| Abdominal Hysterectomy | $921$696$1.2k | $1,035 | $2,202 |
| ACL Reconstruction (Arthroscopic) | $6,654$6.7k$14k | $1,167 | $2,482 |
| Allergy Skin Testing | $973$973$2.0k | $4 | $8 |
| Basic Metabolic Panel | $8$6$96 | $14 | $111 |
| Bone Marrow Biopsy | $2,262$1.5k$13k | $1,983 | $15,254 |
| Breast Biopsy (Ultrasound-guided) | $2,048$300$14k | $2,048 | $15,755 |
| Bunion Correction Surgery | $3,011$3.0k$6.3k | $877 | $1,867 |
| Cardiac Ablation for Atrial Fibrillation | $33,137$21k$150k | $22,699 | $174,606 |
| Cardiac Catheterization (Left Heart) | $4,592$3.0k$30k | $4,592 | $35,321 |
| Cardiac Stress Test (Treadmill) | $64$42$121 | $94 | $199 |
| Carpal Tunnel Release Surgery | $1,796$1.8k$3.8k | $557 | $1,186 |
| Cataract Surgery with Lens Implant | $2,168$2.2k$4.6k | $759 | $1,614 |
| Cervical Spinal Fusion (Anterior) | $12,242$12k$26k | $2,285 | $4,862 |
| Cesarean Delivery (Global Package) | $2,421$2.4k$2.7k | $2,673 | $5,687 |
| Chemotherapy Infusion (First Hour) | $504$315$3.3k | $506 | $3,891 |
| Chest X-ray (2 Views) | $126$58$418 | $63 | $486 |
| Colonoscopy with Biopsy | $1,098$1.1k$2.3k | $439 | $935 |
| Complete Abdominal Ultrasound | $164$102$1.1k | $165 | $1,267 |
| Complete Blood Count (CBC) with Differential | $8$2$110 | $9 | $73 |
| Comprehensive Metabolic Panel | $11$7$119 | $18 | $138 |
| Coronary Angioplasty with Stent | $10,233$10k$21k | $532 | $1,132 |
| Critical Care, First Hour | $1,320$613$4.4k | $664 | $5,106 |
| CT Abdomen and Pelvis with Contrast | $880$358$6.3k | $953 | $7,330 |
| CT Cardiac Calcium Scoring | $85$7$1.1k | $8 | $61 |
| CT Chest without Contrast | $292$102$2.1k | $306 | $2,355 |
| CT Head without Contrast | $458$102$3.3k | $496 | $3,819 |
| DEXA Bone Density Scan | $104$35$300 | $38 | $295 |
| Diagnostic Colonoscopy | $850$850$1.8k | $344 | $731 |
| Diagnostic Mammogram (Both Breasts) | $311$107$991 | $150 | $1,154 |
| Ear Tube Placement (Tympanostomy) | $1,419$1.4k$3.0k | $168 | $357 |
| Echocardiogram (Complete with Doppler) | $983$513$6.5k | $965 | $7,421 |
| EKG (Electrocardiogram, 12-lead) | $13$13$25 | $17 | $37 |
| Emergency Room Visit (Level 3) | $398$261$1.9k | $283 | $2,174 |
| Group Therapy Session | $83$83$174 | $25 | $53 |
| Hemodialysis Treatment | $92$92$141 | $111 | $237 |
| Hemoglobin A1c (Diabetes Test) | $10$8$190 | $29 | $221 |
| HIV Antibody Test | $9$8$16 | $13 | $28 |
| Holter Monitor (24-48 Hour Heart Monitor) | $61$61$141 | $89 | $190 |
| Home Sleep Study | $145$145$305 | $173 | $368 |
| Individual Therapy Session (45 Minutes) | $148$148$311 | $94 | $199 |
| Inguinal Hernia Repair (Open) | $3,218$3.2k$6.8k | $533 | $1,135 |
| Initial Hospital Admission (Level 1) | $74$52$117 | $90 | $192 |
| Initial Psychiatric Diagnostic Evaluation | $148$148$311 | $163 | $346 |
| Initial Psychiatric Evaluation with Medication Management | $148$148$311 | $181 | $386 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $548$548$1.1k | — | — |
| IUD Insertion | $64$59$111 | $111 | $237 |
| IUD Removal | $298$298$627 | $111 | $237 |
| Knee Arthroscopy with Meniscectomy | $3,011$3.0k$6.3k | $731 | $1,555 |
| Laparoscopic Appendectomy | $5,367$5.4k$11k | $615 | $1,308 |
| Laparoscopic Gallbladder Removal | $5,367$5.4k$11k | $675 | $1,436 |
