| Abdominal Hysterectomy | $17,993$632$18k | $29,101 | $2,212 |
| ACL Reconstruction (Arthroscopic) | $26,099$632$30k | $67,086 | $1,249 |
| Anesthesia for Screening Colonoscopy | $4,304$632$6.1k | $4,189 | — |
| Anesthesia for Upper Endoscopy | $3,262$632$6.1k | $3,333 | — |
| Basic Metabolic Panel | $1,347$8$1.3k | $1,537 | $101 |
| Breast Biopsy (Ultrasound-guided) | $3,184$154$10k | $3,261 | $5,017 |
| Cardiac Ablation for Atrial Fibrillation | $30,444$632$94k | $24,766 | $38,102 |
| Cardiac Catheterization (Left Heart) | $11,661$632$27k | $12,678 | $19,504 |
| Carpal Tunnel Release Surgery | $7,024$632$8.1k | $11,107 | — |
| Cervical Spinal Fusion (Anterior) | $46,178$632$46k | $57,979 | — |
| Cesarean Delivery (Global Package) | $938$37$6.2k | $3,477 | $3,477 |
| Chemotherapy Infusion (First Hour) | $589$275$1.2k | $638 | $982 |
| Chest X-ray (2 Views) | $313$72$632 | $442 | $680 |
| Colonoscopy with Biopsy | $4,304$632$6.1k | $4,923 | $546 |
| Complete Abdominal Ultrasound | $415$87$889 | $578 | $889 |
| Complete Blood Count (CBC) with Differential | $24$7$632 | $616 | $48 |
| Comprehensive Metabolic Panel | $43$9$632 | $62 | $95 |
| Coronary Angioplasty with Stent | $22,826$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 | $1,437$290$3.2k | $2,080 | $3,200 |
| CT Cardiac Calcium Scoring | $313$72$1.4k | $367 | $564 |
| CT Chest without Contrast | $376$87$1.6k | $1,019 | $1,567 |
| CT Head without Contrast | $1,013$87$6.1k | $4,517 | $1,505 |
| DEXA Bone Density Scan | $196$87$632 | $207 | $318 |
| Diagnostic Colonoscopy | $3,345$632$6.1k | $3,115 | $457 |
| Diagnostic Mammogram (Both Breasts) | $199$89$632 | $277 | $426 |
| Ear Tube Placement (Tympanostomy) | $5,581$632$6.4k | $12,644 | — |
| Echocardiogram (Complete with Doppler) | $1,965$454$4.1k | $2,640 | $4,061 |
| EKG (Electrocardiogram, 12-lead) | $32$10$52 | $42 | $42 |
| Emergency Room Visit (Level 3) | $982$227$1.9k | $1,734 | $1,900 |
| Hemoglobin A1c (Diabetes Test) | $13$9$632 | $341 | $92 |
| HIV Antibody Test | $38$8$632 | $53 | $82 |
| Individual Therapy Session (45 Minutes) | $121$116$632 | $168 | $259 |
| Inguinal Hernia Repair (Open) | $12,878$632$22k | $27,939 | $764 |
| Initial Hospital Admission (Level 1) | $211$48$223 | $217 | $223 |
| Initial Psychiatric Diagnostic Evaluation | $130$125$632 | $181 | $279 |
| Initial Psychiatric Evaluation with Medication Management | $132$127$632 | $183 | $282 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $2,007$628$4.3k | $2,793 | $4,297 |
| IUD Insertion | $130$111$2.2k | $1,925 | $151 |
| IUD Removal | $479$67$2.2k | $844 | $365 |
| Knee Arthroscopy with Meniscectomy | $11,769$632$13k | $28,561 | — |
| Laparoscopic Appendectomy | $21,745$632$22k | $39,948 | $1,324 |
| Laparoscopic Gallbladder Removal | $21,745$632$22k | $40,134 | $1,451 |
| Laparoscopic Tubal Ligation | $21,745$632$22k | $28,652 | $1,413 |
| Lipid Panel (Cholesterol Test) | $39$12$632 | $54 | $83 |
| Lumbar Epidural Steroid Injection | $2,539$587$4.2k | $2,312 | $3,133 |
| Lumbar Puncture (Spinal Tap) | $785$441$4.2k | $639 | $983 |
| Lumbar Spinal Fusion (Posterior) | $63,065$632$63k | $81,200 | — |
| Lumpectomy (Partial Mastectomy) | $14,083$632$24k | $32,611 | $1,451 |
| MRI Abdomen with and without Contrast | $1,875$290$4.1k | $2,649 | $4,075 |
| MRI Brain with and without Contrast | $1,255$290$3.1k | $2,022 | $3,111 |
| MRI Brain with Contrast | $1,255$290$2.2k | $1,407 | $2,165 |
| MRI Brain without Contrast | $858$198$2.1k | $1,344 | $2,068 |
| MRI Cervical Spine (Neck) without Contrast | $858$198$1.9k | $1,127 | $1,734 |
| MRI Knee without Contrast | $887$198$2.8k | $1,543 | $2,374 |
| MRI Lower Back (Lumbar Spine) without Contrast | $858$198$1.9k | $1,236 | $1,902 |
| MRI Thoracic Spine (Mid-back) without Contrast | $858$198$1.9k | $1,075 | $1,654 |
| Newborn Circumcision | $2,989$632$8.1k | $2,662 | $4,095 |
| Nuclear Cardiac Stress Test | $3,178$632$4.7k | $2,582 | $3,972 |
| Office Visit, Established Patient (Level 3) | $45$45$632 | $343 | $200 |
| Office Visit, New Patient (Level 3) | $248$58$248 | $248 | $248 |
| Pacemaker Insertion (Dual Chamber) | $37,594$632$59k | $29,189 | $19,398 |
| PET/CT Scan, Whole Body | $5,143$632$5.1k | $4,964 | $6,576 |
| Pregnancy Ultrasound (Second or Third Trimester) | $376$87$763 | $475 | $730 |
| Prostate Biopsy | $7,519$298$7.5k | $22,299 | $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 | $39,343 | — |
| Screening Mammogram | $108$73$632 | $126 | $122 |
| Septoplasty (Deviated Septum Repair) | $11,925$632$12k | $19,393 | — |
| Skin Biopsy (Tangential) | $302$136$3.2k | $196 | $302 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,422$154$5.9k | $1,155 | $1,777 |
| Sleep Study (In-lab Polysomnography) | $1,819$632$3.2k | $2,109 | $3,244 |
| Spinal Cord Stimulator Trial | $22,922$632$102k | $14,552 | $9,574 |
| Spirometry (Breathing Test) | $777$202$1.3k | $587 | $310 |
| Total Hip Replacement | $46,178$632$46k | $49,904 | — |
| Total Knee Replacement | $46,178$632$46k | $48,323 | — |
| Total Mastectomy | $23,883$632$50k | $68,075 | $1,389 |
| TSH Thyroid Function Test | $48$15$632 | $67 | $103 |
| TURP (Transurethral Prostate Resection) | $19,285$632$19k | $28,845 | — |
| Upper GI Endoscopy (EGD) | $3,262$632$6.1k | $2,484 | $267 |
| Urinalysis with Microscopy | $212$3$632 | $445 | $20 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $5,700$944$5.9k | $5,812 | $5,700 |
| Vaginal Delivery (Global Package) | $5,436$909$5.6k | $5,515 | $5,436 |
| Vaginal Hysterectomy | $17,993$632$18k | $28,216 | $1,056 |
| Vitamin D Blood Test | $53$26$632 | $73 | $113 |