| Abdominal Hysterectomy | $975$559$5.2k | $2,476 | $3,096 |
| ACL Reconstruction (Arthroscopic) | $5,821$1.0k$9.1k | $4,366 | $5,457 |
| Allergy Skin Testing | $15$9$929 | $14 | $17 |
| Basic Metabolic Panel | $57$6$261 | $129 | $162 |
| Bone Marrow Biopsy | $500$323$1.8k | $464 | $580 |
| Breast Biopsy (Ultrasound-guided) | $1,153$75$1.9k | $1,130 | $1,412 |
| Bunion Correction Surgery | $3,255$399$5.8k | $2,861 | $3,576 |
| Cardiac Catheterization (Left Heart) | $4,321$1.5k$15k | $5,218 | $6,523 |
| Cardiac Stress Test (Treadmill) | $676$70$971 | $777 | $971 |
| Carpal Tunnel Release Surgery | $2,103$1.2k$3.0k | $2,382 | $2,977 |
| Cataract Surgery with Lens Implant | $2,473$1$4.9k | $1,945 | $2,432 |
| Cesarean Delivery (Global Package) | $2,660$661$6.1k | $2,932 | $3,665 |
| Chemotherapy Infusion (First Hour) | $641$187$1.0k | $801 | $1,001 |
| Chest X-ray (2 Views) | $127$10$600 | $156 | $195 |
| Colonoscopy with Biopsy | $1,538$39$4.3k | $2,452 | $3,065 |
| Complete Abdominal Ultrasound | $478$37$2.1k | $541 | $676 |
| Complete Blood Count (CBC) with Differential | $68$4$167 | $97 | $121 |
| Comprehensive Metabolic Panel | $173$6$383 | $229 | $286 |
| Coronary Angioplasty with Stent | $14,766$3.0k$26k | $20,428 | $25,535 |
| Critical Care, First Hour | $1,010$205$3.9k | $1,085 | $1,356 |
| CT Abdomen and Pelvis with Contrast | $895$75$7.4k | $3,364 | $4,205 |
| CT Cardiac Calcium Scoring | $310$27$459 | $370 | $463 |
| CT Chest without Contrast | $383$29$3.4k | $1,538 | $1,922 |
| CT Head without Contrast | $382$39$3.2k | $1,460 | $1,826 |
| DEXA Bone Density Scan | $140$8$903 | $423 | $529 |
| Diagnostic Colonoscopy | $1,400$168$4.1k | $2,282 | $2,852 |
| Diagnostic Mammogram (Both Breasts) | $165$41$662 | $259 | $324 |
| Ear Tube Placement (Tympanostomy) | $1,298$732$2.0k | $1,314 | $1,643 |
| Echocardiogram (Complete with Doppler) | $1,380$343$2.5k | $1,605 | $2,007 |
| EKG (Electrocardiogram, 12-lead) | $23$14$176 | $80 | $101 |
| Emergency Room Visit (Level 3) | $306$72$938 | $310 | $387 |
| Group Therapy Session | $119$90$204 | $129 | $161 |
| Hemodialysis Treatment | $688$90$988 | $790 | $988 |
| Hemoglobin A1c (Diabetes Test) | $138$4$199 | $159 | $199 |
| HIV Antibody Test | $46$8$127 | $71 | $89 |
| Holter Monitor (24-48 Hour Heart Monitor) | $651$54$934 | $747 | $934 |
| Home Sleep Study | $138$44$1.1k | $122 | $153 |
| Inguinal Hernia Repair (Open) | $1,973$266$3.9k | $1,240 | $1,550 |
| Initial Hospital Admission (Level 1) | $323$49$512 | $410 | $512 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,476$410$1.9k | $1,493 | $1,866 |
| IUD Insertion | $569$183$719 | $575 | $719 |
| IUD Removal | $418$183$600 | $480 | $600 |
| Knee Arthroscopy with Meniscectomy | $3,506$573$7.7k | $2,674 | $3,343 |
| Laparoscopic Appendectomy | $1,910$314$6.5k | $1,353 | $1,692 |
| Laparoscopic Gallbladder Removal | $2,768$455$6.5k | $1,961 | $2,451 |
| Laparoscopic Tubal Ligation | $3,341$512$6.9k | $3,802 | $4,752 |
| Lipid Panel (Cholesterol Test) | $121$6$330 | $185 | $231 |
| Lumbar Epidural Steroid Injection | $1,692$662$2.4k | $1,943 | $2,429 |
