| Abdominal Hysterectomy | $14,119$2.9k$46k | $2,696 | $9,768 |
| ACL Reconstruction (Arthroscopic) | $7,464$2.7k$24k | $3,483 | $12,620 |
| Allergy Skin Testing | $1,063$945$3.5k | — | — |
| Basic Metabolic Panel | $27$7$82 | $23 | $82 |
| Bone Marrow Biopsy | $1,791$443$5.5k | $999 | $3,619 |
| Breast Biopsy (Ultrasound-guided) | $3,347$912$7.5k | $2,057 | $7,452 |
| Bunion Correction Surgery | $3,390$2.7k$11k | $1,808 | $6,550 |
| Cardiac Ablation for Atrial Fibrillation | $25,633$5.2k$83k | — | — |
| Cardiac Catheterization (Left Heart) | $3,361$3.0k$11k | — | — |
| Cardiac Stress Test (Treadmill) | $681$311$681 | $307 | $1,114 |
| Carpal Tunnel Release Surgery | $2,040$411$6.6k | $928 | $3,361 |
| Cataract Surgery with Lens Implant | $2,550$2.1k$7.7k | $3,109 | $11,265 |
| Cervical Spinal Fusion (Anterior) | $13,444$2.9k$44k | $3,658 | $13,253 |
| Cesarean Delivery (Global Package) | $3,724$921$7.5k | $2,076 | $7,523 |
| Chemotherapy Infusion (First Hour) | $457$123$1.1k | $277 | $1,004 |
| Chest X-ray (2 Views) | $226$58$547 | $151 | $547 |
| Colonoscopy with Biopsy | $2,045$527$4.3k | $1,189 | $4,307 |
| Complete Abdominal Ultrasound | $371$99$1.4k | $386 | $1,400 |
| Complete Blood Count (CBC) with Differential | $8$1$87 | $24 | $45 |
| Comprehensive Metabolic Panel | $45$9$373 | $103 | $373 |
| Coronary Angioplasty with Stent | $11,850$11k$38k | — | — |
| Critical Care, First Hour | $1,327$469$3.8k | $1,058 | $3,833 |
| CT Abdomen and Pelvis with Contrast | $1,271$332$5.8k | $1,612 | $5,839 |
| CT Cardiac Calcium Scoring | $152$39$530 | $88 | $320 |
| CT Chest without Contrast | $375$99$2.7k | $758 | $2,747 |
| CT Head without Contrast | $371$99$2.2k | $599 | $2,171 |
| DEXA Bone Density Scan | $371$74$857 | $237 | $857 |
| Diagnostic Colonoscopy | $1,879$484$4.1k | $1,092 | $3,958 |
| Diagnostic Mammogram (Both Breasts) | $397$107$873 | $241 | $873 |
| Ear Tube Placement (Tympanostomy) | $1,656$1.4k$6.1k | $609 | $2,206 |
| Echocardiogram (Complete with Doppler) | $1,343$370$3.0k | $834 | $3,022 |
| EKG (Electrocardiogram, 12-lead) | $151$15$151 | $133 | $483 |
| Emergency Room Visit (Level 3) | $512$127$1.8k | $285 | $1,034 |
| Group Therapy Session | $97$86$314 | $53 | $192 |
| Hemodialysis Treatment | $101 | $184 | $665 |
| Hemoglobin A1c (Diabetes Test) | $30$9$110 | $30 | $110 |
| HIV Antibody Test | $46$8$169 | $37 | $136 |
| Holter Monitor (24-48 Hour Heart Monitor) | $287$74$287 | — | — |
| Home Sleep Study | $163$145$531 | — | — |
| Individual Therapy Session (45 Minutes) | $168$149$545 | $129 | $469 |
| Inguinal Hernia Repair (Open) | $3,687$3.3k$12k | $1,872 | $6,781 |
| Initial Hospital Admission (Level 1) | $306$82$700 | $193 | $700 |
| Initial Psychiatric Diagnostic Evaluation | $168$149$545 | $160 | $581 |
| Initial Psychiatric Evaluation with Medication Management | $168$149$545 | $160 | $581 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,962$537$5.8k | $1,589 | $5,756 |
| IUD Insertion | $222$50$3.2k | $190 | $688 |
| IUD Removal | $340$205$2.7k | $219 | $794 |
| Knee Arthroscopy with Meniscectomy | $3,390$2.9k$11k | $2,018 | $7,310 |
| Laparoscopic Appendectomy | $6,096$2.7k$20k | $1,455 | $5,273 |
| Laparoscopic Gallbladder Removal | $6,096$3.8k$20k | $2,342 | $8,487 |
