| Abdominal Hysterectomy | $8,557$1.0k$12k | — | — |
| ACL Reconstruction (Arthroscopic) | $7,905$1.1k$14k | — | — |
| Allergy Skin Testing | $63$5$1.1k | $243 | $270 |
| Basic Metabolic Panel | $10$3$51 | $119 | $133 |
| Bone Marrow Biopsy | $2,890$79$9.3k | $5,078 | $5,643 |
| Breast Biopsy (Ultrasound-guided) | $4,998$786$9.3k | $4,037 | $4,485 |
| Bunion Correction Surgery | $5,247$830$11k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $19,214$1.2k$34k | $27,000 | $30,000 |
| Cardiac Arrhythmia (with Complications) | $18,159$11k$29k | — | — |
| Cardiac Arrhythmia (with Major Complications) | $29,717$17k$47k | — | — |
| Cardiac Arrhythmia (without Complications) | $13,972$8.4k$22k | — | — |
| Cardiac Catheterization (Left Heart) | $8,178$928$12k | $8,100 | $9,000 |
| Cardiac Stress Test (Treadmill) | $60$60$127 | — | — |
| Carpal Tunnel Release Surgery | $4,612$460$9.3k | — | — |
| Cataract Surgery with Lens Implant | $5,880$766$9.3k | — | — |
| Cellulitis (with Major Complications) | $35,081$20k$56k | — | — |
| Cellulitis (without Major Complications) | $21,496$13k$34k | — | — |
| Cervical Spinal Fusion (Anterior) | $9,750$2.0k$16k | — | — |
| Cesarean Delivery (Global Package) | $2,415$2.4k$34k | — | — |
| Chemotherapy Infusion (First Hour) | $35$35$412 | $2,790 | $3,100 |
| Chest Pain | $17,771$11k$28k | — | — |
| Chest X-ray (2 Views) | $23$9$132 | $477 | $530 |
| Colonoscopy with Biopsy | $4,805$274$9.3k | — | — |
| Complete Abdominal Ultrasound | $113$36$673 | $1,260 | $1,400 |
| Complete Blood Count (CBC) with Differential | $10$3$62 | $85 | $94 |
| Comprehensive Metabolic Panel | $13$5$76 | $171 | $190 |
| COPD (with Complications) | $20,807$12k$33k | — | — |
| COPD (with Major Complications) | $27,340$16k$44k | — | — |
| COPD (without Complications) | $15,846$9.5k$25k | — | — |
| Coronary Angioplasty with Stent | $9,669$673$19k | $13,950 | $15,500 |
| Critical Care, First Hour | $740$233$1.0k | $6,750 | $7,500 |
| CT Abdomen and Pelvis with Contrast | $602$65$2.3k | $3,960 | $4,400 |
| CT Cardiac Calcium Scoring | $76$28$326 | $1,116 | $1,240 |
| CT Chest without Contrast | $176$84$1.4k | $1,800 | $2,000 |
| CT Head without Contrast | $169$72$1.1k | $1,620 | $1,800 |
| DEXA Bone Density Scan | $100$39$616 | $923 | $1,025 |
| Diabetes (with Complications) | $22,120$13k$35k | — | — |
| Diabetes (with Major Complications) | $35,461$20k$57k | — | — |
| Diabetes (without Complications) | $15,332$9.2k$24k | — | — |
| Diagnostic Colonoscopy | $3,387$232$8.0k | $3,060 | $3,400 |
| Diagnostic Mammogram (Both Breasts) | $287$58$985 | $855 | $950 |
| Digestive Disorders, E.g. Gastroenteritis (with Major Complications) | $31,304$18k$50k | — | — |
| Digestive Disorders, E.g. Gastroenteritis (without Major Complications) | $19,242$11k$31k | — | — |
| Ear Tube Placement (Tympanostomy) | $4,998$178$9.3k | — | — |
| Echocardiogram (Complete with Doppler) | $250$124$1.2k | $3,281 | $3,645 |
| EKG (Electrocardiogram, 12-lead) | $15$15$32 | — | — |
| Emergency Room Visit (Level 3) | $223$66$341 | $1,935 | $2,150 |
| GI Hemorrhage (with Complications) | $24,206$14k$39k | — | — |
| GI Hemorrhage (with Major Complications) | $45,119$25k$72k | — | — |
| GI Hemorrhage (without Complications) | $15,560$9.3k$25k | — | — |
| Group Therapy Session | $102$35$242 | $270 | $300 |
| Heart Attack, Discharged Alive (with Complications) | $22,685$13k$36k | — | — |
