| Abdominal Hysterectomy | $752$100$2.5k | $630 | $2,864 |
| ACL Reconstruction (Arthroscopic) | $1,274$79$16k | $604 | $2,747 |
| Allergy Skin Testing | $7$2$2.3k | — | — |
| Basic Metabolic Panel | $9$6$23 | $44 | $57 |
| Bone Marrow Biopsy | $112$57$3.7k | $3,792 | $4,861 |
| Breast Biopsy (Ultrasound-guided) | $307$9$3.7k | $3,792 | $4,861 |
| Bunion Correction Surgery | $602$42$7.4k | $322 | $1,462 |
| Cardiac Ablation for Atrial Fibrillation | $1,280$744$56k | $570 | $2,593 |
| Cardiac Catheterization (Left Heart) | $1,194$232$7.3k | $177 | $805 |
| Cardiac Stress Test (Treadmill) | $96$59$236 | $44 | $201 |
| Carpal Tunnel Release Surgery | $543$40$4.4k | $273 | $1,243 |
| Cataract Surgery with Lens Implant | $889$44$5.2k | $329 | $1,494 |
| Cervical Spinal Fusion (Anterior) | $1,893$137$29k | $1,056 | $4,801 |
| Cesarean Delivery (Global Package) | $3,101$2.2k$5.7k | $1,654 | $7,517 |
| Chemotherapy Infusion (First Hour) | $343$125$754 | — | — |
| Chest X-ray (2 Views) | $33$9$200 | $354 | $454 |
| Colonoscopy with Biopsy | $389$161$2.7k | $123 | $557 |
| Complete Abdominal Ultrasound | $111$31$260 | $467 | $599 |
| Complete Blood Count (CBC) with Differential | $8$5$22 | $41 | $53 |
| Comprehensive Metabolic Panel | $11$7$29 | $55 | $71 |
| Coronary Angioplasty with Stent | $699$462$26k | $355 | $1,613 |
| Critical Care, First Hour | $268$159$1.9k | $2,958 | $3,792 |
| CT Abdomen and Pelvis with Contrast | $312$71$811 | $3,030 | $3,884 |
| CT Cardiac Calcium Scoring | $93$22$200 | $17 | $77 |
| CT Chest without Contrast | $127$42$291 | $902 | $1,157 |
| CT Head without Contrast | $116$33$242 | $902 | $1,157 |
| DEXA Bone Density Scan | $41$8$242 | $342 | $439 |
| Diagnostic Colonoscopy | $290$74$2.1k | $113 | $512 |
| Diagnostic Mammogram (Both Breasts) | $132$39$313 | $357 | $458 |
| Ear Tube Placement (Tympanostomy) | $182$13$3.4k | $99 | $448 |
| Echocardiogram (Complete with Doppler) | $212$45$1.2k | $1,283 | $1,645 |
| EKG (Electrocardiogram, 12-lead) | $20$11$53 | $9 | $40 |
| Emergency Room Visit (Level 3) | $103$56$629 | $972 | $1,246 |
| Group Therapy Session | $29$5$210 | $16 | $71 |
| Hemodialysis Treatment | $134$56$264 | $63 | $286 |
| Hemoglobin A1c (Diabetes Test) | $10$6$27 | $51 | $65 |
| HIV Antibody Test | $10$6$30 | $47 | $60 |
| Holter Monitor (24-48 Hour Heart Monitor) | $91$58$230 | $42 | $192 |
| Home Sleep Study | $103$36$355 | $27 | $122 |
| Individual Therapy Session (45 Minutes) | $108$62$365 | $59 | $267 |
| Inguinal Hernia Repair (Open) | $596$38$8.0k | $326 | $1,481 |
| Initial Hospital Admission (Level 1) | $88$65$250 | $51 | $231 |
| Initial Psychiatric Diagnostic Evaluation | $149$42$3.0k | $92 | $420 |
| Initial Psychiatric Evaluation with Medication Management | $202$97$365 | $106 | $480 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $630$286$1.3k | — | — |
| IUD Insertion | $28$18$323 | $33 | $149 |
| IUD Removal | $79$18$1.3k | $712 | $913 |
| Knee Arthroscopy with Meniscectomy | $868$19$7.4k | $338 | $1,538 |
| Laparoscopic Appendectomy | $685$44$13k | $374 | $1,701 |
| Laparoscopic Gallbladder Removal | $855$48$13k | $411 | $1,866 |
