| Abdominal Hysterectomy | $7,413 | $2,521 | $3,151 |
| ACL Reconstruction (Arthroscopic) | $7,501$6.9k$18k | $3,624 | $4,530 |
| Allergy Skin Testing | $1,068$980$2.6k | $13 | $16 |
| Basic Metabolic Panel | $13$8$37 | $69 | $86 |
| Bone Marrow Biopsy | $1,653$557$4.2k | $2,553 | $3,191 |
| Breast Biopsy (Ultrasound-guided) | $2,094$1.5k$4.9k | $6,732 | $8,415 |
| Bunion Correction Surgery | $3,407$3.1k$8.3k | $3,404 | $4,256 |
| Cardiac Ablation for Atrial Fibrillation | $25,391$12k$63k | $36,947 | $46,184 |
| Cardiac Catheterization (Left Heart) | $4,414$3.1k$8.3k | $14,262 | $17,828 |
| Cardiac Stress Test (Treadmill) | $146$66$202 | $168 | $210 |
| Carpal Tunnel Release Surgery | $2,050$1.9k$5.0k | $1,604 | $2,006 |
| Cataract Surgery with Lens Implant | $2,395$2.2k$5.9k | $2,036 | $2,546 |
| Cervical Spinal Fusion (Anterior) | $13,510$12k$33k | $4,081 | $5,101 |
| Cesarean Delivery (Global Package) | $3,369$2.3k$5.9k | $4,739 | $5,924 |
| Chemotherapy Infusion (First Hour) | $395$320$852 | $1,137 | $1,422 |
| Chest X-ray (2 Views) | $112$85$226 | $339 | $423 |
| Colonoscopy with Biopsy | $1,238$1.1k$3.0k | $1,047 | $1,309 |
| Complete Abdominal Ultrasound | $196$102$644 | $1,189 | $1,487 |
| Complete Blood Count (CBC) with Differential | $10$8$18 | $34 | $42 |
| Comprehensive Metabolic Panel | $16$11$37 | $69 | $86 |
| Coronary Angioplasty with Stent | $11,737$4.2k$29k | $12,786 | $15,983 |
| Critical Care, First Hour | $1,166$812$2.2k | $3,795 | $4,743 |
| CT Abdomen and Pelvis with Contrast | $659$344$2.8k | $5,233 | $6,541 |
| CT Cardiac Calcium Scoring | $92$41$226 | $124 | $155 |
| CT Chest without Contrast | $196$102$1.1k | $2,079 | $2,598 |
| CT Head without Contrast | $196$102$1.2k | $2,155 | $2,694 |
| DEXA Bone Density Scan | $160$102$302 | $558 | $697 |
| Diagnostic Colonoscopy | $957$878$2.3k | $814 | $1,017 |
| Diagnostic Mammogram (Both Breasts) | $127$101$253 | $413 | $517 |
| Ear Tube Placement (Tympanostomy) | $1,555$1.4k$3.8k | $581 | $726 |
| Echocardiogram (Complete with Doppler) | $685$528$1.4k | $2,021 | $2,526 |
| EKG (Electrocardiogram, 12-lead) | $29$13$43 | $38 | $47 |
| Emergency Room Visit (Level 3) | $291$14$711 | $633 | $791 |
| Group Therapy Session | $136$89$435 | $586 | $733 |
| Hemodialysis Treatment | $187$94$276 | $235 | $294 |
| Hemoglobin A1c (Diabetes Test) | $11$10$19 | $34 | $42 |
| HIV Antibody Test | $13$9$26 | $49 | $61 |
| Holter Monitor (24-48 Hour Heart Monitor) | $141$63$235 | $254 | $317 |
| Home Sleep Study | $289$151$735 | $1,357 | $1,697 |
| Individual Therapy Session (45 Minutes) | $169$103$413 | $314 | $392 |
| Inguinal Hernia Repair (Open) | $3,706$3.4k$9.1k | $1,916 | $2,396 |
| Initial Hospital Admission (Level 1) | $136$75$226 | $182 | $227 |
| Initial Psychiatric Diagnostic Evaluation | $170$153$413 | $468 | $585 |
| Initial Psychiatric Evaluation with Medication Management | $170$153$413 | $468 | $585 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $890$557$1.7k | $3,151 | $3,938 |
| IUD Insertion | $108$61$146 | $239 | $298 |
| IUD Removal | $315$64$781 | $194 | $243 |
| Knee Arthroscopy with Meniscectomy | $3,407$3.1k$8.3k | $1,994 | $2,493 |