| Heart Attack, Discharged Alive (with Major Complications) | $39,592$22k$63k | — | — |
| Heart Attack, Discharged Alive (without Complications) | $17,848$11k$28k | — | — |
| Heart Failure and Shock (with Complications) | $20,955$12k$33k | — | — |
| Heart Failure and Shock (with Major Complications) | $31,687$18k$51k | — | — |
| Heart Failure and Shock (without Complications) | $13,970$8.4k$22k | — | — |
| Hemodialysis Treatment | $106$106$130 | — | — |
| Hemoglobin A1c (Diabetes Test) | $12$5$77 | $149 | $165 |
| Hip and Femur Procedures (with Complications) | $51,696$29k$83k | — | — |
| Hip and Femur Procedures (with Major Complications) | $71,881$40k$115k | — | — |
| Hip and Femur Procedures (without Complications) | $40,256$23k$64k | — | — |
| Hip or Knee Replacement (with Major Complications) | $74,865$42k$120k | — | — |
| Hip or Knee Replacement (without Major Complications) | $47,609$27k$76k | — | — |
| HIV Antibody Test | $11$4$70 | $113 | $125 |
| Holter Monitor (24-48 Hour Heart Monitor) | $60$60$201 | — | — |
| Home Sleep Study | $260$136$871 | $6,660 | $7,400 |
| Individual Therapy Session (45 Minutes) | $128$70$301 | $462 | $513 |
| Inguinal Hernia Repair (Open) | $6,511$513$11k | — | — |
| Initial Hospital Admission (Level 1) | $103$73$103 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $165$90$468 | $428 | $475 |
| Initial Psychiatric Evaluation with Medication Management | $165$83$497 | $747 | $830 |
| Inpatient Rehabilitation (with Complications) | $38,223$22k$61k | — | — |
| Inpatient Rehabilitation (without Complications) | $28,305$16k$45k | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $3,417$80$5.0k | $6,660 | $7,400 |
| IUD Insertion | $3,041$56$4.7k | $608 | $675 |
| IUD Removal | $3,041$79$4.7k | $630 | $700 |
| Kidney Failure (with Complications) | $21,617$13k$35k | — | — |
| Kidney Failure (with Major Complications) | $36,554$21k$58k | — | — |
| Kidney Failure (without Complications) | $14,817$8.9k$24k | — | — |
| Kidney or Urinary Tract Infection (with Major Complications) | $28,639$16k$46k | — | — |
| Kidney or Urinary Tract Infection (without Major Complications) | $19,980$12k$32k | — | — |
| Knee Arthroscopy with Meniscectomy | $6,511$686$11k | — | — |
| Laparoscopic Appendectomy | $7,726$577$14k | — | — |
| Laparoscopic Gallbladder Removal | $8,603$719$14k | — | — |
| Laparoscopic Gallbladder Removal (with Complications) | $41,752$24k$67k | — | — |
| Laparoscopic Gallbladder Removal (with Major Complications) | $58,901$33k$94k | — | — |
| Laparoscopic Gallbladder Removal (without Complications) | $33,711$19k$54k | — | — |
| Laparoscopic Tubal Ligation | $7,547$729$14k | — | — |
| Lipid Panel (Cholesterol Test) | $16$6$106 | $117 | $130 |
| Lumbar Epidural Steroid Injection | $3,367$288$5.8k | $2,970 | $3,300 |
| Lumbar Puncture (Spinal Tap) | $3,129$70$5.8k | $3,330 | $3,700 |
| Lumbar Spinal Fusion (Posterior) | $9,750$1.7k$22k | — | — |
| Lumpectomy (Partial Mastectomy) | $5,247$2.8k$9.4k | — | — |
| Major Bowel Procedure (with Complications) | $59,168$33k$94k | — | — |
| Major Bowel Procedure (with Major Complications) | $113,451$63k$181k | — | — |
| Major Bowel Procedure (without Complications) | $41,537$23k$66k | — | — |
| MRI Abdomen with and without Contrast | $602$300$3.8k | $5,225 | $5,805 |
| MRI Brain with and without Contrast | $602$300$3.8k | $8,177 | $9,085 |
