| Abdominal Hysterectomy | $6,800$1.2k$14k | — | $8,559 |
| ACL Reconstruction (Arthroscopic) | $8,619$1.9k$23k | $7,907 | $13,167 |
| Allergy Skin Testing | $1,197$6$1.5k | $1,126 | $1,541 |
| Basic Metabolic Panel | $93$8$183 | $8 | $187 |
| Bone Marrow Biopsy | $2,716$143$10k | $1,793 | $3,496 |
| Breast Biopsy (Ultrasound-guided) | $4,701$309$10k | $1,793 | $6,050 |
| Bunion Correction Surgery | $5,356$981$14k | $3,591 | $6,960 |
| Cardiac Ablation for Atrial Fibrillation | $32,585$1.5k$41k | $27,154 | $42,264 |
| Cardiac Catheterization (Left Heart) | $8,826$472$22k | $3,560 | $18,028 |
| Cardiac Stress Test (Treadmill) | $159$28$1.5k | — | $201 |
| Carpal Tunnel Release Surgery | $4,640$842$11k | $2,161 | $5,972 |
| Cataract Surgery with Lens Implant | $5,799$1.0k$11k | $2,524 | $7,351 |
| Cervical Spinal Fusion (Anterior) | $13,109$1.9k$23k | $14,242 | $17,478 |
| Cesarean Delivery (Global Package) | $5,590 | — | — |
| Chemotherapy Infusion (First Hour) | $1,704$221$2.3k | $367 | $2,310 |
| Chest X-ray (2 Views) | $219$14$447 | $97 | $497 |
| Colonoscopy with Biopsy | $3,362$406$11k | $1,305 | $4,294 |
| Complete Abdominal Ultrasound | $295$67$1.2k | $118 | $1,362 |
| Complete Blood Count (CBC) with Differential | $117$3$2.1k | $8 | $157 |
| Comprehensive Metabolic Panel | $247$11$334 | $11 | $330 |
| Coronary Angioplasty with Stent | $13,180$945$52k | $12,552 | $18,953 |
| Critical Care, First Hour | $1,522$346$4.7k | $933 | $5,390 |
| CT Abdomen and Pelvis with Contrast | $776$130$4.0k | $395 | $4,650 |
| CT Cardiac Calcium Scoring | $102$14$2.2k | $97 | $99 |
| CT Chest without Contrast | $380$90$2.9k | $118 | $2,692 |
| CT Head without Contrast | $353$71$2.2k | $118 | $2,504 |
| DEXA Bone Density Scan | $186$17$823 | $118 | $935 |
| Diagnostic Colonoscopy | $3,303$187$11k | $1,009 | $4,235 |
| Diagnostic Mammogram (Both Breasts) | $338$67$941 | $208 | $1,045 |
| Ear Tube Placement (Tympanostomy) | $2,673$336$11k | $1,640 | $3,414 |
| Echocardiogram (Complete with Doppler) | $3,016$111$3.9k | $607 | $4,021 |
| EKG (Electrocardiogram, 12-lead) | $37$24$49 | — | — |
| Emergency Room Visit (Level 3) | $1,630$115$3.9k | $306 | $2,090 |
| Group Therapy Session | $310$39$405 | $102 | $413 |
| Hemodialysis Treatment | $1,368$166$4.7k | — | $1,761 |
| Hemoglobin A1c (Diabetes Test) | $44$8$175 | $10 | $117 |
| HIV Antibody Test | $90$9$204 | $9 | $127 |
| Holter Monitor (24-48 Hour Heart Monitor) | $214$123$306 | — | — |
| Home Sleep Study | $1,460$71$5.9k | $173 | $1,925 |
| Individual Therapy Session (45 Minutes) | $404$76$577 | $178 | $539 |
| Inguinal Hernia Repair (Open) | $7,260$1.1k$14k | $3,906 | $9,680 |
| Initial Hospital Admission (Level 1) | $130$30$577 | — | $164 |
| Initial Psychiatric Diagnostic Evaluation | $577$111$774 | $178 | $790 |
| Initial Psychiatric Evaluation with Medication Management | $594$118$819 | $178 | $836 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $3,718$252$5.1k | $640 | $5,830 |
| IUD Insertion | $373$65$11k | — | $464 |
| IUD Removal | $441$78$11k | $337 | $551 |
| Knee Arthroscopy with Meniscectomy | $5,904$1.1k$16k | $3,591 | $7,673 |
| Laparoscopic Appendectomy | $8,419$1.3k$23k | $6,458 | $11,880 |
| Laparoscopic Gallbladder Removal | $8,419$1.4k$24k | $6,458 | $10,973 |
