| Abdominal Hysterectomy | $563$37$3.5k | $519 | $2,212 |
| ACL Reconstruction (Arthroscopic) | $46,178$632$46k | $62,334 | — |
| Anesthesia for Screening Colonoscopy | $4,304$632$6.1k | $3,852 | — |
| Anesthesia for Upper Endoscopy | $3,262$632$6.1k | $2,841 | — |
| Basic Metabolic Panel | $765$180$7.9k | $16,322 | $101 |
| Bone Marrow Biopsy | $1,245$154$5.9k | $1,444 | $2,222 |
| Breast Biopsy (Ultrasound-guided) | $3,173$154$10k | $3,261 | $5,017 |
| Bunion Correction Surgery | $11,769$632$12k | $26,334 | — |
| Cardiac Ablation for Atrial Fibrillation | $94,012$632$94k | $66,465 | $38,102 |
| Cardiac Catheterization (Left Heart) | $11,661$632$27k | $15,047 | $19,504 |
| Carpal Tunnel Release Surgery | $7,024$632$8.1k | $20,206 | — |
| Cervical Spinal Fusion (Anterior) | $46,178$632$46k | $62,559 | — |
| Cesarean Delivery (Global Package) | $938$37$6.1k | $3,477 | $3,477 |
| Chemotherapy Infusion (First Hour) | $574$280$1.2k | $638 | $982 |
| Chest X-ray (2 Views) | $313$74$632 | $442 | $680 |
| Colonoscopy with Biopsy | $4,304$632$6.1k | $4,900 | $546 |
| Complete Abdominal Ultrasound | $415$89$889 | $578 | $889 |
| Complete Blood Count (CBC) with Differential | $22$7$632 | $31 | $48 |
| Comprehensive Metabolic Panel | $2,142$505$7.9k | $2,322 | $95 |
| Coronary Angioplasty with Stent | $22,599$632$54k | $19,904 | $30,622 |
| Critical Care, First Hour | $3,712$632$8.1k | $5,167 | $7,949 |
| CT Abdomen and Pelvis with Contrast | $1,255$296$1.4k | $2,156 | $3,200 |
| CT Cardiac Calcium Scoring | $313$74$1.4k | $367 | $564 |
| CT Chest without Contrast | $732$89$1.6k | $1,019 | $1,567 |
| CT Head without Contrast | $376$89$1.4k | $2,593 | $1,505 |
| DEXA Bone Density Scan | $196$89$632 | $207 | $318 |
| Diagnostic Colonoscopy | $3,345$632$6.1k | $2,849 | $457 |
| Diagnostic Mammogram (Both Breasts) | $199$89$632 | $277 | $426 |
| Ear Tube Placement (Tympanostomy) | $21,292$632$21k | $24,953 | — |
| Echocardiogram (Complete with Doppler) | $1,965$463$4.1k | $2,640 | $4,061 |
| EKG (Electrocardiogram, 12-lead) | $32$10$32 | $32 | $32 |
| Emergency Room Visit (Level 3) | $982$231$1.9k | $2,223 | $1,900 |
| Hemoglobin A1c (Diabetes Test) | $42$9$632 | $60 | $92 |
| HIV Antibody Test | $38$8$632 | $53 | $82 |
| Inguinal Hernia Repair (Open) | $12,878$632$13k | $21,607 | — |
| Initial Hospital Admission (Level 1) | $212$48$223 | $217 | $223 |
| Initial Psychiatric Diagnostic Evaluation | $130$125$632 | $181 | $279 |
| Initial Psychiatric Evaluation with Medication Management | $392$109$411 | $402 | $402 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $2,007$628$4.3k | $2,793 | $4,297 |
| IUD Insertion | $11,643$632$12k | $27,425 | $151 |
| IUD Removal | $11,643$632$12k | $22,830 | $365 |
| Knee Arthroscopy with Meniscectomy | $26,099$632$26k | $36,438 | — |
| Laparoscopic Appendectomy | $21,745$632$22k | $27,441 | $1,324 |
| Laparoscopic Gallbladder Removal | $21,745$632$22k | $52,649 | $1,451 |
