| Abdominal Hysterectomy | $2,587$690$5.5k | — | $3,450 |
| ACL Reconstruction (Arthroscopic) | $4,426$257$18k | $8,273 | $21,577 |
| Allergy Skin Testing | $336$3$2.2k | $1,209 | $2,579 |
| Basic Metabolic Panel | $65$5$147 | $8 | $27 |
| Bone Marrow Biopsy | $1,295$60$4.8k | $1,875 | $4,437 |
| Breast Biopsy (Ultrasound-guided) | $2,081$132$4.8k | $1,875 | $4,905 |
| Bunion Correction Surgery | $3,406$464$9.7k | $3,743 | $11,465 |
| Cardiac Ablation for Atrial Fibrillation | $1,376$857$58k | $27,466 | $2,612 |
| Cardiac Catheterization (Left Heart) | $2,163$254$7.6k | $3,768 | $2,841 |
| Cardiac Stress Test (Treadmill) | $307$67$1.6k | — | $550 |
| Carpal Tunnel Release Surgery | $2,311$407$6.5k | $2,233 | $7,633 |
| Cataract Surgery with Lens Implant | $2,523$213$7.5k | $2,695 | $8,849 |
| Cervical Spinal Fusion (Anterior) | $5,218$1.2k$27k | $15,220 | $32,243 |
| Cesarean Delivery (Global Package) | $4,454$1.2k$7.6k | — | $8,940 |
| Chemotherapy Infusion (First Hour) | $421$114$1.4k | $392 | $1,600 |
| Chest X-ray (2 Views) | $71$8$1.1k | $105 | $331 |
| Colonoscopy with Biopsy | $1,177$176$4.8k | $1,365 | $4,253 |
| Complete Abdominal Ultrasound | $788$30$1.8k | $127 | $1,495 |
| Complete Blood Count (CBC) with Differential | $45$3$101 | $8 | $33 |
| Comprehensive Metabolic Panel | $65$7$147 | $11 | $40 |
| Coronary Angioplasty with Stent | $3,513$576$27k | $12,722 | $1,619 |
| Critical Care, First Hour | $781$168$2.3k | $1,026 | $1,843 |
| CT Abdomen and Pelvis with Contrast | $502$74$2.1k | $445 | $2,511 |
| CT Cardiac Calcium Scoring | $126$14$863 | $105 | $291 |
| CT Chest without Contrast | $400$44$1.3k | $127 | $1,538 |
| CT Head without Contrast | $461$35$1.2k | $127 | $1,333 |
| DEXA Bone Density Scan | $225$8$1.1k | $127 | $453 |
| Diagnostic Colonoscopy | $1,004$81$4.8k | $1,057 | $3,355 |
| Diagnostic Mammogram (Both Breasts) | $182$37$1.1k | $211 | $603 |
| Ear Tube Placement (Tympanostomy) | $1,823$145$4.8k | $1,764 | $4,647 |
| Echocardiogram (Complete with Doppler) | $422$54$2.1k | $638 | $2,432 |
| EKG (Electrocardiogram, 12-lead) | $120$13$614 | — | $213 |
| Emergency Room Visit (Level 3) | $650$46$1.8k | $330 | $870 |
| Group Therapy Session | $114$21$666 | $103 | $335 |
| Hemodialysis Treatment | $440$88$1.3k | — | $822 |
| Hemoglobin A1c (Diabetes Test) | $39$7$88 | $10 | $41 |
| HIV Antibody Test | $44$7$614 | $9 | $37 |
| Holter Monitor (24-48 Hour Heart Monitor) | $250$60$563 | — | $208 |
| Home Sleep Study | $469$37$1.5k | $181 | $1,719 |
| Individual Therapy Session (45 Minutes) | $210$79$686 | $184 | $807 |
| Inguinal Hernia Repair (Open) | $3,432$480$11k | $4,001 | $12,900 |
| Initial Hospital Admission (Level 1) | $320$63$614 | — | $558 |
| Initial Psychiatric Diagnostic Evaluation | $285$124$1.6k | $184 | $1,538 |
| Initial Psychiatric Evaluation with Medication Management | $260$140$828 | $184 | $974 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $496$203$3.7k | $681 | $3,221 |
| IUD Insertion | $333$44$4.5k | — | $521 |
| IUD Removal | $425$48$4.5k | $371 | $1,057 |
| Knee Arthroscopy with Meniscectomy | $2,344$257$9.9k | $3,743 | $11,626 |
| Laparoscopic Appendectomy | $4,535$319$16k | $6,673 | $19,262 |
| Laparoscopic Gallbladder Removal | $4,668$603$16k | $6,673 | $18,724 |