| Laparoscopic Tubal Ligation | $7,749$1.3k$23k | $6,458 | $10,316 |
| Lipid Panel (Cholesterol Test) | $62$5$255 | $13 | $169 |
| Lumbar Epidural Steroid Injection | $3,590$203$11k | $767 | $4,620 |
| Lumbar Puncture (Spinal Tap) | $1,526$130$11k | $767 | $1,934 |
| Lumbar Spinal Fusion (Posterior) | $13,972$1.9k$24k | $20,355 | $24,087 |
| Lumpectomy (Partial Mastectomy) | $5,185$950$11k | $4,238 | $6,738 |
| MRI Abdomen with and without Contrast | $1,104$183$4.4k | $395 | $5,225 |
| MRI Brain with and without Contrast | $895$191$4.8k | $395 | $5,631 |
| MRI Brain with Contrast | $895$148$5.6k | $395 | $4,620 |
| MRI Brain without Contrast | $574$124$4.3k | $268 | $4,073 |
| MRI Cervical Spine (Neck) without Contrast | $601$124$4.3k | $268 | $4,263 |
| MRI Knee without Contrast | $605$113$4.3k | $268 | $4,290 |
| MRI Lower Back (Lumbar Spine) without Contrast | $626$124$4.3k | $268 | $4,439 |
| MRI Thoracic Spine (Mid-back) without Contrast | $610$124$4.3k | $268 | $4,329 |
| Newborn Circumcision | $4,399$177$10k | $2,267 | $5,661 |
| Nuclear Cardiac Stress Test | $1,655$132$5.7k | $1,445 | $6,381 |
| Office Visit, Established Patient (Level 3) | $292$67$366 | — | $374 |
| Office Visit, New Patient (Level 3) | $465$94$1.8k | — | $1,197 |
| Pacemaker Insertion (Dual Chamber) | $27,674$1.0k$63k | $11,584 | $35,616 |
| PET/CT Scan, Whole Body | $4,009$198$9.1k | $1,614 | $10,120 |
| Pregnancy Ultrasound (Second or Third Trimester) | $295$83$743 | $118 | $825 |
| Prostate Biopsy | $5,385$264$11k | $2,267 | $6,930 |
| PSA Prostate Cancer Screening | $186$18$321 | $18 | $328 |
| Pulmonary Function Test with Bronchodilator | $1,197$16$1.6k | $345 | $1,540 |
| Rotator Cuff Repair (Arthroscopic) | $7,907$1.4k$23k | $7,907 | $9,870 |
| Screening Mammogram | $279$55$673 | $169 | $748 |
| Septoplasty (Deviated Septum Repair) | $4,402$787$11k | $3,590 | $5,580 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $8,419$661$14k | $7,662 | $12,296 |
| Skin Biopsy (Tangential) | $651$77$11k | $220 | $825 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,307$172$11k | $1,793 | $2,946 |
| Sleep Study (In-lab Polysomnography) | $6,480$191$9.2k | $1,126 | $9,011 |
| Spinal Cord Stimulator Trial | $7,349$854$23k | $7,264 | $9,186 |
| Spirometry (Breathing Test) | $1,068$13$1.6k | $173 | $1,375 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $4,402$639$11k | $3,590 | $5,580 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $7,137$612$11k | $6,548 | $9,176 |
| Total Hip Replacement | $10,822$1.9k$27k | $14,242 | $16,225 |
| Total Knee Replacement | $10,822$1.9k$27k | $14,242 | $17,531 |
| Total Mastectomy | $7,031$1.2k$14k | $7,218 | $8,786 |
| TSH Thyroid Function Test | $58$6$280 | $17 | $169 |
| TURP (Transurethral Prostate Resection) | $7,576$1.4k$20k | $5,627 | $9,845 |
| Upper GI Endoscopy (EGD) | $3,478$250$11k | $1,038 | $4,476 |
| Urinalysis with Microscopy | $61$3$105 | $3 | $107 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $5,270 | — | — |
| Vaginal Delivery (Global Package) | $4,551$368$5.1k | — | $5,834 |
| Vaginal Hysterectomy | $8,478$1.2k$14k | $5,464 | $11,304 |
| Vasectomy | $4,519$479$11k | $2,267 | $5,816 |
| Vitamin D Blood Test | $255$30$441 | $30 | $450 |