| Abdominal Hysterectomy | $2,494$1.6k$5.5k | $747 | $1,493 |
| ACL Reconstruction (Arthroscopic) | $8,454$4.1k$13k | $715 | $1,430 |
| Allergy Skin Testing | $317$6$1.8k | — | — |
| Basic Metabolic Panel | $11$8$103 | $28 | $55 |
| Bone Marrow Biopsy | $1,374$270$2.9k | $239 | $479 |
| Breast Biopsy (Ultrasound-guided) | $2,013$196$4.2k | $778 | $1,556 |
| Bunion Correction Surgery | $3,958$649$6.2k | $764 | $1,527 |
| Cardiac Ablation for Atrial Fibrillation | $3,039$1.1k$44k | — | — |
| Cardiac Catheterization (Left Heart) | $3,943$2.1k$5.7k | — | — |
| Cardiac Stress Test (Treadmill) | $279$112$468 | $104 | $208 |
| Carpal Tunnel Release Surgery | $2,872$1.6k$3.8k | $727 | $1,454 |
| Cataract Surgery with Lens Implant | $3,333$2.4k$8.8k | $745 | $1,489 |
| Cervical Spinal Fusion (Anterior) | $10,460$4.6k$23k | $1,091 | $2,182 |
| Cesarean Delivery (Global Package) | $4,256 | $5,070 | $10,140 |
| Chemotherapy Infusion (First Hour) | $429$167$814 | $354 | $708 |
| Chest X-ray (2 Views) | $68$35$450 | $54 | $107 |
| Colonoscopy with Biopsy | $1,948$249$8.8k | $1,168 | $2,335 |
| Complete Abdominal Ultrasound | $191$124$1.7k | $633 | $1,265 |
| Complete Blood Count (CBC) with Differential | $14$8$85 | $30 | $59 |
| Comprehensive Metabolic Panel | $14$11$111 | $39 | $78 |
| Coronary Angioplasty with Stent | $6,903$894$20k | — | — |
| Critical Care, First Hour | $1,242$182$2.7k | $1,519 | $3,038 |
| CT Abdomen and Pelvis with Contrast | $522$358$1.9k | $1,034 | $2,067 |
| CT Cardiac Calcium Scoring | $134$72$819 | $40 | $80 |
| CT Chest without Contrast | $253$126$1.7k | $945 | $1,889 |
| CT Head without Contrast | $198$109$1.5k | $843 | $1,686 |
| DEXA Bone Density Scan | $126$47$570 | $317 | $633 |
| Diagnostic Colonoscopy | $1,492$229$8.8k | $491 | $982 |
| Diagnostic Mammogram (Both Breasts) | $222$156$726 | $404 | $807 |
| Ear Tube Placement (Tympanostomy) | $2,112$1.5k$3.3k | — | — |
| Echocardiogram (Complete with Doppler) | $659$204$2.4k | $1,255 | $2,509 |
| EKG (Electrocardiogram, 12-lead) | $60$18$179 | $100 | $199 |
| Emergency Room Visit (Level 3) | $711$93$1.5k | $395 | $790 |
| Group Therapy Session | $88$34$2.4k | $94 | $188 |
| Hemodialysis Treatment | $389$154$691 | $226 | $451 |
| Hemoglobin A1c (Diabetes Test) | $20$10$111 | $21 | $41 |
| HIV Antibody Test | $12$9$89 | $32 | $63 |
| Holter Monitor (24-48 Hour Heart Monitor) | $297$113$519 | $211 | $422 |
| Home Sleep Study | $252$81$1.3k | — | — |
| Individual Therapy Session (45 Minutes) | $192$106$2.4k | $121 | $242 |
| Inguinal Hernia Repair (Open) | $4,176$634$7.0k | $639 | $1,277 |
| Initial Hospital Admission (Level 1) | $196$126$376 | $194 | $387 |
| Initial Psychiatric Diagnostic Evaluation | $235$153$2.4k | $163 | $325 |
| Initial Psychiatric Evaluation with Medication Management | $231$161$532 | $112 | $224 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $685$201$1.0k | — | — |
| IUD Insertion | $275$126$3.0k | $162 | $323 |
| IUD Removal | $258$83$3.0k | $142 | $283 |
| Knee Arthroscopy with Meniscectomy | $4,024$2.2k$6.1k | $494 | $987 |
| Laparoscopic Appendectomy | $5,323$731$10k | $1,250 | $2,500 |
| Laparoscopic Gallbladder Removal | $5,323$802$10k | $1,854 | $3,708 |
