| Abdominal Hysterectomy | $2,145$1.2k$3.1k | $2,313 | $3,304 |
| ACL Reconstruction (Arthroscopic) | $1,096$789$3.2k | $1,452 | $2,075 |
| Basic Metabolic Panel | $114$108$114 | $84 | $120 |
| Bone Marrow Biopsy | $2,493$74$2.5k | $1,132 | $1,618 |
| Breast Biopsy (Ultrasound-guided) | $2,922$166$3.0k | $1,593 | $2,276 |
| Bunion Correction Surgery | $1,557$611$2.5k | $1,845 | $2,636 |
| Cardiac Ablation for Atrial Fibrillation | $1,022$704$2.8k | $1,295 | $1,850 |
| Cardiac Catheterization (Left Heart) | $499$368$631 | $465 | $664 |
| Cardiac Stress Test (Treadmill) | $270$96$352 | $229 | $328 |
| Carpal Tunnel Release Surgery | $520$281$1.1k | $516 | $737 |
| Cervical Spinal Fusion (Anterior) | $1,916$1.9k$7.4k | $3,426 | $4,894 |
| Cesarean Delivery (Global Package) | $3,513$3.0k$4.1k | $2,995 | $4,279 |
| Chemotherapy Infusion (First Hour) | $374$1$526 | $278 | $342 |
| Chest X-ray (2 Views) | $536$508$536 | $395 | $564 |
| Colonoscopy with Biopsy | $582$224$940 | $693 | $989 |
| Complete Abdominal Ultrasound | $1,599$1.5k$1.6k | $1,178 | $1,683 |
| Complete Blood Count (CBC) with Differential | $51$18$70 | $38 | $54 |
| Comprehensive Metabolic Panel | $195$185$195 | $144 | $205 |
| Coronary Angioplasty with Stent | $926$588$1.3k | $931 | $1,331 |
| Critical Care, First Hour | $2,761$245$2.8k | $2,046 | $2,922 |
| CT Abdomen and Pelvis with Contrast | $2,567$2.4k$2.6k | $1,892 | $2,703 |
| CT Cardiac Calcium Scoring | $285$270$285 | $210 | $300 |
| CT Chest without Contrast | $2,567$2.4k$2.6k | $1,892 | $2,703 |
| CT Head without Contrast | $2,567$2.4k$2.6k | $1,892 | $2,703 |
| DEXA Bone Density Scan | $219$11$532 | $181 | $258 |
| Diagnostic Colonoscopy | $504$207$802 | $591 | $844 |
| Diagnostic Mammogram (Both Breasts) | $700$663$700 | $516 | $737 |
| Ear Tube Placement (Tympanostomy) | $843$180$1.4k | $810 | $1,156 |
| Echocardiogram (Complete with Doppler) | $1,519$91$1.6k | $653 | $933 |
| EKG (Electrocardiogram, 12-lead) | $71$20$76 | $54 | $77 |
| Emergency Room Visit (Level 3) | $709$85$850 | $522 | $746 |
| Group Therapy Session | $55$24$86 | $56 | $80 |
| Hemodialysis Treatment | $183$119$247 | $182 | $260 |
| Hemoglobin A1c (Diabetes Test) | $117$13$125 | $89 | $128 |
| HIV Antibody Test | $64$61$66 | $48 | $68 |
| Holter Monitor (24-48 Hour Heart Monitor) | $299$90$396 | $256 | $366 |
| Home Sleep Study | $204$60$348 | $256 | $366 |
| Individual Therapy Session (45 Minutes) | $152$91$177 | $113 | $162 |
| Inguinal Hernia Repair (Open) | $715$617$814 | $600 | $857 |
| Initial Hospital Admission (Level 1) | $98$91$183 | $135 | $192 |
| Initial Psychiatric Diagnostic Evaluation | $241$191$245 | $180 | $257 |
| Initial Psychiatric Evaluation with Medication Management | $245$232$245 | $180 | $258 |
| IUD Insertion | $197 | $145 | $207 |
| IUD Removal | $331$72$492 | $244 | $348 |
| Knee Arthroscopy with Meniscectomy | $673$634$2.7k | $1,240 | $1,772 |
| Laparoscopic Appendectomy | $703$355$1.4k | $654 | $934 |
| Laparoscopic Gallbladder Removal | $767$429$1.7k | $790 | $1,128 |
