| Abdominal Hysterectomy | $2,129$628$6.2k | $4,051 | $6,232 |
| ACL Reconstruction (Arthroscopic) | $6,623$4.3k$10k | $3,998 | $6,150 |
| Allergy Skin Testing | $98$5$1.0k | $85 | $130 |
| Basic Metabolic Panel | $23$7$55 | $36 | $55 |
| Bone Marrow Biopsy | $2,499$90$4.6k | $3,013 | $4,635 |
| Breast Biopsy (Ultrasound-guided) | $4,867$198$10k | $6,507 | $10,010 |
| Bunion Correction Surgery | $3,128$2.8k$8.2k | $1,931 | $2,971 |
| Cardiac Ablation for Atrial Fibrillation | $30,570$1.2k$64k | $41,311 | $63,556 |
| Cardiac Catheterization (Left Heart) | $8,064$1.3k$17k | $10,898 | $16,766 |
| Cardiac Stress Test (Treadmill) | $119$108$125 | $210 | $323 |
| Carpal Tunnel Release Surgery | $5,734$545$12k | $7,749 | $11,921 |
| Cataract Surgery with Lens Implant | $2,114$1.3k$8.2k | $2,055 | $3,161 |
| Cervical Spinal Fusion (Anterior) | $11,928$9.3k$13k | $6,988 | $10,751 |
| Cesarean Delivery (Global Package) | $5,149$1.7k$15k | $9,606 | $14,779 |
| Chemotherapy Infusion (First Hour) | $1,046$177$2.1k | $1,359 | $2,091 |
| Chest X-ray (2 Views) | $212$44$562 | $365 | $562 |
| Colonoscopy with Biopsy | $2,522$251$6.1k | $3,158 | $4,858 |
| Complete Abdominal Ultrasound | $260$95$679 | $441 | $679 |
| Complete Blood Count (CBC) with Differential | $23$8$51 | $33 | $51 |
| Comprehensive Metabolic Panel | $31$11$69 | $45 | $69 |
| Coronary Angioplasty with Stent | $14,218$712$36k | $23,426 | $36,040 |
| Critical Care, First Hour | $2,277$68$5.1k | $3,297 | $5,073 |
| CT Abdomen and Pelvis with Contrast | $1,112$331$2.4k | $1,544 | $2,375 |
| CT Cardiac Calcium Scoring | $242$53$562 | $365 | $562 |
| CT Chest without Contrast | $336$95$1.2k | $441 | $679 |
| CT Head without Contrast | $407$95$1.2k | $441 | $679 |
| DEXA Bone Density Scan | $256$52$679 | $441 | $679 |
| Diagnostic Colonoscopy | $1,953$231$6.1k | $2,445 | $3,762 |
| Diagnostic Mammogram (Both Breasts) | $324$51$654 | $425 | $654 |
| Ear Tube Placement (Tympanostomy) | $2,158$197$8.2k | $2,834 | $4,360 |
| Echocardiogram (Complete with Doppler) | $1,405$258$2.8k | $1,845 | $2,839 |
| EKG (Electrocardiogram, 12-lead) | $230$18$384 | $250 | $384 |
| Emergency Room Visit (Level 3) | $889$68$2.7k | $1,061 | $1,632 |
| Group Therapy Session | $110$34$184 | $120 | $184 |
| Hemodialysis Treatment | $409$370$428 | $590 | $908 |
| Hemoglobin A1c (Diabetes Test) | $26$10$63 | $41 | $63 |
| HIV Antibody Test | $27$9$58 | $38 | $58 |
| Holter Monitor (24-48 Hour Heart Monitor) | $95$86$100 | $109 | $168 |
| Home Sleep Study | $478$86$965 | $627 | $965 |
| Individual Therapy Session (45 Minutes) | $164$91$329 | $214 | $329 |
| Inguinal Hernia Repair (Open) | $3,272$2.4k$10k | $1,863 | $2,866 |
| Initial Hospital Admission (Level 1) | $188$48$587 | $382 | $587 |
| Initial Psychiatric Diagnostic Evaluation | $190$91$329 | $214 | $329 |
| Initial Psychiatric Evaluation with Medication Management | $190$91$329 | $214 | $329 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,918$356$3.6k | $2,363 | $3,635 |
| IUD Insertion | $286$68$4.6k | $302 | $465 |
| IUD Removal | $673$68$4.6k | $795 | $1,223 |
| Knee Arthroscopy with Meniscectomy | $3,008$1.8k$10k | $1,965 | $3,023 |
| Laparoscopic Appendectomy | $5,409$3.4k$12k | $2,212 | $3,403 |
| Laparoscopic Gallbladder Removal | $5,409$3.0k$12k | $2,451 | $3,770 |
