| Abdominal Hysterectomy | $1,493$852$3.2k | $1,906 | $2,383 |
| ACL Reconstruction (Arthroscopic) | $15,425$7.6k$25k | $3,225 | $4,031 |
| Allergy Skin Testing | $2,197$1.1k$3.6k | $9 | $11 |
| Basic Metabolic Panel | $25$9$59 | $48 | $60 |
| Bone Marrow Biopsy | $279$147$5.8k | $235 | $294 |
| Breast Biopsy (Ultrasound-guided) | $1,680$465$5.8k | $1,716 | $2,145 |
| Bunion Correction Surgery | $7,006$3.4k$11k | $2,963 | $3,704 |
| Cardiac Ablation for Atrial Fibrillation | $47,500$25k$90k | $40,000 | $50,000 |
| Cardiac Catheterization (Left Heart) | $11,087$5.8k$11k | $9,336 | $11,670 |
| Cardiac Stress Test (Treadmill) | $118$59$220 | $205 | $256 |
| Carpal Tunnel Release Surgery | $4,217$2.1k$6.9k | $1,488 | $1,860 |
| Cataract Surgery with Lens Implant | $4,925$2.5k$8.3k | — | — |
| Cervical Spinal Fusion (Anterior) | $27,783$15k$50k | — | — |
| Cesarean Delivery (Global Package) | $4,313$2.2k$8.3k | $6,238 | $7,797 |
| Chemotherapy Infusion (First Hour) | $912$480$1.3k | $768 | $960 |
| Chest X-ray (2 Views) | $348$185$361 | $296 | $370 |
| Colonoscopy with Biopsy | $2,546$1.2k$4.2k | $1,282 | $1,603 |
| Complete Abdominal Ultrasound | $874$411$907 | $744 | $930 |
| Complete Blood Count (CBC) with Differential | $54$8$98 | $69 | $87 |
| Comprehensive Metabolic Panel | $32$12$107 | $88 | $110 |
| Coronary Angioplasty with Stent | $17,195$9.1k$41k | $14,480 | $18,100 |
| Critical Care, First Hour | $2,989$1.6k$3.1k | $2,544 | $3,180 |
| CT Abdomen and Pelvis with Contrast | $2,256$1.2k$2.3k | $1,920 | $2,400 |
| CT Cardiac Calcium Scoring | $414$220$429 | $352 | $440 |
| CT Chest without Contrast | $1,081$411$1.1k | $920 | $1,150 |
| CT Head without Contrast | $1,081$411$1.1k | $920 | $1,150 |
| DEXA Bone Density Scan | $451$240$468 | $384 | $480 |
| Diagnostic Colonoscopy | $1,969$956$3.2k | $1,156 | $1,445 |
| Diagnostic Mammogram (Both Breasts) | $424$227$1.1k | $424 | $530 |
| Ear Tube Placement (Tympanostomy) | $3,198$1.6k$5.3k | $390 | $487 |
| Echocardiogram (Complete with Doppler) | $2,350$1.3k$2.4k | $2,000 | $2,500 |
| EKG (Electrocardiogram, 12-lead) | $24$12$45 | $42 | $52 |
| Emergency Room Visit (Level 3) | $1,128$600$1.2k | $960 | $1,200 |
| Group Therapy Session | $49$26$292 | $42 | $52 |
| Hemodialysis Treatment | $170$86$315 | $232 | $290 |
| Hemoglobin A1c (Diabetes Test) | $19$10$81 | $39 | $49 |
| HIV Antibody Test | $51$10$179 | $58 | $73 |
| Holter Monitor (24-48 Hour Heart Monitor) | $128$66$228 | $211 | $264 |
| Home Sleep Study | $752$400$780 | $640 | $800 |
| Individual Therapy Session (45 Minutes) | $186$96$560 | $185 | $231 |
| Inguinal Hernia Repair (Open) | $7,620$4.1k$14k | — | — |
| Initial Hospital Admission (Level 1) | $153$76$258 | $213 | $266 |
| Initial Psychiatric Diagnostic Evaluation | $233$120$560 | $230 | $288 |
| Initial Psychiatric Evaluation with Medication Management | $301$155$560 | $275 | $344 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $3,008$1.6k$3.1k | $2,560 | $3,200 |
| IUD Insertion | $545$290$566 | $464 | $580 |
| IUD Removal | $255$105$1.1k | $288 | $360 |
| Knee Arthroscopy with Meniscectomy | $7,006$3.4k$11k | $1,804 | $2,255 |
| Laparoscopic Appendectomy | $12,598$6.0k$20k | $1,654 | $2,068 |
| Laparoscopic Gallbladder Removal | $12,598$6.0k$20k | $1,808 | $2,260 |
