| Abdominal Hysterectomy | $943$868$1.6k | $591 | $1,905 |
| ACL Reconstruction (Arthroscopic) | $6,596$6.1k$11k | $562 | $1,812 |
| Allergy Skin Testing | $1,382$568$1.9k | $618 | $1,992 |
| Anesthesia for Screening Colonoscopy | $15 | — | $1 |
| Anesthesia for Upper Endoscopy | $15 | — | $1 |
| Basic Metabolic Panel | $9$8$215 | $70 | $226 |
| Bone Marrow Biopsy | $1,513$572$2.5k | $623 | $2,008 |
| Breast Biopsy (Ultrasound-guided) | $2,356$1.2k$4.0k | $1,301 | $4,198 |
| Bunion Correction Surgery | $2,996$2.8k$5.1k | $494 | $1,592 |
| Cardiac Ablation for Atrial Fibrillation | $22,650$21k$39k | — | — |
| Cardiac Catheterization (Left Heart) | $2,970$2.7k$5.7k | — | — |
| Cardiac Stress Test (Treadmill) | $65$60$111 | — | — |
| Carpal Tunnel Release Surgery | $1,803$1.7k$3.1k | $255 | $824 |
| Cataract Surgery with Lens Implant | $2,106$1.9k$3.6k | — | — |
| Cervical Spinal Fusion (Anterior) | $11,879$11k$20k | — | — |
| Cesarean Delivery (Global Package) | $2,472$2.3k$4.2k | $1,557 | $5,022 |
| Chemotherapy Infusion (First Hour) | $459$282$1.2k | $375 | $1,209 |
| Chest X-ray (2 Views) | $122$68$228 | $74 | $239 |
| Colonoscopy with Biopsy | $1,089$1.0k$2.3k | $241 | $776 |
| Complete Abdominal Ultrasound | $162$90$1.5k | $501 | $1,616 |
| Complete Blood Count (CBC) with Differential | $8$7$71 | $23 | $75 |
| Comprehensive Metabolic Panel | $11$10$231 | $75 | $242 |
| Coronary Angioplasty with Stent | $10,470$9.6k$18k | — | — |
| Critical Care, First Hour | $1,109$700$2.4k | $794 | $2,563 |
| CT Abdomen and Pelvis with Contrast | $530$303$6.1k | $1,991 | $6,423 |
| CT Cardiac Calcium Scoring | $122$53$530 | $58 | $187 |
| CT Chest without Contrast | $162$90$2.1k | $697 | $2,250 |
| CT Head without Contrast | $160$90$2.1k | $697 | $2,250 |
| DEXA Bone Density Scan | $157$90$609 | $198 | $639 |
| Diagnostic Colonoscopy | $842$774$1.9k | $190 | $613 |
| Diagnostic Mammogram (Both Breasts) | $208$128$567 | $185 | $596 |
| Ear Tube Placement (Tympanostomy) | $1,368$1.3k$2.3k | $91 | $295 |
| Echocardiogram (Complete with Doppler) | $759$466$1.6k | $535 | $1,725 |
| EKG (Electrocardiogram, 12-lead) | $13$12$22 | $8 | $27 |
| Emergency Room Visit (Level 3) | $403$192$700 | $208 | $672 |
| Group Therapy Session | $85$79$145 | — | — |
| Hemodialysis Treatment | $95$87$161 | — | — |
| Hemoglobin A1c (Diabetes Test) | $10$9$328 | $107 | $344 |
| HIV Antibody Test | $9$8$15 | $4 | $13 |
| Holter Monitor (24-48 Hour Heart Monitor) | $61$57$104 | — | — |
| Home Sleep Study | $144$133$401 | — | — |
| Individual Therapy Session (45 Minutes) | $148$136$252 | $61 | $198 |
| Inguinal Hernia Repair (Open) | $3,258$3.0k$5.5k | $303 | $978 |
| Initial Hospital Admission (Level 1) | $76$70$126 | $48 | $155 |
| Initial Psychiatric Diagnostic Evaluation | $148$136$252 | $61 | $198 |
| Initial Psychiatric Evaluation with Medication Management | $148$136$252 | $61 | $198 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $881$491$3.7k | $1,210 | $3,903 |
| IUD Insertion | $106$40$164 | $43 | $140 |
| IUD Removal | $433$183$611 | $199 | $642 |
| Knee Arthroscopy with Meniscectomy | $2,996$2.8k$5.1k | $312 | $1,008 |
| Laparoscopic Appendectomy | $5,387$5.0k$9.2k | $349 | $1,126 |