| Lumbar Puncture (Spinal Tap) | $860$63$1.3k | $1,058 | $1,323 |
| Lumbar Spinal Fusion (Posterior) | $2,549$1.5k$19k | $2,091 | $2,614 |
| Lumpectomy (Partial Mastectomy) | $1,511$203$4.2k | $949 | $1,187 |
| MRI Abdomen with and without Contrast | $991$67$7.9k | $3,583 | $4,478 |
| MRI Brain with and without Contrast | $1,045$105$7.9k | $3,619 | $4,524 |
| MRI Brain with Contrast | $824$82$5.8k | $2,671 | $3,339 |
| MRI Brain without Contrast | $756$68$5.7k | $2,611 | $3,264 |
| MRI Cervical Spine (Neck) without Contrast | $725$25$6.2k | $2,818 | $3,522 |
| MRI Knee without Contrast | $3,060$61$5.0k | $2,393 | $2,991 |
| MRI Lower Back (Lumbar Spine) without Contrast | $750$68$5.6k | $2,563 | $3,204 |
| MRI Thoracic Spine (Mid-back) without Contrast | $783$68$6.0k | $2,758 | $3,447 |
| Newborn Circumcision | $495$87$2.3k | $477 | $596 |
| Nuclear Cardiac Stress Test | $1,387$74$5.0k | $2,493 | $3,116 |
| Office Visit, Established Patient (Level 3) | $248$45$398 | $302 | $378 |
| Office Visit, New Patient (Level 3) | $157$71$229 | $183 | $229 |
| Pacemaker Insertion (Dual Chamber) | $11,201$2.2k$23k | $10,881 | $13,602 |
| PET/CT Scan, Whole Body | $1,344$9$10k | $4,497 | $5,622 |
| Pregnancy Ultrasound (Second or Third Trimester) | $371$47$1.1k | $438 | $548 |
| Prostate Biopsy | $1,285$439$2.3k | $1,239 | $1,548 |
| PSA Prostate Cancer Screening | $25$8$340 | $147 | $184 |
| Pulmonary Function Test with Bronchodilator | $187$10$582 | $208 | $260 |
| Rotator Cuff Repair (Arthroscopic) | $3,910$643$7.9k | $2,770 | $3,463 |
| Screening Mammogram | $174$35$439 | $168 | $210 |
| Septoplasty (Deviated Septum Repair) | $3,370$2.2k$4.0k | $3,172 | $3,965 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,124$3.5k$9.3k | $6,201 | $7,752 |
| Skin Biopsy (Tangential) | $340$220$440 | $316 | $395 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $299$193$1.8k | $278 | $347 |
| Sleep Study (In-lab Polysomnography) | $1,074$90$6.6k | $1,744 | $2,181 |
| Spinal Cord Stimulator Trial | $6,552$4.3k$7.7k | $6,166 | $7,708 |
| Spirometry (Breathing Test) | $95$8$378 | $86 | $107 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $1,468$949$3.6k | $1,362 | $1,703 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $1,372$887$6.4k | $1,274 | $1,592 |
| Total Hip Replacement | $12,654$1.6k$21k | $11,253 | $14,066 |
| Total Knee Replacement | $7,233$974$14k | $4,544 | $5,680 |
| Total Mastectomy | $2,087$281$7.2k | $1,311 | $1,639 |
| TSH Thyroid Function Test | $203$9$291 | $233 | $291 |
| TURP (Transurethral Prostate Resection) | $4,706$3.1k$5.8k | $4,430 | $5,537 |
| Upper GI Endoscopy (EGD) | $1,073$112$3.3k | $1,837 | $2,297 |
| Urinalysis with Microscopy | $77$2$111 | $89 | $111 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $3,818$1.9k$5.5k | $4,385 | $5,481 |
| Vaginal Delivery (Global Package) | $2,358$584$5.4k | $2,588 | $3,236 |
| Vaginal Hysterectomy | $3,356$534$5.4k | $2,365 | $2,956 |
| Vasectomy | $1,154$746$2.3k | $1,071 | $1,339 |
| Vitamin D Blood Test | $30$20$40 | $32 | $40 |