| Laparoscopic Tubal Ligation | $819$53$13k | $403 | $1,834 |
| Lipid Panel (Cholesterol Test) | $14$9$37 | $71 | $91 |
| Lumbar Epidural Steroid Injection | $192$81$1.6k | $61 | $278 |
| Lumbar Puncture (Spinal Tap) | $261$44$1.6k | $1,621 | $2,078 |
| Lumbar Spinal Fusion (Posterior) | $1,756$128$42k | $981 | $4,459 |
| Lumpectomy (Partial Mastectomy) | $803$53$8.7k | $409 | $1,859 |
| MRI Abdomen with and without Contrast | $370$85$952 | $3,134 | $4,018 |
| MRI Brain with and without Contrast | $351$74$811 | $3,134 | $4,018 |
| MRI Brain with Contrast | $296$69$811 | $2,508 | $3,215 |
| MRI Brain without Contrast | $217$58$557 | $1,697 | $2,176 |
| MRI Cervical Spine (Neck) without Contrast | $211$58$559 | $1,697 | $2,176 |
| MRI Knee without Contrast | $227$53$549 | $1,697 | $2,176 |
| MRI Lower Back (Lumbar Spine) without Contrast | $212$58$549 | $1,697 | $2,176 |
| MRI Thoracic Spine (Mid-back) without Contrast | $211$58$549 | $1,697 | $2,176 |
| Newborn Circumcision | $274$78$4.7k | $4,794 | $6,146 |
| Nuclear Cardiac Stress Test | $420$62$3.0k | $2,673 | $3,427 |
| Office Visit, Established Patient (Level 3) | $58$21$192 | $396 | $508 |
| Office Visit, New Patient (Level 3) | $79$21$247 | $396 | $508 |
| Pacemaker Insertion (Dual Chamber) | $844$29$24k | $314 | $1,426 |
| PET/CT Scan, Whole Body | $1,071$92$3.3k | $70 | $318 |
| Pregnancy Ultrasound (Second or Third Trimester) | $110$33$259 | $467 | $599 |
| Prostate Biopsy | $400$94$4.7k | $80 | $362 |
| PSA Prostate Cancer Screening | $19$12$50 | $102 | $131 |
| Pulmonary Function Test with Bronchodilator | $36$8$708 | $6 | $28 |
| Rotator Cuff Repair (Arthroscopic) | $1,187$87$16k | $663 | $3,013 |
| Screening Mammogram | $109$30$257 | $293 | $376 |
| Septoplasty (Deviated Septum Repair) | $1,156$55$7.4k | $409 | $1,859 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $593$262$16k | $199 | $903 |
| Skin Biopsy (Tangential) | $98$15$1.3k | $465 | $596 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $86$7$3.7k | $51 | $232 |
| Sleep Study (In-lab Polysomnography) | $624$80$2.3k | $2,976 | $3,815 |
| Spinal Cord Stimulator Trial | $541$34$15k | $256 | $1,165 |
| Spirometry (Breathing Test) | $24$6$355 | $5 | $23 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $545$23$7.4k | $189 | $860 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $522$22$13k | $182 | $825 |
| Total Hip Replacement | $1,450$104$29k | $796 | $3,617 |
| Total Knee Replacement | $1,450$104$29k | $795 | $3,613 |
| Total Mastectomy | $1,132$77$15k | $595 | $2,703 |
| TSH Thyroid Function Test | $18$11$46 | $88 | $113 |
| TURP (Transurethral Prostate Resection) | $1,164$47$12k | $450 | $2,044 |
| Upper GI Endoscopy (EGD) | $237$99$2.1k | $75 | $341 |
| Urinalysis with Microscopy | $3$2$9 | $17 | $22 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $3,101$1.6k$5.4k | $1,560 | $7,089 |
| Vaginal Delivery (Global Package) | $3,101$2.0k$5.0k | $1,489 | $6,768 |
| Vaginal Hysterectomy | $1,005$82$11k | $518 | $2,356 |
| Vasectomy | $303$19$4.7k | $143 | $649 |
| Vitamin D Blood Test | $31$18$81 | $156 | $200 |