| Abdominal Hysterectomy | $3,033$430$6.4k | $4,278 | $6,385 |
| ACL Reconstruction (Arthroscopic) | $7,688$835$7.7k | $5,154 | $7,692 |
| Allergy Skin Testing | $34$4$36 | $24 | $36 |
| Basic Metabolic Panel | $87$8$89 | $62 | $92 |
| Bone Marrow Biopsy | $1,598$56$2.3k | $1,067 | $1,592 |
| Breast Biopsy (Ultrasound-guided) | $1,750$123$1.7k | $2,308 | $3,445 |
| Bunion Correction Surgery | $3,467$470$3.5k | $3,225 | $4,814 |
| Cardiac Ablation for Atrial Fibrillation | $38,720$718$40k | $27,308 | $40,758 |
| Cardiac Catheterization (Left Heart) | $10,175$1.0k$10k | $7,176 | $10,711 |
| Cardiac Stress Test (Treadmill) | $974$74$1.0k | $687 | $1,025 |
| Carpal Tunnel Release Surgery | $2,069$407$2.1k | $2,179 | $3,252 |
| Cataract Surgery with Lens Implant | $2,445$456$2.4k | $3,812 | $5,689 |
| Cervical Spinal Fusion (Anterior) | $7,038$713$15k | $9,927 | $14,817 |
| Cesarean Delivery (Global Package) | $3,699$1.1k$7.8k | $5,218 | $7,788 |
| Chemotherapy Infusion (First Hour) | $781$135$797 | $551 | $822 |
| Chest X-ray (2 Views) | $154$92$157 | $109 | $162 |
| Colonoscopy with Biopsy | $1,268$169$1.3k | $1,701 | $2,539 |
| Complete Abdominal Ultrasound | $475$30$737 | $335 | $500 |
| Complete Blood Count (CBC) with Differential | $67$8$69 | $48 | $71 |
| Comprehensive Metabolic Panel | $101$11$103 | $71 | $106 |
| Coronary Angioplasty with Stent | $21,608$412$22k | $15,239 | $22,745 |
| Critical Care, First Hour | $2,353$189$6.1k | $2,442 | $3,646 |
| CT Abdomen and Pelvis with Contrast | $2,319$67$3.4k | $1,635 | $2,441 |
| CT Cardiac Calcium Scoring | $72$26$170 | $72 | $107 |
| CT Chest without Contrast | $695$48$2.0k | $895 | $1,336 |
| CT Head without Contrast | $869$39$1.4k | $613 | $915 |
| DEXA Bone Density Scan | $533$9$729 | $376 | $561 |
| Diagnostic Colonoscopy | $985$156$985 | $1,523 | $2,273 |
| Diagnostic Mammogram (Both Breasts) | $341$45$485 | $241 | $359 |
| Ear Tube Placement (Tympanostomy) | $1,644$140$1.6k | $934 | $1,394 |
| Echocardiogram (Complete with Doppler) | $1,546$53$3.2k | $1,254 | $1,871 |
| EKG (Electrocardiogram, 12-lead) | $108$15$115 | $78 | $117 |
| Emergency Room Visit (Level 3) | $591$65$612 | $417 | $622 |
| Group Therapy Session | $182$24$269 | $156 | $233 |
| Hemoglobin A1c (Diabetes Test) | $29$10$74 | $36 | $53 |
| HIV Antibody Test | $95$9$97 | $67 | $100 |
| Holter Monitor (24-48 Hour Heart Monitor) | $941$71$990 | $663 | $990 |
| Home Sleep Study | $1,209$229$1.2k | $853 | $1,273 |
| Individual Therapy Session (45 Minutes) | $337$92$344 | $238 | $355 |
| Inguinal Hernia Repair (Open) | $3,794$465$3.8k | $2,032 | $3,033 |
| Initial Hospital Admission (Level 1) | $393$70$402 | $277 | $414 |
| Initial Psychiatric Diagnostic Evaluation | $534$137$545 | $377 | $562 |
| Initial Psychiatric Evaluation with Medication Management | $607$156$620 | $428 | $639 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $5,640$3.9k$7.0k | $4,382 | $6,541 |
| IUD Insertion | $473$81$473 | $329 | $491 |
| IUD Removal | $323$53$323 | $313 | $467 |
| Knee Arthroscopy with Meniscectomy | $3,467$490$3.5k | $3,558 | $5,311 |
| Laparoscopic Appendectomy | $6,405$528$6.4k | $2,310 | $3,448 |
| Laparoscopic Gallbladder Removal | $6,405$575$6.4k | $3,368 | $5,027 |
