| Abdominal Hysterectomy | $8,449$3.1k$8.4k | $4,607 | $5,119 |
| ACL Reconstruction (Arthroscopic) | $6,679$3.0k$11k | $4,408 | $4,898 |
| Allergy Skin Testing | $9$7$10 | $9 | $10 |
| Anesthesia for Screening Colonoscopy | $308 | — | — |
| Anesthesia for Upper Endoscopy | $308 | — | — |
| Basic Metabolic Panel | $98$25$137 | $110 | $122 |
| Bone Marrow Biopsy | $2,031$475$2.5k | $311 | $345 |
| Breast Biopsy (Ultrasound-guided) | $1,585$1.4k$2.5k | $685 | $761 |
| Bunion Correction Surgery | $6,284$2.6k$6.3k | $2,336 | $2,596 |
| Cardiac Ablation for Atrial Fibrillation | $18,622$2.8k$40k | — | — |
| Cardiac Catheterization (Left Heart) | $9,104$878$9.9k | $9,054 | $10,060 |
| Cardiac Stress Test (Treadmill) | $1,219$167$1.3k | $1,206 | $1,340 |
| Carpal Tunnel Release Surgery | $1,675$1.3k$3.0k | $1,983 | $2,203 |
| Cataract Surgery with Lens Implant | $2,028$1.6k$3.5k | $2,379 | $2,643 |
| Cervical Spinal Fusion (Anterior) | $14,328$5.2k$20k | $7,770 | $8,633 |
| Cesarean Delivery (Global Package) | $1,651$1.7k$8.2k | $12,165 | $13,517 |
| Chemotherapy Infusion (First Hour) | $1,420$321$1.5k | $1,404 | $1,560 |
| Chest X-ray (2 Views) | $428$73$461 | $423 | $470 |
| Colonoscopy with Biopsy | $1,368$1.2k$1.8k | $896 | $995 |
| Complete Abdominal Ultrasound | $783$160$843 | $774 | $860 |
| Complete Blood Count (CBC) with Differential | $43$13$47 | $43 | $48 |
| Comprehensive Metabolic Panel | $149$30$162 | $146 | $162 |
| Coronary Angioplasty with Stent | $17,891$9.0k$19k | $17,694 | $19,660 |
| Critical Care, First Hour | $4,141$106$4.5k | $4,095 | $4,550 |
| CT Abdomen and Pelvis with Contrast | $2,448$535$2.6k | $2,421 | $2,690 |
| CT Cardiac Calcium Scoring | $291$133$500 | $288 | $320 |
| CT Chest without Contrast | $1,310$160$1.4k | $1,296 | $1,440 |
| CT Head without Contrast | $1,047$160$1.1k | $1,035 | $1,150 |
| DEXA Bone Density Scan | $833$66$902 | $828 | $920 |
| Diagnostic Colonoscopy | $1,368$500$1.4k | $824 | $915 |
| Diagnostic Mammogram (Both Breasts) | $80$80$1.1k | — | — |
| Ear Tube Placement (Tympanostomy) | $1,443$480$2.4k | $715 | $794 |
| Echocardiogram (Complete with Doppler) | $3,665$205$4.0k | $3,645 | $4,050 |
| EKG (Electrocardiogram, 12-lead) | $255$36$274 | $252 | $280 |
| Emergency Room Visit (Level 3) | $846$106$911 | $837 | $930 |
| Group Therapy Session | $162$77$177 | $135 | $150 |
| Hemodialysis Treatment | $573$307$573 | $459 | $510 |
| Hemoglobin A1c (Diabetes Test) | $91$18$99 | $91 | $101 |
| HIV Antibody Test | $104$31$113 | $104 | $116 |
| Holter Monitor (24-48 Hour Heart Monitor) | $1,492$133$1.6k | $1,476 | $1,640 |
| Home Sleep Study | $1,421$131$1.5k | $1,413 | $1,570 |
| Individual Therapy Session (45 Minutes) | $168$111$363 | $243 | $271 |
| Inguinal Hernia Repair (Open) | $3,743$1.6k$5.5k | $2,388 | $2,653 |
| Initial Hospital Admission (Level 1) | $106$106$250 | $305 | $339 |
| Initial Psychiatric Diagnostic Evaluation | $344$235$431 | $361 | $401 |
| Initial Psychiatric Evaluation with Medication Management | $461$266$497 | $456 | $507 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $5,048 | — | — |
| IUD Insertion | $261$105$289 | $261 | $290 |
| IUD Removal | $279$105$310 | $279 | $310 |
| Knee Arthroscopy with Meniscectomy | $2,813$1.6k$5.0k | $2,462 | $2,735 |
| Laparoscopic Appendectomy | $5,325$1.8k$9.3k | $2,744 | $3,049 |
