| Abdominal Hysterectomy | $1,179$696$2.4k | $1,582 | $4,520 |
| ACL Reconstruction (Arthroscopic) | $13,823$6.3k$15k | $2,405 | $6,870 |
| Allergy Skin Testing | $2,020$918$2.2k | $6 | $16 |
| Anesthesia for Screening Colonoscopy | $26$15$93 | — | $1 |
| Anesthesia for Upper Endoscopy | $26$15$93 | — | $1 |
| Basic Metabolic Panel | $20$6$61 | $25 | $53 |
| Bone Marrow Biopsy | $3,133$1.4k$3.3k | $206 | $589 |
| Breast Biopsy (Ultrasound-guided) | $3,133$1.4k$3.3k | $433 | $1,236 |
| Bunion Correction Surgery | $6,254$2.8k$6.7k | $933 | $2,667 |
| Cardiac Ablation for Atrial Fibrillation | $45,890$21k$49k | $1,001 | $2,860 |
| Cardiac Catheterization (Left Heart) | $6,296$2.9k$6.7k | $364 | $1,040 |
| Cardiac Stress Test (Treadmill) | $83$64$180 | $163 | $467 |
| Carpal Tunnel Release Surgery | $3,731$1.7k$4.0k | $677 | $1,935 |
| Cataract Surgery with Lens Implant | $4,503$2.0k$4.8k | $1,344 | $3,841 |
| Cervical Spinal Fusion (Anterior) | $25,429$12k$27k | $2,380 | $6,800 |
| Cesarean Delivery (Global Package) | $2,585$2.0k$4.1k | $2,520 | $7,200 |
| Chemotherapy Infusion (First Hour) | $694$297$1.4k | $694 | $1,477 |
| Chest X-ray (2 Views) | $180$80$371 | $180 | $382 |
| Colonoscopy with Biopsy | $2,293$1.0k$2.5k | $531 | $1,517 |
| Complete Abdominal Ultrasound | $589$97$1.2k | $589 | $1,254 |
| Complete Blood Count (CBC) with Differential | $22$7$67 | $32 | $69 |
| Comprehensive Metabolic Panel | $34$7$103 | $50 | $106 |
| Coronary Angioplasty with Stent | $21,256$9.7k$23k | $578 | $1,650 |
| Critical Care, First Hour | $1,707$779$3.4k | $1,671 | $3,556 |
| CT Abdomen and Pelvis with Contrast | $1,622$338$4.9k | $2,383 | $5,070 |
| CT Cardiac Calcium Scoring | $60$16$734 | $56 | $120 |
| CT Chest without Contrast | $734$97$2.2k | $1,069 | $2,274 |
| CT Head without Contrast | $650$97$1.9k | $937 | $1,993 |
| DEXA Bone Density Scan | $447$98$922 | $447 | $950 |
| Diagnostic Colonoscopy | $2,293$803$3.5k | $444 | $1,269 |
| Diagnostic Mammogram (Both Breasts) | $212$95$505 | $245 | $521 |
| Ear Tube Placement (Tympanostomy) | $2,947$1.3k$3.1k | $244 | $698 |
| Echocardiogram (Complete with Doppler) | $1,066$485$2.7k | $1,164 | $2,476 |
| EKG (Electrocardiogram, 12-lead) | $18$13$46 | $29 | $82 |
| Emergency Room Visit (Level 3) | $373$232$755 | $366 | $778 |
| Group Therapy Session | $172$78$184 | $42 | $120 |
| Hemodialysis Treatment | $118$69$260 | $145 | $415 |
| Hemoglobin A1c (Diabetes Test) | $34$8$104 | $40 | $86 |
| HIV Antibody Test | $80$8$242 | $117 | $249 |
| Holter Monitor (24-48 Hour Heart Monitor) | $82$61$230 | $182 | $519 |
| Home Sleep Study | $302$137$322 | $142 | $406 |
| Individual Therapy Session (45 Minutes) | $308$140$329 | $66 | $188 |
| Inguinal Hernia Repair (Open) | $6,685$3.0k$7.1k | $616 | $1,761 |
| Initial Hospital Admission (Level 1) | $76$52$130 | $76 | $218 |
| Initial Psychiatric Diagnostic Evaluation | $308$140$329 | $123 | $350 |
| Initial Psychiatric Evaluation with Medication Management | $308$140$329 | $133 | $380 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,137$517$1.2k | $376 | $1,075 |
| IUD Insertion | $94$47$184 | $120 | $342 |
| IUD Removal | $620$282$662 | $123 | $350 |
| Knee Arthroscopy with Meniscectomy | $6,254$2.8k$6.7k | $1,190 | $3,400 |
| Laparoscopic Appendectomy | $11,149$5.1k$12k | $683 | $1,950 |
