| ACL Reconstruction (Arthroscopic) | $7,178$601$13k | $6,836 | $14,174 |
| Basic Metabolic Panel | $9$8$20 | $8 | $312 |
| Bone Marrow Biopsy | $1,634$58$2.9k | $1,555 | $5,372 |
| Breast Biopsy (Ultrasound-guided) | $1,634$447$2.9k | $1,555 | $4,483 |
| Bunion Correction Surgery | $3,237$334$6.4k | $3,082 | $11,473 |
| Cardiac Ablation for Atrial Fibrillation | $24,625$1.9k$46k | $24,624 | $69,107 |
| Cardiac Catheterization (Left Heart) | $3,207$1.7k$10k | $3,054 | $10,986 |
| Cardiac Stress Test (Treadmill) | $123$115$1.5k | — | $1,451 |
| Carpal Tunnel Release Surgery | $1,932$547$4.6k | $1,839 | $5,901 |
| Cataract Surgery with Lens Implant | $2,283$755$4.6k | $2,174 | $5,858 |
| Cervical Spinal Fusion (Anterior) | $2,825$2.7k$2.8k | $12,095 | $2,825 |
| Cesarean Delivery (Global Package) | $4,581 | — | $16,933 |
| Chemotherapy Infusion (First Hour) | $311$114$576 | $311 | $1,877 |
| Chest X-ray (2 Views) | $84$29$750 | $81 | $950 |
| Colonoscopy with Biopsy | $1,184$300$2.7k | $1,127 | $4,930 |
| Complete Abdominal Ultrasound | $130$60$750 | $98 | $1,949 |
| Complete Blood Count (CBC) with Differential | $8$7$19 | $7 | $119 |
| Comprehensive Metabolic Panel | $11$11$25 | $10 | $535 |
| Coronary Angioplasty with Stent | $10,876$1.0k$20k | $10,875 | $41,036 |
| Critical Care, First Hour | $817$122$4.2k | $778 | $4,817 |
| CT Abdomen and Pelvis with Contrast | $347$154$858 | $328 | $5,196 |
| CT Cardiac Calcium Scoring | $110$35$750 | $81 | $722 |
| CT Chest without Contrast | $135$60$750 | $98 | $4,614 |
| CT Head without Contrast | $118$60$750 | $98 | $4,732 |
| DEXA Bone Density Scan | $101$47$151 | $98 | $151 |
| Diagnostic Colonoscopy | $920$296$2.7k | $876 | $4,282 |
| Diagnostic Mammogram (Both Breasts) | $130$60$750 | $99 | $1,077 |
| Ear Tube Placement (Tympanostomy) | $1,535$312$3.1k | $1,461 | $5,665 |
| Echocardiogram (Complete with Doppler) | $515$162$1.6k | $514 | $3,907 |
| EKG (Electrocardiogram, 12-lead) | $29$28$349 | — | $349 |
| Emergency Room Visit (Level 3) | $270$58$1.3k | $257 | $1,435 |
| Hemoglobin A1c (Diabetes Test) | $10$10$23 | $9 | $184 |
| HIV Antibody Test | $9$7$21 | $8 | $2,454 |
| Home Sleep Study | $209$39$376 | $203 | $3,664 |
| Inguinal Hernia Repair (Open) | $3,542$581$6.4k | $3,373 | $11,252 |
| Initial Psychiatric Diagnostic Evaluation | $221$167$502 | $167 | $505 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $693$440$1.4k | $533 | $4,961 |
| IUD Removal | $301$186$1.1k | $287 | $1,126 |
| Knee Arthroscopy with Meniscectomy | $3,237$601$6.4k | $3,082 | $9,110 |
| Laparoscopic Appendectomy | $5,980$667$6.7k | $5,695 | $6,680 |
| Laparoscopic Gallbladder Removal | $5,980$581$10k | $5,695 | $10,132 |
| Laparoscopic Tubal Ligation | $5,980$581$10k | $5,695 | $10,205 |
| Lipid Panel (Cholesterol Test) | $14$13$32 | $13 | $296 |
