| Abdominal Hysterectomy | $7,285$1.5k$17k | — | $8,559 |
| ACL Reconstruction (Arthroscopic) | $8,413$1.8k$23k | $8,413 | $13,167 |
| Allergy Skin Testing | $1,198$7$1.5k | $1,198 | $1,541 |
| Basic Metabolic Panel | $36$8$175 | $8 | $187 |
| Bone Marrow Biopsy | $2,201$147$8.0k | $1,908 | $3,496 |
| Breast Biopsy (Ultrasound-guided) | $3,809$318$8.0k | $1,908 | $6,050 |
| Bunion Correction Surgery | $5,220$608$17k | $3,821 | $6,960 |
| Cardiac Ablation for Atrial Fibrillation | $31,491$1.2k$40k | $28,891 | $42,264 |
| Cardiac Catheterization (Left Heart) | $7,730$483$19k | $3,788 | $18,028 |
| Cardiac Stress Test (Treadmill) | $168$34$857 | — | $201 |
| Carpal Tunnel Release Surgery | $4,479$967$17k | $2,300 | $5,972 |
| Cataract Surgery with Lens Implant | $6,034$1.2k$17k | $2,686 | $7,351 |
| Cervical Spinal Fusion (Anterior) | $9,933$2.3k$23k | $15,153 | $17,478 |
| Cesarean Delivery (Global Package) | $3,457$1.2k$5.7k | — | — |
| Chemotherapy Infusion (First Hour) | $1,591$234$2.2k | $391 | $2,310 |
| Chest X-ray (2 Views) | $106$19$460 | $104 | $497 |
| Colonoscopy with Biopsy | $3,320$394$17k | $1,389 | $4,294 |
| Complete Abdominal Ultrasound | $245$69$1.3k | $125 | $1,362 |
| Complete Blood Count (CBC) with Differential | $118$4$2.0k | $8 | $157 |
| Comprehensive Metabolic Panel | $231$11$319 | $11 | $330 |
| Coronary Angioplasty with Stent | $13,355$641$51k | $13,355 | $18,953 |
| Critical Care, First Hour | $1,522$355$5.0k | $992 | $5,390 |
| CT Abdomen and Pelvis with Contrast | $685$156$4.3k | $421 | $4,650 |
| CT Cardiac Calcium Scoring | $104$17$650 | $104 | $99 |
| CT Chest without Contrast | $296$93$2.5k | $125 | $2,692 |
| CT Head without Contrast | $265$73$2.3k | $125 | $2,504 |
| DEXA Bone Density Scan | $157$17$866 | $125 | $935 |
| Diagnostic Colonoscopy | $3,248$193$17k | $1,074 | $4,235 |
| Diagnostic Mammogram (Both Breasts) | $316$86$968 | $208 | $1,045 |
| Ear Tube Placement (Tympanostomy) | $2,731$147$17k | $1,744 | $3,414 |
| Echocardiogram (Complete with Doppler) | $2,751$114$3.8k | $646 | $4,021 |
| EKG (Electrocardiogram, 12-lead) | $25$24$173 | — | — |
| Emergency Room Visit (Level 3) | $1,747$118$3.5k | $326 | $2,090 |
| Group Therapy Session | $283$24$395 | $109 | $413 |
| Hemodialysis Treatment | $1,460$171$2.2k | — | $1,761 |
| Hemoglobin A1c (Diabetes Test) | $44$9$167 | $10 | $117 |
| HIV Antibody Test | $95$9$194 | $9 | $127 |
| Holter Monitor (24-48 Hour Heart Monitor) | $306$129$483 | — | — |
| Home Sleep Study | $1,447$73$11k | $184 | $1,925 |
| Individual Therapy Session (45 Minutes) | $388$92$1.4k | $189 | $539 |
| Inguinal Hernia Repair (Open) | $7,260$399$17k | $4,156 | $9,680 |
| Initial Hospital Admission (Level 1) | $139$28$1.4k | — | $164 |
| Initial Psychiatric Diagnostic Evaluation | $593$135$1.4k | $189 | $790 |
| Initial Psychiatric Evaluation with Medication Management | $627$143$1.4k | $189 | $836 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $3,671$295$5.6k | $681 | $5,830 |
| IUD Insertion | $395$79$17k | — | $464 |
| IUD Removal | $461$94$17k | $358 | $551 |
| Knee Arthroscopy with Meniscectomy | $5,755$559$17k | $3,821 | $7,673 |
| Laparoscopic Appendectomy | $7,730$1.3k$23k | $6,871 | $11,880 |
| Laparoscopic Gallbladder Removal | $7,770$1.4k$23k | $6,871 | $10,973 |