| Laparoscopic Appendectomy | $6,126$5.6k$15k | $1,473 | $1,841 |
| Laparoscopic Gallbladder Removal | $6,126$5.6k$15k | $1,614 | $2,018 |
| Laparoscopic Tubal Ligation | $6,126$5.6k$15k | $2,438 | $3,048 |
| Lipid Panel (Cholesterol Test) | $18$13$37 | $69 | $86 |
| Lumbar Epidural Steroid Injection | $891$667$1.8k | $2,706 | $3,382 |
| Lumbar Puncture (Spinal Tap) | $717$395$1.8k | $1,206 | $1,508 |
| Lumbar Spinal Fusion (Posterior) | $19,310$18k$47k | $3,842 | $4,803 |
| Lumpectomy (Partial Mastectomy) | $4,021$3.7k$9.8k | $2,406 | $3,008 |
| MRI Abdomen with and without Contrast | $659$344$2.8k | $5,170 | $6,462 |
| MRI Brain with and without Contrast | $659$344$3.2k | $5,847 | $7,309 |
| MRI Brain with Contrast | $659$344$2.3k | $4,166 | $5,208 |
| MRI Brain without Contrast | $446$233$2.2k | $4,049 | $5,061 |
| MRI Cervical Spine (Neck) without Contrast | $446$233$1.9k | $3,575 | $4,469 |
| MRI Knee without Contrast | $446$233$1.9k | $3,573 | $4,466 |
| MRI Lower Back (Lumbar Spine) without Contrast | $446$233$2.2k | $4,099 | $5,124 |
| MRI Thoracic Spine (Mid-back) without Contrast | $446$233$1.7k | $3,091 | $3,863 |
| Newborn Circumcision | $2,120$1.2k$5.3k | $3,788 | $4,735 |
| Nuclear Cardiac Stress Test | $1,410$1.3k$3.4k | $3,943 | $4,929 |
| 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) | $10,832$6.4k$27k | $19,414 | $24,268 |
| PET/CT Scan, Whole Body | $2,009$1.4k$3.7k | $6,512 | $8,139 |
| Pregnancy Ultrasound (Second or Third Trimester) | $196$102$504 | $932 | $1,165 |
| Prostate Biopsy | $2,120$733$5.3k | $2,238 | $2,798 |
| PSA Prostate Cancer Screening | $20$18$37 | $64 | $80 |
| Pulmonary Function Test with Bronchodilator | $327$236$800 | $721 | $901 |
| Rotator Cuff Repair (Arthroscopic) | $7,501$6.9k$18k | $3,954 | $4,943 |
| Screening Mammogram | $103$83$200 | $327 | $409 |
| Septoplasty (Deviated Septum Repair) | $3,405$3.1k$8.3k | $1,590 | $1,988 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,269$6.7k$18k | $1,213 | $1,517 |
| Skin Biopsy (Tangential) | $209$181$510 | $554 | $692 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,677$422$4.2k | $1,290 | $1,612 |
| Sleep Study (In-lab Polysomnography) | $1,157$980$2.6k | $4,779 | $5,973 |
| Spinal Cord Stimulator Trial | $6,891$6.3k$17k | $4,646 | $5,808 |
| Spirometry (Breathing Test) | $164$112$402 | $341 | $426 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,405$3.1k$8.3k | $746 | $933 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,211$5.7k$15k | $715 | $894 |
| Total Hip Replacement | $13,510$12k$33k | $5,006 | $6,258 |
| Total Knee Replacement | $13,510$12k$33k | $5,002 | $6,252 |
| Total Mastectomy | $6,848$6.3k$17k | $3,514 | $4,392 |
| TSH Thyroid Function Test | $18$17$34 | $55 | $69 |
| TURP (Transurethral Prostate Resection) | $5,338$4.9k$13k | $1,842 | $2,302 |
| Umbilical Hernia Repair | $854$854$1.0k | — | — |
| Upper GI Endoscopy (EGD) | $970$527$2.4k | $1,610 | $2,013 |
| Urinalysis with Microscopy | $5$3$14 | $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 | $5,183$4.8k$13k | $2,087 | $2,609 |
| Vasectomy | $2,151$2.0k$5.3k | $892 | $1,115 |
| Vitamin D Blood Test | $31$28$59 | $86 | $108 |