| Abdominal Hysterectomy | $885$843$1.3k | $1,521 | $2,536 |
| ACL Reconstruction (Arthroscopic) | $7,912$7.5k$11k | $1,466 | $2,443 |
| Allergy Skin Testing | $936$892$1.3k | — | — |
| Basic Metabolic Panel | $13$8$206 | $133 | $221 |
| Bone Marrow Biopsy | $2,930$1.7k$3.4k | $2,197 | $3,662 |
| Breast Biopsy (Ultrasound-guided) | $3,287$1.7k$3.8k | $2,465 | $4,109 |
| Bunion Correction Surgery | $3,568$3.4k$5.1k | $796 | $1,326 |
| Cardiac Ablation for Atrial Fibrillation | $28,498$27k$41k | — | — |
| Cardiac Catheterization (Left Heart) | $17,988$3.4k$21k | $13,491 | $22,485 |
| Cardiac Stress Test (Treadmill) | $72$69$103 | $133 | $221 |
| Carpal Tunnel Release Surgery | $3,906$2.0k$4.5k | $2,929 | $4,882 |
| Cataract Surgery with Lens Implant | $2,516$2.4k$3.6k | — | — |
| Cervical Spinal Fusion (Anterior) | $13,998$13k$20k | $2,459 | $4,099 |
| Cesarean Delivery (Global Package) | $2,259$2.2k$3.2k | $3,227 | $5,378 |
| Chemotherapy Infusion (First Hour) | $555$343$645 | $416 | $694 |
| Chest X-ray (2 Views) | $246$90$474 | $306 | $510 |
| Colonoscopy with Biopsy | $3,148$1.2k$3.7k | $2,361 | $3,935 |
| Complete Abdominal Ultrasound | $1,178$109$1.4k | $883 | $1,472 |
| Complete Blood Count (CBC) with Differential | $12$8$157 | $101 | $169 |
| Comprehensive Metabolic Panel | $16$11$257 | $166 | $276 |
| Coronary Angioplasty with Stent | $12,587$12k$18k | — | — |
| Critical Care, First Hour | $4,074$858$4.9k | $3,173 | $5,288 |
| CT Abdomen and Pelvis with Contrast | $2,388$362$7.3k | $4,703 | $7,839 |
| CT Cardiac Calcium Scoring | $510$90$2.4k | $382 | $637 |
| CT Chest without Contrast | $2,388$109$3.3k | $2,117 | $3,528 |
| CT Head without Contrast | $2,388$109$2.8k | $1,833 | $3,055 |
| DEXA Bone Density Scan | $246$109$791 | $511 | $851 |
| Diagnostic Colonoscopy | $1,014$966$1.4k | $436 | $726 |
| Diagnostic Mammogram (Both Breasts) | $153$146$219 | $176 | $293 |
| Ear Tube Placement (Tympanostomy) | $2,963$1.6k$3.4k | $2,222 | $3,703 |
| Echocardiogram (Complete with Doppler) | $2,911$567$3.4k | $2,183 | $3,638 |
| EKG (Electrocardiogram, 12-lead) | $15$14$21 | $29 | $49 |
| Emergency Room Visit (Level 3) | $1,089$283$2.1k | $817 | $1,361 |
| Group Therapy Session | $111$105$158 | — | — |
| Hemodialysis Treatment | $89$85$127 | $145 | $242 |
| Hemoglobin A1c (Diabetes Test) | $42$10$129 | $56 | $94 |
| HIV Antibody Test | $237$9$410 | $216 | $360 |
| Holter Monitor (24-48 Hour Heart Monitor) | $69$65$98 | — | — |
| Home Sleep Study | $626$224$728 | $469 | $782 |
| Individual Therapy Session (45 Minutes) | $194$184$276 | $122 | $203 |
| Inguinal Hernia Repair (Open) | $3,904$3.7k$5.6k | $768 | $1,279 |
| Initial Hospital Admission (Level 1) | $73$69$104 | $126 | $209 |
| Initial Psychiatric Diagnostic Evaluation | $192$184$276 | $200 | $333 |
| Initial Psychiatric Evaluation with Medication Management | $192$184$276 | $226 | $377 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $4,089$2.9k$4.5k | $2,886 | $4,810 |
| IUD Insertion | $103$98$147 | $81 | $135 |
| IUD Removal | $332$316$475 | $102 | $169 |
| Knee Arthroscopy with Meniscectomy | $3,568$3.4k$5.1k | $806 | $1,344 |
| Laparoscopic Appendectomy | $1,240$1.1k$9.4k | $800 | $1,333 |
| Laparoscopic Gallbladder Removal | $6,592$6.3k$9.4k | $970 | $1,617 |
