| Abdominal Hysterectomy | $667$654$680 | $2,627 | $5,254 |
| ACL Reconstruction (Arthroscopic) | $6,967$630$11k | $11,163 | $22,326 |
| Allergy Skin Testing | $5$3$6 | $15 | $30 |
| Basic Metabolic Panel | $8$5$69 | $42 | $84 |
| Bone Marrow Biopsy | $1,580$44$2.5k | $227 | $454 |
| Breast Biopsy (Ultrasound-guided) | $1,580$96$2.5k | $753 | $1,507 |
| Bunion Correction Surgery | $2,384$335$5.1k | $3,671 | $7,342 |
| Cardiac Ablation for Atrial Fibrillation | $18,874$590$38k | $1,416 | $2,832 |
| Cardiac Catheterization (Left Heart) | $3,137$183$5.2k | $3,209 | $6,417 |
| Carpal Tunnel Release Surgery | $1,905$287$3.0k | $1,475 | $2,950 |
| Cataract Surgery with Lens Implant | $2,224$1.2k$3.6k | $2,522 | $5,043 |
| Cervical Spinal Fusion (Anterior) | $1,929$1.1k$2.8k | $3,614 | $7,227 |
| Cesarean Delivery (Global Package) | $2,990$2.5k$3.5k | $4,020 | $8,039 |
| Chemotherapy Infusion (First Hour) | $323$181$518 | $412 | $825 |
| Chest X-ray (2 Views) | $86$7$175 | $60 | $121 |
| Colonoscopy with Biopsy | $808$127$1.8k | $1,376 | $2,752 |
| Complete Abdominal Ultrasound | $104$24$1.0k | $336 | $673 |
| Complete Blood Count (CBC) with Differential | $8$4$70 | $37 | $73 |
| Comprehensive Metabolic Panel | $10$6$85 | $52 | $104 |
| Coronary Angioplasty with Stent | $11,060$367$18k | $21,430 | $42,860 |
| Critical Care, First Hour | $822$135$1.6k | $487 | $975 |
| CT Abdomen and Pelvis with Contrast | $348$55$3.9k | $1,237 | $2,474 |
| CT Cardiac Calcium Scoring | $86$17$365 | $187 | $374 |
| CT Chest without Contrast | $104$32$1.3k | $426 | $851 |
| CT Head without Contrast | $104$26$1.1k | $377 | $755 |
| DEXA Bone Density Scan | $104$6$288 | $95 | $190 |
| Diagnostic Colonoscopy | $506$117$1.4k | $629 | $1,258 |
| Diagnostic Mammogram (Both Breasts) | $117$30$473 | $237 | $473 |
| Ear Tube Placement (Tympanostomy) | $1,445$103$2.3k | $1,037 | $2,074 |
| Echocardiogram (Complete with Doppler) | $535$43$931 | $1,470 | $2,941 |
| EKG (Electrocardiogram, 12-lead) | $18 | $17 | $34 |
| Emergency Room Visit (Level 3) | $270$45$513 | $164 | $327 |
| Group Therapy Session | $71$16$144 | $58 | $116 |
| Hemoglobin A1c (Diabetes Test) | $9$5$76 | $43 | $86 |
| HIV Antibody Test | $9$5$63 | $38 | $77 |
| Home Sleep Study | $153$29$391 | $359 | $719 |
| Individual Therapy Session (45 Minutes) | $148$61$251 | $90 | $180 |
| Inguinal Hernia Repair (Open) | $2,715$340$5.5k | $3,382 | $6,763 |
| Initial Hospital Admission (Level 1) | $75$52$97 | $179 | $358 |
| Initial Psychiatric Diagnostic Evaluation | $157$88$251 | $151 | $301 |
| Initial Psychiatric Evaluation with Medication Management | $157$88$322 | $155 | $311 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $564$316$1.7k | $1,611 | $3,223 |
| IUD Insertion | $62$32$837 | $256 | $511 |
| IUD Removal | $186$42$475 | $238 | $475 |
| Knee Arthroscopy with Meniscectomy | $3,164$354$5.1k | $3,263 | $6,526 |
| Laparoscopic Appendectomy | $5,580$390$9.1k | $6,168 | $12,336 |
| Laparoscopic Gallbladder Removal | $5,571$427$9.1k | $6,294 | $12,588 |
| Laparoscopic Tubal Ligation | $5,340$419$9.1k | $3,927 | $7,854 |