| MRI Brain with Contrast | $558$300$3.0k | $5,220 | $5,800 |
| MRI Brain without Contrast | $440$298$2.5k | $4,860 | $5,400 |
| MRI Cervical Spine (Neck) without Contrast | $423$298$2.5k | $3,515 | $3,905 |
| MRI Knee without Contrast | $467$229$2.5k | $3,159 | $3,510 |
| MRI Lower Back (Lumbar Spine) without Contrast | $425$298$2.5k | $3,524 | $3,915 |
| MRI Thoracic Spine (Mid-back) without Contrast | $424$298$2.5k | $3,506 | $3,895 |
| Newborn Circumcision | $3,185$166$9.3k | $2,610 | $2,900 |
| Nuclear Cardiac Stress Test | $380$143$2.7k | $5,288 | $5,875 |
| Office Visit, Established Patient (Level 3) | $147$52$366 | $504 | $560 |
| Office Visit, New Patient (Level 3) | $160$77$366 | $531 | $590 |
| Pacemaker Insertion (Dual Chamber) | $9,879$639$25k | $17,100 | $19,000 |
| PET/CT Scan, Whole Body | $1,460$406$7.3k | $7,290 | $8,100 |
| Pneumonia and Pleurisy (with Complications) | $19,891$12k$32k | — | — |
| Pneumonia and Pleurisy (with Major Complications) | $32,442$19k$52k | — | — |
| Pneumonia and Pleurisy (without Complications) | $15,513$9.3k$25k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $113$33$676 | $689 | $765 |
| Prostate Biopsy | $4,998$99$9.3k | $4,050 | $4,500 |
| PSA Prostate Cancer Screening | $23$9$146 | $167 | $185 |
| Psychiatric Admission (Psychoses) | $34,476$20k$55k | — | — |
| Pulmonary Edema and Respiratory Failure | $30,492$17k$49k | — | — |
| Pulmonary Function Test with Bronchodilator | $171$15$466 | $990 | $1,100 |
| Rotator Cuff Repair (Arthroscopic) | $7,905$1.2k$14k | — | — |
| Screening Mammogram | $223$58$818 | $720 | $800 |
| Sepsis (with Major Complications) | $47,945$27k$77k | — | — |
| Sepsis (without Major Complications) | $25,257$15k$40k | — | — |
| Septoplasty (Deviated Septum Repair) | $5,352$513$9.3k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,446$479$13k | — | — |
| Skin Biopsy (Tangential) | $2,966$117$4.7k | $765 | $850 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $3,928$88$9.3k | $2,736 | $3,040 |
| Sleep Study (In-lab Polysomnography) | $1,140$772$4.3k | $9,378 | $10,420 |
| Spinal Cord Stimulator Trial | $7,930$421$14k | $11,250 | $12,500 |
| Spirometry (Breathing Test) | $112$9$270 | $797 | $885 |
| Stroke (with Complications) | $24,936$14k$40k | — | — |
| Stroke (with Major Complications) | $49,636$28k$79k | — | — |
| Stroke (without Complications) | $16,892$10k$27k | — | — |
| Syncope and Collapse | $21,513$13k$34k | — | — |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $5,880$377$9.3k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,666$363$12k | — | — |
| Total Hip Replacement | $9,300$1.4k$19k | — | — |
| Total Knee Replacement | $10,519$1.7k$51k | — | — |
| Total Mastectomy | $7,446$2.1k$13k | — | — |
| TSH Thyroid Function Test | $21$8$133 | $164 | $183 |
| TURP (Transurethral Prostate Resection) | $7,299$755$12k | — | — |
| Umbilical Hernia Repair | $7,905$455$9.4k | — | — |
| Upper GI Endoscopy (EGD) | $3,129$147$8.0k | $2,187 | $2,430 |
| Urinalysis with Microscopy | $4$2$25 | $59 | $65 |
| Uterine and Adnexa Surgery, Non-cancer (without Complications) | $30,623$18k$49k | — | — |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,285$2.3k$34k | — | — |
| Vaginal Delivery (Global Package) | $2,178$2.2k$34k | $3,150 | $3,500 |
| Vaginal Hysterectomy | $7,676$874$13k | — | — |
| Vasectomy | $4,805$273$9.3k | $4,320 | $4,800 |
| Vitamin D Blood Test | $37$14$235 | $90 | $100 |