| Abdominal Hysterectomy | $7,413 | $2,521 | $3,151 |
| ACL Reconstruction (Arthroscopic) | $6,916$6.1k$19k | $3,624 | $4,530 |
| Allergy Skin Testing | $985$867$2.7k | $13 | $16 |
| Basic Metabolic Panel | $13$8$73 | $69 | $86 |
| Bone Marrow Biopsy | $1,569$701$4.3k | $1,817 | $2,271 |
| Breast Biopsy (Ultrasound-guided) | $1,569$1.1k$4.3k | $1,904 | $2,380 |
| Bunion Correction Surgery | $3,141$2.8k$8.5k | $3,404 | $4,256 |
| Cardiac Ablation for Atrial Fibrillation | $23,750$16k$64k | $28,245 | $35,307 |
| Cardiac Catheterization (Left Heart) | $4,842$2.7k$8.4k | $7,934 | $9,918 |
| Cardiac Stress Test (Treadmill) | $158$66$202 | $168 | $210 |
| Carpal Tunnel Release Surgery | $1,890$1.7k$5.1k | $1,604 | $2,006 |
| Cataract Surgery with Lens Implant | $2,208$1.9k$6.0k | $2,036 | $2,546 |
| Cervical Spinal Fusion (Anterior) | $12,456$11k$34k | $4,081 | $5,101 |
| Cesarean Delivery (Global Package) | $3,666$2.3k$5.9k | $4,739 | $5,924 |
| Chemotherapy Infusion (First Hour) | $356$283$870 | $489 | $611 |
| Chest X-ray (2 Views) | $152$75$303 | $285 | $356 |
| Colonoscopy with Biopsy | $1,141$1.0k$3.1k | $1,047 | $1,309 |
| Complete Abdominal Ultrasound | $215$91$780 | $734 | $917 |
| Complete Blood Count (CBC) with Differential | $12$8$36 | $34 | $42 |
| Comprehensive Metabolic Panel | $16$11$73 | $69 | $86 |
| Coronary Angioplasty with Stent | $10,979$6.3k$30k | $10,813 | $13,516 |
| Critical Care, First Hour | $1,250$718$2.2k | $2,015 | $2,519 |
| CT Abdomen and Pelvis with Contrast | $721$304$4.5k | $4,256 | $5,320 |
| CT Cardiac Calcium Scoring | $85$46$231 | $79 | $99 |
| CT Chest without Contrast | $215$91$1.6k | $1,524 | $1,905 |
| CT Head without Contrast | $215$91$1.6k | $1,521 | $1,902 |
| DEXA Bone Density Scan | $178$91$346 | $326 | $407 |
| Diagnostic Colonoscopy | $883$777$2.4k | $814 | $1,017 |
| Diagnostic Mammogram (Both Breasts) | $134$101$376 | $354 | $443 |
| Ear Tube Placement (Tympanostomy) | $1,434$1.3k$3.9k | $581 | $726 |
| Echocardiogram (Complete with Doppler) | $952$467$1.9k | $1,789 | $2,236 |
| EKG (Electrocardiogram, 12-lead) | $33$13$43 | $38 | $47 |
| Emergency Room Visit (Level 3) | $268$25$727 | $230 | $288 |
| Group Therapy Session | $90$79$243 | $62 | $78 |
| Hemodialysis Treatment | $197$94$276 | $235 | $294 |
| Hemoglobin A1c (Diabetes Test) | $14$10$36 | $34 | $42 |
| HIV Antibody Test | $13$9$52 | $49 | $61 |
| Holter Monitor (24-48 Hour Heart Monitor) | $166$63$235 | $254 | $317 |
| Home Sleep Study | $285$133$592 | $557 | $696 |
| Individual Therapy Session (45 Minutes) | $156$137$422 | $210 | $262 |
| Inguinal Hernia Repair (Open) | $3,416$3.0k$9.3k | $1,916 | $2,396 |
| Initial Hospital Admission (Level 1) | $136$75$226 | $182 | $227 |
| Initial Psychiatric Diagnostic Evaluation | $156$137$422 | $324 | $405 |
| Initial Psychiatric Evaluation with Medication Management | $156$137$422 | $362 | $453 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,044$493$2.2k | $2,024 | $2,530 |
| IUD Insertion | $173$136$294 | $277 | $346 |
| IUD Removal | $290$131$798 | $227 | $284 |
| Knee Arthroscopy with Meniscectomy | $3,141$2.8k$8.5k | $1,994 | $2,493 |
| Laparoscopic Appendectomy | $5,648$5.0k$15k | $1,473 | $1,841 |
| Laparoscopic Gallbladder Removal | $5,648$5.0k$15k | $1,614 | $2,018 |
