| Abdominal Hysterectomy | $2,518$690$5.6k | — | $3,450 |
| ACL Reconstruction (Arthroscopic) | $4,865$257$18k | $8,273 | $21,577 |
| Allergy Skin Testing | $357$3$2.2k | $1,209 | $2,579 |
| Basic Metabolic Panel | $66$5$156 | $8 | $27 |
| Bone Marrow Biopsy | $1,427$60$4.8k | $1,875 | $4,437 |
| Breast Biopsy (Ultrasound-guided) | $2,028$132$4.8k | $1,875 | $4,905 |
| Bunion Correction Surgery | $3,420$462$9.2k | $3,743 | $11,465 |
| Cardiac Ablation for Atrial Fibrillation | $1,787$945$58k | $27,466 | $2,626 |
| Cardiac Catheterization (Left Heart) | $2,167$257$12k | $3,768 | $13,935 |
| Cardiac Stress Test (Treadmill) | $289$67$1.6k | — | $550 |
| Carpal Tunnel Release Surgery | $2,311$407$6.1k | $2,233 | $7,633 |
| Cataract Surgery with Lens Implant | $2,518$213$7.5k | $2,695 | $8,849 |
| Cervical Spinal Fusion (Anterior) | $5,414$1.2k$26k | $15,220 | $32,243 |
| Cesarean Delivery (Global Package) | $3,361$1.6k$8.3k | — | $7,779 |
| Chemotherapy Infusion (First Hour) | $412$111$1.3k | $392 | $1,600 |
| Chest X-ray (2 Views) | $81$8$1.1k | $105 | $331 |
| Colonoscopy with Biopsy | $1,189$176$4.8k | $1,365 | $4,253 |
| Complete Abdominal Ultrasound | $792$30$1.8k | $127 | $1,495 |
| Complete Blood Count (CBC) with Differential | $48$3$111 | $8 | $33 |
| Comprehensive Metabolic Panel | $66$7$156 | $11 | $40 |
| Coronary Angioplasty with Stent | $4,956$587$27k | $12,722 | $1,630 |
| Critical Care, First Hour | $839$28$2.3k | $1,026 | $1,843 |
| CT Abdomen and Pelvis with Contrast | $502$74$2.1k | $445 | $2,511 |
| CT Cardiac Calcium Scoring | $265$14$1.2k | $105 | $832 |
| CT Chest without Contrast | $395$44$1.3k | $127 | $1,538 |
| CT Head without Contrast | $292$35$1.2k | $127 | $1,333 |
| DEXA Bone Density Scan | $189$8$1.1k | $127 | $453 |
| Diagnostic Colonoscopy | $1,036$82$4.8k | $1,057 | $3,355 |
| Diagnostic Mammogram (Both Breasts) | $195$37$1.1k | $211 | $603 |
| Ear Tube Placement (Tympanostomy) | $1,841$145$4.8k | $1,764 | $4,647 |
| Echocardiogram (Complete with Doppler) | $439$54$2.1k | $638 | $2,432 |
| EKG (Electrocardiogram, 12-lead) | $103$13$614 | — | $213 |
| Emergency Room Visit (Level 3) | $373$46$1.8k | $330 | $870 |
| Group Therapy Session | $114$21$666 | $103 | $335 |
| Hemodialysis Treatment | $331$72$744 | — | $275 |
| Hemoglobin A1c (Diabetes Test) | $42$7$97 | $10 | $41 |
| HIV Antibody Test | $40$7$614 | $9 | $37 |
| Holter Monitor (24-48 Hour Heart Monitor) | $254$60$572 | — | $197 |
| Home Sleep Study | $332$37$1.5k | $181 | $1,719 |
| Individual Therapy Session (45 Minutes) | $214$79$784 | $184 | $865 |
| Inguinal Hernia Repair (Open) | $3,625$485$10k | $4,001 | $12,900 |
| Initial Hospital Admission (Level 1) | $299$63$614 | — | $558 |
| Initial Psychiatric Diagnostic Evaluation | $259$125$1.6k | $184 | $1,538 |
| Initial Psychiatric Evaluation with Medication Management | $259$140$828 | $184 | $974 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $505$80$1.4k | $681 | $1,057 |
| IUD Insertion | $320$44$4.5k | — | $521 |
| IUD Removal | $405$48$4.5k | $371 | $1,057 |
| Knee Arthroscopy with Meniscectomy | $2,579$257$9.9k | $3,743 | $11,626 |
| Laparoscopic Appendectomy | $4,535$319$15k | $6,673 | $19,262 |
| Laparoscopic Gallbladder Removal | $4,821$319$15k | $6,673 | $18,724 |
