| Abdominal Hysterectomy | $2,587$257$5.6k | — | $3,450 |
| ACL Reconstruction (Arthroscopic) | $4,493$257$18k | $8,189 | $21,577 |
| Allergy Skin Testing | $341$4$2.2k | $1,197 | $2,579 |
| Basic Metabolic Panel | $69$5$156 | $8 | $27 |
| Bone Marrow Biopsy | $1,305$62$4.8k | $1,856 | $4,437 |
| Breast Biopsy (Ultrasound-guided) | $2,255$135$4.8k | $1,856 | $4,905 |
| Bunion Correction Surgery | $3,380$474$9.7k | $3,705 | $11,465 |
| Cardiac Ablation for Atrial Fibrillation | $1,376$904$58k | $27,187 | $2,723 |
| Cardiac Catheterization (Left Heart) | $2,167$266$7.6k | $3,730 | $2,890 |
| Cardiac Stress Test (Treadmill) | $309$67$1.6k | — | $550 |
| Carpal Tunnel Release Surgery | $2,311$420$6.5k | $2,210 | $7,633 |
| Cataract Surgery with Lens Implant | $2,505$213$7.5k | $2,668 | $8,849 |
| Cervical Spinal Fusion (Anterior) | $5,301$1.2k$27k | $15,066 | $32,243 |
| Cesarean Delivery (Global Package) | $4,470$1.2k$7.6k | — | $8,940 |
| Chemotherapy Infusion (First Hour) | $440$115$1.4k | $388 | $1,600 |
| Chest X-ray (2 Views) | $75$8$1.1k | $104 | $331 |
| Colonoscopy with Biopsy | $1,189$181$4.8k | $1,351 | $4,253 |
| Complete Abdominal Ultrasound | $808$30$1.8k | $126 | $1,495 |
| Complete Blood Count (CBC) with Differential | $49$3$111 | $8 | $33 |
| Comprehensive Metabolic Panel | $69$7$156 | $11 | $40 |
| Coronary Angioplasty with Stent | $3,676$609$27k | $12,593 | $1,691 |
| Critical Care, First Hour | $758$28$2.3k | $1,016 | $1,843 |
| CT Abdomen and Pelvis with Contrast | $502$76$2.1k | $440 | $2,511 |
| CT Cardiac Calcium Scoring | $129$14$872 | $104 | $293 |
| CT Chest without Contrast | $400$44$1.3k | $126 | $1,538 |
| CT Head without Contrast | $466$35$1.2k | $126 | $1,333 |
| DEXA Bone Density Scan | $226$8$1.1k | $126 | $453 |
| Diagnostic Colonoscopy | $1,046$84$4.8k | $1,046 | $3,355 |
| Diagnostic Mammogram (Both Breasts) | $224$37$1.1k | $211 | $603 |
| Ear Tube Placement (Tympanostomy) | $2,255$149$4.8k | $1,746 | $4,647 |
| Echocardiogram (Complete with Doppler) | $423$54$2.1k | $632 | $2,432 |
| EKG (Electrocardiogram, 12-lead) | $116$13$614 | — | $213 |
| Emergency Room Visit (Level 3) | $587$46$1.8k | $327 | $870 |
| Group Therapy Session | $109$21$285 | $102 | $335 |
| Hemodialysis Treatment | $331$72$744 | — | $279 |
| Hemoglobin A1c (Diabetes Test) | $43$7$98 | $10 | $41 |
| HIV Antibody Test | $49$7$614 | $9 | $37 |
| Holter Monitor (24-48 Hour Heart Monitor) | $254$60$572 | — | $202 |
| Home Sleep Study | $607$37$1.5k | $179 | $1,719 |
| Individual Therapy Session (45 Minutes) | $214$80$686 | $183 | $807 |
| Inguinal Hernia Repair (Open) | $3,408$504$11k | $3,960 | $12,900 |
| Initial Hospital Admission (Level 1) | $320$63$614 | — | $558 |
| Initial Psychiatric Diagnostic Evaluation | $285$126$1.6k | $183 | $1,538 |
| Initial Psychiatric Evaluation with Medication Management | $285$140$1.6k | $183 | $934 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $505$207$3.7k | $674 | $3,221 |
| IUD Insertion | $334$45$4.5k | — | $521 |
| IUD Removal | $362$48$4.5k | $367 | $1,057 |
| Knee Arthroscopy with Meniscectomy | $2,382$257$9.9k | $3,705 | $11,626 |
| Laparoscopic Appendectomy | $4,507$319$16k | $6,605 | $19,262 |
| Laparoscopic Gallbladder Removal | $4,507$566$16k | $6,605 | $18,724 |
