| Abdominal Hysterectomy | $1,161$405$4.7k | $2,390 | $4,780 |
| ACL Reconstruction (Arthroscopic) | $10,007$8.7k$15k | $8,613 | — |
| Allergy Skin Testing | $8$3$3.8k | $10 | $18 |
| Basic Metabolic Panel | $8$8$17 | $39 | $46 |
| Bone Marrow Biopsy | $184$55$6.2k | $1,171 | $765 |
| Breast Biopsy (Ultrasound-guided) | $2,816$764$6.2k | $6,299 | $7,583 |
| Bunion Correction Surgery | $4,512$3.9k$6.9k | $3,884 | — |
| Cardiac Ablation for Atrial Fibrillation | $36,259$7.4k$91k | $31,025 | — |
| Cardiac Catheterization (Left Heart) | $4,948$1.5k$12k | $3,848 | — |
| Carpal Tunnel Release Surgery | $2,693$2.3k$4.1k | $2,318 | — |
| Cataract Surgery with Lens Implant | $3,183$2.8k$4.9k | $2,739 | — |
| Cervical Spinal Fusion (Anterior) | $2,835$575$27k | $9,628 | $8,035 |
| Cesarean Delivery (Global Package) | $3,450$1.5k$12k | $6,333 | $12,665 |
| Chemotherapy Infusion (First Hour) | $201$35$1.2k | $392 | $1,185 |
| Chest X-ray (2 Views) | $57$15$325 | $92 | $160 |
| Colonoscopy with Biopsy | $601$137$4.7k | $1,218 | $2,030 |
| Complete Abdominal Ultrasound | $144$61$532 | $273 | $644 |
| Complete Blood Count (CBC) with Differential | $7$4$13 | $38 | $45 |
| Comprehensive Metabolic Panel | $11$9$23 | $51 | $60 |
| Coronary Angioplasty with Stent | $16,014$3.6k$42k | $13,703 | — |
| Critical Care, First Hour | $452$72$3.3k | $635 | $1,260 |
| CT Abdomen and Pelvis with Contrast | $450$109$1.4k | $730 | $2,307 |
| CT Cardiac Calcium Scoring | $145$41$343 | $103 | — |
| CT Chest without Contrast | $192$106$624 | $320 | $787 |
| CT Head without Contrast | $162$87$498 | $255 | $722 |
| DEXA Bone Density Scan | $101$31$393 | $108 | $185 |
| Diagnostic Colonoscopy | $473$88$3.6k | $949 | $1,590 |
| Diagnostic Mammogram (Both Breasts) | $187$87$725 | $480 | $718 |
| Ear Tube Placement (Tympanostomy) | $2,140$1.9k$3.3k | $1,842 | — |
| Echocardiogram (Complete with Doppler) | $428$153$2.9k | $649 | $1,828 |
| EKG (Electrocardiogram, 12-lead) | $18$7$66 | $35 | $50 |
| Emergency Room Visit (Level 3) | $213$18$1.8k | $245 | $330 |
| Group Therapy Session | $49$11$309 | $61 | $115 |
| Hemodialysis Treatment | $129$47$469 | $238 | $475 |
| Hemoglobin A1c (Diabetes Test) | $10$6$33 | $18 | $35 |
| Holter Monitor (24-48 Hour Heart Monitor) | $106$52$328 | $170 | $340 |
| Home Sleep Study | $208$76$977 | $223 | $342 |
| Individual Therapy Session (45 Minutes) | $169$27$593 | $230 | $430 |
| Inguinal Hernia Repair (Open) | $879$199$7.6k | $2,742 | $2,470 |
| Initial Hospital Admission (Level 1) | $100$18$379 | $193 | $385 |
| Initial Psychiatric Diagnostic Evaluation | $232$44$809 | $378 | $700 |
| Initial Psychiatric Evaluation with Medication Management | $247$45$907 | $305 | $800 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $421$80$2.1k | $233 | $465 |
| IUD Insertion | $107$26$505 | $213 | $251 |
| IUD Removal | $157$26$1.3k | $311 | $520 |
| Knee Arthroscopy with Meniscectomy | $4,512$3.9k$6.9k | $3,884 | — |
| Laparoscopic Appendectomy | $999$228$13k | $4,298 | $2,840 |
| Laparoscopic Gallbladder Removal | $1,108$284$13k | $4,365 | $3,110 |