| Lumbar Epidural Steroid Injection | $698$377$1.8k | $665 | $4,455 |
| Lumbar Puncture (Spinal Tap) | $698$167$1.8k | $665 | $3,117 |
| Lumbar Spinal Fusion (Posterior) | $8,169$3.2k$8.2k | $16,518 | $8,169 |
| Lumpectomy (Partial Mastectomy) | $3,873$801$6.8k | $3,688 | $8,945 |
| MRI Abdomen with and without Contrast | $452$207$1.2k | $328 | $7,467 |
| MRI Brain with and without Contrast | $423$207$1.2k | $328 | $6,155 |
| MRI Brain with Contrast | $373$207$1.2k | $328 | $5,582 |
| MRI Brain without Contrast | $252$131$1.2k | $224 | $5,586 |
| MRI Cervical Spine (Neck) without Contrast | $242$131$1.2k | $224 | $5,342 |
| MRI Knee without Contrast | $273$131$1.2k | $224 | $4,371 |
| MRI Lower Back (Lumbar Spine) without Contrast | $242$131$1.2k | $224 | $5,342 |
| MRI Thoracic Spine (Mid-back) without Contrast | $243$131$1.2k | $224 | $5,342 |
| Newborn Circumcision | $673$309$4.6k | — | $11,529 |
| Nuclear Cardiac Stress Test | $1,220$259$3.1k | $1,219 | $5,633 |
| Office Visit, Established Patient (Level 3) | $87 | — | $564 |
| Office Visit, New Patient (Level 3) | $106 | — | $564 |
| Pacemaker Insertion (Dual Chamber) | $10,339$1.0k$19k | $9,846 | $38,060 |
| PET/CT Scan, Whole Body | $1,415$750$3.5k | $1,347 | $9,373 |
| Pregnancy Ultrasound (Second or Third Trimester) | $131$60$750 | $98 | $1,917 |
| Prostate Biopsy | $2,456$492$3.5k | $1,889 | $5,595 |
| PSA Prostate Cancer Screening | $19$18$44 | $18 | $239 |
| Pulmonary Function Test with Bronchodilator | $360$64$707 | $351 | $707 |
| Rotator Cuff Repair (Arthroscopic) | $7,178$601$11k | $6,836 | $11,253 |
| Screening Mammogram | $107$72$750 | $82 | $983 |
| Septoplasty (Deviated Septum Repair) | $3,280$356$3.4k | $3,123 | $3,433 |
| Skin Biopsy (Tangential) | $402$126$920 | $382 | $920 |
| Sleep Study (In-lab Polysomnography) | $849$273$1.5k | $809 | $10,266 |
| Spinal Cord Stimulator Trial | $7,805$2.5k$12k | $6,004 | $32,452 |
| Spirometry (Breathing Test) | $209$40$311 | $203 | $311 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,280$514$5.8k | $3,123 | $6,352 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,577$514$7.8k | $5,577 | $7,751 |
| Total Hip Replacement | $14,010$2.7k$22k | $12,095 | $45,189 |
| Total Knee Replacement | $15,601$734$22k | $12,095 | $45,330 |
| Total Mastectomy | $6,315$1.2k$9.7k | $6,255 | $9,690 |
| TSH Thyroid Function Test | $18$16$40 | $16 | $306 |
| TURP (Transurethral Prostate Resection) | $5,304$867$9.3k | $5,051 | $9,715 |
| Upper GI Endoscopy (EGD) | $897$294$2.7k | $854 | $2,884 |
| Urinalysis with Microscopy | $3$3$8 | $3 | $59 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $1,408$1.4k$4.3k | — | $10,113 |
| Vaginal Delivery (Global Package) | $4,130 | — | $6,284 |
| Vitamin D Blood Test | $31$13$71 | $29 | $516 |