| Laparoscopic Tubal Ligation | $6,096$3.8k$20k | $1,521 | $5,511 |
| Lipid Panel (Cholesterol Test) | $42$12$129 | $36 | $129 |
| Lumbar Epidural Steroid Injection | $815$202$2.7k | $455 | $1,647 |
| Lumbar Puncture (Spinal Tap) | $1,150$296$2.7k | $668 | $2,422 |
| Lumbar Spinal Fusion (Posterior) | $19,215$2.9k$62k | — | — |
| Lumpectomy (Partial Mastectomy) | $4,001$2.7k$13k | $1,300 | $4,711 |
| MRI Abdomen with and without Contrast | $1,271$332$5.7k | $1,559 | $5,650 |
| MRI Brain with and without Contrast | $1,299$332$9.6k | $2,658 | $9,630 |
| MRI Brain with Contrast | $1,271$332$6.2k | $1,703 | $6,169 |
| MRI Brain without Contrast | $820$225$4.9k | $1,356 | $4,913 |
| MRI Cervical Spine (Neck) without Contrast | $820$225$4.9k | $1,356 | $4,913 |
| MRI Knee without Contrast | $820$225$3.9k | $1,064 | $3,856 |
| MRI Lower Back (Lumbar Spine) without Contrast | $820$225$4.9k | $1,356 | $4,913 |
| MRI Thoracic Spine (Mid-back) without Contrast | $820$225$4.9k | $1,356 | $4,913 |
| Newborn Circumcision | $2,392$592$6.9k | $1,334 | $4,833 |
| Nuclear Cardiac Stress Test | $3,950$856$8.7k | $2,397 | $8,686 |
| Office Visit, Established Patient (Level 3) | $93$23$188 | $52 | $188 |
| Office Visit, New Patient (Level 3) | $243$66$541 | $149 | $541 |
| Pacemaker Insertion (Dual Chamber) | $17,332$2.9k$52k | $14,354 | $52,008 |
| PET/CT Scan, Whole Body | $4,030$1.1k$8.9k | $2,446 | $8,863 |
| Pregnancy Ultrasound (Second or Third Trimester) | $371$99$995 | $275 | $995 |
| Prostate Biopsy | $2,672$661$6.9k | $1,490 | $5,398 |
| PSA Prostate Cancer Screening | $43$7$219 | $38 | $138 |
| Pulmonary Function Test with Bronchodilator | $468$126$1.1k | $284 | $1,030 |
| Rotator Cuff Repair (Arthroscopic) | $7,464$3.8k$24k | $3,332 | $12,073 |
| Screening Mammogram | $342$93$791 | $218 | $791 |
| Septoplasty (Deviated Septum Repair) | $3,389$2.5k$11k | $1,908 | $6,913 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,233$3.8k$23k | $829 | $3,002 |
| Skin Biopsy (Tangential) | $222$185$3.2k | $175 | $633 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,693$218$5.5k | $492 | $1,784 |
| Sleep Study (In-lab Polysomnography) | $1,063$945$3.5k | $375 | $1,360 |
| Spinal Cord Stimulator Trial | $6,857$2.3k$22k | $4,103 | $14,866 |
| Spirometry (Breathing Test) | $201$52$531 | $117 | $423 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,626$2.5k$11k | $1,212 | $4,390 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,181$2.7k$20k | $1,150 | $4,165 |
| Total Hip Replacement | $13,444$2.9k$44k | $4,060 | $14,710 |
| Total Knee Replacement | $13,444$2.9k$44k | $4,420 | $16,015 |
| Total Mastectomy | $6,814$3.3k$22k | $1,703 | $6,172 |
| TSH Thyroid Function Test | $40$7$189 | $34 | $122 |
| TURP (Transurethral Prostate Resection) | $5,312$3.3k$17k | $2,664 | $9,653 |
| Umbilical Hernia Repair | $3,314 | — | — |
| Upper GI Endoscopy (EGD) | $1,656$427$3.5k | $963 | $3,488 |
| Urinalysis with Microscopy | $12$3$69 | $19 | $69 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $3,350$828$6.8k | $1,868 | $6,767 |
| Vaginal Delivery (Global Package) | $3,350$828$6.8k | $1,868 | $6,767 |
| Vaginal Hysterectomy | $5,158$3.8k$17k | $3,047 | $11,039 |
| Vasectomy | $2,290$1.9k$6.9k | $950 | $3,441 |
| Vitamin D Blood Test | $93$26$284 | $78 | $284 |