| Abdominal Hysterectomy | $10,370$9.9k$11k | — | — |
| ACL Reconstruction (Arthroscopic) | $7,769$7.2k$13k | — | — |
| Allergy Skin Testing | $901$64$1.5k | — | — |
| Basic Metabolic Panel | $9$8$104 | $106 | $151 |
| Bone Marrow Biopsy | $1,732$1.1k$2.9k | — | — |
| Breast Biopsy (Ultrasound-guided) | $1,832$1.7k$4.0k | $3,657 | $5,224 |
| Bunion Correction Surgery | $3,629$3.3k$7.2k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $27,411$16k$46k | — | — |
| Cardiac Catheterization (Left Heart) | $3,596$3.3k$5.7k | — | — |
| Cardiac Stress Test (Treadmill) | $339$325$352 | — | — |
| Carpal Tunnel Release Surgery | $2,166$2.0k$8.6k | — | — |
| Cataract Surgery with Lens Implant | $2,560$2.3k$9.9k | — | — |
| Cervical Spinal Fusion (Anterior) | $13,464$3.6k$23k | — | — |
| Cesarean Delivery (Global Package) | $6,809$6.5k$7.1k | — | — |
| Chemotherapy Infusion (First Hour) | $366$333$736 | $526 | $751 |
| Chest X-ray (2 Views) | $97$88$235 | $251 | $359 |
| Colonoscopy with Biopsy | $1,327$1.2k$2.8k | $3,609 | $5,155 |
| Complete Abdominal Ultrasound | $116$105$411 | $764 | $1,092 |
| Complete Blood Count (CBC) with Differential | $9$8$69 | $74 | $105 |
| Comprehensive Metabolic Panel | $12$11$111 | $123 | $175 |
| Coronary Angioplasty with Stent | $12,805$12k$23k | — | — |
| Critical Care, First Hour | — | $1,296 | $1,852 |
| CT Abdomen and Pelvis with Contrast | $387$352$1.9k | $3,994 | $5,705 |
| CT Cardiac Calcium Scoring | $91$81$154 | $139 | $198 |
| CT Chest without Contrast | $116$105$559 | $1,182 | $1,688 |
| CT Head without Contrast | $116$105$489 | $931 | $1,330 |
| DEXA Bone Density Scan | $116$105$327 | $307 | $438 |
| Diagnostic Colonoscopy | $1,003$199$2.9k | $3,346 | $4,780 |
| Diagnostic Mammogram (Both Breasts) | $112$102$200 | $517 | $739 |
| Ear Tube Placement (Tympanostomy) | $1,721$1.6k$3.5k | — | — |
| Echocardiogram (Complete with Doppler) | $606$551$964 | $852 | $1,217 |
| EKG (Electrocardiogram, 12-lead) | $71$68$74 | — | — |
| Emergency Room Visit (Level 3) | $295$275$482 | $283 | $405 |
| Group Therapy Session | $113$102$247 | — | — |
| Hemodialysis Treatment | $384$368$400 | — | — |
| Hemoglobin A1c (Diabetes Test) | $11$10$42 | $84 | $120 |
| HIV Antibody Test | $10$9$49 | — | — |
| Holter Monitor (24-48 Hour Heart Monitor) | $400$383$416 | — | — |
| Home Sleep Study | $240$218$441 | $296 | $423 |
| Individual Therapy Session (45 Minutes) | $197$179$416 | — | — |
| Inguinal Hernia Repair (Open) | $3,971$3.6k$7.0k | — | — |
| Initial Hospital Admission (Level 1) | $319$306$332 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $197$179$416 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $197$179$416 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $2,855$2.7k$3.0k | — | — |
| IUD Insertion | $3,227$3.1k$3.4k | $109 | $155 |
| IUD Removal | $338$307$4.0k | $209 | $298 |
| Knee Arthroscopy with Meniscectomy | $3,629$3.3k$9.2k | — | — |
| Laparoscopic Appendectomy | $6,706$6.1k$11k | — | — |