| Laparoscopic Tubal Ligation | $12,598$6.0k$20k | $1,227 | $1,534 |
| Lipid Panel (Cholesterol Test) | $27$15$98 | $50 | $63 |
| Lumbar Epidural Steroid Injection | $1,495$741$2.5k | $923 | $1,154 |
| Lumbar Puncture (Spinal Tap) | $1,558$820$2.5k | $1,420 | $1,775 |
| Lumbar Spinal Fusion (Posterior) | $39,709$25k$84k | $5,146 | $6,433 |
| Lumpectomy (Partial Mastectomy) | $8,268$4.0k$13k | — | — |
| MRI Abdomen with and without Contrast | $3,140$1.4k$3.3k | $2,672 | $3,340 |
| MRI Brain with and without Contrast | $3,140$1.4k$3.3k | $2,672 | $3,340 |
| MRI Brain with Contrast | $2,886$1.4k$3.0k | $2,456 | $3,070 |
| MRI Brain without Contrast | $2,613$898$2.7k | $2,224 | $2,780 |
| MRI Cervical Spine (Neck) without Contrast | $2,087$898$2.2k | $1,776 | $2,220 |
| MRI Knee without Contrast | $1,869$269$2.2k | $1,776 | $2,220 |
| MRI Lower Back (Lumbar Spine) without Contrast | $2,087$898$2.2k | $1,776 | $2,220 |
| MRI Thoracic Spine (Mid-back) without Contrast | $2,087$898$2.2k | $1,776 | $2,220 |
| Newborn Circumcision | $3,306$1.7k$7.1k | $2,784 | $3,480 |
| Nuclear Cardiac Stress Test | $3,325$1.8k$5.1k | $2,800 | $3,500 |
| Office Visit, Established Patient (Level 3) | $163$84$293 | $187 | $234 |
| Office Visit, New Patient (Level 3) | $196$102$263 | $190 | $237 |
| Pacemaker Insertion (Dual Chamber) | $19,000$10k$40k | $16,000 | $20,000 |
| PET/CT Scan, Whole Body | $7,022$1.7k$7.8k | $6,192 | $7,740 |
| Pregnancy Ultrasound (Second or Third Trimester) | $1,081$411$1.1k | $920 | $1,150 |
| Prostate Biopsy | $416$219$7.1k | $350 | $438 |
| PSA Prostate Cancer Screening | $49$17$185 | $58 | $73 |
| Pulmonary Function Test with Bronchodilator | $485$255$1.1k | $408 | $510 |
| Rotator Cuff Repair (Arthroscopic) | $15,425$7.6k$25k | $3,533 | $4,416 |
| Screening Mammogram | $411$184$877 | $400 | $500 |
| Septoplasty (Deviated Septum Repair) | $7,003$3.3k$11k | $1,298 | $1,622 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $14,947$7.1k$24k | $607 | $759 |
| Skin Biopsy (Tangential) | $215$93$695 | $246 | $308 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $222$117$5.8k | $187 | $234 |
| Sleep Study (In-lab Polysomnography) | $5,038$2.7k$5.2k | $4,288 | $5,360 |
| Spinal Cord Stimulator Trial | $14,171$7.6k$25k | $7,761 | $9,701 |
| Spirometry (Breathing Test) | $265$140$559 | $224 | $280 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $7,003$3.3k$11k | $858 | $1,073 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $12,773$6.1k$21k | $820 | $1,025 |
| Total Hip Replacement | $27,783$15k$50k | $4,220 | $5,275 |
| Total Knee Replacement | $27,783$15k$50k | $4,216 | $5,270 |
| Total Mastectomy | $14,081$6.8k$23k | — | — |
| TSH Thyroid Function Test | $71$17$135 | $66 | $83 |
| TURP (Transurethral Prostate Resection) | $10,977$5.4k$18k | $2,450 | $3,063 |
| Umbilical Hernia Repair | $900$379$1.3k | $1,200 | $1,500 |
| Upper GI Endoscopy (EGD) | $2,024$949$3.2k | $802 | $1,003 |
| Urinalysis with Microscopy | $17$3$60 | $33 | $42 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $4,082$2.1k$7.9k | $5,902 | $7,377 |
| Vaginal Delivery (Global Package) | $3,905$2.0k$7.5k | $5,669 | $7,086 |
| Vaginal Hysterectomy | $10,659$5.3k$18k | $1,583 | $1,979 |
| Vasectomy | $581$306$7.1k | $490 | $612 |
| Vitamin D Blood Test | $59$30$439 | $88 | $110 |