| Abdominal Hysterectomy | $6,278$3.2k$6.3k | $2,488 | $4,146 |
| ACL Reconstruction (Arthroscopic) | $7,413$4.9k$22k | $2,436 | $4,060 |
| Allergy Skin Testing | $877$12$2.6k | $17 | $28 |
| Anesthesia for Screening Colonoscopy | $229$227$229 | — | — |
| Anesthesia for Upper Endoscopy | $229$227$229 | — | — |
| Basic Metabolic Panel | $22$8$289 | $225 | $375 |
| Bone Marrow Biopsy | $1,687$1.1k$3.5k | $2,726 | $4,544 |
| Breast Biopsy (Ultrasound-guided) | $1,857$1.2k$6.1k | $4,768 | $7,947 |
| Bunion Correction Surgery | $3,894$3.1k$10k | $1,435 | $2,392 |
| Cardiac Ablation for Atrial Fibrillation | $25,005$3.5k$80k | — | — |
| Cardiac Catheterization (Left Heart) | $3,081$923$9.9k | $1,730 | $2,883 |
| Cardiac Stress Test (Treadmill) | $124$123$207 | $363 | $605 |
| Carpal Tunnel Release Surgery | $1,995$1.2k$6.0k | $1,048 | $1,747 |
| Cataract Surgery with Lens Implant | $2,358$1.5k$7.1k | $1,736 | $2,894 |
| Cervical Spinal Fusion (Anterior) | $12,670$5.4k$39k | — | — |
| Cesarean Delivery (Global Package) | $1,226$1.2k$7.6k | $5,842 | $9,736 |
| Chemotherapy Infusion (First Hour) | $398$314$1.8k | $1,420 | $2,366 |
| Chest X-ray (2 Views) | $100$32$855 | $666 | $1,110 |
| Colonoscopy with Biopsy | $1,223$1.0k$3.7k | $1,244 | $2,074 |
| Complete Abdominal Ultrasound | $287$107$1.7k | $1,294 | $2,156 |
| Complete Blood Count (CBC) with Differential | $12$8$176 | $137 | $228 |
| Comprehensive Metabolic Panel | $22$11$345 | $269 | $448 |
| Coronary Angioplasty with Stent | $11,284$1.8k$35k | $1,507 | $2,511 |
| Critical Care, First Hour | $822$78$2.5k | $533 | $888 |
| CT Abdomen and Pelvis with Contrast | $776$268$4.8k | $3,769 | $6,281 |
| CT Cardiac Calcium Scoring | $251$85$1.5k | $1,151 | $1,918 |
| CT Chest without Contrast | $357$107$2.8k | $2,185 | $3,641 |
| CT Head without Contrast | $449$107$2.5k | $1,916 | $3,194 |
| DEXA Bone Density Scan | $112$29$747 | $582 | $970 |
| Diagnostic Colonoscopy | $1,006$903$2.9k | $1,106 | $1,843 |
| Diagnostic Mammogram (Both Breasts) | $299$59$837 | $652 | $1,087 |
| Ear Tube Placement (Tympanostomy) | $1,585$1.1k$4.8k | $401 | $669 |
| Echocardiogram (Complete with Doppler) | $601$223$5.5k | $4,297 | $7,161 |
| EKG (Electrocardiogram, 12-lead) | $27$27$50 | $50 | $84 |
| Emergency Room Visit (Level 3) | $271$78$837 | $156 | $260 |
| Group Therapy Session | $107$56$172 | $134 | $223 |
| Hemodialysis Treatment | $426$318$426 | $526 | $876 |
| Hemoglobin A1c (Diabetes Test) | $38$10$96 | $70 | $117 |
| HIV Antibody Test | $26$9$59 | $43 | $72 |
| Holter Monitor (24-48 Hour Heart Monitor) | $99$98$254 | $282 | $470 |
| Home Sleep Study | $232$98$848 | $661 | $1,101 |
| Individual Therapy Session (45 Minutes) | $191$96$2.1k | $952 | $1,587 |
| Inguinal Hernia Repair (Open) | $3,658$2.8k$11k | $1,615 | $2,691 |
| Initial Hospital Admission (Level 1) | $78$78$288 | $246 | $410 |
| Initial Psychiatric Diagnostic Evaluation | $181$85$339 | $203 | $339 |
| Initial Psychiatric Evaluation with Medication Management | $196$181$544 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $849$694$1.0k | — | — |
| IUD Insertion | $1,081$78$2.1k | $1,673 | $2,789 |
| IUD Removal | $531$78$2.1k | $1,673 | $2,789 |
| Knee Arthroscopy with Meniscectomy | $3,343$2.1k$10k | $1,513 | $2,521 |
| Laparoscopic Appendectomy | $6,176$3.9k$19k | $1,485 | $2,475 |
