| Abdominal Hysterectomy | $1,045$957$2.0k | $1,737 | $2,672 |
| ACL Reconstruction (Arthroscopic) | $1,103$878$6.3k | $2,586 | $3,979 |
| Allergy Skin Testing | $925 | — | — |
| Basic Metabolic Panel | $13$4$55 | $23 | $36 |
| Bone Marrow Biopsy | $1,434 | — | — |
| Breast Biopsy (Ultrasound-guided) | $1,059$144$2.2k | $1,064 | $1,637 |
| Bunion Correction Surgery | $786$492$2.9k | $744 | $1,144 |
| Cardiac Ablation for Atrial Fibrillation | $21,004 | — | — |
| Cardiac Catheterization (Left Heart) | $2,882 | — | — |
| Cardiac Stress Test (Treadmill) | $68$64$258 | $185 | $285 |
| Carpal Tunnel Release Surgery | $458$397$1.7k | $619 | $953 |
| Cataract Surgery with Lens Implant | $2,061 | — | — |
| Cervical Spinal Fusion (Anterior) | $11,639 | — | — |
| Cesarean Delivery (Global Package) | $2,495$2.0k$2.7k | $1,492 | $2,295 |
| Chemotherapy Infusion (First Hour) | $253$116$477 | $413 | $635 |
| Chest X-ray (2 Views) | $168$77$350 | $279 | $429 |
| Colonoscopy with Biopsy | $318$187$1.0k | $477 | $734 |
| Complete Abdominal Ultrasound | $212$97$1.1k | $616 | $948 |
| Complete Blood Count (CBC) with Differential | $15$4$179 | $24 | $37 |
| Comprehensive Metabolic Panel | $12$5$44 | $23 | $36 |
| Coronary Angioplasty with Stent | $9,729 | — | — |
| Critical Care, First Hour | $677$63$1.6k | $274 | $422 |
| CT Abdomen and Pelvis with Contrast | $1,850$340$4.3k | $3,911 | $6,017 |
| CT Cardiac Calcium Scoring | $80 | — | — |
| CT Chest without Contrast | $500$97$1.3k | $870 | $1,338 |
| CT Head without Contrast | $724$97$1.7k | $1,315 | $2,023 |
| DEXA Bone Density Scan | $102$35$480 | $138 | $212 |
| Diagnostic Colonoscopy | $265$172$808 | $398 | $612 |
| Diagnostic Mammogram (Both Breasts) | $172$141$332 | $299 | $460 |
| Ear Tube Placement (Tympanostomy) | $1,349 | — | — |
| Echocardiogram (Complete with Doppler) | $1,177$488$2.2k | $1,908 | $2,935 |
| EKG (Electrocardiogram, 12-lead) | $14$13$48 | $57 | $87 |
| Emergency Room Visit (Level 3) | $252$51$2.1k | $93 | $143 |
| Group Therapy Session | $40$22$94 | $85 | $130 |
| Hemodialysis Treatment | $97 | — | — |
| Hemoglobin A1c (Diabetes Test) | $13$4$51 | $23 | $36 |
| HIV Antibody Test | $12$5$73 | $47 | $73 |
| Holter Monitor (24-48 Hour Heart Monitor) | $67$64$308 | $315 | $485 |
| Home Sleep Study | $138 | — | — |
| Individual Therapy Session (45 Minutes) | $107$72$168 | $151 | $233 |
| Inguinal Hernia Repair (Open) | $568$472$3.1k | $676 | $1,041 |
| Initial Hospital Admission (Level 1) | $78$32$157 | $91 | $140 |
| Initial Psychiatric Diagnostic Evaluation | $145$72$301 | $151 | $233 |
| Initial Psychiatric Evaluation with Medication Management | $165$95$251 | $220 | $338 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,337$521$2.6k | $2,323 | $3,574 |
| IUD Insertion | $72$42$138 | $98 | $151 |
| IUD Removal | $94$62$284 | $115 | $177 |
| Knee Arthroscopy with Meniscectomy | $711$492$2.9k | $1,555 | $2,392 |
| Laparoscopic Appendectomy | $657$542$5.1k | $588 | $904 |
| Laparoscopic Gallbladder Removal | $819$594$5.1k | $580 | $893 |
