| Abdominal Hysterectomy | $1,034 | $4,051 | $6,232 |
| ACL Reconstruction (Arthroscopic) | $6,601$3.5k$11k | $3,998 | $6,150 |
| Allergy Skin Testing | $94$39$2.0k | $85 | $130 |
| Basic Metabolic Panel | $18$7$55 | $36 | $55 |
| Bone Marrow Biopsy | $2,318$1.1k$4.6k | $3,013 | $4,635 |
| Breast Biopsy (Ultrasound-guided) | $4,104$834$10k | $6,507 | $10,010 |
| Bunion Correction Surgery | $3,238$2.7k$4.9k | $1,931 | $2,971 |
| Cardiac Ablation for Atrial Fibrillation | $28,600$7.3k$64k | $41,311 | $63,556 |
| Cardiac Catheterization (Left Heart) | $7,286$292$17k | $10,898 | $16,766 |
| Cardiac Stress Test (Treadmill) | $90$72$97 | $210 | $323 |
| Carpal Tunnel Release Surgery | $3,979$669$12k | $7,749 | $11,921 |
| Cataract Surgery with Lens Implant | $2,107$1.1k$3.5k | — | — |
| Cervical Spinal Fusion (Anterior) | $11,889$1.7k$20k | $6,988 | $10,751 |
| Cesarean Delivery (Global Package) | $2,729 | $9,606 | $14,779 |
| Chemotherapy Infusion (First Hour) | $1,016$224$2.1k | $1,359 | $2,091 |
| Chest X-ray (2 Views) | $196$10$562 | $365 | $562 |
| Colonoscopy with Biopsy | $2,233$669$4.9k | $3,158 | $4,858 |
| Complete Abdominal Ultrasound | $246$39$679 | $441 | $679 |
| Complete Blood Count (CBC) with Differential | $21$7$51 | $33 | $51 |
| Comprehensive Metabolic Panel | $23$10$69 | $45 | $69 |
| Coronary Angioplasty with Stent | $14,596$4.7k$36k | $23,426 | $36,040 |
| Critical Care, First Hour | $1,679$56$5.1k | $3,297 | $5,073 |
| CT Abdomen and Pelvis with Contrast | $962$87$2.4k | $1,544 | $2,375 |
| CT Cardiac Calcium Scoring | $228$28$1.3k | $365 | $562 |
| CT Chest without Contrast | $278$51$1.3k | $441 | $679 |
| CT Head without Contrast | $334$41$1.3k | $441 | $679 |
| DEXA Bone Density Scan | $245$9$679 | $441 | $679 |
| Diagnostic Colonoscopy | $1,711$93$4.3k | $2,445 | $3,762 |
| Diagnostic Mammogram (Both Breasts) | $263$42$654 | $425 | $654 |
| Ear Tube Placement (Tympanostomy) | $1,369$760$2.3k | $562 | $865 |
| Echocardiogram (Complete with Doppler) | $1,221$68$2.8k | $1,845 | $2,839 |
| EKG (Electrocardiogram, 12-lead) | $213$19$384 | $250 | $384 |
| Emergency Room Visit (Level 3) | $777$56$2.1k | $1,061 | $1,632 |
| Group Therapy Session | $97$55$184 | $120 | $184 |
| Hemodialysis Treatment | $311$103$332 | $590 | $908 |
| Hemoglobin A1c (Diabetes Test) | $21$9$63 | $41 | $63 |
| HIV Antibody Test | $19$8$27 | — | — |
| Holter Monitor (24-48 Hour Heart Monitor) | $72$68$77 | $109 | $168 |
| Home Sleep Study | $434$44$965 | $627 | $965 |
| Individual Therapy Session (45 Minutes) | $164$84$329 | $214 | $329 |
| Inguinal Hernia Repair (Open) | $6,408$945$14k | $9,257 | $14,241 |
| Initial Hospital Admission (Level 1) | $83 | $382 | $587 |
| Initial Psychiatric Diagnostic Evaluation | $165$99$329 | $214 | $329 |
| Initial Psychiatric Evaluation with Medication Management | $165$99$329 | $214 | $329 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,767$290$3.6k | $2,363 | $3,635 |
| IUD Insertion | $279$55$3.0k | $302 | $465 |
| IUD Removal | $612$55$3.0k | $795 | $1,223 |
| Knee Arthroscopy with Meniscectomy | $2,998$1.5k$4.9k | $1,965 | $3,023 |
| Laparoscopic Appendectomy | $9,619$2.8k$24k | $15,438 | $23,750 |
| Laparoscopic Gallbladder Removal | $9,828$2.4k$24k | $15,438 | $23,750 |
