| Abdominal Hysterectomy | $5,055$3.6k$5.4k | $2,242 | $6,407 |
| ACL Reconstruction (Arthroscopic) | $7,551$1.4k$27k | $2,498 | $7,136 |
| Allergy Skin Testing | $1,219$442$3.2k | $31 | $88 |
| Anesthesia for Screening Colonoscopy | — | — | $1 |
| Anesthesia for Upper Endoscopy | — | — | $1 |
| Basic Metabolic Panel | $10$5$22 | $45 | $128 |
| Bone Marrow Biopsy | $2,150$851$6.2k | $194 | $555 |
| Breast Biopsy (Ultrasound-guided) | $2,539$851$6.2k | $220 | $628 |
| Bunion Correction Surgery | $4,024$1.4k$12k | $1,383 | $3,952 |
| Cardiac Ablation for Atrial Fibrillation | $32,147$3.6k$98k | $9,354 | $26,726 |
| Cardiac Catheterization (Left Heart) | $4,449$699$12k | $3,643 | $10,410 |
| Cardiac Stress Test (Treadmill) | — | $191 | $546 |
| Carpal Tunnel Release Surgery | $2,586$1.0k$7.3k | $2,044 | $5,839 |
| Cataract Surgery with Lens Implant | $3,665$1.2k$8.7k | $2,012 | $5,749 |
| Cervical Spinal Fusion (Anterior) | $14,576$3.0k$48k | $4,606 | $13,159 |
| Cesarean Delivery (Global Package) | — | $1,995 | $5,701 |
| Chemotherapy Infusion (First Hour) | $422$170$1.2k | $467 | $1,333 |
| Chest X-ray (2 Views) | $115$22$327 | $66 | $188 |
| Colonoscopy with Biopsy | $1,811$616$4.5k | $1,031 | $2,946 |
| Complete Abdominal Ultrasound | $163$54$393 | $279 | $798 |
| Complete Blood Count (CBC) with Differential | $9$4$20 | $30 | $85 |
| Comprehensive Metabolic Panel | $13$6$27 | — | — |
| Coronary Angioplasty with Stent | $15,290$3.5k$43k | $6,341 | $18,117 |
| Critical Care, First Hour | $1,172$425$3.1k | $3,310 | $9,456 |
| CT Abdomen and Pelvis with Contrast | $514$180$1.3k | $690 | $1,972 |
| CT Cardiac Calcium Scoring | $145$45$327 | $250 | $715 |
| CT Chest without Contrast | $172$54$393 | $113 | $324 |
| CT Head without Contrast | $154$54$393 | $111 | $317 |
| DEXA Bone Density Scan | $138$27$393 | $18 | $50 |
| Diagnostic Colonoscopy | $1,643$479$3.5k | $843 | $2,408 |
| Diagnostic Mammogram (Both Breasts) | $131$55$267 | $134 | $382 |
| Ear Tube Placement (Tympanostomy) | $2,078$799$5.8k | $388 | $1,110 |
| Echocardiogram (Complete with Doppler) | $724$119$2.1k | $770 | $2,199 |
| EKG (Electrocardiogram, 12-lead) | $14 | $51 | $146 |
| Emergency Room Visit (Level 3) | $387$141$1.0k | $250 | $714 |
| Group Therapy Session | $144$52$382 | $85 | $243 |
| Hemodialysis Treatment | — | $293 | $838 |
| Hemoglobin A1c (Diabetes Test) | $12$5$25 | $32 | $90 |
| HIV Antibody Test | $11$5$23 | $14 | $39 |
| Home Sleep Study | $266$45$812 | $471 | $1,346 |
| Individual Therapy Session (45 Minutes) | $252$91$668 | $148 | $422 |
| Inguinal Hernia Repair (Open) | $4,404$1.8k$13k | $865 | $2,471 |
| Initial Hospital Admission (Level 1) | — | $109 | $310 |
| Initial Psychiatric Diagnostic Evaluation | $252$91$668 | $168 | $479 |
| Initial Psychiatric Evaluation with Medication Management | $252$91$668 | $168 | $479 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $719$333$852 | $2,853 | $8,150 |
| IUD Insertion | $1,643$468$2.1k | $234 | $670 |
| IUD Removal | $616$157$2.1k | $346 | $988 |
| Knee Arthroscopy with Meniscectomy | $4,024$1.7k$12k | $1,301 | $3,716 |
| Laparoscopic Appendectomy | $7,068$1.4k$23k | $861 | $2,461 |
| Laparoscopic Gallbladder Removal | $7,068$2.6k$23k | $1,223 | $3,493 |