| Laparoscopic Tubal Ligation | $4,494$587$14k | $6,673 | $18,049 |
| Lipid Panel (Cholesterol Test) | $66$6$156 | $13 | $56 |
| Lumbar Epidural Steroid Injection | $904$87$4.5k | $800 | $2,552 |
| Lumbar Puncture (Spinal Tap) | $904$59$4.8k | $800 | $2,371 |
| Lumbar Spinal Fusion (Posterior) | $6,308$1.5k$44k | $21,551 | $4,600 |
| Lumpectomy (Partial Mastectomy) | $3,329$581$6.6k | $4,408 | $5,005 |
| MRI Abdomen with and without Contrast | $831$90$2.3k | $445 | $2,738 |
| MRI Brain with and without Contrast | $831$93$2.2k | $445 | $2,643 |
| MRI Brain with Contrast | $814$72$2.1k | $445 | $2,445 |
| MRI Brain without Contrast | $555$60$1.7k | $283 | $1,615 |
| MRI Cervical Spine (Neck) without Contrast | $551$60$2.4k | $283 | $2,786 |
| MRI Knee without Contrast | $551$55$1.7k | $283 | $1,636 |
| MRI Lower Back (Lumbar Spine) without Contrast | $551$60$1.7k | $283 | $1,593 |
| MRI Thoracic Spine (Mid-back) without Contrast | $551$60$2.4k | $283 | $2,822 |
| Newborn Circumcision | $2,266$85$4.8k | $2,355 | $5,761 |
| Nuclear Cardiac Stress Test | $1,147$50$5.1k | $1,642 | $6,053 |
| Office Visit, Established Patient (Level 3) | $348$35$614 | — | $535 |
| Office Visit, New Patient (Level 3) | $428$43$614 | — | $658 |
| Pacemaker Insertion (Dual Chamber) | $7,715$257$32k | $12,349 | $26,879 |
| PET/CT Scan, Whole Body | $1,836$97$7.4k | $1,809 | $8,752 |
| Pregnancy Ultrasound (Second or Third Trimester) | $189$38$1.1k | $127 | $893 |
| Prostate Biopsy | $2,442$99$5.4k | $2,355 | $6,262 |
| PSA Prostate Cancer Screening | $50$14$110 | $18 | $77 |
| Pulmonary Function Test with Bronchodilator | $358$9$938 | $363 | $1,103 |
| Rotator Cuff Repair (Arthroscopic) | $4,858$977$13k | $8,273 | $16,661 |
| Screening Mammogram | $197$28$1.1k | $171 | $491 |
| Septoplasty (Deviated Septum Repair) | $3,110$680$7.7k | $3,723 | $1,889 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $4,494$323$16k | $7,915 | $896 |
| Skin Biopsy (Tangential) | $780$33$4.5k | $232 | $788 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,529$70$3.6k | $1,875 | $4,475 |
| Sleep Study (In-lab Polysomnography) | $1,050$99$4.6k | $1,209 | $5,393 |
| Spinal Cord Stimulator Trial | $11,863$368$38k | $7,909 | $15,492 |
| Spirometry (Breathing Test) | $124$7$521 | $181 | $613 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $2,518$257$7.2k | $3,723 | $9,010 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $2,405$257$13k | $6,772 | $15,834 |
| Total Hip Replacement | $5,218$957$30k | $15,220 | $3,669 |
| Total Knee Replacement | $5,218$957$30k | $15,220 | $3,664 |
| Total Mastectomy | $3,329$996$15k | $7,541 | $2,767 |
| TSH Thyroid Function Test | $65$9$154 | $17 | $70 |
| TURP (Transurethral Prostate Resection) | $4,033$257$12k | $5,984 | $14,948 |
| Umbilical Hernia Repair | $2,554$455$5.6k | — | — |
| Upper GI Endoscopy (EGD) | $1,236$108$4.8k | $1,048 | $3,207 |
| Urinalysis with Microscopy | $48$2$109 | $3 | $15 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,644$257$5.6k | — | $6,564 |
| Vaginal Delivery (Global Package) | $2,644$1.5k$7.5k | — | $6,963 |
| Vaginal Hysterectomy | $3,278$755$13k | $5,752 | $15,820 |
| Vasectomy | $2,393$207$4.9k | $2,355 | $6,169 |
| Vitamin D Blood Test | $81$22$179 | $30 | $124 |