| Lipid Panel (Cholesterol Test) | $13$7$82 | $50 | $101 |
| Lumbar Epidural Steroid Injection | $664$63$1.1k | $120 | $240 |
| Lumbar Puncture (Spinal Tap) | $420$41$1.1k | $222 | $444 |
| Lumbar Spinal Fusion (Posterior) | $1,064$1.0k$2.8k | $4,318 | $8,636 |
| Lumpectomy (Partial Mastectomy) | $2,946$426$6.0k | $4,040 | $8,081 |
| MRI Abdomen with and without Contrast | $348$66$2.8k | $935 | $1,869 |
| MRI Brain with and without Contrast | $348$69$2.1k | $711 | $1,422 |
| MRI Brain with Contrast | $348$53$808 | $633 | $1,267 |
| MRI Brain without Contrast | $236$44$1.3k | $445 | $890 |
| MRI Cervical Spine (Neck) without Contrast | $236$45$1.3k | $445 | $890 |
| MRI Knee without Contrast | $236$41$1.8k | $1,074 | $2,148 |
| MRI Lower Back (Lumbar Spine) without Contrast | $236$45$1.3k | $446 | $892 |
| MRI Thoracic Spine (Mid-back) without Contrast | $236$45$1.3k | $445 | $890 |
| Newborn Circumcision | $1,194$61$3.2k | $1,032 | $2,063 |
| Nuclear Cardiac Stress Test | $1,273$48$2.8k | $917 | $1,835 |
| Office Visit, Established Patient (Level 3) | $91$42$238 | $73 | $146 |
| Office Visit, New Patient (Level 3) | $108$49$264 | $76 | $152 |
| Pacemaker Insertion (Dual Chamber) | $10,207$326$16k | $6,254 | $12,508 |
| PET/CT Scan, Whole Body | $1,423$72$3.9k | $1,992 | $3,983 |
| Pregnancy Ultrasound (Second or Third Trimester) | $104$30$978 | $326 | $652 |
| Prostate Biopsy | $1,434$82$3.2k | $458 | $915 |
| PSA Prostate Cancer Screening | $18$10$147 | $90 | $180 |
| Pulmonary Function Test with Bronchodilator | $299$6$486 | $145 | $290 |
| Rotator Cuff Repair (Arthroscopic) | $1,210$692$1.7k | $1,969 | $3,937 |
| Screening Mammogram | $201$23$391 | $190 | $379 |
| Septoplasty (Deviated Septum Repair) | $3,163$430$5.1k | $2,533 | $5,067 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $360$206$514 | $516 | $1,032 |
| Skin Biopsy (Tangential) | $112$24$310 | $113 | $227 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,580$53$2.5k | $713 | $1,426 |
| Sleep Study (In-lab Polysomnography) | $992$77$3.0k | $1,121 | $2,242 |
| Spinal Cord Stimulator Trial | $6,401$266$10k | $2,484 | $4,967 |
| Spirometry (Breathing Test) | $153$5$270 | $86 | $172 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $2,089$197$5.1k | $2,442 | $4,884 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $3,333$189$9.2k | $2,011 | $4,023 |
| Total Hip Replacement | $12,549$829$20k | $16,601 | $33,202 |
| Total Knee Replacement | $12,549$828$20k | $17,153 | $34,305 |
| Total Mastectomy | $6,360$619$10k | $6,355 | $12,710 |
| TSH Thyroid Function Test | $16$9$134 | $82 | $165 |
| TURP (Transurethral Prostate Resection) | $4,734$466$7.9k | $4,057 | $8,114 |
| Upper GI Endoscopy (EGD) | $521$78$1.5k | $700 | $1,399 |
| Urinalysis with Microscopy | $3$2$26 | $16 | $31 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $3,008$2.3k$3.7k | $3,816 | $7,631 |
| Vaginal Delivery (Global Package) | $2,863$2.2k$3.5k | $3,809 | $7,618 |
| Vaginal Hysterectomy | $4,814$538$7.7k | $4,431 | $8,862 |
| Vasectomy | $1,512$149$3.2k | $962 | $1,924 |
| Vitamin D Blood Test | $29$16$204 | $125 | $250 |