| Laparoscopic Tubal Ligation | $6,700$2.6k$23k | $1,096 | $3,131 |
| Lipid Panel (Cholesterol Test) | $16$7$35 | $48 | $136 |
| Lumbar Epidural Steroid Injection | $1,300$364$2.7k | $118 | $338 |
| Lumbar Puncture (Spinal Tap) | $1,219$364$2.7k | $913 | $2,609 |
| Lumbar Spinal Fusion (Posterior) | $19,906$3.0k$66k | $2,893 | $8,266 |
| Lumpectomy (Partial Mastectomy) | $4,445$1.4k$15k | $712 | $2,034 |
| MRI Abdomen with and without Contrast | $547$180$1.3k | $977 | $2,790 |
| MRI Brain with and without Contrast | $514$180$1.3k | $974 | $2,782 |
| MRI Brain with Contrast | $492$180$1.3k | $190 | $543 |
| MRI Brain without Contrast | $334$123$898 | $144 | $410 |
| MRI Cervical Spine (Neck) without Contrast | $328$119$898 | $141 | $402 |
| MRI Knee without Contrast | $343$123$898 | $137 | $390 |
| MRI Lower Back (Lumbar Spine) without Contrast | $328$119$898 | $151 | $431 |
| MRI Thoracic Spine (Mid-back) without Contrast | $328$119$898 | $153 | $436 |
| Newborn Circumcision | $2,571$1.1k$7.9k | $572 | $1,634 |
| Nuclear Cardiac Stress Test | $1,654$336$4.9k | $1,276 | $3,646 |
| Office Visit, Established Patient (Level 3) | — | $38 | $109 |
| Office Visit, New Patient (Level 3) | — | $69 | $196 |
| Pacemaker Insertion (Dual Chamber) | $13,349$3.6k$88k | $8,745 | $24,987 |
| PET/CT Scan, Whole Body | $2,398$736$5.4k | $106 | $302 |
| Pregnancy Ultrasound (Second or Third Trimester) | $181$54$393 | $80 | $228 |
| Prostate Biopsy | $2,299$1.6k$3.4k | $912 | $2,605 |
| PSA Prostate Cancer Screening | $22$10$48 | $58 | $165 |
| Pulmonary Function Test with Bronchodilator | $494$26$1.4k | $301 | $861 |
| Rotator Cuff Repair (Arthroscopic) | $7,551$2.6k$27k | $1,617 | $4,620 |
| Screening Mammogram | $108$45$220 | $111 | $317 |
| Septoplasty (Deviated Septum Repair) | $4,054$1.7k$12k | $1,684 | $4,812 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,345$2.6k$27k | $1,290 | $3,685 |
| Skin Biopsy (Tangential) | $712$209$2.1k | $214 | $612 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,344$851$6.2k | $531 | $1,516 |
| Sleep Study (In-lab Polysomnography) | $1,137$442$3.2k | $1,581 | $4,516 |
| Spinal Cord Stimulator Trial | $6,700$1.6k$24k | $1,729 | $4,940 |
| Spirometry (Breathing Test) | $286$17$812 | $30 | $87 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $4,054$1.7k$12k | $943 | $2,694 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,161$1.4k$22k | $727 | $2,078 |
| Total Hip Replacement | $14,576$3.0k$48k | $3,825 | $10,930 |
| Total Knee Replacement | $14,576$3.0k$48k | $3,270 | $9,344 |
| Total Mastectomy | $7,539$2.3k$25k | $982 | $2,805 |
| TSH Thyroid Function Test | $20$9$44 | $56 | $159 |
| TURP (Transurethral Prostate Resection) | $5,700$2.3k$20k | $1,729 | $4,940 |
| Umbilical Hernia Repair | $2,748$2.3k$3.4k | — | — |
| Upper GI Endoscopy (EGD) | $1,373$467$3.4k | $757 | $2,163 |
| Urinalysis with Microscopy | $4$2$8 | $13 | $37 |
| Vaginal Birth After Cesarean (VBAC) Global Package | — | $1,900 | $5,429 |
| Vaginal Delivery (Global Package) | — | $1,577 | $4,505 |
| Vaginal Hysterectomy | $5,743$2.6k$19k | $1,693 | $4,838 |
| Vasectomy | $2,769$1.1k$7.9k | $1,676 | $4,787 |
| Vitamin D Blood Test | $36$16$77 | $84 | $241 |