| Abdominal Hysterectomy | $8,260$7.7k$8.8k | $1,582 | $4,520 |
| ACL Reconstruction (Arthroscopic) | $6,504$2.6k$23k | $2,405 | $6,870 |
| Allergy Skin Testing | $932$373$3.4k | $6 | $16 |
| Anesthesia for Screening Colonoscopy | $20$15$89 | — | $1 |
| Anesthesia for Upper Endoscopy | $20$15$89 | — | $1 |
| Basic Metabolic Panel | $109$3$423 | $294 | $498 |
| Bone Marrow Biopsy | $1,474$578$5.3k | $206 | $589 |
| Breast Biopsy (Ultrasound-guided) | $894$257$5.3k | $659 | $1,117 |
| Bunion Correction Surgery | $2,943$1.2k$11k | $933 | $2,667 |
| Cardiac Ablation for Atrial Fibrillation | $21,170$8.5k$78k | $1,001 | $2,860 |
| Cardiac Catheterization (Left Heart) | $2,963$1.2k$11k | $364 | $1,040 |
| Cardiac Stress Test (Treadmill) | $87$67$280 | $163 | $467 |
| Carpal Tunnel Release Surgery | $1,755$688$7.4k | $677 | $1,935 |
| Cataract Surgery with Lens Implant | $2,119$831$7.6k | $1,344 | $3,841 |
| Cervical Spinal Fusion (Anterior) | $11,966$4.7k$43k | $2,380 | $6,800 |
| Cesarean Delivery (Global Package) | $2,389$2.0k$4.3k | $2,520 | $7,200 |
| Chemotherapy Infusion (First Hour) | $373$83$1.1k | $752 | $1,274 |
| Chest X-ray (2 Views) | $119$32$440 | $305 | $517 |
| Colonoscopy with Biopsy | $1,073$421$5.2k | $531 | $1,517 |
| Complete Abdominal Ultrasound | $154$39$927 | $643 | $1,090 |
| Complete Blood Count (CBC) with Differential | $8$3$146 | $101 | $172 |
| Comprehensive Metabolic Panel | $11$4$587 | $408 | $691 |
| Coronary Angioplasty with Stent | $9,806$3.9k$36k | $578 | $1,650 |
| Critical Care, First Hour | $791$316$2.9k | $226 | $645 |
| CT Abdomen and Pelvis with Contrast | $540$137$3.0k | $2,117 | $3,588 |
| CT Cardiac Calcium Scoring | $81$32$297 | $26 | $73 |
| CT Chest without Contrast | $154$39$2.3k | $1,581 | $2,680 |
| CT Head without Contrast | $154$39$1.6k | $1,125 | $1,906 |
| DEXA Bone Density Scan | $141$27$506 | $351 | $596 |
| Diagnostic Colonoscopy | $831$326$5.2k | $444 | $1,269 |
| Diagnostic Mammogram (Both Breasts) | $272$44$462 | $321 | $544 |
| Ear Tube Placement (Tympanostomy) | $1,387$544$5.2k | $244 | $698 |
| Echocardiogram (Complete with Doppler) | $1,390$197$2.2k | $1,458 | $2,471 |
| EKG (Electrocardiogram, 12-lead) | $17$13$49 | $29 | $82 |
| Emergency Room Visit (Level 3) | $388$102$2.6k | $448 | $760 |
| Group Therapy Session | $79$32$291 | $42 | $120 |
| Hemodialysis Treatment | $122$69$260 | $145 | $415 |
| Hemoglobin A1c (Diabetes Test) | $11$4$231 | $85 | $144 |
| HIV Antibody Test | $9$4$22 | $30 | $86 |
| Holter Monitor (24-48 Hour Heart Monitor) | $83$63$311 | $182 | $519 |
| Home Sleep Study | $139$56$510 | $142 | $406 |
| Individual Therapy Session (45 Minutes) | $142$57$521 | $66 | $188 |
| Inguinal Hernia Repair (Open) | $3,146$1.2k$11k | $616 | $1,761 |
| Initial Hospital Admission (Level 1) | $76$52$131 | $76 | $218 |
| Initial Psychiatric Diagnostic Evaluation | $217$57$521 | $299 | $506 |
| Initial Psychiatric Evaluation with Medication Management | $142$57$521 | $133 | $380 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $525$210$1.9k | $376 | $1,075 |
| IUD Insertion | $3,250$3.0k$3.5k | $120 | $342 |
| IUD Removal | $397$114$3.5k | $378 | $640 |
| Knee Arthroscopy with Meniscectomy | $2,943$1.2k$11k | $1,190 | $3,400 |
| Laparoscopic Appendectomy | $5,246$2.1k$19k | $683 | $1,950 |