| Laparoscopic Gallbladder Removal | $5,387$5.0k$9.2k | $383 | $1,235 |
| Laparoscopic Tubal Ligation | $5,387$5.0k$9.2k | $380 | $1,225 |
| Lipid Panel (Cholesterol Test) | $14$12$175 | $57 | $183 |
| Lumbar Epidural Steroid Injection | $639$588$1.1k | — | — |
| Lumbar Puncture (Spinal Tap) | $959$394$1.3k | $429 | $1,384 |
| Lumbar Spinal Fusion (Posterior) | $16,979$16k$29k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,535$3.3k$6.0k | $382 | $1,233 |
| MRI Abdomen with and without Contrast | $544$303$4.4k | $1,419 | $4,579 |
| MRI Brain with and without Contrast | $544$303$5.6k | $1,814 | $5,852 |
| MRI Brain with Contrast | $544$303$3.0k | $987 | $3,183 |
| MRI Brain without Contrast | $368$205$3.2k | $1,054 | $3,399 |
| MRI Cervical Spine (Neck) without Contrast | $368$205$3.2k | $1,055 | $3,402 |
| MRI Knee without Contrast | $368$205$2.1k | $679 | $2,191 |
| MRI Lower Back (Lumbar Spine) without Contrast | $368$205$3.8k | $1,231 | $3,970 |
| MRI Thoracic Spine (Mid-back) without Contrast | $368$205$3.2k | $1,038 | $3,350 |
| Newborn Circumcision | $1,816$52$3.2k | $57 | $183 |
| Nuclear Cardiac Stress Test | $1,808$1.1k$4.4k | $1,443 | $4,656 |
| Office Visit, Established Patient (Level 3) | $83$77$142 | $52 | $168 |
| Office Visit, New Patient (Level 3) | $102$94$174 | $64 | $206 |
| Pacemaker Insertion (Dual Chamber) | $9,662$8.9k$16k | — | — |
| PET/CT Scan, Whole Body | $2,222$1.2k$8.1k | $2,648 | $8,542 |
| Pregnancy Ultrasound (Second or Third Trimester) | $162$90$1.7k | $563 | $1,816 |
| Prostate Biopsy | $1,891$1.7k$3.2k | $135 | $437 |
| PSA Prostate Cancer Screening | $19$17$313 | $102 | $329 |
| Pulmonary Function Test with Bronchodilator | $388$156$521 | $169 | $547 |
| Rotator Cuff Repair (Arthroscopic) | $6,596$6.1k$11k | $616 | $1,986 |
| Screening Mammogram | $168$103$499 | $162 | $524 |
| Septoplasty (Deviated Septum Repair) | $2,994$2.8k$5.1k | $382 | $1,233 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,391$5.9k$11k | $187 | $602 |
| Skin Biopsy (Tangential) | $270$109$363 | $118 | $382 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,193$881$2.9k | $958 | $3,090 |
| Sleep Study (In-lab Polysomnography) | $1,273$864$4.1k | $1,333 | $4,300 |
| Spinal Cord Stimulator Trial | $6,059$5.6k$10k | — | — |
| Spirometry (Breathing Test) | $238$133$824 | $268 | $865 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $2,994$2.8k$5.1k | $176 | $568 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,462$5.0k$9.3k | $169 | $544 |
| Total Hip Replacement | $11,879$11k$20k | $740 | $2,387 |
| Total Knee Replacement | $11,879$11k$20k | $739 | $2,383 |
| Total Mastectomy | $6,021$5.5k$10k | $555 | $1,789 |
| TSH Thyroid Function Test | $17$15$263 | $86 | $276 |
| TURP (Transurethral Prostate Resection) | $4,694$4.3k$8.0k | $421 | $1,358 |
| Upper GI Endoscopy (EGD) | $866$796$1.5k | $159 | $514 |
| Urinalysis with Microscopy | $3$3$74 | $24 | $78 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,332$2.1k$4.0k | — | — |
| Vaginal Delivery (Global Package) | $2,225$2.0k$3.8k | $1,400 | $4,515 |
| Vaginal Hysterectomy | $4,558$4.2k$7.7k | $496 | $1,600 |
| Vasectomy | $1,891$1.7k$3.2k | $188 | $608 |
| Vitamin D Blood Test | $30$27$175 | $57 | $183 |