| Laparoscopic Tubal Ligation | $725$408$1.6k | $751 | $1,073 |
| Lipid Panel (Cholesterol Test) | $171$162$171 | $126 | $181 |
| Lumbar Epidural Steroid Injection | $1,554$113$2.3k | $1,045 | $1,493 |
| Lumbar Puncture (Spinal Tap) | $936$72$1.2k | $690 | $985 |
| Lumbar Spinal Fusion (Posterior) | $1,771$1.0k$4.1k | $1,879 | $2,685 |
| Lumpectomy (Partial Mastectomy) | $1,053$769$1.3k | $986 | $1,408 |
| MRI Abdomen with and without Contrast | $5,375$5.1k$5.4k | $3,960 | $5,658 |
| MRI Brain with and without Contrast | $5,375$5.1k$5.4k | $3,960 | $5,658 |
| MRI Brain with Contrast | $4,056$3.8k$4.1k | $2,989 | $4,270 |
| MRI Brain without Contrast | $4,056$3.8k$4.1k | $2,989 | $4,270 |
| MRI Cervical Spine (Neck) without Contrast | $2,403$914$4.1k | $1,850 | $2,642 |
| MRI Knee without Contrast | $3,721$3.5k$3.7k | $2,742 | $3,917 |
| MRI Lower Back (Lumbar Spine) without Contrast | $2,403$914$4.1k | $1,850 | $2,642 |
| MRI Thoracic Spine (Mid-back) without Contrast | $2,403$914$4.1k | $1,850 | $2,642 |
| Newborn Circumcision | $277$106$447 | $329 | $471 |
| Nuclear Cardiac Stress Test | $5,573$86$5.7k | $2,168 | $3,098 |
| Office Visit, Established Patient (Level 3) | $118$71$201 | $88 | $126 |
| Office Visit, New Patient (Level 3) | $112$76$223 | $116 | $166 |
| PET/CT Scan, Whole Body | $6,739$6.4k$6.7k | $4,966 | $7,094 |
| Pregnancy Ultrasound (Second or Third Trimester) | $326$1$652 | $240 | $343 |
| PSA Prostate Cancer Screening | $171$162$171 | $126 | $180 |
| Pulmonary Function Test with Bronchodilator | $442$1$615 | $215 | $149 |
| Rotator Cuff Repair (Arthroscopic) | $1,202$674$3.6k | $1,565 | $2,236 |
| Screening Mammogram | $341$301$635 | $251 | $359 |
| Septoplasty (Deviated Septum Repair) | $1,318$760$1.9k | $1,383 | $1,976 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $616$343$889 | $655 | $936 |
| Skin Biopsy (Tangential) | $355$1$374 | $226 | $252 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $858$95$876 | $416 | $595 |
| Sleep Study (In-lab Polysomnography) | $4,911$160$5.4k | $3,618 | $5,169 |
| Spinal Cord Stimulator Trial | $6,035$474$6.2k | $2,733 | $3,904 |
| Spirometry (Breathing Test) | $205$1$381 | $112 | $105 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $588$340$837 | $617 | $881 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $563$326$801 | $590 | $843 |
| Total Hip Replacement | $1,428$532$2.1k | $979 | $1,399 |
| Total Knee Replacement | $1,425$724$5.6k | $2,325 | $3,321 |
| Total Mastectomy | $1,113$529$2.1k | $973 | $1,391 |
| TSH Thyroid Function Test | $96$52$146 | $74 | $105 |
| Umbilical Hernia Repair | $1,158 | $854 | $1,219 |
| Upper GI Endoscopy (EGD) | $354$139$568 | $418 | $598 |
| Urinalysis with Microscopy | $44$42$44 | $33 | $47 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $3,414$2.1k$4.8k | $3,510 | $5,014 |
| Vaginal Delivery (Global Package) | $2,962$2.0k$3.9k | $2,906 | $4,152 |
| Vaginal Hysterectomy | $922$680$2.7k | $1,252 | $1,789 |
| Vasectomy | $607$273$942 | $694 | $992 |
| Vitamin D Blood Test | $276$262$276 | $204 | $291 |