| Abdominal Hysterectomy | — | $1,553 | $1,726 |
| ACL Reconstruction (Arthroscopic) | $11,779$6.9k$32k | $7,861 | $8,734 |
| Allergy Skin Testing | $1,394$820$3.8k | $1,155 | $1,283 |
| Basic Metabolic Panel | $10$8$39 | $40 | $44 |
| Bone Marrow Biopsy | $2,681$1.6k$7.3k | $1,531 | $1,701 |
| Breast Biopsy (Ultrasound-guided) | $2,681$1.6k$7.3k | $5,726 | $6,362 |
| Bunion Correction Surgery | $5,311$3.1k$14k | $3,553 | $3,948 |
| Cardiac Ablation for Atrial Fibrillation | $42,428$25k$115k | $26,930 | $29,922 |
| Cardiac Catheterization (Left Heart) | $5,262$3.1k$14k | $8,467 | $9,408 |
| Cardiac Stress Test (Treadmill) | — | $104 | $116 |
| Carpal Tunnel Release Surgery | $3,170$1.9k$8.6k | $2,203 | $2,448 |
| Cataract Surgery with Lens Implant | — | $2,607 | $2,897 |
| Cervical Spinal Fusion (Anterior) | $20,840$12k$56k | $15,473 | $17,192 |
| Cesarean Delivery (Global Package) | — | $4,074 | $4,527 |
| Chemotherapy Infusion (First Hour) | $536$315$1.5k | $574 | $638 |
| Chest X-ray (2 Views) | $141$83$382 | $327 | $363 |
| Colonoscopy with Biopsy | $1,942$1.1k$5.3k | $1,301 | $1,446 |
| Complete Abdominal Ultrasound | $170$100$459 | $1,465 | $1,628 |
| Complete Blood Count (CBC) with Differential | $9$8$36 | $23 | $26 |
| Comprehensive Metabolic Panel | $13$11$49 | $67 | $74 |
| Coronary Angioplasty with Stent | $18,739$11k$51k | $17,620 | $19,578 |
| Critical Care, First Hour | $1,341$789$3.6k | $4,513 | $5,014 |
| CT Abdomen and Pelvis with Contrast | $566$333$1.5k | $3,155 | $3,506 |
| CT Cardiac Calcium Scoring | $141$83$382 | $102 | $113 |
| CT Chest without Contrast | $170$100$459 | $756 | $840 |
| CT Head without Contrast | $170$100$459 | $838 | $932 |
| DEXA Bone Density Scan | $170$100$459 | $489 | $543 |
| Diagnostic Colonoscopy | $1,510$888$4.1k | $995 | $1,106 |
| Diagnostic Mammogram (Both Breasts) | $172$101$464 | $349 | $388 |
| Ear Tube Placement (Tympanostomy) | $2,519$1.5k$6.8k | $1,697 | $1,886 |
| Echocardiogram (Complete with Doppler) | $887$522$2.4k | $2,489 | $2,766 |
| EKG (Electrocardiogram, 12-lead) | — | $24 | $27 |
| Emergency Room Visit (Level 3) | $443$261$1.2k | $603 | $670 |
| Group Therapy Session | $165$97$446 | $94 | $104 |
| Hemodialysis Treatment | — | $157 | $174 |
| Hemoglobin A1c (Diabetes Test) | $12$10$45 | $32 | $36 |
| HIV Antibody Test | $11$9$41 | $119 | $133 |
| Holter Monitor (24-48 Hour Heart Monitor) | — | $110 | $122 |
| Home Sleep Study | $350$206$948 | $1,141 | $1,268 |
| Individual Therapy Session (45 Minutes) | $288$169$779 | $167 | $186 |
| Inguinal Hernia Repair (Open) | $5,812$3.4k$16k | $3,993 | $4,437 |
| Initial Hospital Admission (Level 1) | — | $156 | $174 |
| Initial Psychiatric Diagnostic Evaluation | $288$169$779 | $167 | $186 |
| Initial Psychiatric Evaluation with Medication Management | $288$169$779 | $172 | $191 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | — | $1,785 | $1,984 |
| IUD Insertion | — | $43 | $48 |
| IUD Removal | $495$291$1.3k | $105 | $117 |
| Knee Arthroscopy with Meniscectomy | $5,311$3.1k$14k | $3,553 | $3,948 |
| Laparoscopic Appendectomy | $9,813$5.8k$27k | $6,350 | $7,055 |
| Laparoscopic Gallbladder Removal | $9,813$5.8k$27k | $6,350 | $7,055 |