| Laparoscopic Tubal Ligation | $6,405$540$6.4k | $3,185 | $4,753 |
| Lipid Panel (Cholesterol Test) | $133$13$136 | $94 | $140 |
| Lumbar Epidural Steroid Injection | $748$8$748 | $1,408 | $2,101 |
| Lumbar Puncture (Spinal Tap) | $748$52$1.1k | $648 | $967 |
| Lumbar Spinal Fusion (Posterior) | $18,578$1.3k$19k | $9,736 | $14,532 |
| Lumpectomy (Partial Mastectomy) | $4,149$579$4.1k | $2,107 | $3,145 |
| MRI Abdomen with and without Contrast | $4,005$99$6.0k | $2,825 | $4,216 |
| MRI Brain with and without Contrast | $4,611$84$7.2k | $3,252 | $4,854 |
| MRI Brain with Contrast | $1,599$80$5.6k | $2,414 | $3,604 |
| MRI Brain without Contrast | $2,940$66$4.7k | $2,074 | $3,095 |
| MRI Cervical Spine (Neck) without Contrast | $2,423$67$3.9k | $1,709 | $2,550 |
| MRI Knee without Contrast | $848$62$3.4k | $1,425 | $2,127 |
| MRI Lower Back (Lumbar Spine) without Contrast | $2,452$67$4.0k | $1,729 | $2,581 |
| MRI Thoracic Spine (Mid-back) without Contrast | $2,594$67$4.2k | $1,830 | $2,731 |
| Newborn Circumcision | $2,215$79$2.2k | $257 | $384 |
| Nuclear Cardiac Stress Test | $473$59$2.8k | $1,113 | $1,661 |
| Office Visit, Established Patient (Level 3) | $217$56$507 | $153 | $228 |
| Office Visit, New Patient (Level 3) | $134$68$335 | $162 | $242 |
| Pacemaker Insertion (Dual Chamber) | $22,063$413$23k | $15,560 | $23,224 |
| PET/CT Scan, Whole Body | $7,047$1.5k$7.2k | $4,970 | $7,418 |
| Pregnancy Ultrasound (Second or Third Trimester) | $494$38$792 | $348 | $520 |
| Prostate Biopsy | $380$55$380 | — | — |
| PSA Prostate Cancer Screening | $147$18$150 | $104 | $155 |
| Pulmonary Function Test with Bronchodilator | $467$44$477 | $330 | $492 |
| Rotator Cuff Repair (Arthroscopic) | $7,688$915$7.7k | $4,010 | $5,985 |
| Screening Mammogram | $143$34$547 | $232 | $347 |
| Septoplasty (Deviated Septum Repair) | $3,513$600$3.5k | $2,950 | $4,403 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $1,579$128$3.3k | $2,228 | $3,325 |
| Skin Biopsy (Tangential) | $431$29$431 | $157 | $234 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,750$75$1.7k | $311 | $464 |
| Sleep Study (In-lab Polysomnography) | $3,358$685$3.4k | $2,368 | $3,535 |
| Spinal Cord Stimulator Trial | $8,606$360$8.8k | $6,070 | $9,059 |
| Spirometry (Breathing Test) | $230$30$235 | $162 | $242 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,513$261$3.5k | $1,422 | $2,123 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,272$250$6.3k | $1,273 | $1,900 |
| Total Hip Replacement | $13,603$1.1k$14k | $11,553 | $17,244 |
| Total Knee Replacement | $13,603$1.1k$14k | $7,918 | $11,818 |
| Total Mastectomy | $7,036$836$7.0k | $3,398 | $5,072 |
| TSH Thyroid Function Test | $137$17$140 | $96 | $144 |
| TURP (Transurethral Prostate Resection) | $5,681$501$5.7k | $3,660 | $5,463 |
| Upper GI Endoscopy (EGD) | $961$106$961 | $1,320 | $1,971 |
| Urinalysis with Microscopy | $42$3$43 | $29 | $44 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $3,409$1.0k$7.2k | $4,809 | $7,177 |
| Vaginal Delivery (Global Package) | $3,288$844$6.9k | $4,638 | $6,923 |
| Vaginal Hysterectomy | $7,857$691$7.9k | $3,718 | $5,549 |
| Vasectomy | $2,215$211$2.2k | $1,207 | $1,802 |
| Vitamin D Blood Test | $229$30$234 | $161 | $241 |