| Laparoscopic Tubal Ligation | $7,730$564$23k | $6,871 | $10,316 |
| Lipid Panel (Cholesterol Test) | $61$6$243 | $13 | $169 |
| Lumbar Epidural Steroid Injection | $3,465$210$17k | $816 | $4,620 |
| Lumbar Puncture (Spinal Tap) | $1,588$133$17k | $816 | $1,934 |
| Lumbar Spinal Fusion (Posterior) | $9,933$2.3k$24k | $21,657 | $24,087 |
| Lumpectomy (Partial Mastectomy) | $5,054$1.2k$17k | $4,510 | $6,738 |
| MRI Abdomen with and without Contrast | $909$188$4.8k | $421 | $5,225 |
| MRI Brain with and without Contrast | $895$196$5.2k | $421 | $5,631 |
| MRI Brain with Contrast | $804$153$4.3k | $421 | $4,620 |
| MRI Brain without Contrast | $560$127$4.3k | $285 | $4,073 |
| MRI Cervical Spine (Neck) without Contrast | $560$127$4.3k | $285 | $4,263 |
| MRI Knee without Contrast | $560$117$4.3k | $285 | $4,290 |
| MRI Lower Back (Lumbar Spine) without Contrast | $560$128$4.3k | $285 | $4,439 |
| MRI Thoracic Spine (Mid-back) without Contrast | $560$127$4.3k | $285 | $4,329 |
| Newborn Circumcision | $3,564$118$8.0k | $2,412 | $5,661 |
| Nuclear Cardiac Stress Test | $1,537$136$5.9k | $1,537 | $6,381 |
| Office Visit, Established Patient (Level 3) | $299$64$358 | — | $374 |
| Office Visit, New Patient (Level 3) | $484$89$1.8k | — | $1,197 |
| Pacemaker Insertion (Dual Chamber) | $24,525$576$63k | $12,325 | $35,616 |
| PET/CT Scan, Whole Body | $4,008$203$9.4k | $1,718 | $10,120 |
| Pregnancy Ultrasound (Second or Third Trimester) | $261$86$764 | $125 | $825 |
| Prostate Biopsy | $5,198$272$17k | $2,412 | $6,930 |
| PSA Prostate Cancer Screening | $84$18$307 | $18 | $328 |
| Pulmonary Function Test with Bronchodilator | $1,057$17$1.8k | $367 | $1,540 |
| Rotator Cuff Repair (Arthroscopic) | $8,264$1.7k$23k | $8,413 | $9,870 |
| Screening Mammogram | $262$65$693 | $169 | $748 |
| Septoplasty (Deviated Septum Repair) | $4,464$954$17k | $3,819 | $5,580 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $8,152$394$17k | $8,152 | $12,296 |
| Skin Biopsy (Tangential) | $677$79$17k | $234 | $825 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,357$179$17k | $1,908 | $2,946 |
| Sleep Study (In-lab Polysomnography) | $6,758$196$11k | $1,198 | $9,011 |
| Spinal Cord Stimulator Trial | $7,730$881$23k | $7,729 | $9,186 |
| Spirometry (Breathing Test) | $944$14$1.8k | $184 | $1,375 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $4,581$662$17k | $3,819 | $5,580 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $7,341$634$17k | $6,967 | $9,176 |
| Total Hip Replacement | $9,587$1.7k$27k | $15,153 | $16,225 |
| Total Knee Replacement | $9,587$1.3k$27k | $15,153 | $17,531 |
| Total Mastectomy | $7,649$1.5k$17k | $7,680 | $8,786 |
| TSH Thyroid Function Test | $59$8$267 | $17 | $169 |
| TURP (Transurethral Prostate Resection) | $7,384$1.5k$19k | $5,987 | $9,845 |
| Upper GI Endoscopy (EGD) | $3,357$257$17k | $1,104 | $4,476 |
| Urinalysis with Microscopy | $15$3$100 | $3 | $107 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $5,407 | — | — |
| Vaginal Delivery (Global Package) | $3,699$998$5.4k | — | $5,834 |
| Vaginal Hysterectomy | $7,770$1.8k$17k | $5,813 | $11,304 |
| Vasectomy | $4,362$497$17k | $2,412 | $5,816 |
| Vitamin D Blood Test | $136$30$421 | $30 | $450 |