| Laparoscopic Tubal Ligation | $5,648$5.0k$15k | $2,438 | $3,048 |
| Lipid Panel (Cholesterol Test) | $20$13$73 | $69 | $86 |
| Lumbar Epidural Steroid Injection | $1,017$590$1.8k | $1,621 | $2,027 |
| Lumbar Puncture (Spinal Tap) | $670$472$1.8k | $816 | $1,020 |
| Lumbar Spinal Fusion (Posterior) | $17,803$16k$48k | $3,842 | $4,803 |
| Lumpectomy (Partial Mastectomy) | $3,707$3.3k$10k | $2,406 | $3,008 |
| MRI Abdomen with and without Contrast | $925$304$4.5k | $3,126 | $3,907 |
| MRI Brain with and without Contrast | $721$304$4.3k | $4,070 | $5,088 |
| MRI Brain with Contrast | $721$304$4.0k | $3,804 | $4,755 |
| MRI Brain without Contrast | $488$206$2.8k | $2,656 | $3,320 |
| MRI Cervical Spine (Neck) without Contrast | $488$206$2.1k | $1,991 | $2,489 |
| MRI Knee without Contrast | $488$206$3.1k | $2,921 | $3,652 |
| MRI Lower Back (Lumbar Spine) without Contrast | $488$206$3.1k | $2,921 | $3,652 |
| MRI Thoracic Spine (Mid-back) without Contrast | $488$206$3.1k | $2,921 | $3,652 |
| Newborn Circumcision | $2,452$1.7k$5.4k | $3,557 | $4,446 |
| Nuclear Cardiac Stress Test | $1,623$1.1k$3.4k | $2,354 | $2,943 |
| Office Visit, Established Patient (Level 3) | $93$60$125 | $161 | $201 |
| Office Visit, New Patient (Level 3) | $116$75$168 | $190 | $237 |
| Pacemaker Insertion (Dual Chamber) | $14,033$8.9k$27k | $20,356 | $25,445 |
| PET/CT Scan, Whole Body | $2,465$1.2k$4.8k | $4,528 | $5,660 |
| Pregnancy Ultrasound (Second or Third Trimester) | $214$91$476 | $448 | $560 |
| Prostate Biopsy | $1,983$1.7k$5.4k | $614 | $767 |
| PSA Prostate Cancer Screening | $27$18$68 | $64 | $80 |
| Pulmonary Function Test with Bronchodilator | $297$130$817 | $224 | $280 |
| Rotator Cuff Repair (Arthroscopic) | $6,916$6.1k$19k | $3,954 | $4,943 |
| Screening Mammogram | $111$83$304 | $286 | $357 |
| Septoplasty (Deviated Septum Repair) | $3,140$2.8k$8.5k | $1,590 | $1,988 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,702$5.9k$18k | $1,213 | $1,517 |
| Skin Biopsy (Tangential) | $248$169$521 | $360 | $450 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,085$1.4k$4.3k | $3,025 | $3,781 |
| Sleep Study (In-lab Polysomnography) | $1,145$867$3.0k | $2,796 | $3,495 |
| Spinal Cord Stimulator Trial | $8,000$5.6k$17k | $11,605 | $14,507 |
| Spirometry (Breathing Test) | $157$118$411 | $204 | $255 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,140$2.8k$8.5k | $746 | $933 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,727$5.0k$16k | $715 | $894 |
| Total Hip Replacement | $12,456$11k$34k | $5,006 | $6,258 |
| Total Knee Replacement | $12,456$11k$34k | $5,002 | $6,252 |
| Total Mastectomy | $6,313$5.6k$17k | $3,514 | $4,392 |
| TSH Thyroid Function Test | $25$17$58 | $55 | $69 |
| TURP (Transurethral Prostate Resection) | $4,921$4.3k$13k | $1,842 | $2,302 |
| Umbilical Hernia Repair | $854$854$1.0k | — | — |
| Upper GI Endoscopy (EGD) | $908$799$2.5k | $687 | $859 |
| Urinalysis with Microscopy | $5$3$27 | $26 | $32 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $3,460$2.2k$5.6k | $4,492 | $5,615 |
| Vaginal Delivery (Global Package) | $3,300$2.1k$5.4k | $4,552 | $5,690 |
| Vaginal Hysterectomy | $4,779$4.2k$13k | $2,087 | $2,609 |
| Vasectomy | $1,983$1.7k$5.4k | $892 | $1,115 |
| Vitamin D Blood Test | $41$30$92 | $86 | $108 |