| Abdominal Hysterectomy | $7,275$1.2k$15k | — | $8,559 |
| ACL Reconstruction (Arthroscopic) | $10,075$2.0k$24k | $7,907 | $13,289 |
| Allergy Skin Testing | $1,198$6$1.5k | $1,126 | $1,542 |
| Basic Metabolic Panel | $107$7$187 | $8 | $187 |
| Bone Marrow Biopsy | $2,640$143$12k | $1,793 | $3,465 |
| Breast Biopsy (Ultrasound-guided) | $4,868$309$12k | $1,793 | $6,490 |
| Bunion Correction Surgery | $5,777$1.1k$15k | $3,591 | $7,582 |
| Cardiac Ablation for Atrial Fibrillation | $32,205$1.5k$42k | $27,154 | $42,264 |
| Cardiac Catheterization (Left Heart) | $11,486$472$21k | $3,560 | $19,736 |
| Cardiac Stress Test (Treadmill) | $161$33$1.5k | — | $201 |
| Carpal Tunnel Release Surgery | $4,615$931$15k | $2,161 | $5,940 |
| Cataract Surgery with Lens Implant | $5,306$1.1k$15k | $2,524 | $6,688 |
| Cervical Spinal Fusion (Anterior) | $13,295$1.8k$24k | $14,242 | $17,478 |
| Cesarean Delivery (Global Package) | $5,590 | — | — |
| Chemotherapy Infusion (First Hour) | $1,733$221$2.3k | $367 | $2,310 |
| Chest X-ray (2 Views) | $249$18$497 | $97 | $497 |
| Colonoscopy with Biopsy | $3,362$406$15k | $1,305 | $4,294 |
| Complete Abdominal Ultrasound | $300$67$1.1k | $118 | $1,111 |
| Complete Blood Count (CBC) with Differential | $119$3$2.2k | $8 | $154 |
| Comprehensive Metabolic Panel | $219$8$318 | $11 | $318 |
| Coronary Angioplasty with Stent | $14,615$945$49k | $12,552 | $19,932 |
| Critical Care, First Hour | $1,371$346$4.7k | $933 | $5,390 |
| CT Abdomen and Pelvis with Contrast | $724$151$4.1k | $395 | $4,076 |
| CT Cardiac Calcium Scoring | $98$16$2.2k | $97 | $99 |
| CT Chest without Contrast | $401$90$2.3k | $118 | $2,317 |
| CT Head without Contrast | $373$71$2.2k | $118 | $2,158 |
| DEXA Bone Density Scan | $243$17$1.2k | $118 | $1,183 |
| Diagnostic Colonoscopy | $3,303$187$15k | $1,009 | $4,235 |
| Diagnostic Mammogram (Both Breasts) | $356$83$1.1k | $208 | $1,100 |
| Ear Tube Placement (Tympanostomy) | $3,605$336$15k | $1,640 | $4,639 |
| Echocardiogram (Complete with Doppler) | $3,064$111$4.0k | $607 | $4,021 |
| EKG (Electrocardiogram, 12-lead) | $37$24$49 | — | — |
| Emergency Room Visit (Level 3) | $1,624$115$4.8k | $306 | $2,090 |
| Group Therapy Session | $324$31$440 | $102 | $440 |
| Hemodialysis Treatment | $1,368$166$4.0k | — | $1,761 |
| Hemoglobin A1c (Diabetes Test) | $44$8$179 | $10 | $117 |
| HIV Antibody Test | $99$7$208 | $9 | $134 |
| Holter Monitor (24-48 Hour Heart Monitor) | $214$123$306 | — | — |
| Home Sleep Study | $1,026$71$5.5k | $173 | $1,357 |
| Individual Therapy Session (45 Minutes) | $343$76$549 | $178 | $457 |
| Inguinal Hernia Repair (Open) | $6,518$1.1k$15k | $3,906 | $8,690 |
| Initial Hospital Admission (Level 1) | $133$30$549 | — | $164 |
| Initial Psychiatric Diagnostic Evaluation | $559$137$824 | $178 | $824 |
| Initial Psychiatric Evaluation with Medication Management | $540$52$900 | $178 | $900 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $4,293$640$5.8k | $640 | $5,830 |
| IUD Insertion | $508$96$15k | — | $581 |
| IUD Removal | $515$101$15k | $337 | $606 |
| Knee Arthroscopy with Meniscectomy | $5,847$1.1k$16k | $3,591 | $7,673 |
| Laparoscopic Appendectomy | $10,151$1.3k$24k | $6,458 | $13,534 |
| Laparoscopic Gallbladder Removal | $8,592$1.4k$24k | $6,458 | $10,973 |