| Laparoscopic Tubal Ligation | $5,409$2.8k$12k | $2,926 | $4,501 |
| Lipid Panel (Cholesterol Test) | $36$13$87 | $57 | $87 |
| Lumbar Epidural Steroid Injection | $2,327$127$4.6k | $2,776 | $4,270 |
| Lumbar Puncture (Spinal Tap) | $2,348$80$4.6k | $2,776 | $4,270 |
| Lumbar Spinal Fusion (Posterior) | $17,048$9.3k$19k | $6,577 | $10,118 |
| Lumpectomy (Partial Mastectomy) | $3,550$3.1k$8.2k | $2,371 | $3,647 |
| MRI Abdomen with and without Contrast | $1,252$331$2.4k | $1,544 | $2,375 |
| MRI Brain with and without Contrast | $1,176$331$2.4k | $1,544 | $2,375 |
| MRI Brain with Contrast | $1,176$331$2.4k | $1,544 | $2,375 |
| MRI Brain without Contrast | $749$213$1.8k | $983 | $1,513 |
| MRI Cervical Spine (Neck) without Contrast | $749$213$1.8k | $983 | $1,513 |
| MRI Knee without Contrast | $790$213$1.8k | $983 | $1,513 |
| MRI Lower Back (Lumbar Spine) without Contrast | $749$213$1.8k | $983 | $1,513 |
| MRI Thoracic Spine (Mid-back) without Contrast | $749$213$1.8k | $983 | $1,513 |
| Newborn Circumcision | $3,734$123$7.8k | $5,046 | $7,763 |
| Nuclear Cardiac Stress Test | $3,316$589$8.8k | $5,699 | $8,767 |
| Office Visit, Established Patient (Level 3) | $83$30$139 | $90 | $139 |
| Office Visit, New Patient (Level 3) | $78$28$141 | $84 | $129 |
| Pacemaker Insertion (Dual Chamber) | $10,672$620$23k | $15,124 | $23,268 |
| PET/CT Scan, Whole Body | $3,616$1.2k$9.7k | $6,279 | $9,660 |
| Pregnancy Ultrasound (Second or Third Trimester) | $260$95$679 | $441 | $679 |
| Prostate Biopsy | $3,949$166$7.8k | $5,046 | $7,763 |
| PSA Prostate Cancer Screening | $52$18$120 | $78 | $120 |
| Pulmonary Function Test with Bronchodilator | $593$52$1.2k | $778 | $1,197 |
| Rotator Cuff Repair (Arthroscopic) | $6,623$4.3k$12k | $3,648 | $5,613 |
| Screening Mammogram | $290$51$564 | $367 | $564 |
| Septoplasty (Deviated Septum Repair) | $6,247$853$12k | $7,976 | $12,271 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,417$3.4k$12k | $1,607 | $2,473 |
| Skin Biopsy (Tangential) | $254$48$10k | $268 | $413 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,852$102$4.6k | $2,169 | $3,337 |
| Sleep Study (In-lab Polysomnography) | $3,196$699$6.5k | $4,196 | $6,456 |
| Spinal Cord Stimulator Trial | $9,639$525$20k | $13,025 | $20,039 |
| Spirometry (Breathing Test) | $295$36$596 | $387 | $596 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,006$1.4k$12k | $1,021 | $1,570 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,484$1.4k$8.7k | $988 | $1,520 |
| Total Hip Replacement | $11,928$7.8k$13k | $5,479 | $8,429 |
| Total Knee Replacement | $11,928$4.2k$13k | $4,587 | $7,057 |
| Total Mastectomy | $6,046$3.1k$12k | $3,511 | $5,401 |
| TSH Thyroid Function Test | $45$17$109 | $71 | $109 |
| TURP (Transurethral Prostate Resection) | $4,713$3.3k$8.7k | $3,334 | $5,130 |
| Umbilical Hernia Repair | $2,671$2.4k$2.8k | — | — |
| Upper GI Endoscopy (EGD) | $2,090$153$6.1k | $2,426 | $3,732 |
| Urinalysis with Microscopy | $10$3$21 | $14 | $21 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $5,574$1.6k$14k | $9,058 | $13,936 |
| Vaginal Delivery (Global Package) | $4,435$1.5k$13k | $8,659 | $13,321 |
| Vaginal Hysterectomy | $4,576$3.2k$7.4k | $3,312 | $5,095 |
| Vasectomy | $3,843$285$7.8k | $5,046 | $7,763 |
| Vitamin D Blood Test | $83$21$192 | $125 | $192 |