femur Procedures (with Complications) Inpatient | $27,791$16k$63k21 plans | — | — |
| Hip and Femur Procedures (with Major Complications) Inpatient | $36,514$22k$88k21 plans | — | — |
| Hip and Femur Procedures (without Complications) Inpatient | $20,449$13k$49k21 plans | — | — |
| Hip or Knee Replacement (with Major Complications) Inpatient | $38,030$23k$92k21 plans | — | — |
| Hip or Knee Replacement (without Major Complications) Inpatient | $26,521$15k$60k21 plans | — | — |
| HIV Antibody Test | $9$5$1714 plans | $34 | $85 |
| Home Sleep Study | $250$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 | $19,416$12k$47k21 plans | — | — |
| Inpatient Rehabilitation (without Complications) Inpatient | $15,640$9.1k$37k21 plans | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | — | $4,071 | $10,179 |
| IUD Insertion | $5,560$5.5k$5.6k1 plan | $875 | $2,187 |
| IUD Removal | $617$313$5.6k10 plans | $946 | $2,364 |
| Kidney Failure (with Complications) Inpatient | $12,378$7.2k$42k21 plans | — | — |
| Kidney Failure (with Major Complications) Inpatient | $20,198$12k$45k21 plans | — | — |
| Kidney Failure (without Complications) Inpatient | $8,402$5.1k$42k21 plans | — | — |
| Kidney or Urinary Tract Infection (with Major Complications) Inpatient | $14,548$9.2k$35k21 plans | — | — |
| Kidney or Urinary Tract Infection (without Major Complications) Inpatient | $10,150$6.7k$24k21 plans | — | — |
| Knee Arthroscopy with Meniscectomy | $6,595$3.2k$24k10 plansshared rate · 2 | — | — |
| Laparoscopic Appendectomy | $12,248$6.2k$24k10 plansshared rate · 2 | — | — |
| Laparoscopic Gallbladder Removal | $12,248$6.2k$24k10 plansshared rate · 2 | — | — |
| Laparoscopic Gallbladder Removal (with Complications) Inpatient | $23,070$13k$56k21 plans | — | — |
| Laparoscopic Gallbladder Removal (with Major Complications) Inpatient | $29,991$18k$72k21 plans | — | — |
| Laparoscopic Gallbladder Removal (without Complications) Inpatient | $17,124$11k$41k21 plans | — | — |
| Laparoscopic Tubal Ligation | $12,185$5.4k$24k10 plans | — | — |
| Lipid Panel (Cholesterol Test) | $14$8$2614 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) | $19,629$12k$36k10 plans | — | — |
| Lumpectomy (Partial Mastectomy) | $7,932$4.0k$24k10 plans | — | — |
| Major Bowel Procedure (with Complications) Inpatient | $32,803$18k$107k21 plans | — | — |
| Major Bowel Procedure (with Major Complications) Inpatient | $57,661$34k$139k21 plans | — | — |
| Major Bowel Procedure (without Complications) Inpatient | $22,835$13k$51k21 plans | — | — |
| MRI Abdomen with and without Contrast | $528$358$84610 plansshared rate · 4 | $2,954 | $7,384 |
| MRI Brain with and without Contrast | $528$358$84610 plansshared rate · 4 | $2,954 | $7,384 |
| MRI Brain with Contrast | $528$358$84610 plansshared rate · 4 | $2,611 | $6,529 |
| MRI Brain without Contrast | $361$245$52910 plansshared rate · 5 | $1,813 | $4,534 |
| MRI Cervical Spine (Neck) without Contrast | $361$245$52910 plansshared rate · 5 | $1,813 | $4,534 |
| MRI Knee without Contrast | $361$245$52910 plansshared rate · 5 | $1,813 | $4,534 |
| MRI Lower Back (Lumbar Spine) without Contrast | $361$245$52910 plansshared rate · 5 | $1,813 | $4,534 |
| MRI Thoracic Spine (Mid-back) without Contrast | $361$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 | $1,960$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) | $16,731$11k$52k10 plans | $25,079 | $62,697 |
| PET/CT Scan, Whole Body | $2,165$1.5k$3.4k10 plans | $6,718 | $16,796 |
| Pneumonia and Pleurisy (with Complications) Inpatient | $11,456$6.6k$32k21 plans | — | — |
| Pneumonia and Pleurisy (with Major Complications) Inpatient | $17,083$10k$40k21 plans | — | — |
| Pneumonia and Pleurisy (without Complications) Inpatient | $9,077$5.3k$24k21 plans | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $158$107$25010 plansshared rate · 5 | $807 | $2,018 |
| Prostate Biopsy | $7,518$5.7k$12k2 plans | $5,788 | $14,471 |
| PSA Prostate Cancer Screening | $19$11$3614 plans | $62 | $155 |
| Psychiatric Admission (Psychoses) Inpatient | $16,988$11k$42k21 plans | — | — |
| Pulmonary Edema and Respiratory Failure Inpatient | $16,887$9.8k$43k21 plans | — | — |
| Pulmonary Function Test with Bronchodilator | $433$383$7609 plans | $566 | $1,416 |
| Rotator Cuff Repair (Arthroscopic) | $13,640$7.1k$24k10 plansshared rate · 2 | — | — |
| Screening Mammogram | $127$86$21510 plans | $93 | $232 |
| Sepsis (with Major Complications) Inpatient | $25,155$15k$59k21 plans | — | — |
| Sepsis (without Major Complications) Inpatient | $14,147$8.2k$49k21 plans | — | — |
| Septoplasty (Deviated Septum Repair) | $6,717$3.4k$24k10 plansshared rate · 2 | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $12,610$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 | $12,584$6.5k$24k10 plans | $10,650 | $26,625 |
| Spinal Fusion, Except Cervical (without Major Complications) Inpatient | $55,0821 plan | — | — |
| Spirometry (Breathing Test) | $250$222$4409 plansshared rate · 2 | $334 | $835 |
| Stroke (with Complications) Inpatient | $14,160$8.1k$35k21 plans | — | — |
| Stroke (with Major Complications) Inpatient | $25,107$15k$61k21 plans | — | — |
| Stroke (without Complications) Inpatient | $9,827$5.7k$35k21 plans | — | — |
| Syncope and Collapse Inpatient | $11,255$7.1k$26k21 plans | — | — |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $6,717$3.4k$24k10 plansshared rate · 2 | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $10,973$6.1k$24k10 plans | — | — |
| Total Hip Replacement | $19,197$12k$36k10 plansshared rate · 2 | — | — |
| Total Knee Replacement | $19,197$12k$36k10 plansshared rate · 2 | — | — |
| Total Mastectomy | $12,229$6.8k$24k10 plans | — | — |
| TSH Thyroid Function Test | $17$10$3314 plans | $32 | $81 |
| TURP (Transurethral Prostate Resection) | $10,862$5.5k$24k10 plans | — | — |
| Upper GI Endoscopy (EGD) | $1,837$932$9.8k10 plans | $2,216 | $5,540 |
| Urinalysis with Microscopy | $3$2$614 plans | $33 | $83 |
| Uterine and Adnexa Surgery, Non-cancer (without Complications) Inpatient | $15,509$9.8k$38k21 plans | — | — |
| Vaginal Hysterectomy | $10,082$5.1k$24k10 plans | — | — |
| Vasectomy | $4,235$2.1k$12k10 plansshared rate · 2 | $5,018 | $12,546 |
| Vitamin D Blood Test | $30$18$5814 plans | $24 | $60 |