| Abdominal Hysterectomy | $1,063$628$6.2k | $4,051 | $6,232 |
| ACL Reconstruction (Arthroscopic) | $6,601$3.8k$7.3k | $3,998 | $6,150 |
| Allergy Skin Testing | $100$39$1.0k | $85 | $130 |
| Basic Metabolic Panel | $25$7$55 | $36 | $55 |
| Bone Marrow Biopsy | $2,086$1.2k$4.6k | $3,013 | $4,635 |
| Breast Biopsy (Ultrasound-guided) | $4,505$903$10k | $6,507 | $10,010 |
| Bunion Correction Surgery | $3,088$2.5k$3.9k | $1,931 | $2,971 |
| Cardiac Ablation for Atrial Fibrillation | $28,600$11k$64k | $41,311 | $63,556 |
| Cardiac Catheterization (Left Heart) | $7,545$1.7k$17k | $10,898 | $16,766 |
| Cardiac Stress Test (Treadmill) | $100$95$105 | $210 | $323 |
| Carpal Tunnel Release Surgery | $5,364$954$12k | $7,749 | $11,921 |
| Cataract Surgery with Lens Implant | $2,107$1.2k$2.3k | — | — |
| Cervical Spinal Fusion (Anterior) | $11,889$8.2k$13k | $6,988 | $10,751 |
| Cesarean Delivery (Global Package) | $2,833$1.7k$15k | $9,606 | $14,779 |
| Chemotherapy Infusion (First Hour) | $941$243$2.1k | $1,359 | $2,091 |
| Chest X-ray (2 Views) | $253$50$562 | $365 | $562 |
| Colonoscopy with Biopsy | $2,186$779$4.9k | $3,158 | $4,858 |
| Complete Abdominal Ultrasound | $306$84$679 | $441 | $679 |
| Complete Blood Count (CBC) with Differential | $23$7$51 | $33 | $51 |
| Comprehensive Metabolic Panel | $32$9$69 | $45 | $69 |
| Coronary Angioplasty with Stent | $16,218$5.1k$36k | $23,426 | $36,040 |
| Critical Care, First Hour | $2,283$60$5.1k | $3,297 | $5,073 |
| CT Abdomen and Pelvis with Contrast | $1,069$280$2.4k | $1,544 | $2,375 |
| CT Cardiac Calcium Scoring | $253$69$562 | $365 | $562 |
| CT Chest without Contrast | $306$84$679 | $441 | $679 |
| CT Head without Contrast | $333$84$679 | $441 | $679 |
| DEXA Bone Density Scan | $306$64$679 | $441 | $679 |
| Diagnostic Colonoscopy | $1,693$716$3.8k | $2,445 | $3,762 |
| Diagnostic Mammogram (Both Breasts) | $301$45$654 | $425 | $654 |
| Ear Tube Placement (Tympanostomy) | $1,369$823$1.5k | $562 | $865 |
| Echocardiogram (Complete with Doppler) | $1,278$309$2.8k | $1,845 | $2,839 |
| EKG (Electrocardiogram, 12-lead) | $192$21$384 | $250 | $384 |
| Emergency Room Visit (Level 3) | $734$60$1.5k | $1,061 | $1,632 |
| Group Therapy Session | $93$55$184 | $120 | $184 |
| Hemodialysis Treatment | $343$327$359 | $590 | $908 |
| Hemoglobin A1c (Diabetes Test) | $29$8$63 | $41 | $63 |
| HIV Antibody Test | $9$8$22 | — | — |
| Holter Monitor (24-48 Hour Heart Monitor) | $80$76$83 | $109 | $168 |
| Home Sleep Study | $434$76$965 | $627 | $965 |
| Individual Therapy Session (45 Minutes) | $157$91$329 | $214 | $329 |
| Inguinal Hernia Repair (Open) | $6,408$2.1k$14k | $9,257 | $14,241 |
| Initial Hospital Admission (Level 1) | $86$50$587 | $382 | $587 |
| Initial Psychiatric Diagnostic Evaluation | $160$99$329 | $214 | $329 |
| Initial Psychiatric Evaluation with Medication Management | $160$99$329 | $214 | $329 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,636$314$3.6k | $2,363 | $3,635 |
| IUD Insertion | $234$60$465 | $302 | $465 |
| IUD Removal | $550$60$1.2k | $795 | $1,223 |
| Knee Arthroscopy with Meniscectomy | $2,998$1.6k$3.3k | $1,965 | $3,023 |
| Laparoscopic Appendectomy | $10,688$3.0k$24k | $15,438 | $23,750 |
| Laparoscopic Gallbladder Removal | $10,688$2.6k$24k | $15,438 | $23,750 |
