| Abdominal Hysterectomy | $1,087$665$4.4k | $4,130 | $4,130 |
| ACL Reconstruction (Arthroscopic) | $7,361$7.2k$11k | $3,968 | $3,968 |
| Allergy Skin Testing | $4$2$18 | $16 | $16 |
| Anesthesia for Screening Colonoscopy | $70$10$356 | $396 | $396 |
| Anesthesia for Upper Endoscopy | $70$10$446 | $495 | $495 |
| Basic Metabolic Panel | $51$8$105 | $105 | $105 |
| Bone Marrow Biopsy | $1,674$493$2.4k | $2,464 | $2,464 |
| Breast Biopsy (Ultrasound-guided) | $2,881$1.2k$5.7k | $5,762 | $5,762 |
| Bunion Correction Surgery | $3,303$3.0k$7.2k | $3,688 | $3,688 |
| Cardiac Ablation for Atrial Fibrillation | $37,474$15k$74k | $74,947 | $74,947 |
| Cardiac Catheterization (Left Heart) | $7,850$3.1k$15k | $15,699 | $15,699 |
| Cardiac Stress Test (Treadmill) | $80$48$406 | $451 | $451 |
| Carpal Tunnel Release Surgery | $1,988$1.9k$3.9k | $1,851 | $1,851 |
| Cataract Surgery with Lens Implant | $2,322$2.3k$3.6k | $2,242 | $2,242 |
| Cervical Spinal Fusion (Anterior) | $12,967$3.0k$19k | $6,711 | $6,711 |
| Cesarean Delivery (Global Package) | $2,781$1.9k$11k | $10,623 | $10,623 |
| Chemotherapy Infusion (First Hour) | $591$236$1.2k | $1,181 | $1,181 |
| Chest X-ray (2 Views) | $287$89$588 | $597 | $597 |
| Colonoscopy with Biopsy | $2,459$984$4.8k | $4,918 | $4,918 |
| Complete Abdominal Ultrasound | $904$107$1.9k | $1,883 | $1,883 |
| Complete Blood Count (CBC) with Differential | $26$8$53 | $53 | $53 |
| Comprehensive Metabolic Panel | $60$11$123 | $123 | $123 |
| Coronary Angioplasty with Stent | $13,470$5.0k$25k | $25,095 | $25,095 |
| Critical Care, First Hour | $2,035$831$4.1k | $4,154 | $4,154 |
| CT Abdomen and Pelvis with Contrast | $3,145$360$6.5k | $6,553 | $6,553 |
| CT Cardiac Calcium Scoring | $133$53$261 | $265 | $265 |
| CT Chest without Contrast | $1,529$107$3.1k | $3,186 | $3,186 |
| CT Head without Contrast | $1,800$107$3.7k | $3,749 | $3,749 |
| DEXA Bone Density Scan | $38$6$172 | $108 | $108 |
| Diagnostic Colonoscopy | $2,147$859$4.2k | $4,293 | $4,293 |
| Diagnostic Mammogram (Both Breasts) | $572$146$720 | $731 | $731 |
| Ear Tube Placement (Tympanostomy) | $1,493$1.0k$2.2k | $664 | $664 |
| Echocardiogram (Complete with Doppler) | $1,859$553$3.7k | $3,717 | $3,717 |
| EKG (Electrocardiogram, 12-lead) | $16$9$95 | $105 | $105 |
| Emergency Room Visit (Level 3) | $630$257$6.1k | $1,285 | $1,285 |
| Group Therapy Session | $76$21$403 | $75 | $75 |
| Hemodialysis Treatment | $111$67$449 | $403 | $403 |
| Hemoglobin A1c (Diabetes Test) | $10$2$93 | $51 | $51 |
| HIV Antibody Test | $23$9$83 | $83 | $83 |
| Holter Monitor (24-48 Hour Heart Monitor) | $94$46$328 | $302 | $302 |
| Home Sleep Study | $389$156$766 | $778 | $778 |
| Individual Therapy Session (45 Minutes) | $178$56$293 | $281 | $281 |
| Inguinal Hernia Repair (Open) | $3,637$3.6k$7.7k | $2,099 | $2,099 |
| Initial Hospital Admission (Level 1) | $103$35$242 | $244 | $244 |
| Initial Psychiatric Diagnostic Evaluation | $243$94$514 | $469 | $469 |
| Initial Psychiatric Evaluation with Medication Management | $225$124$871 | $525 | $525 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $3,051$583$6.3k | $6,357 | $6,357 |
| IUD Insertion | $707$50$881 | $895 | $895 |
| IUD Removal | $507$210$1.0k | $1,057 | $1,057 |
| Knee Arthroscopy with Meniscectomy | $3,344$3.3k$6.2k | $2,235 | $2,235 |
| Laparoscopic Appendectomy | $5,939$4.2k$8.8k | $2,410 | $2,410 |
