| Abdominal Hysterectomy | $1,335$728$3.0k | $1,910 | $3,184 |
| ACL Reconstruction (Arthroscopic) | $6,040$5.9k$6.2k | $2,051 | $1,710 |
| Allergy Skin Testing | $39$15$47 | $34 | $45 |
| Anesthesia for Screening Colonoscopy | $279$273$287 | — | $1 |
| Anesthesia for Upper Endoscopy | $279$273$287 | — | $1 |
| Basic Metabolic Panel | $54$21$63 | $47 | $63 |
| Bone Marrow Biopsy | $257$99$1.9k | $219 | $292 |
| Breast Biopsy (Ultrasound-guided) | $250$97$1.5k | $213 | $284 |
| Bunion Correction Surgery | $5,682$5.6k$5.8k | $1,432 | $1,194 |
| Cardiac Ablation for Atrial Fibrillation | $32,195$13k$38k | $28,745 | $38,327 |
| Cardiac Catheterization (Left Heart) | $2,706$2.7k$2.8k | $1,631 | $2,719 |
| Cardiac Stress Test (Treadmill) | $151$148$155 | $229 | $381 |
| Carpal Tunnel Release Surgery | $1,514$1.5k$1.6k | $780 | $651 |
| Cataract Surgery with Lens Implant | $1,834$1.8k$1.9k | $1,131 | $943 |
| Cervical Spinal Fusion (Anterior) | $12,956$13k$13k | $3,674 | $6,124 |
| Cesarean Delivery (Global Package) | $7,611$3.0k$9.3k | $6,614 | $8,819 |
| Chemotherapy Infusion (First Hour) | $966$365$1.3k | $902 | $1,203 |
| Chest X-ray (2 Views) | $425$77$500 | $380 | $506 |
| Colonoscopy with Biopsy | $1,237$1.2k$1.3k | $499 | $417 |
| Complete Abdominal Ultrasound | $1,040$205$1.2k | $929 | $1,238 |
| Complete Blood Count (CBC) with Differential | $41$12$48 | $36 | $48 |
| Comprehensive Metabolic Panel | $64$26$91 | $56 | $75 |
| Coronary Angioplasty with Stent | $8,155$8.0k$8.4k | — | — |
| Critical Care, First Hour | $95$94$98 | $360 | $600 |
| CT Abdomen and Pelvis with Contrast | $5,558$537$7.0k | $5,344 | $7,125 |
| CT Cardiac Calcium Scoring | $2,813$250$3.4k | $2,573 | $3,431 |
| CT Chest without Contrast | $2,794$250$3.4k | $2,555 | $3,407 |
| CT Head without Contrast | $2,199$537$3.1k | $2,012 | $2,682 |
| DEXA Bone Density Scan | $1,103$99$1.3k | $985 | $1,313 |
| Diagnostic Colonoscopy | $1,237$1.2k$1.3k | $422 | $353 |
| Diagnostic Mammogram (Both Breasts) | $72$71$74 | — | — |
| Ear Tube Placement (Tympanostomy) | $1,305$1.3k$1.3k | $309 | $258 |
| Echocardiogram (Complete with Doppler) | $2,956$481$3.6k | $2,569 | $3,425 |
| EKG (Electrocardiogram, 12-lead) | $33$32$34 | $58 | $97 |
| Emergency Room Visit (Level 3) | $1,401$94$2.5k | $1,524 | $2,032 |
| Group Therapy Session | $114$44$165 | $97 | $129 |
| Hemodialysis Treatment | $1,301$508$1.5k | $1,162 | $1,549 |
| Hemoglobin A1c (Diabetes Test) | $123$16$150 | $114 | $152 |
| HIV Antibody Test | $154$30$200 | $140 | $187 |
| Holter Monitor (24-48 Hour Heart Monitor) | $120$118$124 | $341 | $569 |
| Home Sleep Study | $341$118$402 | $305 | $406 |
| Individual Therapy Session (45 Minutes) | $350$142$412 | $313 | $417 |
| Inguinal Hernia Repair (Open) | $3,385$3.3k$3.5k | $794 | $662 |
| Initial Hospital Admission (Level 1) | $264$104$321 | $230 | $306 |
| Initial Psychiatric Diagnostic Evaluation | $350$142$412 | $313 | $417 |
| Initial Psychiatric Evaluation with Medication Management | $350$142$412 | $313 | $417 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $5,502$489$6.5k | $4,912 | $6,550 |
| IUD Insertion | $171$69$201 | $152 | $203 |
| IUD Removal | $209$85$246 | $187 | $249 |
| Knee Arthroscopy with Meniscectomy | $2,544$2.5k$2.6k | $1,240 | $1,034 |
| Laparoscopic Appendectomy | $4,815$4.7k$5.0k | $922 | $769 |
