| Abdominal Hysterectomy | $3,033$351$6.4k | $5,619 | $6,385 |
| ACL Reconstruction (Arthroscopic) | $8,481$835$10k | $6,769 | $7,692 |
| Allergy Skin Testing | $34$3$36 | $32 | $36 |
| Basic Metabolic Panel | $87$7$89 | $81 | $92 |
| Bone Marrow Biopsy | $1,275$56$2.3k | $1,401 | $1,592 |
| Breast Biopsy (Ultrasound-guided) | $1,930$123$2.3k | $3,032 | $3,445 |
| Bunion Correction Surgery | $3,824$470$4.5k | $4,236 | $4,814 |
| Cardiac Ablation for Atrial Fibrillation | $38,720$718$40k | $35,867 | $40,758 |
| Cardiac Catheterization (Left Heart) | $10,175$1.0k$10k | $9,426 | $10,711 |
| Cardiac Stress Test (Treadmill) | $974$59$1.0k | $902 | $1,025 |
| Carpal Tunnel Release Surgery | $2,282$407$2.7k | $2,862 | $3,252 |
| Cataract Surgery with Lens Implant | $2,697$456$3.2k | $5,006 | $5,689 |
| Cervical Spinal Fusion (Anterior) | $7,038$582$15k | $13,039 | $14,817 |
| Cesarean Delivery (Global Package) | $3,699$742$7.8k | $6,853 | $7,788 |
| Chemotherapy Infusion (First Hour) | $781$135$797 | $723 | $822 |
| Chest X-ray (2 Views) | $154$34$157 | $143 | $162 |
| Colonoscopy with Biopsy | $1,399$169$1.7k | $2,234 | $2,539 |
| Complete Abdominal Ultrasound | $475$30$737 | $440 | $500 |
| Complete Blood Count (CBC) with Differential | $67$8$69 | $62 | $71 |
| Comprehensive Metabolic Panel | $101$10$103 | $93 | $106 |
| Coronary Angioplasty with Stent | $21,608$412$22k | $20,016 | $22,745 |
| Critical Care, First Hour | $2,353$189$6.1k | $3,208 | $3,646 |
| CT Abdomen and Pelvis with Contrast | $2,319$67$3.4k | $2,148 | $2,441 |
| CT Cardiac Calcium Scoring | $63$21$170 | $94 | $107 |
| CT Chest without Contrast | $695$39$2.0k | $1,176 | $1,336 |
| CT Head without Contrast | $869$31$1.4k | $805 | $915 |
| DEXA Bone Density Scan | $533$7$729 | $494 | $561 |
| Diagnostic Colonoscopy | $1,087$156$1.3k | $2,000 | $2,273 |
| Diagnostic Mammogram (Both Breasts) | $341$37$485 | $316 | $359 |
| Ear Tube Placement (Tympanostomy) | $1,814$140$2.3k | $1,227 | $1,394 |
| Echocardiogram (Complete with Doppler) | $1,546$53$3.2k | $1,646 | $1,871 |
| EKG (Electrocardiogram, 12-lead) | $108$10$115 | $103 | $117 |
| Emergency Room Visit (Level 3) | $581$65$612 | $547 | $622 |
| Group Therapy Session | $182$24$269 | $205 | $233 |
| Hemoglobin A1c (Diabetes Test) | $29$6$74 | $47 | $53 |
| HIV Antibody Test | $95$8$97 | $88 | $100 |
| Holter Monitor (24-48 Hour Heart Monitor) | $941$57$990 | $871 | $990 |
| Home Sleep Study | $1,209$139$1.2k | $1,120 | $1,273 |
| Individual Therapy Session (45 Minutes) | $337$74$344 | $312 | $355 |
| Inguinal Hernia Repair (Open) | $7,066$465$8.4k | $2,669 | $3,033 |
| Initial Hospital Admission (Level 1) | $393$59$402 | $364 | $414 |
| Initial Psychiatric Diagnostic Evaluation | $534$117$545 | $495 | $562 |
| Initial Psychiatric Evaluation with Medication Management | $607$133$620 | $562 | $639 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $5,640$261$7.3k | $5,756 | $6,541 |
| IUD Insertion | $356$35$421 | $432 | $491 |
| IUD Removal | $356$53$421 | $411 | $467 |
| Knee Arthroscopy with Meniscectomy | $3,824$490$4.5k | $4,674 | $5,311 |
| Laparoscopic Appendectomy | $7,066$528$8.4k | $3,034 | $3,448 |
| Laparoscopic Gallbladder Removal | $7,066$575$8.4k | $4,424 | $5,027 |