| Laparoscopic Tubal Ligation | $5,391$2.3k$8.7k | $3,173 | $4,881 |
| Lipid Panel (Cholesterol Test) | $29$12$87 | $57 | $87 |
| Lumbar Epidural Steroid Injection | $2,135$457$4.3k | $2,776 | $4,270 |
| Lumbar Puncture (Spinal Tap) | $2,021$457$4.3k | $2,776 | $4,270 |
| Lumbar Spinal Fusion (Posterior) | $16,992$1.6k$28k | $6,577 | $10,118 |
| Lumpectomy (Partial Mastectomy) | $3,538$673$5.8k | $1,577 | $2,426 |
| MRI Abdomen with and without Contrast | $1,021$105$2.4k | $1,544 | $2,375 |
| MRI Brain with and without Contrast | $974$110$2.4k | $1,544 | $2,375 |
| MRI Brain with Contrast | $974$85$2.4k | $1,544 | $2,375 |
| MRI Brain without Contrast | $620$70$1.5k | $983 | $1,513 |
| MRI Cervical Spine (Neck) without Contrast | $620$71$1.5k | $983 | $1,513 |
| MRI Knee without Contrast | $651$65$1.5k | $983 | $1,513 |
| MRI Lower Back (Lumbar Spine) without Contrast | $620$71$1.5k | $983 | $1,513 |
| MRI Thoracic Spine (Mid-back) without Contrast | $620$71$1.5k | $983 | $1,513 |
| Newborn Circumcision | $2,932$500$7.8k | $5,046 | $7,763 |
| Nuclear Cardiac Stress Test | $3,170$76$8.8k | $5,699 | $8,767 |
| Office Visit, Established Patient (Level 3) | $68$30$139 | $90 | $139 |
| Office Visit, New Patient (Level 3) | $65$28$129 | $84 | $129 |
| Pacemaker Insertion (Dual Chamber) | $10,637$5.1k$23k | $15,124 | $23,268 |
| PET/CT Scan, Whole Body | $3,461$114$9.7k | $6,279 | $9,660 |
| Pregnancy Ultrasound (Second or Third Trimester) | $245$48$679 | $441 | $679 |
| Prostate Biopsy | $3,773$669$7.8k | $5,046 | $7,763 |
| PSA Prostate Cancer Screening | $39$15$120 | $78 | $120 |
| Pulmonary Function Test with Bronchodilator | $582$10$1.2k | $778 | $1,197 |
| Rotator Cuff Repair (Arthroscopic) | $6,601$3.5k$11k | $3,648 | $5,613 |
| Screening Mammogram | $222$37$564 | $367 | $564 |
| Septoplasty (Deviated Septum Repair) | $2,997$1.7k$4.9k | $1,641 | $2,524 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,396$2.7k$10k | $1,607 | $2,473 |
| Skin Biopsy (Tangential) | $265$124$7.4k | $268 | $413 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,770$858$4.0k | $2,169 | $3,337 |
| Sleep Study (In-lab Polysomnography) | $2,905$117$6.5k | $4,196 | $6,456 |
| Spinal Cord Stimulator Trial | $8,116$669$20k | $13,025 | $20,039 |
| Spirometry (Breathing Test) | $290$8$596 | $387 | $596 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $2,997$1.2k$4.9k | $1,021 | $1,570 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,466$1.2k$8.9k | $988 | $1,520 |
| Total Hip Replacement | $11,889$1.3k$20k | $5,479 | $8,429 |
| Total Knee Replacement | $11,889$1.3k$20k | $4,587 | $7,057 |
| Total Mastectomy | $6,026$979$9.9k | $2,362 | $3,635 |
| TSH Thyroid Function Test | $35$15$109 | $71 | $109 |
| TURP (Transurethral Prostate Resection) | $4,697$2.7k$7.8k | $3,678 | $5,659 |
| Umbilical Hernia Repair | $2,029$2.0k$2.2k | — | — |
| Upper GI Endoscopy (EGD) | $1,814$500$4.3k | $2,426 | $3,732 |
| Urinalysis with Microscopy | $8$3$21 | $14 | $21 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,574 | $9,058 | $13,936 |
| Vaginal Delivery (Global Package) | $2,453 | $8,659 | $13,321 |
| Vaginal Hysterectomy | $4,561$850$7.5k | $3,312 | $5,095 |
| Vasectomy | $3,773$669$7.8k | $5,046 | $7,763 |
| Vitamin D Blood Test | $62$17$192 | $125 | $192 |