| Abdominal Hysterectomy | $8,979 | $1,582 | $4,520 |
| ACL Reconstruction (Arthroscopic) | $6,283$5.8k$15k | $2,405 | $6,870 |
| Allergy Skin Testing | $918$854$2.2k | $6 | $16 |
| Anesthesia for Screening Colonoscopy | $20$15$93 | — | $1 |
| Anesthesia for Upper Endoscopy | $20$15$93 | — | $1 |
| Basic Metabolic Panel | $8$6$20 | $17 | $49 |
| Bone Marrow Biopsy | $1,424$444$5.0k | $666 | $2,220 |
| Breast Biopsy (Ultrasound-guided) | $2,111$830$5.0k | $1,245 | $4,149 |
| Bunion Correction Surgery | $2,843$2.6k$9.0k | $933 | $2,667 |
| Cardiac Ablation for Atrial Fibrillation | $20,859$9.2k$50k | $13,822 | $46,072 |
| Cardiac Catheterization (Left Heart) | $4,293$2.3k$21k | $3,437 | $11,455 |
| Cardiac Stress Test (Treadmill) | $83$64$420 | $163 | $467 |
| Carpal Tunnel Release Surgery | $1,696$1.6k$7.0k | $677 | $1,935 |
| Cataract Surgery with Lens Implant | $2,047$1.9k$7.0k | $1,344 | $3,841 |
| Cervical Spinal Fusion (Anterior) | $11,559$11k$28k | $2,380 | $6,800 |
| Cesarean Delivery (Global Package) | $2,492$2.0k$6.5k | $2,520 | $7,200 |
| Chemotherapy Infusion (First Hour) | $475$277$1.6k | $491 | $1,638 |
| Chest X-ray (2 Views) | $80$63$369 | $114 | $380 |
| Colonoscopy with Biopsy | $1,036$964$5.7k | $531 | $1,517 |
| Complete Abdominal Ultrasound | $232$90$1.4k | $441 | $1,471 |
| Complete Blood Count (CBC) with Differential | $8$7$19 | $14 | $39 |
| Comprehensive Metabolic Panel | $11$7$25 | $25 | $73 |
| Coronary Angioplasty with Stent | $9,662$4.8k$32k | $8,284 | $27,612 |
| Critical Care, First Hour | $1,309$199$4.6k | $1,418 | $4,727 |
| CT Abdomen and Pelvis with Contrast | $507$188$2.9k | $911 | $3,037 |
| CT Cardiac Calcium Scoring | $77$11$896 | $18 | $61 |
| CT Chest without Contrast | $145$72$1.7k | $534 | $1,779 |
| CT Head without Contrast | $145$58$1.4k | $423 | $1,411 |
| DEXA Bone Density Scan | $152$91$683 | $211 | $704 |
| Diagnostic Colonoscopy | $803$747$5.7k | $444 | $1,269 |
| Diagnostic Mammogram (Both Breasts) | $433$107$739 | $229 | $762 |
| Ear Tube Placement (Tympanostomy) | $1,339$1.2k$5.7k | $244 | $698 |
| Echocardiogram (Complete with Doppler) | $843$329$2.1k | $577 | $1,925 |
| EKG (Electrocardiogram, 12-lead) | $17$13$74 | $29 | $82 |
| Emergency Room Visit (Level 3) | $401$233$2.4k | $415 | $1,384 |
| Group Therapy Session | $117$53$255 | $79 | $263 |
| Hemodialysis Treatment | $116$69$374 | $145 | $415 |
| Hemoglobin A1c (Diabetes Test) | $10$8$23 | $20 | $57 |
| HIV Antibody Test | $9$8$21 | $30 | $86 |
| Holter Monitor (24-48 Hour Heart Monitor) | $82$61$467 | $182 | $519 |
| Home Sleep Study | $137$45$556 | $142 | $406 |
| Individual Therapy Session (45 Minutes) | $210$84$406 | $126 | $419 |
| Inguinal Hernia Repair (Open) | $3,038$2.8k$9.0k | $616 | $1,761 |
| Initial Hospital Admission (Level 1) | $89 | $76 | $218 |
| Initial Psychiatric Diagnostic Evaluation | $140$31$336 | $46 | $154 |
| Initial Psychiatric Evaluation with Medication Management | $163$64$336 | $96 | $319 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $827$481$3.4k | $1,046 | $3,486 |
| IUD Insertion | $309$63$3.8k | $147 | $490 |
| IUD Removal | $451$262$3.8k | $495 | $1,651 |
| Knee Arthroscopy with Meniscectomy | $2,843$2.6k$9.0k | $1,190 | $3,400 |
| Laparoscopic Appendectomy | $5,068$4.7k$15k | $683 | $1,950 |