| Laparoscopic Gallbladder Removal | $5,860$2.1k$19k | $1,729 | $2,881 |
| Laparoscopic Tubal Ligation | $6,176$3.1k$19k | $1,603 | $2,671 |
| Lipid Panel (Cholesterol Test) | $92$13$219 | $164 | $274 |
| Lumbar Epidural Steroid Injection | $1,327$639$3.4k | $2,644 | $4,407 |
| Lumbar Puncture (Spinal Tap) | $721$361$2.0k | $866 | $1,443 |
| Lumbar Spinal Fusion (Posterior) | $17,692$5.1k$54k | $3,948 | $6,580 |
| Lumpectomy (Partial Mastectomy) | $4,000$3.5k$12k | $1,605 | $2,675 |
| MRI Abdomen with and without Contrast | $927$321$5.3k | $4,153 | $6,921 |
| MRI Brain with and without Contrast | $849$337$5.3k | $4,140 | $6,900 |
| MRI Brain with Contrast | $728$262$4.6k | $3,601 | $6,001 |
| MRI Brain without Contrast | $514$219$4.0k | $3,130 | $5,217 |
| MRI Cervical Spine (Neck) without Contrast | $497$219$4.0k | $3,140 | $5,234 |
| MRI Knee without Contrast | $538$199$4.0k | $3,140 | $5,234 |
| MRI Lower Back (Lumbar Spine) without Contrast | $498$219$4.0k | $3,140 | $5,234 |
| MRI Thoracic Spine (Mid-back) without Contrast | $497$219$4.0k | $3,140 | $5,234 |
| Newborn Circumcision | $2,087$299$3.6k | $2,782 | $4,637 |
| Nuclear Cardiac Stress Test | $1,389$235$6.9k | $5,401 | $9,001 |
| Office Visit, Established Patient (Level 3) | $103$64$197 | $154 | $256 |
| Office Visit, New Patient (Level 3) | $121$75$230 | $179 | $299 |
| Pacemaker Insertion (Dual Chamber) | $10,310$2.0k$32k | $1,988 | $3,313 |
| PET/CT Scan, Whole Body | $2,360$350$7.3k | $5,664 | $9,440 |
| Pregnancy Ultrasound (Second or Third Trimester) | $132$77$309 | $185 | $309 |
| Prostate Biopsy | $2,458 | $455 | $759 |
| PSA Prostate Cancer Screening | $41$18$106 | $74 | $123 |
| Pulmonary Function Test with Bronchodilator | $422$37$2.1k | $1,138 | $1,897 |
| Rotator Cuff Repair (Arthroscopic) | $7,413$4.9k$22k | $2,648 | $4,413 |
| Screening Mammogram | $274$59$853 | $665 | $1,108 |
| Septoplasty (Deviated Septum Repair) | $3,387$2.3k$10k | $1,549 | $2,581 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,210$3.8k$22k | $981 | $1,635 |
| Skin Biopsy (Tangential) | $295$99$3.7k | $245 | $409 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,687$210$2.9k | $2,249 | $3,749 |
| Sleep Study (In-lab Polysomnography) | $877$305$2.6k | $362 | $604 |
| Spinal Cord Stimulator Trial | $6,511$4.8k$20k | $1,007 | $1,679 |
| Spirometry (Breathing Test) | $221$24$453 | $353 | $588 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,387$1.6k$10k | $753 | $1,255 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,620$1.6k$18k | $724 | $1,207 |
| Total Hip Replacement | $12,670$4.3k$39k | $3,548 | $5,914 |
| Total Knee Replacement | $12,670$4.3k$39k | $3,789 | $6,315 |
| Total Mastectomy | $6,784$3.5k$20k | $2,485 | $4,141 |
| TSH Thyroid Function Test | $27$17$261 | $203 | $339 |
| TURP (Transurethral Prostate Resection) | $5,478$3.7k$16k | $2,125 | $3,542 |
| Umbilical Hernia Repair | $733$535$1.4k | $1,099 | $1,832 |
| Upper GI Endoscopy (EGD) | $927$880$2.8k | $767 | $1,279 |
| Urinalysis with Microscopy | $7$3$68 | $53 | $88 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $1,766$1.7k$7.2k | $5,542 | $9,237 |
| Vaginal Delivery (Global Package) | $1,766$1.7k$6.8k | $5,282 | $8,803 |
| Vaginal Hysterectomy | $5,111$3.6k$15k | $2,059 | $3,432 |
| Vasectomy | $2,136$1.7k$6.4k | $928 | $1,547 |
| Vitamin D Blood Test | $30$10$306 | $131 | $218 |