| Laparoscopic Tubal Ligation | $828$617$5.1k | $936 | $1,440 |
| Lipid Panel (Cholesterol Test) | $13$6$59 | $22 | $34 |
| Lumbar Epidural Steroid Injection | $612 | — | — |
| Lumbar Puncture (Spinal Tap) | $320$59$1.0k | $513 | $789 |
| Lumbar Spinal Fusion (Posterior) | $16,481 | — | — |
| Lumpectomy (Partial Mastectomy) | $694$595$3.4k | $634 | $976 |
| MRI Abdomen with and without Contrast | $1,420$340$3.2k | $2,856 | $4,394 |
| MRI Brain with and without Contrast | $1,599$340$3.8k | $3,380 | $5,200 |
| MRI Brain with Contrast | $1,397$340$2.7k | $2,428 | $3,735 |
| MRI Brain without Contrast | $1,290$217$2.5k | $2,243 | $3,450 |
| MRI Cervical Spine (Neck) without Contrast | $1,361$217$2.6k | $2,366 | $3,640 |
| MRI Knee without Contrast | $1,159$186$4.4k | $1,984 | $3,053 |
| MRI Lower Back (Lumbar Spine) without Contrast | $1,420$217$3.0k | $2,738 | $4,213 |
| MRI Thoracic Spine (Mid-back) without Contrast | $1,361$217$2.6k | $2,366 | $3,640 |
| Newborn Circumcision | $120$90$1.8k | $239 | $367 |
| Nuclear Cardiac Stress Test | $2,004$1.3k$3.8k | $3,383 | $5,204 |
| Office Visit, Established Patient (Level 3) | $63$30$214 | $85 | $131 |
| Office Visit, New Patient (Level 3) | $78$29$412 | $106 | $163 |
| Pacemaker Insertion (Dual Chamber) | $709$455$9.4k | $504 | $776 |
| PET/CT Scan, Whole Body | $1,384 | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $186$97$867 | $491 | $756 |
| Prostate Biopsy | $770$122$2.1k | $1,627 | $2,503 |
| PSA Prostate Cancer Screening | $34$8$105 | $56 | $86 |
| Pulmonary Function Test with Bronchodilator | $107$35$378 | $141 | $217 |
| Rotator Cuff Repair (Arthroscopic) | $1,205$963$6.3k | $1,084 | $1,668 |
| Screening Mammogram | $156$120$327 | $280 | $432 |
| Septoplasty (Deviated Septum Repair) | $2,847 | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,053 | — | — |
| Skin Biopsy (Tangential) | $110$36$215 | $120 | $185 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $164$78$1.7k | $128 | $197 |
| Sleep Study (In-lab Polysomnography) | $636$559$925 | $261 | $402 |
| Spinal Cord Stimulator Trial | $6,048 | — | — |
| Spirometry (Breathing Test) | $66$24$192 | $76 | $117 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $2,847 | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,179 | — | — |
| Total Hip Replacement | $1,617$1.2k$12k | $2,997 | $4,611 |
| Total Knee Replacement | $1,729$1.2k$12k | $1,669 | $2,567 |
| Total Mastectomy | $1,071$862$5.8k | $980 | $1,507 |
| TSH Thyroid Function Test | $17$8$73 | $23 | $36 |
| TURP (Transurethral Prostate Resection) | $1,111$648$4.6k | $1,949 | $2,999 |
| Upper GI Endoscopy (EGD) | $176$115$802 | $333 | $512 |
| Urinalysis with Microscopy | $10$3$40 | $17 | $26 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,351$1.7k$2.6k | $2,122 | $3,264 |
| Vaginal Delivery (Global Package) | $2,253$1.7k$2.5k | $1,856 | $2,856 |
| Vaginal Hysterectomy | $1,055$794$4.4k | $1,079 | $1,660 |
| Vasectomy | $301$218$2.1k | $1,423 | $2,189 |
| Vitamin D Blood Test | $30$13$144 | $38 | $59 |