| Abdominal Hysterectomy | $7,413 | $2,521 | $3,151 |
| ACL Reconstruction (Arthroscopic) | $6,916$6.7k$13k | $3,624 | $4,530 |
| Allergy Skin Testing | $985$957$1.8k | $13 | $16 |
| Basic Metabolic Panel | $9$8$68 | $69 | $86 |
| Bone Marrow Biopsy | $1,668$983$3.7k | $2,749 | $3,436 |
| Breast Biopsy (Ultrasound-guided) | $1,818$1.1k$4.0k | $2,996 | $3,746 |
| Bunion Correction Surgery | $3,141$3.1k$5.7k | $3,404 | $4,256 |
| Cardiac Ablation for Atrial Fibrillation | $23,811$19k$43k | $35,880 | $44,851 |
| Cardiac Catheterization (Left Heart) | $4,321$3.0k$10k | $10,281 | $12,851 |
| Cardiac Stress Test (Treadmill) | $146$66$191 | $168 | $210 |
| Carpal Tunnel Release Surgery | $1,890$1.8k$3.4k | $1,604 | $2,006 |
| Cataract Surgery with Lens Implant | $2,208$2.1k$4.0k | $2,036 | $2,546 |
| Cervical Spinal Fusion (Anterior) | $12,456$12k$23k | $4,081 | $5,101 |
| Cesarean Delivery (Global Package) | $3,369$2.3k$5.9k | $4,739 | $5,924 |
| Chemotherapy Infusion (First Hour) | $329$312$624 | $626 | $782 |
| Chest X-ray (2 Views) | $86$78$155 | $145 | $181 |
| Colonoscopy with Biopsy | $1,141$1.1k$2.1k | $1,047 | $1,309 |
| Complete Abdominal Ultrasound | $145$100$915 | $918 | $1,147 |
| Complete Blood Count (CBC) with Differential | $8$8$33 | $34 | $42 |
| Comprehensive Metabolic Panel | $11$11$68 | $69 | $86 |
| Coronary Angioplasty with Stent | $11,007$7.8k$20k | $14,511 | $18,138 |
| Critical Care, First Hour | $1,010$792$2.2k | $2,237 | $2,796 |
| CT Abdomen and Pelvis with Contrast | $488$336$2.6k | $2,606 | $3,258 |
| CT Cardiac Calcium Scoring | $83$47$155 | $88 | $110 |
| CT Chest without Contrast | $145$100$868 | $870 | $1,087 |
| CT Head without Contrast | $145$100$1.3k | $1,302 | $1,627 |
| DEXA Bone Density Scan | $145$100$451 | $452 | $565 |
| Diagnostic Colonoscopy | $883$857$1.6k | $814 | $1,017 |
| Diagnostic Mammogram (Both Breasts) | $119$101$256 | $256 | $320 |
| Ear Tube Placement (Tympanostomy) | $1,434$1.4k$2.6k | $581 | $726 |
| Echocardiogram (Complete with Doppler) | $603$516$1.3k | $1,255 | $1,569 |
| EKG (Electrocardiogram, 12-lead) | $29$13$42 | $38 | $47 |
| Emergency Room Visit (Level 3) | $268$24$598 | $322 | $402 |
| Group Therapy Session | $174$87$466 | $221 | $276 |
| Hemodialysis Treatment | $187$94$271 | $235 | $294 |
| Hemoglobin A1c (Diabetes Test) | $10$10$33 | $34 | $42 |
| HIV Antibody Test | $9$9$48 | $49 | $61 |
| Holter Monitor (24-48 Hour Heart Monitor) | $141$63$234 | $254 | $317 |
| Home Sleep Study | $214$147$775 | $777 | $971 |
| Individual Therapy Session (45 Minutes) | $156$140$282 | $261 | $326 |
| Inguinal Hernia Repair (Open) | $3,416$3.3k$6.2k | $1,916 | $2,396 |
| Initial Hospital Admission (Level 1) | $136$75$226 | $182 | $227 |
| Initial Psychiatric Diagnostic Evaluation | $156$137$282 | $256 | $320 |
| Initial Psychiatric Evaluation with Medication Management | $156$151$282 | $362 | $453 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $560$544$1.0k | — | — |
| IUD Insertion | $301$175$330 | $331 | $413 |
| IUD Removal | $295$177$535 | $331 | $413 |
| Knee Arthroscopy with Meniscectomy | $3,141$3.1k$5.7k | $1,994 | $2,493 |
| Laparoscopic Appendectomy | $5,648$5.5k$10k | $1,473 | $1,841 |