| Laparoscopic Tubal Ligation | $5,367$5.4k$11k | $668 | $1,422 |
| Lipid Panel (Cholesterol Test) | $13$10$166 | $25 | $193 |
| Lumbar Epidural Steroid Injection | $1,029$257$7.8k | $727 | $5,591 |
| Lumbar Puncture (Spinal Tap) | $800$357$2.6k | $386 | $2,972 |
| Lumbar Spinal Fusion (Posterior) | $17,334$17k$36k | $1,995 | $4,244 |
| Lumpectomy (Partial Mastectomy) | $3,545$3.5k$7.4k | $673 | $1,431 |
| MRI Abdomen with and without Contrast | $609$358$4.4k | $659 | $5,072 |
| MRI Brain with and without Contrast | $631$358$4.5k | $683 | $5,255 |
| MRI Brain with Contrast | $573$358$4.1k | $621 | $4,778 |
| MRI Brain without Contrast | $525$228$3.8k | $569 | $4,378 |
| MRI Cervical Spine (Neck) without Contrast | $521$228$3.7k | $565 | $4,345 |
| MRI Knee without Contrast | $525$228$3.8k | $569 | $4,378 |
| MRI Lower Back (Lumbar Spine) without Contrast | $522$228$3.7k | $565 | $4,347 |
| MRI Thoracic Spine (Mid-back) without Contrast | $520$228$3.7k | $563 | $4,333 |
| Newborn Circumcision | $192$61$4.0k | $66 | $511 |
| Nuclear Cardiac Stress Test | $1,981$1.3k$13k | $1,940 | $14,925 |
| Office Visit, Established Patient (Level 3) | $60$43$81 | $81 | $172 |
| Office Visit, New Patient (Level 3) | $79$74$100 | $100 | $212 |
| Pacemaker Insertion (Dual Chamber) | $14,899$9.9k$83k | $12,594 | $96,876 |
| PET/CT Scan, Whole Body | $2,183$1.3k$9.3k | $1,413 | $10,867 |
| Pregnancy Ultrasound (Second or Third Trimester) | $102$38$300 | $41 | $316 |
| Prostate Biopsy | $1,895$1.9k$4.0k | $242 | $514 |
| PSA Prostate Cancer Screening | $18$2$280 | $22 | $171 |
| Pulmonary Function Test with Bronchodilator | $388$180$1.3k | $195 | $1,502 |
| Rotator Cuff Repair (Arthroscopic) | $6,654$6.7k$14k | $1,389 | $2,955 |
| Screening Mammogram | $194$81$577 | $87 | $672 |
| Septoplasty (Deviated Septum Repair) | $2,995$3.0k$6.3k | $678 | $1,443 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,366$6.4k$13k | $409 | $871 |
| Skin Biopsy (Tangential) | $191$89$634 | $96 | $738 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,508$1.5k$3.2k | $126 | $268 |
| Sleep Study (In-lab Polysomnography) | $1,556$973$11k | $1,656 | $12,740 |
| Spinal Cord Stimulator Trial | $8,671$4.0k$29k | $4,359 | $33,531 |
| Spirometry (Breathing Test) | $205$95$681 | $103 | $792 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $2,995$3.0k$6.3k | $306 | $651 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,447$5.4k$11k | $293 | $624 |
| Total Hip Replacement | $12,242$12k$26k | $1,493 | $3,177 |
| Total Knee Replacement | $12,242$12k$26k | $1,680 | $3,574 |
| Total Mastectomy | $6,066$6.1k$13k | $976 | $2,077 |
| TSH Thyroid Function Test | $37$14$245 | $37 | $282 |
| TURP (Transurethral Prostate Resection) | $4,813$4.8k$10k | $738 | $1,570 |
| Umbilical Hernia Repair | $422$388$456 | $456 | $970 |
| Upper GI Endoscopy (EGD) | $843$843$1.8k | $299 | $636 |
| Urinalysis with Microscopy | $3$3$46 | $7 | $53 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,283$2.2k$2.5k | $2,531 | $5,385 |
| Vaginal Delivery (Global Package) | $2,178$2.1k$2.4k | $2,422 | $5,153 |
| Vaginal Hysterectomy | $4,626$4.6k$9.7k | $860 | $1,829 |
| Vasectomy | $1,895$1.9k$4.0k | $334 | $711 |
| Vitamin D Blood Test | $30$23$397 | $60 | $462 |