| Laparoscopic Tubal Ligation | $5,391$2.4k$5.9k | $3,173 | $4,881 |
| Lipid Panel (Cholesterol Test) | $40$11$87 | $57 | $87 |
| Lumbar Epidural Steroid Injection | $1,922$495$4.3k | $2,776 | $4,270 |
| Lumbar Puncture (Spinal Tap) | $1,922$495$4.3k | $2,776 | $4,270 |
| Lumbar Spinal Fusion (Posterior) | $16,992$8.2k$19k | $6,577 | $10,118 |
| Lumpectomy (Partial Mastectomy) | $3,538$2.7k$3.9k | $1,577 | $2,426 |
| MRI Abdomen with and without Contrast | $1,069$280$2.4k | $1,544 | $2,375 |
| MRI Brain with and without Contrast | $1,069$280$2.4k | $1,544 | $2,375 |
| MRI Brain with Contrast | $1,069$280$2.4k | $1,544 | $2,375 |
| MRI Brain without Contrast | $681$190$1.5k | $983 | $1,513 |
| MRI Cervical Spine (Neck) without Contrast | $681$190$1.5k | $983 | $1,513 |
| MRI Knee without Contrast | $681$190$1.5k | $983 | $1,513 |
| MRI Lower Back (Lumbar Spine) without Contrast | $681$190$1.5k | $983 | $1,513 |
| MRI Thoracic Spine (Mid-back) without Contrast | $681$190$1.5k | $983 | $1,513 |
| Newborn Circumcision | $3,493$1.0k$7.8k | $5,046 | $7,763 |
| Nuclear Cardiac Stress Test | $3,945$778$8.8k | $5,699 | $8,767 |
| Office Visit, Established Patient (Level 3) | $71$30$139 | $90 | $139 |
| Office Visit, New Patient (Level 3) | $66$28$129 | $84 | $129 |
| Pacemaker Insertion (Dual Chamber) | $10,637$5.5k$23k | $15,124 | $23,268 |
| PET/CT Scan, Whole Body | $4,347$1.0k$9.7k | $6,279 | $9,660 |
| Pregnancy Ultrasound (Second or Third Trimester) | $306$84$679 | $441 | $679 |
| Prostate Biopsy | $3,493$987$7.8k | $5,046 | $7,763 |
| PSA Prostate Cancer Screening | $55$16$120 | $78 | $120 |
| Pulmonary Function Test with Bronchodilator | $539$112$1.2k | $778 | $1,197 |
| Rotator Cuff Repair (Arthroscopic) | $6,601$3.8k$7.3k | $3,648 | $5,613 |
| Screening Mammogram | $260$45$564 | $367 | $564 |
| Septoplasty (Deviated Septum Repair) | $2,997$1.8k$3.3k | $1,641 | $2,524 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,396$3.0k$7.0k | $1,607 | $2,473 |
| Skin Biopsy (Tangential) | $202$124$413 | $268 | $413 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,588$928$3.3k | $2,169 | $3,337 |
| Sleep Study (In-lab Polysomnography) | $2,905$617$6.5k | $4,196 | $6,456 |
| Spinal Cord Stimulator Trial | $9,018$3.7k$20k | $13,025 | $20,039 |
| Spirometry (Breathing Test) | $268$57$596 | $387 | $596 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $2,997$1.3k$3.3k | $1,021 | $1,570 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,466$1.3k$6.0k | $988 | $1,520 |
| Total Hip Replacement | $11,889$6.9k$13k | $5,479 | $8,429 |
| Total Knee Replacement | $11,889$6.9k$13k | $4,587 | $7,057 |
| Total Mastectomy | $6,026$2.7k$6.6k | $2,362 | $3,635 |
| TSH Thyroid Function Test | $50$14$109 | $71 | $109 |
| TURP (Transurethral Prostate Resection) | $4,697$2.9k$5.2k | $3,678 | $5,659 |
| Umbilical Hernia Repair | $2,240$2.1k$2.3k | — | — |
| Upper GI Endoscopy (EGD) | $1,679$683$3.7k | $2,426 | $3,732 |
| Urinalysis with Microscopy | $10$3$21 | $14 | $21 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,733$1.6k$14k | $9,058 | $13,936 |
| Vaginal Delivery (Global Package) | $2,622$1.5k$13k | $8,659 | $13,321 |
| Vaginal Hysterectomy | $4,561$2.8k$5.0k | $3,312 | $5,095 |
| Vasectomy | $3,493$1.3k$7.8k | $5,046 | $7,763 |
| Vitamin D Blood Test | $88$18$192 | $125 | $192 |