| Laparoscopic Tubal Ligation | $1,497$267$22k | $7,176 | $14,466 |
| Lipid Panel (Cholesterol Test) | $13$7$22 | $63 | $74 |
| Lumbar Epidural Steroid Injection | $313$47$2.9k | $640 | $1,248 |
| Lumbar Puncture (Spinal Tap) | $171$31$2.9k | $343 | $673 |
| Lumbar Spinal Fusion (Posterior) | $3,579$648$68k | $3,730 | $5,567 |
| Lumpectomy (Partial Mastectomy) | $5,400$4.7k$8.3k | $4,648 | — |
| MRI Abdomen with and without Contrast | $505$357$1.3k | $1,547 | $3,153 |
| MRI Brain with and without Contrast | $558$262$1.5k | $768 | $2,344 |
| MRI Brain with Contrast | $505$357$1.3k | $1,547 | $3,153 |
| MRI Brain without Contrast | $491$241$1.1k | $979 | $1,971 |
| MRI Cervical Spine (Neck) without Contrast | $491$241$1.1k | $979 | $1,971 |
| MRI Knee without Contrast | $491$241$1.1k | $979 | $1,971 |
| MRI Lower Back (Lumbar Spine) without Contrast | $491$241$1.1k | $979 | $1,971 |
| MRI Thoracic Spine (Mid-back) without Contrast | $491$241$1.1k | $979 | $1,971 |
| Newborn Circumcision | $211$41$7.6k | $328 | $445 |
| Nuclear Cardiac Stress Test | $741$241$4.8k | $1,537 | $4,548 |
| Office Visit, Established Patient (Level 3) | $116$17$476 | $213 | $365 |
| Office Visit, New Patient (Level 3) | $153$25$514 | $201 | $403 |
| Pacemaker Insertion (Dual Chamber) | $14,499$2.3k$39k | $12,406 | — |
| PET/CT Scan, Whole Body | $1,785$683$5.4k | $1,697 | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $156$56$621 | $318 | $613 |
| Prostate Biopsy | $3,623$983$7.7k | — | — |
| PSA Prostate Cancer Screening | $18$16$41 | $55 | $65 |
| Pulmonary Function Test with Bronchodilator | $68$25$1.2k | $443 | $842 |
| Rotator Cuff Repair (Arthroscopic) | $10,007$8.7k$15k | $8,613 | — |
| Screening Mammogram | $151$72$585 | $443 | $645 |
| Septoplasty (Deviated Septum Repair) | $4,572$4.0k$7.0k | $3,935 | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $9,733$8.4k$15k | $8,377 | — |
| Skin Biopsy (Tangential) | $105$16$862 | $360 | $475 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $189$32$6.2k | $300 | $495 |
| Sleep Study (In-lab Polysomnography) | $1,107$441$3.9k | $1,019 | $1,903 |
| Spinal Cord Stimulator Trial | $2,050$173$24k | $5,328 | $6,298 |
| Spirometry (Breathing Test) | $47$5$578 | $161 | $130 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $4,572$4.0k$7.0k | $3,935 | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $489$120$13k | $3,860 | $1,385 |
| Total Hip Replacement | $17,705$15k$27k | $15,239 | — |
| Total Knee Replacement | $17,705$15k$27k | $15,239 | — |
| Total Mastectomy | $1,588$354$14k | $5,068 | $4,510 |
| TSH Thyroid Function Test | $16$10$28 | $82 | $96 |
| TURP (Transurethral Prostate Resection) | $7,394$6.4k$11k | $6,364 | — |
| Upper GI Endoscopy (EGD) | $360$69$3.6k | $876 | $1,350 |
| Urinalysis with Microscopy | $3$3$7 | $13 | $15 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $3,270$1.5k$11k | $5,970 | $11,940 |
| Vaginal Delivery (Global Package) | $3,123$1.5k$11k | $5,695 | $11,390 |
| Vaginal Hysterectomy | $1,402$340$11k | $3,956 | $3,950 |
| Vasectomy | $3,357$983$7.7k | $2,481 | — |
| Vitamin D Blood Test | $30$26$67 | $82 | $97 |