| Laparoscopic Tubal Ligation | $6,592$6.3k$9.4k | $976 | $1,626 |
| Lipid Panel (Cholesterol Test) | $20$13$205 | $132 | $220 |
| Lumbar Epidural Steroid Injection | $3,431$733$4.0k | $2,573 | $4,289 |
| Lumbar Puncture (Spinal Tap) | $1,326$733$1.5k | $995 | $1,658 |
| Lumbar Spinal Fusion (Posterior) | $19,117$18k$27k | $2,318 | $3,863 |
| Lumpectomy (Partial Mastectomy) | $4,269$4.1k$6.1k | $960 | $1,600 |
| MRI Abdomen with and without Contrast | $3,163$362$5.9k | $3,779 | $6,299 |
| MRI Brain with and without Contrast | $3,163$362$6.1k | $3,924 | $6,540 |
| MRI Brain with Contrast | $3,163$362$5.2k | $3,350 | $5,583 |
| MRI Brain without Contrast | $3,163$248$4.8k | $3,090 | $5,150 |
| MRI Cervical Spine (Neck) without Contrast | $3,163$248$4.6k | $2,940 | $4,900 |
| MRI Knee without Contrast | $2,724$248$3.2k | $2,043 | $3,405 |
| MRI Lower Back (Lumbar Spine) without Contrast | $3,163$248$4.8k | $3,128 | $5,214 |
| MRI Thoracic Spine (Mid-back) without Contrast | $3,163$248$4.9k | $3,143 | $5,239 |
| Newborn Circumcision | $221$190$3.3k | $143 | $238 |
| Nuclear Cardiac Stress Test | $6,352$1.3k$7.4k | $4,764 | $7,940 |
| Office Visit, Established Patient (Level 3) | $94$90$134 | $85 | $141 |
| Office Visit, New Patient (Level 3) | $115$110$165 | $104 | $174 |
| Pacemaker Insertion (Dual Chamber) | $19,035$11k$22k | $14,276 | $23,794 |
| PET/CT Scan, Whole Body | $6,322$1.5k$9.3k | $5,990 | $9,983 |
| Pregnancy Ultrasound (Second or Third Trimester) | $917$109$1.1k | $688 | $1,146 |
| Prostate Biopsy | $2,285$1.6k$2.5k | $1,613 | $2,688 |
| PSA Prostate Cancer Screening | $181$18$234 | $149 | $248 |
| Pulmonary Function Test with Bronchodilator | $721$387$838 | $541 | $901 |
| Rotator Cuff Repair (Arthroscopic) | $7,912$7.5k$11k | $1,586 | $2,644 |
| Screening Mammogram | $246$118$458 | $296 | $493 |
| Septoplasty (Deviated Septum Repair) | $3,615$3.4k$5.2k | $948 | $1,580 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,695$7.3k$11k | $514 | $857 |
| Skin Biopsy (Tangential) | $443$422$633 | $60 | $100 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,801$1.7k$2.6k | $124 | $206 |
| Sleep Study (In-lab Polysomnography) | $4,070$892$4.7k | $3,052 | $5,087 |
| Spinal Cord Stimulator Trial | $13,126$6.6k$15k | $9,844 | $16,407 |
| Spirometry (Breathing Test) | $388$224$451 | $291 | $485 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,615$3.4k$5.2k | $453 | $756 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $11,831$6.1k$14k | $8,873 | $14,789 |
| Total Hip Replacement | $25,734$13k$30k | $19,300 | $32,167 |
| Total Knee Replacement | $13,998$13k$20k | $2,018 | $3,364 |
| Total Mastectomy | $7,240$6.9k$10k | $1,408 | $2,347 |
| TSH Thyroid Function Test | $65$17$204 | $89 | $148 |
| TURP (Transurethral Prostate Resection) | $10,167$5.6k$12k | $7,625 | $12,709 |
| Upper GI Endoscopy (EGD) | $989$942$1.4k | $306 | $510 |
| Urinalysis with Microscopy | $5$3$110 | $71 | $118 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,126$2.0k$3.0k | $3,039 | $5,064 |
| Vaginal Delivery (Global Package) | $2,045$1.9k$2.9k | $2,931 | $4,885 |
| Vaginal Hysterectomy | $5,454$5.2k$7.8k | $1,247 | $2,078 |
| Vasectomy | $2,279$2.2k$3.3k | $350 | $582 |
| Vitamin D Blood Test | $44$30$329 | $212 | $354 |