| Abdominal Hysterectomy | $6,633$1.8k$11k | — | $8,559 |
| ACL Reconstruction (Arthroscopic) | $9,240$2.0k$11k | $7,144 | $13,289 |
| Allergy Skin Testing | $1,079$7$1.5k | $1,017 | $1,542 |
| Basic Metabolic Panel | $38$8$159 | $8 | $187 |
| Bone Marrow Biopsy | $2,181$147$3.1k | $1,620 | $3,465 |
| Breast Biopsy (Ultrasound-guided) | $3,446$318$5.9k | $1,620 | $6,490 |
| Bunion Correction Surgery | $5,307$1.1k$11k | $3,245 | $7,582 |
| Cardiac Ablation for Atrial Fibrillation | $25,739$104$42k | $24,532 | $42,264 |
| Cardiac Catheterization (Left Heart) | $9,605$483$20k | $3,216 | $19,736 |
| Cardiac Stress Test (Treadmill) | $161$41$193 | — | $201 |
| Carpal Tunnel Release Surgery | $4,158$967$11k | $1,953 | $5,940 |
| Cataract Surgery with Lens Implant | $4,682$1.2k$11k | $2,281 | $6,688 |
| Cervical Spinal Fusion (Anterior) | $12,551$2.0k$15k | $12,867 | $17,478 |
| Cesarean Delivery (Global Package) | $5,736 | — | — |
| Chemotherapy Infusion (First Hour) | $1,407$234$2.6k | $332 | $2,310 |
| Chest X-ray (2 Views) | $101$19$422 | $88 | $497 |
| Colonoscopy with Biopsy | $3,006$419$11k | $1,179 | $4,294 |
| Complete Abdominal Ultrasound | $308$69$944 | $106 | $1,111 |
| Complete Blood Count (CBC) with Differential | $116$4$1.9k | $8 | $154 |
| Comprehensive Metabolic Panel | $50$11$270 | $11 | $318 |
| Coronary Angioplasty with Stent | $12,526$965$23k | $11,341 | $19,932 |
| Critical Care, First Hour | $1,522$355$4.6k | $843 | $5,390 |
| CT Abdomen and Pelvis with Contrast | $1,085$156$4.6k | $357 | $5,353 |
| CT Cardiac Calcium Scoring | $83$19$222 | $88 | $99 |
| CT Chest without Contrast | $470$93$2.0k | $106 | $2,317 |
| CT Head without Contrast | $438$73$1.8k | $106 | $2,158 |
| DEXA Bone Density Scan | $240$17$1.0k | $106 | $1,183 |
| Diagnostic Colonoscopy | $2,965$193$11k | $912 | $4,235 |
| Diagnostic Mammogram (Both Breasts) | $425$86$935 | $208 | $1,100 |
| Ear Tube Placement (Tympanostomy) | $2,948$349$11k | $1,481 | $4,639 |
| Echocardiogram (Complete with Doppler) | $1,840$114$3.9k | $548 | $4,021 |
| EKG (Electrocardiogram, 12-lead) | $25 | — | — |
| Emergency Room Visit (Level 3) | $1,463$118$3.0k | $277 | $2,090 |
| Group Therapy Session | $212$40$424 | $93 | $440 |
| Hemodialysis Treatment | $1,409$171$1.7k | — | $1,761 |
| Hemoglobin A1c (Diabetes Test) | $43$7$152 | $10 | $117 |
| HIV Antibody Test | $95$9$177 | $9 | $134 |
| Holter Monitor (24-48 Hour Heart Monitor) | $129 | — | — |
| Home Sleep Study | $826$73$1.3k | $156 | $1,357 |
| Individual Therapy Session (45 Minutes) | $276$98$851 | $161 | $457 |
| Inguinal Hernia Repair (Open) | $6,083$1.1k$11k | $3,529 | $8,690 |
| Initial Hospital Admission (Level 1) | $151$34$851 | — | $164 |
| Initial Psychiatric Diagnostic Evaluation | $273$154$851 | $161 | $824 |
| Initial Psychiatric Evaluation with Medication Management | $276$154$866 | $161 | $900 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $3,550$293$5.8k | $578 | $5,830 |
| IUD Insertion | $465$105$4.0k | — | $581 |
| IUD Removal | $424$130$4.0k | $304 | $606 |
| Knee Arthroscopy with Meniscectomy | $5,371$1.2k$11k | $3,245 | $7,673 |
| Laparoscopic Appendectomy | $9,326$1.3k$12k | $5,834 | $13,534 |
| Laparoscopic Gallbladder Removal | $7,681$1.4k$11k | $5,834 | $10,973 |