| Laparoscopic Gallbladder Removal | $4,199$4.1k$4.3k | $1,149 | $958 |
| Laparoscopic Tubal Ligation | $3,869$3.8k$4.0k | $1,375 | $1,146 |
| Lipid Panel (Cholesterol Test) | $90$27$110 | $79 | $105 |
| Lumbar Epidural Steroid Injection | $54$21$808 | $46 | $61 |
| Lumbar Puncture (Spinal Tap) | $404$99$808 | $412 | $549 |
| Lumbar Spinal Fusion (Posterior) | $12,956$13k$13k | $3,068 | $2,557 |
| Lumpectomy (Partial Mastectomy) | $4,277$4.2k$4.4k | $1,365 | $1,138 |
| MRI Abdomen with and without Contrast | $4,413$526$5.5k | $4,190 | $5,586 |
| MRI Brain with and without Contrast | $6,339$526$8.0k | $6,095 | $8,127 |
| MRI Brain with Contrast | $5,115$526$6.5k | $4,919 | $6,558 |
| MRI Brain without Contrast | $2,806$348$6.0k | $3,405 | $4,541 |
| MRI Cervical Spine (Neck) without Contrast | $4,758$348$6.0k | $4,575 | $6,100 |
| MRI Knee without Contrast | $3,300$348$13k | $6,288 | $8,385 |
| MRI Lower Back (Lumbar Spine) without Contrast | $5,135$348$6.5k | $4,937 | $6,583 |
| MRI Thoracic Spine (Mid-back) without Contrast | $5,186$348$6.6k | $4,987 | $6,649 |
| Newborn Circumcision | $456$176$1.7k | $389 | $518 |
| Nuclear Cardiac Stress Test | $1,234$1.2k$1.3k | — | — |
| Office Visit, Established Patient (Level 3) | $38$10$98 | $39 | $52 |
| Office Visit, New Patient (Level 3) | $87$31$129 | $84 | $112 |
| Pacemaker Insertion (Dual Chamber) | $13,783$5.6k$16k | $12,306 | $16,408 |
| PET/CT Scan, Whole Body | $9,136$1.6k$11k | $8,157 | $10,876 |
| Pregnancy Ultrasound (Second or Third Trimester) | $998$159$1.2k | $891 | $1,188 |
| Prostate Biopsy | $1,567$1.5k$1.6k | $512 | $853 |
| PSA Prostate Cancer Screening | $93$25$110 | $83 | $111 |
| Pulmonary Function Test with Bronchodilator | $659$41$966 | $628 | $837 |
| Rotator Cuff Repair (Arthroscopic) | $6,040$5.9k$6.2k | $2,209 | $1,841 |
| Screening Mammogram | $72$71$74 | — | — |
| Septoplasty (Deviated Septum Repair) | $2,861$2.8k$2.9k | $1,104 | $921 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $4,718$4.6k$4.9k | $818 | $682 |
| Skin Biopsy (Tangential) | $336$130$556 | $287 | $382 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $207$49$1.5k | $209 | $279 |
| Sleep Study (In-lab Polysomnography) | $6,565$960$7.7k | $5,862 | $7,816 |
| Spinal Cord Stimulator Trial | $5,870$5.8k$6.0k | — | — |
| Spirometry (Breathing Test) | $90$28$366 | $170 | $226 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $1,993$2.0k$2.0k | $581 | $485 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $1,993$2.0k$2.0k | $556 | $464 |
| Total Hip Replacement | $10,949$11k$11k | $2,760 | $4,600 |
| Total Knee Replacement | $10,949$11k$11k | — | $1 |
| Total Mastectomy | $4,277$4.2k$4.4k | $2,040 | $3,400 |
| TSH Thyroid Function Test | $85$30$145 | $75 | $100 |
| TURP (Transurethral Prostate Resection) | $4,563$4.5k$4.7k | $1,549 | $2,581 |
| Umbilical Hernia Repair | $3,385$3.3k$3.5k | — | $1 |
| Upper GI Endoscopy (EGD) | $1,084$1.1k$1.1k | $428 | $536 |
| Urinalysis with Microscopy | $19$7$41 | $23 | $31 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $5,661$2.2k$6.9k | $4,920 | $6,560 |
| Vaginal Delivery (Global Package) | $5,661$2.2k$6.9k | $4,920 | $6,560 |
| Vaginal Hysterectomy | $4,419$4.3k$4.5k | — | — |
| Vasectomy | $2,076$2.0k$2.1k | — | — |
| Vitamin D Blood Test | $300$28$362 | $275 | $366 |