| Abdominal Hysterectomy | $926$484$9.3k | $1,351 | $1,930 |
| ACL Reconstruction (Arthroscopic) | $7,413$3.9k$14k | $1,719 | $2,455 |
| Allergy Skin Testing | $877$5$1.7k | $7 | $10 |
| Anesthesia for Screening Colonoscopy | — | — | $1 |
| Anesthesia for Upper Endoscopy | — | — | $1 |
| Basic Metabolic Panel | $57$4$131 | $95 | $136 |
| Bone Marrow Biopsy | $1,687$882$3.3k | $1,544 | $2,205 |
| Breast Biopsy (Ultrasound-guided) | $1,687$882$3.3k | $2,159 | $3,084 |
| Bunion Correction Surgery | $3,343$1.7k$6.5k | $783 | $1,119 |
| Cardiac Ablation for Atrial Fibrillation | $21,327$740$52k | $27,144 | $38,777 |
| Cardiac Catheterization (Left Heart) | $3,312$1.7k$9.8k | $7,595 | $10,850 |
| Cardiac Stress Test (Treadmill) | $70$36$150 | $118 | $168 |
| Carpal Tunnel Release Surgery | $1,995$1.0k$3.9k | $642 | $918 |
| Cataract Surgery with Lens Implant | $2,358$1.2k$4.6k | $938 | $1,341 |
| Cervical Spinal Fusion (Anterior) | $13,117$6.9k$35k | $2,319 | $3,313 |
| Cesarean Delivery (Global Package) | $2,471$1.3k$9.9k | $2,247 | $3,210 |
| Chemotherapy Infusion (First Hour) | $330$176$651 | $411 | $587 |
| Chest X-ray (2 Views) | $89$46$190 | $148 | $211 |
| Colonoscopy with Biopsy | $1,223$639$2.4k | $341 | $487 |
| Complete Abdominal Ultrasound | $153$56$960 | $747 | $1,067 |
| Complete Blood Count (CBC) with Differential | $32$4$75 | $54 | $78 |
| Comprehensive Metabolic Panel | $19$6$146 | $113 | $162 |
| Coronary Angioplasty with Stent | $4,074$827$23k | $2,999 | $4,284 |
| Critical Care, First Hour | $1,870$441$5.7k | $3,487 | $4,981 |
| CT Abdomen and Pelvis with Contrast | $437$186$4.3k | $3,375 | $4,821 |
| CT Cardiac Calcium Scoring | $113$47$221 | $172 | $245 |
| CT Chest without Contrast | $167$56$1.7k | $1,331 | $1,902 |
| CT Head without Contrast | $135$56$1.9k | $1,453 | $2,075 |
| DEXA Bone Density Scan | $107$56$445 | $346 | $494 |
| Diagnostic Colonoscopy | $950$497$1.8k | $65 | $93 |
| Diagnostic Mammogram (Both Breasts) | $221$77$483 | $376 | $537 |
| Ear Tube Placement (Tympanostomy) | $1,585$829$3.1k | $217 | $310 |
| Echocardiogram (Complete with Doppler) | $558$292$2.1k | $1,655 | $2,364 |
| EKG (Electrocardiogram, 12-lead) | $15$8$28 | $29 | $42 |
| Emergency Room Visit (Level 3) | $320$146$547 | $416 | $595 |
| Group Therapy Session | $104$17$200 | $28 | $40 |
| Hemodialysis Treatment | $88$46$169 | $127 | $182 |
| Hemoglobin A1c (Diabetes Test) | $10$5$82 | $12 | $17 |
| HIV Antibody Test | $13$5$40 | $26 | $37 |
| Holter Monitor (24-48 Hour Heart Monitor) | $66$34$181 | $182 | $260 |
| Home Sleep Study | $221$115$518 | $403 | $576 |
| Individual Therapy Session (45 Minutes) | $181$95$350 | $81 | $115 |
| Inguinal Hernia Repair (Open) | $3,658$1.9k$7.1k | $720 | $1,029 |
| Initial Hospital Admission (Level 1) | $74$39$143 | $138 | $197 |
| Initial Psychiatric Diagnostic Evaluation | $181$95$350 | $132 | $188 |
| Initial Psychiatric Evaluation with Medication Management | $181$95$350 | $120 | $171 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $853$656$1.4k | $1,086 | $1,551 |
| IUD Insertion | $100$52$888 | $65 | $93 |
| IUD Removal | $311$163$665 | $517 | $739 |
| Knee Arthroscopy with Meniscectomy | $3,343$1.7k$6.5k | $940 | $1,343 |
| Laparoscopic Appendectomy | $6,176$3.2k$12k | $762 | $1,088 |