| Laparoscopic Tubal Ligation | $7,066$540$9.1k | $4,183 | $4,753 |
| Lipid Panel (Cholesterol Test) | $133$13$136 | $123 | $140 |
| Lumbar Epidural Steroid Injection | $825$8$976 | $1,849 | $2,101 |
| Lumbar Puncture (Spinal Tap) | $745$52$1.1k | $851 | $967 |
| Lumbar Spinal Fusion (Posterior) | $6,903$541$15k | $12,788 | $14,532 |
| Lumpectomy (Partial Mastectomy) | $7,761$579$9.2k | $2,768 | $3,145 |
| MRI Abdomen with and without Contrast | $4,005$81$6.0k | $3,710 | $4,216 |
| MRI Brain with and without Contrast | $4,611$84$7.2k | $4,272 | $4,854 |
| MRI Brain with Contrast | $1,599$66$5.6k | $3,171 | $3,604 |
| MRI Brain without Contrast | $2,940$54$4.7k | $2,724 | $3,095 |
| MRI Cervical Spine (Neck) without Contrast | $2,423$54$3.9k | $2,244 | $2,550 |
| MRI Knee without Contrast | $848$50$3.4k | $1,872 | $2,127 |
| MRI Lower Back (Lumbar Spine) without Contrast | $2,452$55$4.0k | $2,271 | $2,581 |
| MRI Thoracic Spine (Mid-back) without Contrast | $2,594$54$4.2k | $2,403 | $2,731 |
| Newborn Circumcision | $2,443$79$2.9k | $338 | $384 |
| Nuclear Cardiac Stress Test | $473$59$2.8k | $1,461 | $1,661 |
| Office Visit, Established Patient (Level 3) | $217$19$523 | $201 | $228 |
| Office Visit, New Patient (Level 3) | $134$29$335 | $213 | $242 |
| Pacemaker Insertion (Dual Chamber) | $22,063$413$23k | $20,437 | $23,224 |
| PET/CT Scan, Whole Body | $7,047$1.4k$7.2k | $6,528 | $7,418 |
| Pregnancy Ultrasound (Second or Third Trimester) | $494$38$792 | $458 | $520 |
| Prostate Biopsy | $419$59$496 | — | — |
| PSA Prostate Cancer Screening | $147$18$150 | $136 | $155 |
| Pulmonary Function Test with Bronchodilator | $467$44$516 | $433 | $492 |
| Rotator Cuff Repair (Arthroscopic) | $8,481$915$10k | $5,267 | $5,985 |
| Screening Mammogram | $143$28$547 | $305 | $347 |
| Septoplasty (Deviated Septum Repair) | $3,875$600$4.6k | $3,875 | $4,403 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $8,249$256$11k | $2,926 | $3,325 |
| Skin Biopsy (Tangential) | $475$29$562 | $206 | $234 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,930$75$2.3k | $408 | $464 |
| Sleep Study (In-lab Polysomnography) | $3,358$685$3.4k | $3,111 | $3,535 |
| Spinal Cord Stimulator Trial | $8,606$360$8.8k | $7,972 | $9,059 |
| Spirometry (Breathing Test) | $230$30$299 | $213 | $242 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,875$261$4.6k | $1,868 | $2,123 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,919$250$8.2k | $1,672 | $1,900 |
| Total Hip Replacement | $15,006$1.1k$18k | $15,175 | $17,244 |
| Total Knee Replacement | $15,006$1.1k$18k | $10,400 | $11,818 |
| Total Mastectomy | $7,761$836$9.2k | $4,463 | $5,072 |
| TSH Thyroid Function Test | $137$15$140 | $127 | $144 |
| TURP (Transurethral Prostate Resection) | $6,267$501$7.4k | $4,807 | $5,463 |
| Upper GI Endoscopy (EGD) | $1,060$106$1.3k | $1,734 | $1,971 |
| Urinalysis with Microscopy | $42$3$43 | $39 | $44 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $3,409$742$7.2k | $6,316 | $7,177 |
| Vaginal Delivery (Global Package) | $3,288$742$6.9k | $6,092 | $6,923 |
| Vaginal Hysterectomy | $5,272$691$6.9k | $4,883 | $5,549 |
| Vasectomy | $2,443$211$2.9k | $1,586 | $1,802 |
| Vitamin D Blood Test | $229$26$234 | $212 | $241 |