| Laparoscopic Tubal Ligation | $8,869$1.3k$24k | $6,458 | $11,825 |
| Lipid Panel (Cholesterol Test) | $30$5$260 | $13 | $147 |
| Lumbar Epidural Steroid Injection | $2,498$203$15k | $767 | $3,190 |
| Lumbar Puncture (Spinal Tap) | $2,247$130$15k | $767 | $2,849 |
| Lumbar Spinal Fusion (Posterior) | $14,615$1.8k$27k | $20,355 | $30,109 |
| Lumpectomy (Partial Mastectomy) | $5,043$1.1k$15k | $4,238 | $6,490 |
| MRI Abdomen with and without Contrast | $1,150$183$5.6k | $395 | $5,438 |
| MRI Brain with and without Contrast | $1,131$191$5.6k | $395 | $5,631 |
| MRI Brain with Contrast | $1,071$148$5.6k | $395 | $4,620 |
| MRI Brain without Contrast | $711$124$4.3k | $268 | $3,972 |
| MRI Cervical Spine (Neck) without Contrast | $707$124$4.3k | $268 | $3,703 |
| MRI Knee without Contrast | $814$113$4.3k | $268 | $3,962 |
| MRI Lower Back (Lumbar Spine) without Contrast | $707$124$4.3k | $268 | $3,887 |
| MRI Thoracic Spine (Mid-back) without Contrast | $707$124$4.3k | $268 | $4,016 |
| Newborn Circumcision | $4,314$177$12k | $2,267 | $5,661 |
| Nuclear Cardiac Stress Test | $1,655$132$6.4k | $1,445 | $6,381 |
| Office Visit, Established Patient (Level 3) | $299$69$385 | — | $385 |
| Office Visit, New Patient (Level 3) | $495$64$1.9k | — | $1,210 |
| Pacemaker Insertion (Dual Chamber) | $26,712$1.0k$60k | $11,584 | $35,616 |
| PET/CT Scan, Whole Body | $4,548$198$10k | $1,614 | $10,120 |
| Pregnancy Ultrasound (Second or Third Trimester) | $333$83$825 | $118 | $825 |
| Prostate Biopsy | $4,629$264$15k | $2,267 | $5,957 |
| PSA Prostate Cancer Screening | $191$15$328 | $18 | $328 |
| Pulmonary Function Test with Bronchodilator | $1,155$16$1.5k | $345 | $1,540 |
| Rotator Cuff Repair (Arthroscopic) | $7,907$1.6k$24k | $7,907 | $9,870 |
| Screening Mammogram | $294$64$838 | $169 | $838 |
| Septoplasty (Deviated Septum Repair) | $4,412$926$15k | $3,590 | $5,580 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $9,222$661$15k | $7,662 | $12,296 |
| Skin Biopsy (Tangential) | $792$77$15k | $220 | $990 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,307$172$15k | $1,793 | $2,946 |
| Sleep Study (In-lab Polysomnography) | $6,053$191$8.3k | $1,126 | $8,318 |
| Spinal Cord Stimulator Trial | $7,627$854$24k | $7,264 | $9,186 |
| Spirometry (Breathing Test) | $1,031$13$1.4k | $173 | $1,375 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $5,627$639$15k | $3,590 | $7,186 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $7,857$612$15k | $6,548 | $10,303 |
| Total Hip Replacement | $13,456$1.8k$28k | $14,242 | $17,941 |
| Total Knee Replacement | $11,606$1.8k$28k | $14,242 | $14,508 |
| Total Mastectomy | $7,321$1.2k$15k | $7,218 | $9,350 |
| TSH Thyroid Function Test | $190$8$286 | $17 | $272 |
| TURP (Transurethral Prostate Resection) | $6,752$1.4k$20k | $5,627 | $8,690 |
| Upper GI Endoscopy (EGD) | $3,478$250$15k | $1,038 | $4,476 |
| Urinalysis with Microscopy | $62$3$107 | $3 | $107 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $5,270 | — | — |
| Vaginal Delivery (Global Package) | $4,533$968$5.1k | — | $5,834 |
| Vaginal Hysterectomy | $7,956$1.2k$15k | $5,464 | $10,161 |
| Vasectomy | $4,042$479$15k | $2,267 | $5,202 |
| Vitamin D Blood Test | $351$24$481 | $30 | $464 |