| Laparoscopic Gallbladder Removal | $6,176$3.2k$12k | $1,157 | $1,653 |
| Laparoscopic Tubal Ligation | $6,176$3.2k$12k | $1,073 | $1,534 |
| Lipid Panel (Cholesterol Test) | $18$7$131 | $22 | $32 |
| Lumbar Epidural Steroid Injection | $721$377$2.0k | $1,554 | $2,220 |
| Lumbar Puncture (Spinal Tap) | $721$377$1.5k | $741 | $1,058 |
| Lumbar Spinal Fusion (Posterior) | $17,914$9.4k$35k | $2,761 | $3,944 |
| Lumpectomy (Partial Mastectomy) | $4,000$2.1k$7.7k | $920 | $1,314 |
| MRI Abdomen with and without Contrast | $474$186$3.1k | $2,390 | $3,414 |
| MRI Brain with and without Contrast | $428$186$3.5k | $2,685 | $3,836 |
| MRI Brain with Contrast | $379$186$2.7k | $2,073 | $2,961 |
| MRI Brain without Contrast | $258$127$2.1k | $1,667 | $2,381 |
| MRI Cervical Spine (Neck) without Contrast | $245$127$2.4k | $1,840 | $2,628 |
| MRI Knee without Contrast | $1,201$127$3.4k | $2,262 | $3,232 |
| MRI Lower Back (Lumbar Spine) without Contrast | $246$127$2.4k | $1,873 | $2,676 |
| MRI Thoracic Spine (Mid-back) without Contrast | $246$127$2.4k | $1,868 | $2,668 |
| Newborn Circumcision | $2,136$1.1k$4.1k | $118 | $169 |
| Nuclear Cardiac Stress Test | $1,323$688$3.2k | $2,496 | $3,565 |
| Office Visit, Established Patient (Level 3) | $95$48$263 | $125 | $179 |
| Office Visit, New Patient (Level 3) | $114$59$263 | $126 | $180 |
| Pacemaker Insertion (Dual Chamber) | $10,678$5.6k$21k | $11,251 | $16,074 |
| PET/CT Scan, Whole Body | $1,810$764$5.9k | $4,570 | $6,529 |
| Pregnancy Ultrasound (Second or Third Trimester) | $456$56$938 | $719 | $1,028 |
| Prostate Biopsy | $1,818$1.2k$2.5k | $1,939 | $2,770 |
| PSA Prostate Cancer Screening | $12$7$70 | $12 | $17 |
| Pulmonary Function Test with Bronchodilator | $368$93$736 | $468 | $669 |
| Rotator Cuff Repair (Arthroscopic) | $7,413$3.9k$14k | $1,726 | $2,465 |
| Screening Mammogram | $183$62$491 | $382 | $545 |
| Septoplasty (Deviated Septum Repair) | $3,387$1.8k$6.5k | $816 | $1,166 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,210$3.8k$14k | $569 | $814 |
| Skin Biopsy (Tangential) | $415$99$802 | $64 | $92 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,687$882$3.3k | $83 | $119 |
| Sleep Study (In-lab Polysomnography) | $1,295$459$3.9k | $2,259 | $3,227 |
| Spinal Cord Stimulator Trial | $6,511$3.4k$13k | $1,004 | $1,434 |
| Spirometry (Breathing Test) | $221$62$602 | $358 | $511 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,387$1.8k$6.5k | $336 | $480 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,048$3.2k$12k | $309 | $442 |
| Total Hip Replacement | $13,117$6.9k$25k | $2,118 | $3,025 |
| Total Knee Replacement | $13,117$6.9k$25k | $2,279 | $3,255 |
| Total Mastectomy | $6,784$3.5k$13k | $1,390 | $1,986 |
| TSH Thyroid Function Test | $24$9$157 | $49 | $71 |
| TURP (Transurethral Prostate Resection) | $5,478$2.9k$11k | $927 | $1,324 |
| Umbilical Hernia Repair | $570$361$723 | $562 | $803 |
| Upper GI Endoscopy (EGD) | $927$485$1.8k | $208 | $297 |
| Urinalysis with Microscopy | $3$2$45 | $35 | $50 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,330$1.2k$9.4k | $2,097 | $2,995 |
| Vaginal Delivery (Global Package) | $2,205$1.2k$8.9k | $1,982 | $2,831 |
| Vaginal Hysterectomy | $5,111$2.7k$9.9k | $909 | $1,298 |
| Vasectomy | $2,136$1.1k$4.1k | $389 | $556 |
| Vitamin D Blood Test | $30$10$166 | $63 | $90 |