| Laparoscopic Gallbladder Removal | $4,644$2.0k$9.3k | $3,012 | $3,347 |
| Laparoscopic Tubal Ligation | $4,279$2.0k$9.3k | $2,954 | $3,282 |
| Lipid Panel (Cholesterol Test) | $134$30$146 | $134 | $149 |
| Lumbar Epidural Steroid Injection | $1,847$685$2.0k | $1,827 | $2,030 |
| Lumbar Puncture (Spinal Tap) | $1,083$685$1.2k | $1,071 | $1,190 |
| Lumbar Spinal Fusion (Posterior) | $14,328$4.8k$27k | $7,199 | $7,999 |
| Lumpectomy (Partial Mastectomy) | $4,730$2.0k$6.0k | $2,999 | $3,332 |
| MRI Abdomen with and without Contrast | $3,722$535$4.0k | $3,681 | $4,090 |
| MRI Brain with and without Contrast | $3,522$535$3.8k | $3,483 | $3,870 |
| MRI Brain with Contrast | $3,021$535$3.3k | $2,988 | $3,320 |
| MRI Brain without Contrast | $2,311$366$2.5k | $2,286 | $2,540 |
| MRI Cervical Spine (Neck) without Contrast | $2,457$366$2.6k | $2,430 | $2,700 |
| MRI Knee without Contrast | $2,393$366$2.6k | $2,367 | $2,630 |
| MRI Lower Back (Lumbar Spine) without Contrast | $2,457$366$2.6k | $2,430 | $2,700 |
| MRI Thoracic Spine (Mid-back) without Contrast | $2,457$366$2.6k | $2,430 | $2,700 |
| Newborn Circumcision | $709$488$1.8k | $675 | $750 |
| Nuclear Cardiac Stress Test | $1,365$529$2.9k | $337 | $374 |
| Office Visit, Established Patient (Level 3) | $200$56$1.3k | $679 | $755 |
| Office Visit, New Patient (Level 3) | $126$61$290 | $192 | $213 |
| Pacemaker Insertion (Dual Chamber) | $13,914$9.7k$15k | $13,761 | $15,290 |
| PET/CT Scan, Whole Body | $3,121$791$5.4k | $3,087 | $3,430 |
| Pregnancy Ultrasound (Second or Third Trimester) | $896$101$970 | $891 | $990 |
| Prostate Biopsy | $711 | $582 | $647 |
| PSA Prostate Cancer Screening | $21$10$28 | $20 | $22 |
| Pulmonary Function Test with Bronchodilator | $89$31$197 | $86 | $95 |
| Rotator Cuff Repair (Arthroscopic) | $6,679$3.2k$11k | $4,835 | $5,372 |
| Screening Mammogram | $80$80$866 | — | — |
| Septoplasty (Deviated Septum Repair) | $3,164$2.0k$5.1k | $2,957 | $3,285 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $5,217$975$11k | $1,453 | $1,614 |
| Skin Biopsy (Tangential) | $292$105$598 | $279 | $310 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $340$105$1.6k | $324 | $360 |
| Sleep Study (In-lab Polysomnography) | $9,141$353$9.9k | $9,090 | $10,100 |
| Spinal Cord Stimulator Trial | $6,492$6.2k$9.8k | $1,868 | $2,075 |
| Spirometry (Breathing Test) | $89$24$100 | $86 | $95 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $2,204$923$5.1k | $1,374 | $1,527 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $2,204$884$9.1k | $1,319 | $1,466 |
| Total Hip Replacement | $12,108$3.9k$20k | $5,817 | $6,463 |
| Total Knee Replacement | $12,108$3.9k$20k | $5,809 | $6,454 |
| Total Mastectomy | $4,730$2.9k$10k | $4,362 | $4,847 |
| TSH Thyroid Function Test | $34$14$122 | $69 | $77 |
| TURP (Transurethral Prostate Resection) | $5,046$2.2k$8.2k | $3,283 | $3,648 |
| Umbilical Hernia Repair | $1,238 | — | — |
| Upper GI Endoscopy (EGD) | $1,199$839$1.4k | $547 | $608 |
| Urinalysis with Microscopy | $36$10$39 | $36 | $40 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,376$2.4k$7.8k | $11,474 | $12,749 |
| Vaginal Delivery (Global Package) | $2,376$2.4k$7.4k | $10,933 | $12,148 |
| Vaginal Hysterectomy | $4,887$2.6k$7.7k | $3,789 | $4,210 |
| Vasectomy | $2,296$991$3.2k | $1,036 | $1,151 |
| Vitamin D Blood Test | $86$32$210 | $136 | $151 |