| Laparoscopic Tubal Ligation | $5,372$2.1k$10k | $616 | $1,232 |
| Lipid Panel (Cholesterol Test) | $22$13$151 | $81 | $162 |
| Lumbar Epidural Steroid Injection | $1,193$126$3.0k | $614 | $1,228 |
| Lumbar Puncture (Spinal Tap) | $1,046$80$3.0k | $412 | $824 |
| Lumbar Spinal Fusion (Posterior) | $10,460$2.5k$33k | $2,167 | $4,334 |
| Lumpectomy (Partial Mastectomy) | $4,492$797$6.6k | $2,412 | $4,824 |
| MRI Abdomen with and without Contrast | $772$387$3.4k | $1,871 | $3,742 |
| MRI Brain with and without Contrast | $707$348$3.1k | $1,741 | $3,482 |
| MRI Brain with Contrast | $650$308$2.2k | $1,195 | $2,389 |
| MRI Brain without Contrast | $462$209$2.3k | $1,246 | $2,492 |
| MRI Cervical Spine (Neck) without Contrast | $435$200$2.3k | $1,292 | $2,583 |
| MRI Knee without Contrast | $496$229$2.3k | $1,275 | $2,550 |
| MRI Lower Back (Lumbar Spine) without Contrast | $438$201$2.3k | $1,264 | $2,527 |
| MRI Thoracic Spine (Mid-back) without Contrast | $435$200$2.3k | $1,292 | $2,583 |
| Newborn Circumcision | $2,235$122$3.6k | $314 | $627 |
| Nuclear Cardiac Stress Test | $1,218$566$3.4k | $1,871 | $3,742 |
| Office Visit, Established Patient (Level 3) | $175$46$327 | $128 | $256 |
| Office Visit, New Patient (Level 3) | $234$75$347 | $181 | $362 |
| Pacemaker Insertion (Dual Chamber) | $12,756$794$19k | $1,121 | $2,242 |
| PET/CT Scan, Whole Body | $2,728$1.7k$6.7k | $3,740 | $7,479 |
| Pregnancy Ultrasound (Second or Third Trimester) | $186$126$804 | $447 | $893 |
| Prostate Biopsy | $2,418$164$5.3k | $390 | $779 |
| PSA Prostate Cancer Screening | $26$18$153 | $57 | $113 |
| Pulmonary Function Test with Bronchodilator | $334$46$753 | $224 | $448 |
| Rotator Cuff Repair (Arthroscopic) | $8,454$4.1k$13k | $794 | $1,588 |
| Screening Mammogram | $188$101$756 | $275 | $549 |
| Septoplasty (Deviated Septum Repair) | $3,991$2.8k$6.8k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $8,192$4.1k$12k | — | — |
| Skin Biopsy (Tangential) | $239$47$1.7k | $75 | $149 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,557$102$3.3k | $666 | $1,331 |
| Sleep Study (In-lab Polysomnography) | $1,204$665$2.3k | $1,550 | $3,099 |
| Spinal Cord Stimulator Trial | $8,621$520$38k | $16,969 | $33,938 |
| Spirometry (Breathing Test) | $165$31$278 | $127 | $254 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,838$1.7k$5.8k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $4,222$1.7k$11k | — | — |
| Total Hip Replacement | $9,339$4.2k$23k | $1,181 | $2,362 |
| Total Knee Replacement | $9,339$4.2k$23k | $1,220 | $2,439 |
| Total Mastectomy | $6,828$2.6k$12k | $924 | $1,848 |
| TSH Thyroid Function Test | $23$17$165 | $59 | $117 |
| TURP (Transurethral Prostate Resection) | $6,016$3.2k$9.0k | $1,433 | $2,866 |
| Umbilical Hernia Repair | $3,980$2.5k$5.6k | $323 | $646 |
| Upper GI Endoscopy (EGD) | $1,613$152$8.8k | $586 | $1,172 |
| Urinalysis with Microscopy | $8$3$58 | $21 | $41 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $4,013$2.4k$5.4k | $4,462 | $8,923 |
| Vaginal Delivery (Global Package) | $3,819$2.4k$5.4k | $4,473 | $8,946 |
| Vaginal Hysterectomy | $3,225$1.3k$8.8k | $647 | $1,294 |
| Vasectomy | $1,657$284$10k | $528 | $1,056 |
| Vitamin D Blood Test | $56$30$211 | $81 | $162 |