| Abdominal Hysterectomy | $816$138$918 | $765 | $1,020 |
| ACL Reconstruction (Arthroscopic) | $792$134$891 | $743 | $990 |
| Allergy Skin Testing | $6$1$6 | $5 | $7 |
| Bone Marrow Biopsy | $133$22$149 | $125 | $166 |
| Breast Biopsy (Ultrasound-guided) | $506$85$569 | $474 | $632 |
| Bunion Correction Surgery | $605$102$680 | $567 | $756 |
| Cardiac Ablation for Atrial Fibrillation | $916$155$1.0k | $859 | $1,145 |
| Cardiac Catheterization (Left Heart) | $834$141$939 | $782 | $1,043 |
| Cardiac Stress Test (Treadmill) | $61$10$68 | $57 | $76 |
| Carpal Tunnel Release Surgery | $342$58$384 | $320 | $427 |
| Cataract Surgery with Lens Implant | $512$86$576 | $480 | $640 |
| Cervical Spinal Fusion (Anterior) | $1,374$232$1.5k | $1,289 | $1,718 |
| Cesarean Delivery (Global Package) | $1,853$313$2.1k | $1,737 | $2,316 |
| Chemotherapy Infusion (First Hour) | $104$18$117 | $98 | $130 |
| Chest X-ray (2 Views) | $152$25$173 | $142 | $189 |
| Colonoscopy with Biopsy | $366$62$411 | $343 | $457 |
| Complete Abdominal Ultrasound | $102$16$304 | $172 | $229 |
| Complete Blood Count (CBC) with Differential | $10$1$83 | $38 | $50 |
| Comprehensive Metabolic Panel | $13$1$110 | $50 | $66 |
| Coronary Angioplasty with Stent | $491$83$553 | $461 | $614 |
| Critical Care, First Hour | $222$37$249 | $208 | $277 |
| CT Abdomen and Pelvis with Contrast | $292$41$2.1k | $981 | $1,309 |
| CT Cardiac Calcium Scoring | $78$13$88 | $74 | $98 |
| CT Chest without Contrast | $148$24$608 | $319 | $425 |
| CT Head without Contrast | $99$15$605 | $294 | $392 |
| DEXA Bone Density Scan | $32$5$36 | $30 | $40 |
| Diagnostic Colonoscopy | $307$52$346 | $288 | $384 |
| Diagnostic Mammogram (Both Breasts) | $127$21$143 | $119 | $159 |
| Ear Tube Placement (Tympanostomy) | $130$22$146 | $122 | $162 |
| Echocardiogram (Complete with Doppler) | $201$30$1.3k | $643 | $857 |
| EKG (Electrocardiogram, 12-lead) | $18$3$50 | $29 | $38 |
| Emergency Room Visit (Level 3) | $61$9$272 | $114 | $152 |
| Group Therapy Session | $22$4$24 | $20 | $27 |
| Hemodialysis Treatment | $86$14$96 | $80 | $107 |
| Hemoglobin A1c (Diabetes Test) | $12$2$66 | $33 | $43 |
| HIV Antibody Test | $53$9$59 | $49 | $66 |
| Holter Monitor (24-48 Hour Heart Monitor) | $72$12$81 | $68 | $90 |
| Home Sleep Study | $132$22$149 | $124 | $165 |
| Individual Therapy Session (45 Minutes) | $72$12$137 | $90 | $120 |
| Inguinal Hernia Repair (Open) | $418$70$470 | $392 | $522 |
| Initial Hospital Admission (Level 1) | $85$14$136 | $94 | $125 |
| Initial Psychiatric Diagnostic Evaluation | $112$18$219 | $142 | $189 |
| Initial Psychiatric Evaluation with Medication Management | $121$20$136 | $113 | $151 |
| IUD Removal | $110$19$124 | $104 | $138 |
| Knee Arthroscopy with Meniscectomy | $434$73$488 | $407 | $542 |
| Laparoscopic Appendectomy | $482$81$543 | $452 | $603 |
| Laparoscopic Gallbladder Removal | $529$89$595 | $496 | $661 |
| Laparoscopic Tubal Ligation | $523$88$589 | $491 | $654 |