| Laparoscopic Tubal Ligation | $21,745$632$22k | $43,516 | $1,413 |
| Lipid Panel (Cholesterol Test) | $39$12$632 | $54 | $83 |
| Lumbar Epidural Steroid Injection | $2,253$598$4.2k | $2,036 | $3,133 |
| Lumbar Puncture (Spinal Tap) | $785$441$4.2k | $639 | $983 |
| Lumpectomy (Partial Mastectomy) | $23,883$632$24k | $40,955 | $1,451 |
| MRI Abdomen with and without Contrast | $1,875$296$4.1k | $2,649 | $4,075 |
| MRI Brain with and without Contrast | $1,255$296$3.1k | $2,022 | $3,111 |
| MRI Brain with Contrast | $1,255$296$2.2k | $1,407 | $2,165 |
| MRI Brain without Contrast | $858$202$2.1k | $1,344 | $2,068 |
| MRI Cervical Spine (Neck) without Contrast | $858$202$1.9k | $1,127 | $1,734 |
| MRI Knee without Contrast | $887$202$2.8k | $1,543 | $2,374 |
| MRI Lower Back (Lumbar Spine) without Contrast | $858$202$1.9k | $1,236 | $1,902 |
| MRI Thoracic Spine (Mid-back) without Contrast | $858$202$1.9k | $1,075 | $1,654 |
| Newborn Circumcision | $2,630$632$8.1k | $2,662 | $4,095 |
| Nuclear Cardiac Stress Test | $2,227$632$4.7k | $2,582 | $3,972 |
| Office Visit, Established Patient (Level 3) | $103$50$632 | $127 | $175 |
| Office Visit, New Patient (Level 3) | $187$46$248 | $218 | $218 |
| Pacemaker Insertion (Dual Chamber) | $11,745$632$59k | $12,609 | $19,398 |
| PET/CT Scan, Whole Body | $5,143$632$5.1k | $4,964 | $6,576 |
| Pregnancy Ultrasound (Second or Third Trimester) | $376$89$763 | $475 | $730 |
| Prostate Biopsy | $7,519$44$7.5k | $16,749 | $3,684 |
| PSA Prostate Cancer Screening | $55$16$632 | $77 | $118 |
| Pulmonary Function Test with Bronchodilator | $777$202$1.3k | $749 | $559 |
| Rotator Cuff Repair (Arthroscopic) | $26,099$632$30k | $54,341 | — |
| Screening Mammogram | $108$73$632 | $126 | $122 |
| Septoplasty (Deviated Septum Repair) | $11,925$632$25k | $21,003 | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $25,384$632$25k | $20,701 | — |
| Skin Biopsy (Tangential) | $302$136$3.2k | $196 | $302 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $11,769$632$12k | $23,898 | $1,777 |
| Sleep Study (In-lab Polysomnography) | $1,819$632$3.2k | $2,109 | $3,244 |
| Spinal Cord Stimulator Trial | $110,989$632$111k | $88,449 | $9,574 |
| Spirometry (Breathing Test) | $214$139$741 | $202 | $310 |
| Total Hip Replacement | $46,178$632$46k | $50,445 | — |
| Total Knee Replacement | $46,178$632$46k | $66,937 | — |
| Total Mastectomy | $23,883$632$47k | $73,870 | $1,403 |
| TSH Thyroid Function Test | $48$15$632 | $67 | $103 |
| TURP (Transurethral Prostate Resection) | $19,285$632$19k | $31,244 | — |
| Upper GI Endoscopy (EGD) | $3,262$632$6.1k | $2,096 | — |
| Urinalysis with Microscopy | $168$40$7.9k | $4,278 | $20 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $5,700$944$5.9k | $5,818 | $5,700 |
| Vaginal Delivery (Global Package) | $5,436$909$5.6k | $5,516 | $5,436 |
| Vaginal Hysterectomy | $17,993$632$18k | $35,200 | — |
| Vitamin D Blood Test | $53$26$632 | $73 | $113 |