| Laparoscopic Gallbladder Removal | $6,706$6.1k$14k | — | — |
| Laparoscopic Tubal Ligation | $6,340$5.7k$11k | — | — |
| Lipid Panel (Cholesterol Test) | $15$13$101 | $156 | $223 |
| Lumbar Epidural Steroid Injection | $783$712$1.4k | $1,603 | $2,290 |
| Lumbar Puncture (Spinal Tap) | $740$571$1.2k | $517 | $739 |
| Lumbar Spinal Fusion (Posterior) | $18,388$11k$31k | — | — |
| Lumpectomy (Partial Mastectomy) | $4,343$3.9k$6.9k | — | — |
| MRI Abdomen with and without Contrast | $387$352$822 | $1,759 | $2,513 |
| MRI Brain with and without Contrast | $387$352$1.1k | $1,627 | $2,324 |
| MRI Brain with Contrast | $387$352$893 | $1,354 | $1,934 |
| MRI Brain without Contrast | $265$241$815 | $1,177 | $1,682 |
| MRI Cervical Spine (Neck) without Contrast | $265$241$710 | $1,320 | $1,885 |
| MRI Knee without Contrast | $265$241$652 | $1,822 | $2,603 |
| MRI Lower Back (Lumbar Spine) without Contrast | $265$241$724 | $1,509 | $2,156 |
| MRI Thoracic Spine (Mid-back) without Contrast | $265$241$773 | $1,588 | $2,269 |
| Newborn Circumcision | $2,319$2.1k$6.7k | $2,003 | $2,862 |
| Nuclear Cardiac Stress Test | $1,358$880$2.3k | $1,177 | $1,681 |
| Pacemaker Insertion (Dual Chamber) | $11,593$11k$19k | — | — |
| PET/CT Scan, Whole Body | $1,586$1.4k$2.5k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $116$105$311 | $542 | $774 |
| Prostate Biopsy | $1,977$1.9k$2.1k | — | — |
| PSA Prostate Cancer Screening | $20$18$85 | $143 | $204 |
| Pulmonary Function Test with Bronchodilator | $391$136$658 | $361 | $516 |
| Rotator Cuff Repair (Arthroscopic) | $7,610$4.4k$13k | — | — |
| Screening Mammogram | $92$84$165 | $464 | $663 |
| Septoplasty (Deviated Septum Repair) | $3,577$3.3k$5.9k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,401$2.3k$12k | — | — |
| Skin Biopsy (Tangential) | $451$410$717 | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,832$1.7k$6.7k | — | — |
| Sleep Study (In-lab Polysomnography) | $953$866$2.0k | $1,532 | $2,188 |
| Spinal Cord Stimulator Trial | $7,069$6.4k$11k | $14,001 | $20,001 |
| Spirometry (Breathing Test) | $226$76$381 | $239 | $341 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,677$3.3k$7.5k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,566$6.0k$10k | — | — |
| Total Hip Replacement | $14,241$13k$47k | — | — |
| Total Knee Replacement | $13,464$10.0k$23k | — | — |
| Total Mastectomy | $6,963$5.3k$12k | — | — |
| TSH Thyroid Function Test | $18$17$84 | $128 | $183 |
| TURP (Transurethral Prostate Resection) | $5,947$5.4k$9.5k | — | — |
| Upper GI Endoscopy (EGD) | $1,006$915$2.5k | $4,903 | $7,004 |
| Urinalysis with Microscopy | $3$3$60 | $49 | $70 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $6,336$6.1k$6.6k | — | — |
| Vaginal Delivery (Global Package) | $6,012$5.8k$6.3k | — | — |
| Vaginal Hysterectomy | $5,549$5.0k$8.8k | — | — |
| Vasectomy | $2,319$2.1k$3.7k | — | — |
| Vitamin D Blood Test | $33$30$86 | $151 | $215 |