| Lipid Panel (Cholesterol Test) | $14$2$89 | $43 | $58 |
| Lumbar Puncture (Spinal Tap) | $126$21$142 | $119 | $158 |
| Lumbar Spinal Fusion (Posterior) | $1,277$215$1.4k | $1,197 | $1,596 |
| Lumpectomy (Partial Mastectomy) | $521$88$586 | $488 | $651 |
| MRI Abdomen with and without Contrast | $391$66$440 | $367 | $489 |
| MRI Brain with and without Contrast | $1,654$279$1.9k | $1,550 | $2,067 |
| MRI Brain with Contrast | $248$42$279 | $233 | $310 |
| MRI Brain without Contrast | $1,118$189$1.3k | $1,049 | $1,398 |
| MRI Cervical Spine (Neck) without Contrast | $174$29$195 | $163 | $217 |
| MRI Knee without Contrast | $182$31$205 | $171 | $228 |
| MRI Lower Back (Lumbar Spine) without Contrast | $173$29$194 | $162 | $216 |
| MRI Thoracic Spine (Mid-back) without Contrast | $174$29$195 | $163 | $217 |
| Newborn Circumcision | $123$21$139 | $116 | $154 |
| Nuclear Cardiac Stress Test | $376$63$423 | $353 | $470 |
| Office Visit, Established Patient (Level 3) | $74$12$123 | $85 | $113 |
| Office Visit, New Patient (Level 3) | $107$18$151 | $111 | $149 |
| Pacemaker Insertion (Dual Chamber) | $430$73$483 | $403 | $537 |
| PET/CT Scan, Whole Body | $101$17$113 | $95 | $126 |
| Pregnancy Ultrasound (Second or Third Trimester) | $119$19$304 | $179 | $239 |
| Prostate Biopsy | $174$29$195 | $163 | $217 |
| PSA Prostate Cancer Screening | $18$3$123 | $59 | $78 |
| Pulmonary Function Test with Bronchodilator | $48$8$54 | $45 | $60 |
| Rotator Cuff Repair (Arthroscopic) | $850$144$957 | $797 | $1,063 |
| Screening Mammogram | $104$18$117 | $98 | $130 |
| Septoplasty (Deviated Septum Repair) | $495$84$557 | $464 | $619 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $326$55$366 | $305 | $407 |
| Skin Biopsy (Tangential) | $102$17$114 | $95 | $127 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $140$24$158 | $131 | $175 |
| Sleep Study (In-lab Polysomnography) | $481$81$541 | $451 | $601 |
| Spinal Cord Stimulator Trial | $1,040$176$1.2k | $975 | $1,300 |
| Spirometry (Breathing Test) | $40$7$45 | $38 | $50 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $245$41$275 | $230 | $306 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $236$40$266 | $221 | $295 |
| Total Hip Replacement | $1,094$185$1.2k | $1,025 | $1,367 |
| Total Knee Replacement | $1,094$185$1.2k | $1,025 | $1,367 |
| Total Mastectomy | $807$136$908 | $757 | $1,009 |
| TSH Thyroid Function Test | $18$2$136 | $63 | $84 |
| TURP (Transurethral Prostate Resection) | $690$117$777 | $647 | $863 |
| Umbilical Hernia Repair | $356$60$401 | $334 | $445 |
| Upper GI Endoscopy (EGD) | $248$42$279 | $233 | $310 |
| Urinalysis with Microscopy | $4$1$21 | $10 | $13 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $1,757$296$2.0k | $1,647 | $2,196 |
| Vaginal Delivery (Global Package) | $1,678$283$1.9k | $1,574 | $2,098 |
| Vaginal Hysterectomy | $666$112$749 | $624 | $832 |
| Vasectomy | $294$48$340 | $276 | $368 |
| Vitamin D Blood Test | $176$30$198 | $165 | $220 |