| Abdominal Hysterectomy | $752$100$3.2k | $659 | $2,864 |
| ACL Reconstruction (Arthroscopic) | $1,167$79$21k | $632 | $2,747 |
| Allergy Skin Testing | $4$2$3.0k | — | — |
| Basic Metabolic Panel | $9$6$24 | $55 | $72 |
| Bone Marrow Biopsy | $101$57$4.7k | $4,741 | $6,157 |
| Breast Biopsy (Ultrasound-guided) | $201$9$4.7k | $4,741 | $6,157 |
| Bunion Correction Surgery | $571$42$9.5k | $336 | $1,462 |
| Cardiac Ablation for Atrial Fibrillation | $1,268$744$72k | $596 | $2,593 |
| Cardiac Catheterization (Left Heart) | $1,005$232$9.4k | $9,412 | $12,223 |
| Cardiac Stress Test (Treadmill) | $93$59$391 | $46 | $201 |
| Carpal Tunnel Release Surgery | $514$40$5.7k | $286 | $1,243 |
| Cataract Surgery with Lens Implant | $874$44$6.7k | $344 | $1,494 |
| Cervical Spinal Fusion (Anterior) | $1,893$137$38k | $1,104 | $4,801 |
| Cesarean Delivery (Global Package) | $3,101$1.8k$5.7k | $1,729 | $7,517 |
| Chemotherapy Infusion (First Hour) | $249$125$967 | $1,092 | $1,418 |
| Chest X-ray (2 Views) | $28$9$257 | $443 | $575 |
| Colonoscopy with Biopsy | $327$161$3.4k | $128 | $557 |
| Complete Abdominal Ultrasound | $97$31$310 | $584 | $758 |
| Complete Blood Count (CBC) with Differential | $8$5$31 | $52 | $67 |
| Comprehensive Metabolic Panel | $11$7$42 | $69 | $90 |
| Coronary Angioplasty with Stent | $699$462$33k | $371 | $1,613 |
| Critical Care, First Hour | $268$159$2.5k | $3,698 | $4,803 |
| CT Abdomen and Pelvis with Contrast | $280$71$1.0k | $3,788 | $4,919 |
| CT Cardiac Calcium Scoring | $88$22$257 | $934 | $1,213 |
| CT Chest without Contrast | $106$42$709 | $1,128 | $1,465 |
| CT Head without Contrast | $95$33$567 | $1,128 | $1,465 |
| DEXA Bone Density Scan | $41$8$310 | $428 | $556 |
| Diagnostic Colonoscopy | $262$74$2.7k | $118 | $512 |
| Diagnostic Mammogram (Both Breasts) | $129$39$313 | $447 | $580 |
| Ear Tube Placement (Tympanostomy) | $182$13$4.3k | $103 | $448 |
| Echocardiogram (Complete with Doppler) | $167$45$1.6k | $1,604 | $2,083 |
| EKG (Electrocardiogram, 12-lead) | $22$12$95 | $9 | $40 |
| Emergency Room Visit (Level 3) | $91$56$932 | $1,215 | $1,578 |
| Group Therapy Session | $25$5$270 | $16 | $71 |
| Hemodialysis Treatment | $134$56$707 | $66 | $286 |
| Hemoglobin A1c (Diabetes Test) | $10$6$27 | $64 | $83 |
| HIV Antibody Test | $10$6$30 | $59 | $76 |
| Holter Monitor (24-48 Hour Heart Monitor) | $84$58$465 | $44 | $192 |
| Home Sleep Study | $98$36$566 | $572 | $743 |
| Individual Therapy Session (45 Minutes) | $94$62$468 | $61 | $267 |
| Inguinal Hernia Repair (Open) | $532$38$10k | $341 | $1,481 |
| Initial Hospital Admission (Level 1) | $88$65$250 | $53 | $231 |
| Initial Psychiatric Diagnostic Evaluation | $124$42$3.0k | $97 | $420 |
| Initial Psychiatric Evaluation with Medication Management | $183$98$468 | $110 | $480 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $491$284$1.7k | — | — |
| IUD Insertion | $28$17$323 | $34 | $149 |
| IUD Removal | $79$17$1.3k | $890 | $1,156 |
| Knee Arthroscopy with Meniscectomy | $717$19$9.5k | $354 | $1,538 |
| Laparoscopic Appendectomy | $685$44$17k | $391 | $1,701 |
| Laparoscopic Gallbladder Removal | $751$48$17k | $429 | $1,866 |