| Laparoscopic Tubal Ligation | $8,278$1.4k$11k | $5,834 | $11,825 |
| Lipid Panel (Cholesterol Test) | $26$6$221 | $13 | $147 |
| Lumbar Epidural Steroid Injection | $2,233$210$11k | $693 | $3,190 |
| Lumbar Puncture (Spinal Tap) | $1,994$133$4.0k | $693 | $2,849 |
| Lumbar Spinal Fusion (Posterior) | $18,390$2.0k$26k | $18,390 | $30,109 |
| Lumpectomy (Partial Mastectomy) | $4,543$1.3k$11k | $3,829 | $6,490 |
| MRI Abdomen with and without Contrast | $1,169$188$4.6k | $357 | $5,438 |
| MRI Brain with and without Contrast | $1,317$196$5.2k | $357 | $6,125 |
| MRI Brain with Contrast | $993$153$4.3k | $357 | $4,620 |
| MRI Brain without Contrast | $854$127$4.3k | $242 | $3,972 |
| MRI Cervical Spine (Neck) without Contrast | $796$127$4.3k | $242 | $3,703 |
| MRI Knee without Contrast | $852$117$4.3k | $242 | $3,962 |
| MRI Lower Back (Lumbar Spine) without Contrast | $836$128$4.3k | $242 | $3,887 |
| MRI Thoracic Spine (Mid-back) without Contrast | $863$127$4.3k | $242 | $4,016 |
| Newborn Circumcision | $3,564$200$5.1k | $2,049 | $5,661 |
| Nuclear Cardiac Stress Test | $1,524$136$6.2k | $1,305 | $7,275 |
| Office Visit, Established Patient (Level 3) | $270$79$345 | — | $385 |
| Office Visit, New Patient (Level 3) | $493$113$1.8k | — | $1,210 |
| Pacemaker Insertion (Dual Chamber) | $21,690$104$35k | $10,465 | $35,616 |
| PET/CT Scan, Whole Body | $4,118$203$8.6k | $1,459 | $10,120 |
| Pregnancy Ultrasound (Second or Third Trimester) | $342$86$701 | $106 | $825 |
| Prostate Biopsy | $4,025$272$5.4k | $2,049 | $5,957 |
| PSA Prostate Cancer Screening | $87$18$279 | $18 | $328 |
| Pulmonary Function Test with Bronchodilator | $705$17$1.5k | $311 | $1,540 |
| Rotator Cuff Repair (Arthroscopic) | $7,144$2.0k$11k | $7,144 | $9,870 |
| Screening Mammogram | $351$65$712 | $169 | $838 |
| Septoplasty (Deviated Septum Repair) | $3,906$1.2k$11k | $3,243 | $5,580 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $8,607$680$11k | $6,922 | $12,296 |
| Skin Biopsy (Tangential) | $693$79$4.0k | $199 | $990 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,062$179$4.0k | $1,620 | $2,946 |
| Sleep Study (In-lab Polysomnography) | $5,066$104$8.2k | $1,017 | $8,318 |
| Spinal Cord Stimulator Trial | $6,563$881$11k | $6,563 | $9,186 |
| Spirometry (Breathing Test) | $629$14$1.3k | $156 | $1,375 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $5,030$662$11k | $3,243 | $7,186 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $7,212$634$11k | $5,916 | $10,303 |
| Total Hip Replacement | $12,867$2.0k$16k | $12,867 | $17,941 |
| Total Knee Replacement | $11,606$2.0k$22k | $12,867 | $14,508 |
| Total Mastectomy | $6,545$1.9k$11k | $6,521 | $9,350 |
| TSH Thyroid Function Test | $192$9$243 | $17 | $272 |
| TURP (Transurethral Prostate Resection) | $6,083$1.5k$11k | $5,084 | $8,690 |
| Umbilical Hernia Repair | $6,101 | — | — |
| Upper GI Endoscopy (EGD) | $3,133$257$4.1k | $938 | $4,476 |
| Urinalysis with Microscopy | $15$1$91 | $3 | $107 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $5,407 | — | — |
| Vaginal Delivery (Global Package) | $4,084$1.2k$5.2k | — | $5,834 |
| Vaginal Hysterectomy | $7,113$1.8k$11k | $4,936 | $10,161 |
| Vasectomy | $3,641$497$4.7k | $2,049 | $5,202 |
| Vitamin D Blood Test | $352$30$409 | $30 | $464 |