| Abdominal Hysterectomy | $11,410$8.0k$16k | $1,582 | $4,520 |
| ACL Reconstruction (Arthroscopic) | $7,728$6.7k$23k | $2,405 | $6,870 |
| Allergy Skin Testing | $1,027$975$3.3k | $6 | $16 |
| Anesthesia for Screening Colonoscopy | $25$15$93 | — | $1 |
| Anesthesia for Upper Endoscopy | $25$15$93 | — | $1 |
| Basic Metabolic Panel | $8$5$20 | $17 | $49 |
| Bone Marrow Biopsy | $1,592$66$5.1k | $733 | $2,220 |
| Breast Biopsy (Ultrasound-guided) | $1,822$142$5.1k | $1,369 | $4,149 |
| Bunion Correction Surgery | $3,179$487$10k | $933 | $2,667 |
| Cardiac Ablation for Atrial Fibrillation | $25,533$12k$75k | $15,204 | $46,072 |
| Cardiac Catheterization (Left Heart) | $4,800$2.9k$10k | $3,780 | $11,455 |
| Cardiac Stress Test (Treadmill) | $87$53$411 | $163 | $467 |
| Carpal Tunnel Release Surgery | $1,896$409$7.0k | $677 | $1,935 |
| Cataract Surgery with Lens Implant | $2,517$2.2k$7.4k | $1,344 | $3,841 |
| Cervical Spinal Fusion (Anterior) | $13,157$12k$42k | $2,380 | $6,800 |
| Cesarean Delivery (Global Package) | $2,520$1.9k$6.3k | $2,520 | $7,200 |
| Chemotherapy Infusion (First Hour) | $541$316$1.4k | $541 | $1,638 |
| Chest X-ray (2 Views) | $95$67$334 | $125 | $380 |
| Colonoscopy with Biopsy | $1,159$185$5.6k | $531 | $1,517 |
| Complete Abdominal Ultrasound | $227$103$1.3k | $485 | $1,471 |
| Complete Blood Count (CBC) with Differential | $8$4$19 | $14 | $39 |
| Comprehensive Metabolic Panel | $11$6$25 | $25 | $73 |
| Coronary Angioplasty with Stent | $14,151$6.9k$35k | $9,112 | $27,612 |
| Critical Care, First Hour | $1,307$199$4.2k | $1,560 | $4,727 |
| CT Abdomen and Pelvis with Contrast | $601$359$2.7k | $1,002 | $3,037 |
| CT Cardiac Calcium Scoring | $89$14$818 | $20 | $61 |
| CT Chest without Contrast | $240$103$1.6k | $587 | $1,779 |
| CT Head without Contrast | $218$103$1.2k | $466 | $1,411 |
| DEXA Bone Density Scan | $179$104$620 | $232 | $704 |
| Diagnostic Colonoscopy | $1,346$853$5.0k | $444 | $1,269 |
| Diagnostic Mammogram (Both Breasts) | $455$191$671 | $251 | $762 |
| Ear Tube Placement (Tympanostomy) | $1,647$1.4k$5.6k | $244 | $698 |
| Echocardiogram (Complete with Doppler) | $880$411$1.9k | $635 | $1,925 |
| EKG (Electrocardiogram, 12-lead) | $17$11$72 | $29 | $82 |
| Emergency Room Visit (Level 3) | $434$94$2.7k | $457 | $1,384 |
| Group Therapy Session | $131$23$370 | $87 | $263 |
| Hemodialysis Treatment | $123$69$365 | $145 | $415 |
| Hemoglobin A1c (Diabetes Test) | $10$5$23 | $20 | $57 |
| HIV Antibody Test | $9$5$21 | $30 | $86 |
| Holter Monitor (24-48 Hour Heart Monitor) | $83$53$457 | $182 | $519 |
| Home Sleep Study | $153$146$368 | $142 | $406 |
| Individual Therapy Session (45 Minutes) | $223$88$503 | $138 | $419 |
| Inguinal Hernia Repair (Open) | $3,737$3.2k$11k | $616 | $1,761 |
| Initial Hospital Admission (Level 1) | $98 | $76 | $218 |
| Initial Psychiatric Diagnostic Evaluation | $157$39$503 | $51 | $154 |
| Initial Psychiatric Evaluation with Medication Management | $164$80$503 | $105 | $319 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $954$549$3.1k | $1,150 | $3,486 |
| IUD Insertion | $293$123$3.5k | $162 | $490 |
| IUD Removal | $504$61$3.5k | $545 | $1,651 |
| Knee Arthroscopy with Meniscectomy | $3,497$3.0k$10k | $1,190 | $3,400 |
| Laparoscopic Appendectomy | $6,233$5.4k$18k | $683 | $1,950 |