| Laparoscopic Tubal Ligation | $4,287$319$15k | $6,605 | $18,049 |
| Lipid Panel (Cholesterol Test) | $69$6$156 | $13 | $56 |
| Lumbar Epidural Steroid Injection | $820$89$2.2k | $792 | $2,552 |
| Lumbar Puncture (Spinal Tap) | $944$61$4.8k | $792 | $2,371 |
| Lumbar Spinal Fusion (Posterior) | $5,140$1.5k$44k | $21,333 | $4,786 |
| Lumpectomy (Partial Mastectomy) | $3,329$581$11k | $4,363 | $9,065 |
| MRI Abdomen with and without Contrast | $831$91$2.3k | $440 | $2,738 |
| MRI Brain with and without Contrast | $814$95$2.2k | $440 | $2,643 |
| MRI Brain with Contrast | $871$73$2.9k | $440 | $2,445 |
| MRI Brain without Contrast | $590$61$1.7k | $281 | $1,615 |
| MRI Cervical Spine (Neck) without Contrast | $563$61$2.4k | $281 | $2,786 |
| MRI Knee without Contrast | $552$56$1.7k | $281 | $1,636 |
| MRI Lower Back (Lumbar Spine) without Contrast | $563$61$1.7k | $281 | $1,593 |
| MRI Thoracic Spine (Mid-back) without Contrast | $552$61$2.4k | $281 | $2,822 |
| Newborn Circumcision | $1,734$87$4.9k | $2,332 | $5,761 |
| Nuclear Cardiac Stress Test | $950$50$5.1k | $1,625 | $6,053 |
| Office Visit, Established Patient (Level 3) | $362$35$614 | — | $535 |
| Office Visit, New Patient (Level 3) | $362$43$614 | — | $658 |
| Pacemaker Insertion (Dual Chamber) | $7,640$257$32k | $12,223 | $26,879 |
| PET/CT Scan, Whole Body | $1,946$98$7.4k | $1,791 | $8,752 |
| Pregnancy Ultrasound (Second or Third Trimester) | $195$38$1.1k | $126 | $893 |
| Prostate Biopsy | $2,442$99$5.4k | $2,332 | $6,262 |
| PSA Prostate Cancer Screening | $50$14$110 | $18 | $77 |
| Pulmonary Function Test with Bronchodilator | $365$9$938 | $359 | $1,077 |
| Rotator Cuff Repair (Arthroscopic) | $4,594$1.0k$14k | $8,189 | $16,661 |
| Screening Mammogram | $224$28$1.1k | $171 | $491 |
| Septoplasty (Deviated Septum Repair) | $3,110$700$7.7k | $3,686 | $1,943 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $4,167$332$16k | $7,835 | $922 |
| Skin Biopsy (Tangential) | $780$34$1.8k | $229 | $788 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,875$70$4.8k | $1,856 | $3,376 |
| Sleep Study (In-lab Polysomnography) | $1,050$100$4.6k | $1,197 | $5,393 |
| Spinal Cord Stimulator Trial | $16,847$378$38k | $7,829 | $15,492 |
| Spirometry (Breathing Test) | $122$7$521 | $179 | $613 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $2,353$257$7.7k | $3,686 | $9,010 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $2,180$257$13k | $6,704 | $15,834 |
| Total Hip Replacement | $4,258$957$30k | $15,066 | $3,793 |
| Total Knee Replacement | $4,258$957$30k | $15,066 | $3,788 |
| Total Mastectomy | $2,716$1.0k$15k | $7,465 | $2,872 |
| TSH Thyroid Function Test | $69$9$154 | $17 | $70 |
| TURP (Transurethral Prostate Resection) | $3,945$257$13k | $5,923 | $14,948 |
| Umbilical Hernia Repair | $2,554$455$5.6k | — | — |
| Upper GI Endoscopy (EGD) | $1,335$111$4.8k | $1,038 | $3,207 |
| Urinalysis with Microscopy | $49$2$109 | $3 | $15 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,608$257$5.6k | — | $6,564 |
| Vaginal Delivery (Global Package) | $2,770$1.5k$7.4k | — | $7,241 |
| Vaginal Hysterectomy | $3,076$778$13k | $5,694 | $15,820 |
| Vasectomy | $2,326$213$5.2k | $2,332 | $6,169 |
| Vitamin D Blood Test | $81$22$180 | $30 | $124 |