| Laparoscopic Gallbladder Removal | $5,246$2.1k$19k | $1,017 | $2,906 |
| Laparoscopic Tubal Ligation | $5,246$2.1k$19k | $1,400 | $4,000 |
| Lipid Panel (Cholesterol Test) | $14$5$334 | $232 | $393 |
| Lumbar Epidural Steroid Injection | $616$247$3.9k | $235 | $670 |
| Lumbar Puncture (Spinal Tap) | $755$247$3.9k | $683 | $1,157 |
| Lumbar Spinal Fusion (Posterior) | $16,612$6.6k$61k | $3,308 | $9,450 |
| Lumpectomy (Partial Mastectomy) | $3,466$1.4k$12k | $875 | $2,500 |
| MRI Abdomen with and without Contrast | $540$137$4.2k | $2,887 | $4,894 |
| MRI Brain with and without Contrast | $540$137$5.3k | $3,680 | $6,238 |
| MRI Brain with Contrast | $343$137$1.3k | $561 | $1,603 |
| MRI Brain without Contrast | $344$87$3.9k | $2,725 | $4,618 |
| MRI Cervical Spine (Neck) without Contrast | $344$87$3.4k | $2,374 | $4,023 |
| MRI Knee without Contrast | $344$87$3.1k | $2,140 | $3,627 |
| MRI Lower Back (Lumbar Spine) without Contrast | $344$87$4.1k | $2,876 | $4,875 |
| MRI Thoracic Spine (Mid-back) without Contrast | $344$87$3.4k | $2,374 | $4,023 |
| Newborn Circumcision | $1,816$58$7.4k | $149 | $253 |
| Nuclear Cardiac Stress Test | $1,563$281$4.6k | $3,161 | $5,357 |
| Office Visit, Established Patient (Level 3) | $70$40$103 | $60 | $170 |
| Office Visit, New Patient (Level 3) | $90$56$150 | $87 | $249 |
| Pacemaker Insertion (Dual Chamber) | $9,709$3.8k$35k | $840 | $2,400 |
| PET/CT Scan, Whole Body | $1,395$558$5.1k | $158 | $450 |
| Pregnancy Ultrasound (Second or Third Trimester) | $322$39$1.2k | $640 | $1,084 |
| Prostate Biopsy | $1,852$726$6.7k | $233 | $667 |
| PSA Prostate Cancer Screening | $18$7$45 | $30 | $85 |
| Pulmonary Function Test with Bronchodilator | $280$112$1.0k | $34 | $98 |
| Rotator Cuff Repair (Arthroscopic) | $6,504$2.6k$23k | $1,780 | $5,086 |
| Screening Mammogram | $372$69$633 | $439 | $745 |
| Septoplasty (Deviated Septum Repair) | $2,927$1.1k$11k | $857 | $2,448 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,223$2.4k$22k | $748 | $2,136 |
| Skin Biopsy (Tangential) | $182$71$3.5k | $177 | $507 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,474$578$5.3k | $114 | $327 |
| Sleep Study (In-lab Polysomnography) | $932$373$3.4k | $591 | $1,689 |
| Spinal Cord Stimulator Trial | $6,218$2.4k$22k | $1,759 | $5,025 |
| Spirometry (Breathing Test) | $212$56$510 | $236 | $399 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $2,927$1.1k$11k | $429 | $1,227 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,324$2.1k$19k | $420 | $1,200 |
| Total Hip Replacement | $11,966$4.7k$43k | $2,155 | $6,157 |
| Total Knee Replacement | $11,966$4.7k$43k | $2,133 | $6,094 |
| Total Mastectomy | $5,929$2.3k$21k | $1,359 | $3,882 |
| TSH Thyroid Function Test | $17$7$332 | $230 | $390 |
| TURP (Transurethral Prostate Resection) | $4,704$1.8k$17k | $1,505 | $4,300 |
| Umbilical Hernia Repair | $1,097$366$1.3k | $640 | $1,828 |
| Upper GI Endoscopy (EGD) | $824$323$5.2k | $317 | $905 |
| Urinalysis with Microscopy | $5$1$108 | $51 | $86 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,251$1.9k$3.8k | $2,109 | $6,026 |
| Vaginal Delivery (Global Package) | $2,263$1.8k$4.0k | $2,345 | $6,700 |
| Vaginal Hysterectomy | $4,522$1.8k$16k | $1,545 | $4,413 |
| Vasectomy | $1,852$726$7.4k | $525 | $1,500 |
| Vitamin D Blood Test | $46$12$421 | $292 | $495 |