| Abdominal Hysterectomy | $7,311$1.2k$14k | — | $8,559 |
| ACL Reconstruction (Arthroscopic) | $8,637$2.0k$23k | $7,807 | $13,167 |
| Allergy Skin Testing | $1,209$6$1.5k | $1,112 | $1,541 |
| Basic Metabolic Panel | $122$8$184 | $8 | $187 |
| Bone Marrow Biopsy | $2,669$143$10k | $1,771 | $3,496 |
| Breast Biopsy (Ultrasound-guided) | $4,538$309$10k | $1,771 | $6,050 |
| Bunion Correction Surgery | $4,676$1.1k$14k | $3,546 | $6,960 |
| Cardiac Ablation for Atrial Fibrillation | $32,633$1.5k$42k | $26,811 | $42,264 |
| Cardiac Catheterization (Left Heart) | $8,821$472$22k | $3,515 | $18,028 |
| Cardiac Stress Test (Treadmill) | $174$36$1.4k | — | $201 |
| Carpal Tunnel Release Surgery | $4,162$931$10k | $2,134 | $5,972 |
| Cataract Surgery with Lens Implant | $5,635$1.1k$10k | $2,493 | $7,351 |
| Cervical Spinal Fusion (Anterior) | $11,561$1.7k$23k | $14,062 | $17,478 |
| Cesarean Delivery (Global Package) | $5,590 | — | — |
| Chemotherapy Infusion (First Hour) | $1,610$221$2.3k | $363 | $2,310 |
| Chest X-ray (2 Views) | $167$18$454 | $96 | $497 |
| Colonoscopy with Biopsy | $3,177$406$9.9k | $1,289 | $4,294 |
| Complete Abdominal Ultrasound | $295$67$1.2k | $116 | $1,362 |
| Complete Blood Count (CBC) with Differential | $119$4$2.2k | $8 | $157 |
| Comprehensive Metabolic Panel | $254$11$335 | $11 | $330 |
| Coronary Angioplasty with Stent | $13,261$945$52k | $12,394 | $18,953 |
| Critical Care, First Hour | $2,539$346$8.1k | $921 | $5,390 |
| CT Abdomen and Pelvis with Contrast | $860$151$4.3k | $390 | $4,650 |
| CT Cardiac Calcium Scoring | $96$18$714 | $96 | $99 |
| CT Chest without Contrast | $498$90$2.5k | $116 | $2,692 |
| CT Head without Contrast | $447$71$2.3k | $116 | $2,504 |
| DEXA Bone Density Scan | $173$17$855 | $116 | $935 |
| Diagnostic Colonoscopy | $3,133$187$9.9k | $996 | $4,235 |
| Diagnostic Mammogram (Both Breasts) | $375$83$955 | $208 | $1,045 |
| Ear Tube Placement (Tympanostomy) | $2,561$336$9.9k | $1,619 | $3,414 |
| Echocardiogram (Complete with Doppler) | $2,874$111$4.0k | $599 | $4,021 |
| EKG (Electrocardiogram, 12-lead) | $37$24$49 | — | — |
| Emergency Room Visit (Level 3) | $1,599$115$3.8k | $303 | $2,090 |
| Group Therapy Session | $298$31$406 | $101 | $413 |
| Hemodialysis Treatment | $1,394$166$4.7k | — | $1,761 |
| Hemoglobin A1c (Diabetes Test) | $47$10$176 | $10 | $117 |
| HIV Antibody Test | $100$9$205 | $9 | $127 |
| Holter Monitor (24-48 Hour Heart Monitor) | $214$123$306 | — | — |
| Home Sleep Study | $1,476$71$5.2k | $171 | $1,925 |
| Individual Therapy Session (45 Minutes) | $393$95$651 | $176 | $539 |
| Inguinal Hernia Repair (Open) | $6,504$1.1k$14k | $3,857 | $9,680 |
| Initial Hospital Admission (Level 1) | $141$30$651 | — | $164 |
| Initial Psychiatric Diagnostic Evaluation | $531$142$777 | $176 | $790 |
| Initial Psychiatric Evaluation with Medication Management | $544$52$822 | $176 | $836 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $3,795$632$5.3k | $632 | $5,830 |
| IUD Insertion | $408$84$9.9k | — | $464 |
| IUD Removal | $471$99$9.9k | $332 | $551 |
| Knee Arthroscopy with Meniscectomy | $5,155$1.1k$16k | $3,546 | $7,673 |
| Laparoscopic Appendectomy | $7,848$1.3k$23k | $6,376 | $11,880 |
| Laparoscopic Gallbladder Removal | $8,096$1.4k$24k | $6,376 | $10,973 |
