| Abdominal Hysterectomy | $2,576$994$5.5k | — | — |
| ACL Reconstruction (Arthroscopic) | $5,708$965$9.3k | $6,512 | $13,024 |
| Allergy Skin Testing | $10$5$1.2k | $5 | $10 |
| Basic Metabolic Panel | $12$5$121 | $10 | $19 |
| Bone Marrow Biopsy | $1,788$88$5.5k | $1,376 | $2,751 |
| Breast Biopsy (Ultrasound-guided) | $2,700$196$5.5k | $1,534 | $3,067 |
| Bunion Correction Surgery | $2,740$513$5.6k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $6,095$1.1k$36k | $21,294 | $42,587 |
| Cardiac Catheterization (Left Heart) | $4,722$294$13k | $4,462 | $8,923 |
| Cardiac Stress Test (Treadmill) | $216$75$489 | $322 | $644 |
| Carpal Tunnel Release Surgery | $2,281$544$6.2k | $1,755 | $3,509 |
| Cataract Surgery with Lens Implant | $2,556$627$5.5k | — | — |
| Cervical Spinal Fusion (Anterior) | $8,845$2.1k$18k | $10,538 | $21,076 |
| Cesarean Delivery (Global Package) | $6,294$2.3k$6.3k | — | — |
| Chemotherapy Infusion (First Hour) | $490$167$757 | $331 | $662 |
| Chest X-ray (2 Views) | $131$31$224 | $105 | $209 |
| Colonoscopy with Biopsy | $2,700$249$5.5k | $1,392 | $2,784 |
| Complete Abdominal Ultrasound | $340$40$1.7k | $290 | $579 |
| Complete Blood Count (CBC) with Differential | $13$5$76 | $19 | $37 |
| Comprehensive Metabolic Panel | $14$7$121 | $11 | $23 |
| Coronary Angioplasty with Stent | $7,182$712$24k | $14,410 | $28,821 |
| Critical Care, First Hour | $1,732$182$3.0k | $1,487 | $2,973 |
| CT Abdomen and Pelvis with Contrast | $602$91$1.1k | $659 | $1,318 |
| CT Cardiac Calcium Scoring | $139$29$838 | $93 | $186 |
| CT Chest without Contrast | $372$51$916 | $539 | $1,078 |
| CT Head without Contrast | $320$43$1.1k | $620 | $1,240 |
| DEXA Bone Density Scan | $219$10$482 | $187 | $374 |
| Diagnostic Colonoscopy | $2,100$94$4.9k | $1,392 | $2,784 |
| Diagnostic Mammogram (Both Breasts) | $335$48$533 | $271 | $542 |
| Ear Tube Placement (Tympanostomy) | $1,940$195$5.7k | $1,617 | $3,234 |
| Echocardiogram (Complete with Doppler) | $924$64$4.8k | $750 | $1,500 |
| EKG (Electrocardiogram, 12-lead) | $69$16$154 | $50 | $100 |
| Emergency Room Visit (Level 3) | $1,396$93$2.0k | $705 | $1,409 |
| Group Therapy Session | $172$35$422 | $102 | $205 |
| Hemodialysis Treatment | $317$103$762 | $244 | $487 |
| Hemoglobin A1c (Diabetes Test) | $14$6$63 | $11 | $22 |
| HIV Antibody Test | $13$6$74 | $10 | $19 |
| Holter Monitor (24-48 Hour Heart Monitor) | $251$88$537 | $88 | $175 |
| Home Sleep Study | $408$61$1.8k | $314 | $628 |
| Individual Therapy Session (45 Minutes) | $214$77$447 | $154 | $309 |
| Inguinal Hernia Repair (Open) | $3,396$634$6.9k | $2,613 | $5,225 |
| Initial Hospital Admission (Level 1) | $281$99$551 | $85 | $170 |
| Initial Psychiatric Diagnostic Evaluation | $295$87$548 | $244 | $488 |
| Initial Psychiatric Evaluation with Medication Management | $244$173$548 | $144 | $288 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $723$209$1.1k | $574 | $1,148 |
| IUD Insertion | $276$53$3.5k | $125 | $250 |
| IUD Removal | $406$60$4.8k | $251 | $502 |
| Knee Arthroscopy with Meniscectomy | $4,578$529$6.9k | $2,462 | $4,924 |
| Laparoscopic Appendectomy | $4,801$731$12k | $4,001 | $8,002 |
| Laparoscopic Gallbladder Removal | $5,274$802$12k | $4,635 | $9,271 |