| Laparoscopic Gallbladder Removal | $8,414$5.1k$12k | $1,017 | $2,906 |
| Laparoscopic Tubal Ligation | $11,149$5.1k$12k | $1,400 | $4,000 |
| Lipid Panel (Cholesterol Test) | $51$10$155 | $75 | $160 |
| Lumbar Epidural Steroid Injection | $1,012$607$2.0k | $991 | $2,109 |
| Lumbar Puncture (Spinal Tap) | $540$335$1.4k | $529 | $1,126 |
| Lumbar Spinal Fusion (Posterior) | $36,008$16k$38k | $3,308 | $9,450 |
| Lumpectomy (Partial Mastectomy) | $7,365$3.3k$7.9k | $875 | $2,500 |
| MRI Abdomen with and without Contrast | $1,570$338$4.8k | $2,306 | $4,906 |
| MRI Brain with and without Contrast | $1,049$338$3.2k | $1,537 | $3,270 |
| MRI Brain with Contrast | $937$338$2.8k | $1,349 | $2,870 |
| MRI Brain without Contrast | $704$215$2.0k | $964 | $2,050 |
| MRI Cervical Spine (Neck) without Contrast | $703$215$2.0k | $963 | $2,048 |
| MRI Knee without Contrast | $701$215$2.0k | $959 | $2,041 |
| MRI Lower Back (Lumbar Spine) without Contrast | $703$215$2.0k | $962 | $2,047 |
| MRI Thoracic Spine (Mid-back) without Contrast | $703$215$2.0k | $963 | $2,048 |
| Newborn Circumcision | $3,935$1.8k$4.2k | $228 | $650 |
| Nuclear Cardiac Stress Test | $3,048$1.2k$6.3k | $3,048 | $6,486 |
| Office Visit, Established Patient (Level 3) | $60$40$103 | $60 | $170 |
| Office Visit, New Patient (Level 3) | $87$56$150 | $87 | $249 |
| Pacemaker Insertion (Dual Chamber) | $20,632$9.4k$22k | $840 | $2,400 |
| PET/CT Scan, Whole Body | $3,023$1.4k$3.2k | $158 | $450 |
| Pregnancy Ultrasound (Second or Third Trimester) | $470$97$970 | $470 | $1,000 |
| Prostate Biopsy | $3,935$1.8k$4.2k | $233 | $667 |
| PSA Prostate Cancer Screening | $31$16$95 | $45 | $96 |
| Pulmonary Function Test with Bronchodilator | $468$276$945 | $458 | $974 |
| Rotator Cuff Repair (Arthroscopic) | $13,823$6.3k$15k | $1,780 | $5,086 |
| Screening Mammogram | $154$79$454 | $220 | $468 |
| Septoplasty (Deviated Septum Repair) | $6,221$2.8k$6.6k | $857 | $2,448 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $13,224$6.0k$14k | $748 | $2,136 |
| Skin Biopsy (Tangential) | $302$176$611 | $296 | $630 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,057$656$3.3k | $1,035 | $2,203 |
| Sleep Study (In-lab Polysomnography) | $2,020$918$2.2k | $591 | $1,689 |
| Spinal Cord Stimulator Trial | $8,935$5.5k$18k | $8,749 | $18,614 |
| Spirometry (Breathing Test) | $168$98$396 | $173 | $369 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $6,221$2.8k$6.6k | $429 | $1,227 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $11,315$5.1k$12k | $420 | $1,200 |
| Total Hip Replacement | $25,429$12k$27k | $2,155 | $6,157 |
| Total Knee Replacement | $25,429$12k$27k | $2,133 | $6,094 |
| Total Mastectomy | $12,600$5.7k$13k | $1,359 | $3,882 |
| TSH Thyroid Function Test | $48$14$146 | $71 | $151 |
| TURP (Transurethral Prostate Resection) | $9,998$4.5k$11k | $1,505 | $4,300 |
| Umbilical Hernia Repair | $1,097$366$1.3k | $640 | $1,828 |
| Upper GI Endoscopy (EGD) | $1,751$796$1.9k | $317 | $905 |
| Urinalysis with Microscopy | $23$3$69 | $24 | $50 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,283$1.9k$3.8k | $2,109 | $6,026 |
| Vaginal Delivery (Global Package) | $2,305$1.8k$3.7k | $2,345 | $6,700 |
| Vaginal Hysterectomy | $9,610$4.4k$10k | $1,545 | $4,413 |
| Vasectomy | $3,935$1.8k$4.2k | $525 | $1,500 |
| Vitamin D Blood Test | $89$23$269 | $99 | $211 |