| Laparoscopic Tubal Ligation | $7,049$1.3k$23k | $6,376 | $10,316 |
| Lipid Panel (Cholesterol Test) | $71$6$256 | $13 | $169 |
| Lumbar Epidural Steroid Injection | $3,401$203$9.9k | $757 | $4,620 |
| Lumbar Puncture (Spinal Tap) | $1,520$130$9.9k | $757 | $1,934 |
| Lumbar Spinal Fusion (Posterior) | $14,788$1.7k$24k | $20,098 | $24,087 |
| Lumpectomy (Partial Mastectomy) | $4,866$1.2k$10k | $4,185 | $6,738 |
| MRI Abdomen with and without Contrast | $1,225$183$4.8k | $390 | $5,225 |
| MRI Brain with and without Contrast | $1,014$191$5.1k | $390 | $5,631 |
| MRI Brain with Contrast | $895$148$4.3k | $390 | $4,620 |
| MRI Brain without Contrast | $754$124$4.3k | $264 | $4,073 |
| MRI Cervical Spine (Neck) without Contrast | $789$124$4.3k | $264 | $4,263 |
| MRI Knee without Contrast | $794$113$4.3k | $264 | $4,290 |
| MRI Lower Back (Lumbar Spine) without Contrast | $821$124$4.3k | $264 | $4,439 |
| MRI Thoracic Spine (Mid-back) without Contrast | $801$124$4.3k | $264 | $4,329 |
| Newborn Circumcision | $4,322$177$10k | $2,239 | $5,661 |
| Nuclear Cardiac Stress Test | $1,555$132$5.8k | $1,427 | $6,381 |
| Office Visit, Established Patient (Level 3) | $286$67$368 | — | $374 |
| Office Visit, New Patient (Level 3) | $473$64$1.8k | — | $1,197 |
| Pacemaker Insertion (Dual Chamber) | $27,300$1.0k$64k | $11,437 | $35,616 |
| PET/CT Scan, Whole Body | $4,010$198$9.3k | $1,594 | $10,120 |
| Pregnancy Ultrasound (Second or Third Trimester) | $295$83$754 | $116 | $825 |
| Prostate Biopsy | $4,830$264$9.9k | $2,239 | $6,930 |
| PSA Prostate Cancer Screening | $217$18$323 | $18 | $328 |
| Pulmonary Function Test with Bronchodilator | $1,073$16$1.5k | $340 | $1,540 |
| Rotator Cuff Repair (Arthroscopic) | $7,852$1.8k$23k | $7,807 | $9,870 |
| Screening Mammogram | $310$64$684 | $169 | $748 |
| Septoplasty (Deviated Septum Repair) | $4,311$1.0k$10k | $3,544 | $5,580 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $8,246$661$14k | $7,565 | $12,296 |
| Skin Biopsy (Tangential) | $681$77$9.9k | $217 | $825 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,229$172$9.9k | $1,771 | $2,946 |
| Sleep Study (In-lab Polysomnography) | $6,281$191$9.3k | $1,112 | $9,011 |
| Spinal Cord Stimulator Trial | $7,670$854$23k | $7,172 | $9,186 |
| Spirometry (Breathing Test) | $958$13$1.4k | $171 | $1,375 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $4,311$639$10k | $3,544 | $5,580 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,964$612$10k | $6,465 | $9,176 |
| Total Hip Replacement | $10,562$1.5k$27k | $14,062 | $16,225 |
| Total Knee Replacement | $11,413$1.5k$27k | $14,062 | $17,531 |
| Total Mastectomy | $7,127$1.2k$14k | $7,127 | $8,786 |
| TSH Thyroid Function Test | $63$9$281 | $17 | $169 |
| TURP (Transurethral Prostate Resection) | $6,858$1.5k$20k | $5,556 | $9,845 |
| Upper GI Endoscopy (EGD) | $3,120$250$9.9k | $1,025 | $4,476 |
| Urinalysis with Microscopy | $71$3$105 | $3 | $107 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $5,270 | — | — |
| Vaginal Delivery (Global Package) | $4,667$1.1k$8.1k | — | $5,834 |
| Vaginal Hysterectomy | $8,221$1.2k$14k | $5,395 | $11,304 |
| Vasectomy | $4,054$479$10k | $2,239 | $5,816 |
| Vitamin D Blood Test | $298$30$443 | $30 | $450 |