| Laparoscopic Gallbladder Removal | $6,233$5.4k$18k | $1,017 | $2,906 |
| Laparoscopic Tubal Ligation | $6,233$5.4k$18k | $1,400 | $4,000 |
| Lipid Panel (Cholesterol Test) | $13$7$32 | $31 | $89 |
| Lumbar Epidural Steroid Injection | $1,104$93$3.9k | $1,127 | $3,416 |
| Lumbar Puncture (Spinal Tap) | $1,104$58$3.9k | $1,127 | $3,416 |
| Lumbar Spinal Fusion (Posterior) | $18,301$13k$59k | $3,308 | $9,450 |
| Lumpectomy (Partial Mastectomy) | $4,118$3.6k$12k | $875 | $2,500 |
| MRI Abdomen with and without Contrast | $845$359$4.3k | $1,619 | $4,906 |
| MRI Brain with and without Contrast | $818$359$2.9k | $1,079 | $3,270 |
| MRI Brain with Contrast | $718$359$2.5k | $947 | $2,870 |
| MRI Brain without Contrast | $513$229$1.8k | $677 | $2,050 |
| MRI Cervical Spine (Neck) without Contrast | $512$229$1.8k | $676 | $2,048 |
| MRI Knee without Contrast | $510$229$1.8k | $674 | $2,041 |
| MRI Lower Back (Lumbar Spine) without Contrast | $512$229$1.8k | $676 | $2,047 |
| MRI Thoracic Spine (Mid-back) without Contrast | $512$229$1.8k | $676 | $2,048 |
| Newborn Circumcision | $2,000$89$7.0k | $208 | $630 |
| Nuclear Cardiac Stress Test | $2,243$1.3k$6.0k | $2,255 | $6,832 |
| Office Visit, Established Patient (Level 3) | $68$62$75 | $60 | $170 |
| Office Visit, New Patient (Level 3) | $94$77$110 | $87 | $249 |
| Pacemaker Insertion (Dual Chamber) | $12,667$6.2k$34k | $8,209 | $24,877 |
| PET/CT Scan, Whole Body | $2,381$1.4k$7.7k | $2,899 | $8,785 |
| Pregnancy Ultrasound (Second or Third Trimester) | $162$50$1.4k | $303 | $919 |
| Prostate Biopsy | $2,299$120$6.4k | $1,369 | $4,149 |
| PSA Prostate Cancer Screening | $18$10$44 | $30 | $85 |
| Pulmonary Function Test with Bronchodilator | $329$160$990 | $212 | $641 |
| Rotator Cuff Repair (Arthroscopic) | $7,728$6.7k$23k | $1,780 | $5,086 |
| Screening Mammogram | $274$137$480 | $180 | $546 |
| Septoplasty (Deviated Septum Repair) | $3,478$3.0k$10k | $857 | $2,448 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,348$6.4k$22k | $748 | $2,136 |
| Skin Biopsy (Tangential) | $320$35$3.5k | $422 | $1,278 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,592$77$5.1k | $754 | $2,286 |
| Sleep Study (In-lab Polysomnography) | $1,540$975$4.1k | $1,522 | $4,613 |
| Spinal Cord Stimulator Trial | $9,540$388$22k | $6,143 | $18,614 |
| Spirometry (Breathing Test) | $187$91$493 | $120 | $365 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,478$3.0k$10k | $429 | $1,227 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,984$5.5k$18k | $420 | $1,200 |
| Total Hip Replacement | $14,217$12k$31k | $2,155 | $6,157 |
| Total Knee Replacement | $14,217$12k$31k | $2,133 | $6,094 |
| Total Mastectomy | $7,044$6.1k$21k | $1,359 | $3,882 |
| TSH Thyroid Function Test | $17$9$40 | $34 | $96 |
| TURP (Transurethral Prostate Resection) | $5,590$4.8k$16k | $1,505 | $4,300 |
| Umbilical Hernia Repair | $1,097$366$1.6k | $640 | $1,828 |
| Upper GI Endoscopy (EGD) | $890$113$5.6k | $317 | $905 |
| Urinalysis with Microscopy | $3$2$8 | $8 | $23 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,324$1.8k$5.3k | $2,109 | $6,026 |
| Vaginal Delivery (Global Package) | $2,345$1.7k$5.9k | $2,345 | $6,700 |
| Vaginal Hysterectomy | $5,373$4.6k$16k | $1,545 | $4,413 |
| Vasectomy | $2,000$216$7.0k | $525 | $1,500 |
| Vitamin D Blood Test | $30$16$71 | $56 | $160 |