| Laparoscopic Tubal Ligation | $9,813$5.8k$27k | $6,350 | $7,055 |
| Lipid Panel (Cholesterol Test) | $16$13$62 | $37 | $41 |
| Lumbar Epidural Steroid Injection | $1,146$674$3.1k | $1,768 | $1,965 |
| Lumbar Puncture (Spinal Tap) | $1,146$674$3.1k | $897 | $997 |
| Lumbar Spinal Fusion (Posterior) | $28,461$17k$77k | $15,473 | $17,192 |
| Lumpectomy (Partial Mastectomy) | $6,356$3.7k$17k | $3,963 | $4,403 |
| MRI Abdomen with and without Contrast | $566$333$1.5k | $2,547 | $2,830 |
| MRI Brain with and without Contrast | $566$333$1.5k | $2,732 | $3,035 |
| MRI Brain with Contrast | $566$333$1.5k | $2,481 | $2,757 |
| MRI Brain without Contrast | $387$228$1.0k | $2,039 | $2,266 |
| MRI Cervical Spine (Neck) without Contrast | $387$228$1.0k | $2,500 | $2,778 |
| MRI Knee without Contrast | $387$228$1.0k | $1,569 | $1,743 |
| MRI Lower Back (Lumbar Spine) without Contrast | $387$228$1.0k | $2,777 | $3,086 |
| MRI Thoracic Spine (Mid-back) without Contrast | $387$228$1.0k | $2,121 | $2,357 |
| Newborn Circumcision | $3,393$2.0k$9.2k | $2,246 | $2,496 |
| Nuclear Cardiac Stress Test | $2,102$1.2k$5.7k | $4,930 | $5,478 |
| Office Visit, Established Patient (Level 3) | — | $197 | $219 |
| Office Visit, New Patient (Level 3) | — | $369 | $410 |
| Pacemaker Insertion (Dual Chamber) | $16,966$10.0k$46k | $13,411 | $14,901 |
| PET/CT Scan, Whole Body | $2,321$1.4k$6.3k | $4,890 | $5,433 |
| Pregnancy Ultrasound (Second or Third Trimester) | $170$100$459 | $767 | $852 |
| Prostate Biopsy | — | $2,246 | $2,496 |
| PSA Prostate Cancer Screening | $22$18$85 | $48 | $54 |
| Pulmonary Function Test with Bronchodilator | $606$356$1.6k | $638 | $709 |
| Rotator Cuff Repair (Arthroscopic) | $11,779$6.9k$32k | $7,861 | $8,734 |
| Screening Mammogram | $142$83$383 | $270 | $300 |
| Septoplasty (Deviated Septum Repair) | $5,382$3.2k$15k | $3,434 | $3,815 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $11,456$6.7k$31k | $7,308 | $8,120 |
| Skin Biopsy (Tangential) | $660$388$1.8k | $225 | $250 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,681$1.6k$7.3k | $1,767 | $1,963 |
| Sleep Study (In-lab Polysomnography) | $1,394$820$3.8k | $7,749 | $8,611 |
| Spinal Cord Stimulator Trial | $10,345$6.1k$28k | $21,634 | $24,038 |
| Spirometry (Breathing Test) | $350$206$948 | $176 | $195 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $5,382$3.2k$15k | $3,434 | $3,815 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $9,609$5.7k$26k | $6,383 | $7,092 |
| Total Hip Replacement | $20,840$12k$56k | $15,473 | $17,192 |
| Total Knee Replacement | $20,840$12k$56k | $15,473 | $17,192 |
| Total Mastectomy | $10,779$6.3k$29k | $6,945 | $7,717 |
| TSH Thyroid Function Test | $20$17$77 | $56 | $62 |
| TURP (Transurethral Prostate Resection) | $8,703$5.1k$24k | $5,537 | $6,152 |
| Umbilical Hernia Repair | — | $3,993 | $4,437 |
| Upper GI Endoscopy (EGD) | $1,472$866$4.0k | $1,016 | $1,129 |
| Urinalysis with Microscopy | $4$3$15 | $13 | $14 |
| Vaginal Birth After Cesarean (VBAC) Global Package | — | $3,859 | $4,288 |
| Vaginal Delivery (Global Package) | — | $3,681 | $4,090 |
| Vaginal Hysterectomy | $8,120$4.8k$22k | $5,533 | $6,148 |
| Vasectomy | $3,393$2.0k$9.2k | $2,246 | $2,496 |
| Vitamin D Blood Test | $36$30$136 | $70 | $78 |