| Laparoscopic Gallbladder Removal | $6,012$5.9k$11k | $2,636 | $2,636 |
| Laparoscopic Tubal Ligation | $6,012$5.9k$9.7k | $2,647 | $2,647 |
| Lipid Panel (Cholesterol Test) | $50$13$103 | $103 | $103 |
| Lumbar Epidural Steroid Injection | $1,529$611$3.0k | $3,057 | $3,057 |
| Lumbar Puncture (Spinal Tap) | $1,015$369$1.8k | $1,846 | $1,846 |
| Lumbar Spinal Fusion (Posterior) | $18,533$19k$28k | $6,295 | $6,295 |
| Lumpectomy (Partial Mastectomy) | $3,415$794$5.8k | $3,971 | $3,971 |
| MRI Abdomen with and without Contrast | $3,077$360$6.3k | $6,410 | $6,410 |
| MRI Brain with and without Contrast | $3,728$360$7.6k | $7,767 | $7,767 |
| MRI Brain with Contrast | $3,129$360$6.4k | $6,519 | $6,519 |
| MRI Brain without Contrast | $2,112$244$5.2k | $3,960 | $3,960 |
| MRI Cervical Spine (Neck) without Contrast | $2,673$244$5.5k | $5,569 | $5,569 |
| MRI Knee without Contrast | $2,413$244$4.9k | $5,028 | $5,028 |
| MRI Lower Back (Lumbar Spine) without Contrast | $2,576$244$5.3k | $5,367 | $5,367 |
| MRI Thoracic Spine (Mid-back) without Contrast | $2,633$244$5.4k | $5,486 | $5,486 |
| Newborn Circumcision | $1,928$428$3.1k | $2,142 | $2,142 |
| Nuclear Cardiac Stress Test | $4,245$1.3k$8.7k | $8,843 | $8,843 |
| Office Visit, Established Patient (Level 3) | $161$41$276 | $204 | $204 |
| Office Visit, New Patient (Level 3) | $196$50$299 | $251 | $251 |
| Pacemaker Insertion (Dual Chamber) | $24,125$6.1k$55k | $43,035 | $43,035 |
| PET/CT Scan, Whole Body | $4,656$1.5k$9.5k | $9,700 | $9,700 |
| Pregnancy Ultrasound (Second or Third Trimester) | $588$107$1.2k | $1,226 | $1,226 |
| Prostate Biopsy | $2,264$605$3.1k | $3,023 | $3,023 |
| PSA Prostate Cancer Screening | $53$18$108 | $108 | $108 |
| Pulmonary Function Test with Bronchodilator | $471$181$892 | $906 | $906 |
| Rotator Cuff Repair (Arthroscopic) | $7,199$5.6k$11k | $4,349 | $4,349 |
| Screening Mammogram | $622$155$765 | $777 | $777 |
| Septoplasty (Deviated Septum Repair) | $3,301$3.0k$4.9k | $2,812 | $2,812 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,976$1.8k$10k | $1,305 | $1,305 |
| Skin Biopsy (Tangential) | $325$118$581 | $590 | $590 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,560$347$2.4k | $1,733 | $1,733 |
| Sleep Study (In-lab Polysomnography) | $4,140$1.0k$8.2k | $8,280 | $8,280 |
| Spinal Cord Stimulator Trial | $7,779$3.5k$16k | $15,843 | $15,843 |
| Spirometry (Breathing Test) | $248$99$488 | $496 | $496 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,268$3.3k$4.9k | $1,262 | $1,262 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,962$2.5k$8.9k | $1,209 | $1,209 |
| Total Hip Replacement | $12,967$12k$19k | $5,184 | $5,184 |
| Total Knee Replacement | $12,967$7.6k$19k | $5,177 | $5,177 |
| Total Mastectomy | $6,572$4.7k$9.9k | $3,825 | $3,825 |
| TSH Thyroid Function Test | $64$17$130 | $130 | $130 |
| TURP (Transurethral Prostate Resection) | $5,226$5.1k$10k | $2,963 | $2,963 |
| Upper GI Endoscopy (EGD) | $2,101$840$4.1k | $4,202 | $4,202 |
| Urinalysis with Microscopy | $23$3$47 | $47 | $47 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,620$1.8k$11k | $10,007 | $10,007 |
| Vaginal Delivery (Global Package) | $2,522$1.7k$10k | $9,623 | $9,623 |
| Vaginal Hysterectomy | $4,975$3.5k$7.5k | $3,416 | $3,416 |
| Vasectomy | $2,064$1.6k$4.0k | $1,396 | $1,396 |
| Vitamin D Blood Test | $69$28$150 | $140 | $140 |