| Laparoscopic Tubal Ligation | $780$53$17k | $422 | $1,834 |
| Lipid Panel (Cholesterol Test) | $14$9$44 | $89 | $115 |
| Lumbar Epidural Steroid Injection | $118$81$2.0k | $2,533 | $3,290 |
| Lumbar Puncture (Spinal Tap) | $70$42$2.0k | $2,027 | $2,632 |
| Lumbar Spinal Fusion (Posterior) | $1,660$128$54k | $1,026 | $4,459 |
| Lumpectomy (Partial Mastectomy) | $571$53$11k | $428 | $1,859 |
| MRI Abdomen with and without Contrast | $344$85$1.0k | $3,919 | $5,089 |
| MRI Brain with and without Contrast | $320$74$2.4k | $3,919 | $5,089 |
| MRI Brain with Contrast | $296$69$1.6k | $3,135 | $4,072 |
| MRI Brain without Contrast | $214$58$1.3k | $2,122 | $2,756 |
| MRI Cervical Spine (Neck) without Contrast | $211$58$1.3k | $2,122 | $2,756 |
| MRI Knee without Contrast | $222$53$1.3k | $2,122 | $2,756 |
| MRI Lower Back (Lumbar Spine) without Contrast | $200$58$1.5k | $2,122 | $2,756 |
| MRI Thoracic Spine (Mid-back) without Contrast | $199$58$1.5k | $2,122 | $2,756 |
| Newborn Circumcision | $129$78$6.0k | $62 | $269 |
| Nuclear Cardiac Stress Test | $417$62$3.8k | $3,343 | $4,341 |
| Office Visit, Established Patient (Level 3) | $58$21$192 | $495 | $643 |
| Office Visit, New Patient (Level 3) | $79$21$247 | $495 | $643 |
| Pacemaker Insertion (Dual Chamber) | $709$29$31k | $328 | $1,426 |
| PET/CT Scan, Whole Body | $1,033$92$4.3k | $9,336 | $12,125 |
| Pregnancy Ultrasound (Second or Third Trimester) | $106$33$310 | $584 | $758 |
| Prostate Biopsy | $175$90$6.0k | $5,994 | $7,784 |
| PSA Prostate Cancer Screening | $19$12$50 | $127 | $165 |
| Pulmonary Function Test with Bronchodilator | $36$8$908 | $740 | $961 |
| Rotator Cuff Repair (Arthroscopic) | $1,168$87$21k | $693 | $3,013 |
| Screening Mammogram | $104$30$257 | $367 | $476 |
| Septoplasty (Deviated Septum Repair) | $768$55$9.5k | $428 | $1,859 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $547$262$20k | $208 | $903 |
| Skin Biopsy (Tangential) | $47$15$1.3k | $581 | $755 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $80$7$4.7k | $4,741 | $6,157 |
| Sleep Study (In-lab Polysomnography) | $624$80$3.0k | $3,721 | $4,833 |
| Spinal Cord Stimulator Trial | $505$34$19k | $19,203 | $24,939 |
| Spirometry (Breathing Test) | $24$6$456 | $372 | $483 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $347$23$9.5k | $198 | $860 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $333$22$17k | $190 | $825 |
| Total Hip Replacement | $1,450$104$38k | $832 | $3,617 |
| Total Knee Replacement | $1,450$104$38k | $831 | $3,613 |
| Total Mastectomy | $880$77$19k | $622 | $2,703 |
| TSH Thyroid Function Test | $18$11$46 | $110 | $143 |
| TURP (Transurethral Prostate Resection) | $987$47$15k | $470 | $2,044 |
| Umbilical Hernia Repair | $1,240$1.2k$1.2k | — | — |
| Upper GI Endoscopy (EGD) | $182$99$2.7k | $78 | $341 |
| Urinalysis with Microscopy | $3$2$11 | $22 | $28 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,947$1.6k$5.4k | $1,630 | $7,089 |
| Vaginal Delivery (Global Package) | $3,101$1.8k$5.2k | $1,557 | $6,768 |
| Vaginal Hysterectomy | $962$82$14k | $542 | $2,356 |
| Vasectomy | $240$19$6.0k | $149 | $649 |
| Vitamin D Blood Test | $31$20$112 | $195 | $253 |