| Laparoscopic Tubal Ligation | $4,251$583$15k | $6,673 | $18,049 |
| Lipid Panel (Cholesterol Test) | $65$6$147 | $13 | $56 |
| Lumbar Epidural Steroid Injection | $836$87$2.2k | $800 | $2,552 |
| Lumbar Puncture (Spinal Tap) | $1,027$58$4.8k | $800 | $2,421 |
| Lumbar Spinal Fusion (Posterior) | $5,135$1.5k$44k | $21,551 | $4,572 |
| Lumpectomy (Partial Mastectomy) | $3,323$581$11k | $4,408 | $9,065 |
| MRI Abdomen with and without Contrast | $826$90$2.3k | $445 | $2,738 |
| MRI Brain with and without Contrast | $810$93$2.2k | $445 | $2,643 |
| MRI Brain with Contrast | $810$72$2.9k | $445 | $2,926 |
| MRI Brain without Contrast | $575$60$1.7k | $283 | $1,615 |
| MRI Cervical Spine (Neck) without Contrast | $547$60$2.4k | $283 | $2,786 |
| MRI Knee without Contrast | $547$55$1.7k | $283 | $1,636 |
| MRI Lower Back (Lumbar Spine) without Contrast | $558$60$1.7k | $283 | $1,593 |
| MRI Thoracic Spine (Mid-back) without Contrast | $547$60$2.4k | $283 | $2,822 |
| Newborn Circumcision | $1,735$84$4.9k | $2,355 | $5,761 |
| Nuclear Cardiac Stress Test | $932$50$5.1k | $1,642 | $6,053 |
| Office Visit, Established Patient (Level 3) | $348$35$614 | — | $535 |
| Office Visit, New Patient (Level 3) | $362$43$614 | — | $658 |
| Pacemaker Insertion (Dual Chamber) | $7,560$257$32k | $12,349 | $26,879 |
| PET/CT Scan, Whole Body | $1,923$97$7.4k | $1,809 | $8,752 |
| Pregnancy Ultrasound (Second or Third Trimester) | $189$38$1.1k | $127 | $893 |
| Prostate Biopsy | $2,438$113$5.4k | $2,355 | $6,262 |
| PSA Prostate Cancer Screening | $46$14$101 | $18 | $77 |
| Pulmonary Function Test with Bronchodilator | $361$9$938 | $363 | $1,103 |
| Rotator Cuff Repair (Arthroscopic) | $4,550$973$14k | $8,273 | $16,661 |
| Screening Mammogram | $196$28$1.1k | $171 | $491 |
| Septoplasty (Deviated Septum Repair) | $3,075$684$7.7k | $3,723 | $1,947 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $4,122$321$16k | $7,915 | $899 |
| Skin Biopsy (Tangential) | $776$33$1.7k | $232 | $788 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,525$70$3.8k | $1,875 | $4,475 |
| Sleep Study (In-lab Polysomnography) | $1,046$99$4.6k | $1,209 | $5,393 |
| Spinal Cord Stimulator Trial | $16,842$368$38k | $7,909 | $15,492 |
| Spirometry (Breathing Test) | $118$7$521 | $181 | $613 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $2,385$257$7.7k | $3,723 | $9,010 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $2,174$257$13k | $6,772 | $15,834 |
| Total Hip Replacement | $4,254$957$30k | $15,220 | $3,658 |
| Total Knee Replacement | $4,254$957$30k | $15,220 | $3,652 |
| Total Mastectomy | $2,712$984$15k | $7,541 | $2,748 |
| TSH Thyroid Function Test | $64$9$145 | $17 | $70 |
| TURP (Transurethral Prostate Resection) | $3,974$257$13k | $5,984 | $14,948 |
| Umbilical Hernia Repair | $2,549$455$5.6k | — | — |
| Upper GI Endoscopy (EGD) | $1,337$108$4.8k | $1,048 | $3,207 |
| Urinalysis with Microscopy | $44$2$100 | $3 | $15 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,567$257$5.6k | — | $6,564 |
| Vaginal Delivery (Global Package) | $2,639$1.5k$7.5k | — | $6,970 |
| Vaginal Hysterectomy | $3,164$750$13k | $5,752 | $15,820 |
| Vasectomy | $2,334$208$5.2k | $2,355 | $6,169 |
| Vitamin D Blood Test | $77$22$170 | $30 | $124 |