| Laparoscopic Tubal Ligation | $4,644$636$7.8k | $893 | $1,787 |
| Lipid Panel (Cholesterol Test) | $18$8$121 | $14 | $28 |
| Lumbar Epidural Steroid Injection | $1,000$126$4.8k | $625 | $1,250 |
| Lumbar Puncture (Spinal Tap) | $1,399$80$4.8k | $741 | $1,482 |
| Lumbar Spinal Fusion (Posterior) | $10,478$1.6k$32k | — | — |
| Lumpectomy (Partial Mastectomy) | $4,766$797$9.4k | $2,516 | $5,032 |
| MRI Abdomen with and without Contrast | $894$113$1.8k | $930 | $1,860 |
| MRI Brain with and without Contrast | $799$114$1.8k | $952 | $1,903 |
| MRI Brain with Contrast | $799$89$1.8k | $828 | $1,655 |
| MRI Brain without Contrast | $638$74$1.2k | $568 | $1,135 |
| MRI Cervical Spine (Neck) without Contrast | $554$74$1.2k | $607 | $1,214 |
| MRI Knee without Contrast | $554$68$1.2k | $581 | $1,162 |
| MRI Lower Back (Lumbar Spine) without Contrast | $697$74$1.2k | $594 | $1,188 |
| MRI Thoracic Spine (Mid-back) without Contrast | $554$74$1.2k | $607 | $1,214 |
| Newborn Circumcision | $2,394$122$5.5k | $1,696 | $3,391 |
| Nuclear Cardiac Stress Test | $1,726$79$3.2k | $1,426 | $2,851 |
| Office Visit, Established Patient (Level 3) | $202$50$446 | $185 | $371 |
| Office Visit, New Patient (Level 3) | $181$75$422 | $126 | $252 |
| Pacemaker Insertion (Dual Chamber) | $8,280$620$19k | $10,479 | $20,958 |
| PET/CT Scan, Whole Body | $1,735$119$4.1k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $246$50$395 | $189 | $378 |
| Prostate Biopsy | $2,379$164$5.5k | $1,769 | $3,539 |
| PSA Prostate Cancer Screening | $26$11$75 | $20 | $40 |
| Pulmonary Function Test with Bronchodilator | $397$13$771 | $355 | $711 |
| Rotator Cuff Repair (Arthroscopic) | $8,454$1.0k$11k | $5,031 | $10,061 |
| Screening Mammogram | $169$37$381 | $112 | $225 |
| Septoplasty (Deviated Septum Repair) | $4,099$604$6.9k | $1,000 | $2,000 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $5,391$403$9.5k | $4,864 | $9,728 |
| Skin Biopsy (Tangential) | $391$47$4.8k | $181 | $363 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,225$88$3.3k | $942 | $1,884 |
| Sleep Study (In-lab Polysomnography) | $1,456$121$2.6k | $1,191 | $2,383 |
| Spinal Cord Stimulator Trial | $16,831$409$38k | $3,914 | $7,828 |
| Spirometry (Breathing Test) | $177$8$422 | $147 | $294 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,629$297$7.7k | $2,500 | $5,000 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $4,800$285$7.3k | $2,500 | $5,000 |
| Total Hip Replacement | $9,545$1.3k$22k | $744 | $1,488 |
| Total Knee Replacement | $9,358$1.3k$22k | $438 | $875 |
| Total Mastectomy | $5,325$983$8.1k | $2,300 | $4,600 |
| TSH Thyroid Function Test | $24$11$120 | $19 | $37 |
| TURP (Transurethral Prostate Resection) | $4,412$918$9.4k | $3,394 | $6,787 |
| Umbilical Hernia Repair | $3,396$435$6.3k | $2,613 | $5,225 |
| Upper GI Endoscopy (EGD) | $2,190$152$4.8k | $2,018 | $4,035 |
| Urinalysis with Microscopy | $5$2$75 | $4 | $7 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $5,015$2.1k$6.0k | — | — |
| Vaginal Delivery (Global Package) | $5,015$2.0k$5.7k | — | — |
| Vaginal Hysterectomy | $3,135$808$8.6k | — | — |
| Vasectomy | $2,107$284$5.3k | $1,646 | $3,292 |
| Vitamin D Blood Test | $41$19$145 | $31 | $63 |