| Laparoscopic Gallbladder Removal | $5,068$4.7k$15k | $1,017 | $2,906 |
| Laparoscopic Tubal Ligation | $5,068$4.7k$15k | $1,400 | $4,000 |
| Lipid Panel (Cholesterol Test) | $13$10$32 | $31 | $89 |
| Lumbar Epidural Steroid Injection | $972$565$4.0k | $1,025 | $3,416 |
| Lumbar Puncture (Spinal Tap) | $972$565$4.0k | $1,025 | $3,416 |
| Lumbar Spinal Fusion (Posterior) | $16,367$15k$39k | $3,308 | $9,450 |
| Lumpectomy (Partial Mastectomy) | $3,348$3.1k$8.0k | $875 | $2,500 |
| MRI Abdomen with and without Contrast | $507$203$4.8k | $1,472 | $4,906 |
| MRI Brain with and without Contrast | $507$184$3.2k | $981 | $3,270 |
| MRI Brain with Contrast | $507$163$2.8k | $861 | $2,870 |
| MRI Brain without Contrast | $323$111$2.0k | $615 | $2,050 |
| MRI Cervical Spine (Neck) without Contrast | $323$105$2.0k | $614 | $2,048 |
| MRI Knee without Contrast | $323$121$2.0k | $612 | $2,041 |
| MRI Lower Back (Lumbar Spine) without Contrast | $323$106$2.0k | $614 | $2,047 |
| MRI Thoracic Spine (Mid-back) without Contrast | $323$106$2.0k | $614 | $2,048 |
| Newborn Circumcision | $1,789$126$7.0k | $189 | $630 |
| Nuclear Cardiac Stress Test | $1,926$1.2k$6.6k | $2,050 | $6,832 |
| Office Visit, Established Patient (Level 3) | $41$41$61 | $60 | $170 |
| Office Visit, New Patient (Level 3) | $73$73$76 | $87 | $249 |
| Pacemaker Insertion (Dual Chamber) | $9,378$4.8k$24k | $7,463 | $24,877 |
| PET/CT Scan, Whole Body | $2,130$1.3k$8.5k | $2,636 | $8,785 |
| Pregnancy Ultrasound (Second or Third Trimester) | $145$40$1.6k | $276 | $919 |
| Prostate Biopsy | $2,147$830$5.7k | $1,245 | $4,149 |
| PSA Prostate Cancer Screening | $18$16$44 | $30 | $85 |
| Pulmonary Function Test with Bronchodilator | $328$128$662 | $192 | $641 |
| Rotator Cuff Repair (Arthroscopic) | $6,283$5.8k$15k | $1,780 | $5,086 |
| Screening Mammogram | $272$89$530 | $164 | $546 |
| Septoplasty (Deviated Septum Repair) | $2,828$2.6k$7.0k | $857 | $2,448 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,011$5.6k$14k | $748 | $2,136 |
| Skin Biopsy (Tangential) | $281$164$3.8k | $383 | $1,278 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,424$457$5.0k | $686 | $2,286 |
| Sleep Study (In-lab Polysomnography) | $1,369$854$4.5k | $1,384 | $4,613 |
| Spinal Cord Stimulator Trial | $6,007$3.7k$20k | $5,584 | $18,614 |
| Spirometry (Breathing Test) | $184$73$354 | $110 | $365 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $2,828$2.6k$7.0k | $429 | $1,227 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,143$4.8k$12k | $420 | $1,200 |
| Total Hip Replacement | $11,559$11k$28k | $2,155 | $6,157 |
| Total Knee Replacement | $11,559$11k$28k | $2,133 | $6,094 |
| Total Mastectomy | $5,727$5.3k$14k | $1,359 | $3,882 |
| TSH Thyroid Function Test | $17$14$40 | $34 | $96 |
| TURP (Transurethral Prostate Resection) | $4,544$4.2k$11k | $1,505 | $4,300 |
| Umbilical Hernia Repair | $1,097$640$1.6k | $640 | $1,828 |
| Upper GI Endoscopy (EGD) | $796$740$5.7k | $317 | $905 |
| Urinalysis with Microscopy | $3$3$8 | $8 | $23 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,283$1.9k$5.4k | $2,109 | $6,026 |
| Vaginal Delivery (Global Package) | $2,199$1.8k$6.0k | $2,345 | $6,700 |
| Vaginal Hysterectomy | $4,368$4.1k$10k | $1,545 | $4,413 |
| Vasectomy | $1,789$1.7k$7.0k | $525 | $1,500 |
| Vitamin D Blood Test | $30$23$71 | $56 | $160 |