| Laparoscopic Gallbladder Removal | $5,648$5.5k$10k | $1,614 | $2,018 |
| Laparoscopic Tubal Ligation | $5,648$5.5k$10k | $2,438 | $3,048 |
| Lipid Panel (Cholesterol Test) | $14$13$68 | $69 | $86 |
| Lumbar Epidural Steroid Injection | $788$651$1.7k | $1,681 | $2,102 |
| Lumbar Puncture (Spinal Tap) | $651$238$1.2k | $444 | $555 |
| Lumbar Spinal Fusion (Posterior) | $17,803$17k$32k | $3,842 | $4,803 |
| Lumpectomy (Partial Mastectomy) | $3,707$3.6k$6.7k | $2,406 | $3,008 |
| MRI Abdomen with and without Contrast | $2,075$336$3.9k | $3,179 | $3,973 |
| MRI Brain with and without Contrast | $488$336$2.0k | $2,021 | $2,526 |
| MRI Brain with Contrast | $488$336$1.5k | $1,531 | $1,914 |
| MRI Brain without Contrast | $330$227$1.5k | $1,480 | $1,850 |
| MRI Cervical Spine (Neck) without Contrast | $330$227$1.2k | $1,184 | $1,480 |
| MRI Knee without Contrast | $330$227$3.3k | $3,312 | $4,140 |
| MRI Lower Back (Lumbar Spine) without Contrast | $330$227$1.2k | $1,184 | $1,480 |
| MRI Thoracic Spine (Mid-back) without Contrast | $330$227$1.5k | $1,480 | $1,850 |
| Newborn Circumcision | $2,076$1.9k$4.0k | $4,025 | $5,031 |
| Nuclear Cardiac Stress Test | $1,386$1.2k$2.8k | $2,801 | $3,502 |
| 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) | $11,426$9.8k$24k | $23,622 | $29,527 |
| PET/CT Scan, Whole Body | $1,787$1.4k$4.0k | $4,020 | $5,025 |
| Pregnancy Ultrasound (Second or Third Trimester) | $145$100$792 | $794 | $993 |
| Prostate Biopsy | $1,988$1.5k$3.6k | $2,768 | $3,460 |
| PSA Prostate Cancer Screening | $19$18$64 | $64 | $80 |
| Pulmonary Function Test with Bronchodilator | $303$291$547 | $543 | $679 |
| Rotator Cuff Repair (Arthroscopic) | $6,916$6.7k$13k | $3,954 | $4,943 |
| Screening Mammogram | $99$83$245 | $245 | $307 |
| Septoplasty (Deviated Septum Repair) | $3,140$3.0k$5.7k | $1,590 | $1,988 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,702$6.5k$12k | $1,213 | $1,517 |
| Skin Biopsy (Tangential) | $210$187$421 | $422 | $528 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,569$1.5k$2.8k | $311 | $389 |
| Sleep Study (In-lab Polysomnography) | $1,017$957$2.9k | $2,879 | $3,599 |
| Spinal Cord Stimulator Trial | $6,487$6.2k$12k | $12,285 | $15,357 |
| Spirometry (Breathing Test) | $151$80$283 | $217 | $271 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,140$3.0k$5.7k | $746 | $933 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,727$5.6k$10k | $715 | $894 |
| Total Hip Replacement | $12,456$12k$23k | $5,006 | $6,258 |
| Total Knee Replacement | $12,456$12k$23k | $5,002 | $6,252 |
| Total Mastectomy | $6,313$6.1k$11k | $3,514 | $4,392 |
| TSH Thyroid Function Test | $18$17$55 | $55 | $69 |
| TURP (Transurethral Prostate Resection) | $4,921$4.8k$8.9k | $1,842 | $2,302 |
| Umbilical Hernia Repair | $854$854$1.0k | — | — |
| Upper GI Endoscopy (EGD) | $926$882$1.7k | $1,752 | $2,190 |
| Urinalysis with Microscopy | $3$3$26 | $26 | $32 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $3,177$2.2k$5.6k | $4,492 | $5,615 |
| Vaginal Delivery (Global Package) | $3,033$2.1k$5.4k | $4,552 | $5,690 |
| Vaginal Hysterectomy | $4,779$4.6k$8.7k | $2,087 | $2,609 |
| Vasectomy | $1,983$1.9k$3.6k | $892 | $1,115 |
| Vitamin D Blood Test | $31$30$86 | $86 | $108 |