| Abdominal Hysterectomy | $13,246 | $1,866 | $2,870 |
| ACL Reconstruction (Arthroscopic) | $11,520$8.1k$21k | $1,799 | $2,768 |
| Allergy Skin Testing | $1,061$964$2.1k | $7 | $10 |
| Anesthesia for Screening Colonoscopy | — | — | $1 |
| Anesthesia for Upper Endoscopy | — | — | $1 |
| Basic Metabolic Panel | $13$8$21 | $13 | $19 |
| Bone Marrow Biopsy | $2,151$1.9k$3.7k | $1,133 | $1,743 |
| Breast Biopsy (Ultrasound-guided) | $2,601$1.9k$5.5k | $2,608 | $4,012 |
| Bunion Correction Surgery | $5,203$3.7k$13k | $955 | $1,469 |
| Cardiac Ablation for Atrial Fibrillation | $40,255$29k$59k | $1,685 | $2,592 |
| Cardiac Catheterization (Left Heart) | $5,261$3.6k$16k | $1,165 | $1,793 |
| Cardiac Stress Test (Treadmill) | — | $133 | $205 |
| Carpal Tunnel Release Surgery | $3,179$2.2k$9.5k | $834 | $1,283 |
| Cataract Surgery with Lens Implant | $3,759$2.6k$9.5k | $1,117 | $1,719 |
| Cervical Spinal Fusion (Anterior) | $18,622$14k$29k | $3,145 | $4,838 |
| Cesarean Delivery (Global Package) | — | $4,916 | $7,563 |
| Chemotherapy Infusion (First Hour) | $408$371$742 | $762 | $1,172 |
| Chest X-ray (2 Views) | $108$98$195 | $216 | $333 |
| Colonoscopy with Biopsy | $1,904$1.3k$5.5k | $779 | $1,199 |
| Complete Abdominal Ultrasound | $176$117$245 | $653 | $1,004 |
| Complete Blood Count (CBC) with Differential | $12$8$19 | $16 | $25 |
| Comprehensive Metabolic Panel | $16$11$26 | $14 | $22 |
| Coronary Angioplasty with Stent | $16,669$13k$26k | $1,046 | $1,609 |
| Critical Care, First Hour | $1,020$928$1.9k | $1,893 | $2,913 |
| CT Abdomen and Pelvis with Contrast | $467$392$828 | $622 | $957 |
| CT Cardiac Calcium Scoring | $152$98$195 | $49 | $76 |
| CT Chest without Contrast | $235$117$275 | $332 | $510 |
| CT Head without Contrast | $156$117$245 | $414 | $637 |
| DEXA Bone Density Scan | $123$66$245 | $195 | $300 |
| Diagnostic Colonoscopy | $1,466$1.0k$5.5k | $616 | $947 |
| Diagnostic Mammogram (Both Breasts) | $118$110$220 | $427 | $657 |
| Ear Tube Placement (Tympanostomy) | $2,478$1.7k$5.5k | $294 | $453 |
| Echocardiogram (Complete with Doppler) | $675$614$1.2k | $755 | $1,161 |
| EKG (Electrocardiogram, 12-lead) | — | $26 | $40 |
| Emergency Room Visit (Level 3) | $337$307$613 | $571 | $878 |
| Group Therapy Session | $125$114$228 | $53 | $81 |
| Hemodialysis Treatment | — | $185 | $284 |
| Hemoglobin A1c (Diabetes Test) | $15$10$24 | $14 | $21 |
| HIV Antibody Test | $14$9$22 | $16 | $25 |
| Holter Monitor (24-48 Hour Heart Monitor) | — | $128 | $197 |
| Home Sleep Study | $267$242$485 | $97 | $149 |
| Individual Therapy Session (45 Minutes) | $219$199$399 | $196 | $301 |
| Inguinal Hernia Repair (Open) | $5,786$4.0k$13k | $969 | $1,490 |
| Initial Hospital Admission (Level 1) | — | $150 | $230 |
| Initial Psychiatric Diagnostic Evaluation | $219$199$399 | $313 | $482 |
| Initial Psychiatric Evaluation with Medication Management | $219$199$399 | $353 | $543 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,219 | $575 | $885 |
| IUD Insertion | $676 | $161 | $247 |
| IUD Removal | $505$342$684 | $219 | $337 |
| Knee Arthroscopy with Meniscectomy | $5,203$3.7k$13k | $1,011 | $1,556 |
| Laparoscopic Appendectomy | $9,419$6.8k$21k | $1,112 | $1,710 |
| Laparoscopic Gallbladder Removal | $9,419$6.8k$21k | $1,219 | $1,876 |
| Laparoscopic Tubal Ligation | $9,419$6.8k$21k | $1,194 | $1,837 |
| Lipid Panel (Cholesterol Test) | $21$13$33 | $13 | $19 |
| Lumbar Epidural Steroid Injection | $1,149$793$2.3k | $322 | $496 |
| Lumbar Puncture (Spinal Tap) | $1,149$793$2.3k | $803 | $1,236 |
| Lumbar Spinal Fusion (Posterior) | $21,522$20k$39k | $1,722 | $2,649 |
| Lumpectomy (Partial Mastectomy) | $5,966$4.4k$9.5k | $1,216 | $1,871 |
| MRI Abdomen with and without Contrast | $784$392$837 | $1,236 | $1,902 |
| MRI Brain with and without Contrast | $559$392$828 | $1,422 | $2,187 |
| MRI Brain with Contrast | $490$392$828 | $1,108 | $1,704 |
| MRI Brain without Contrast | $332$268$536 | $934 | $1,437 |
| MRI Cervical Spine (Neck) without Contrast | $318$268$536 | $594 | $914 |
| MRI Knee without Contrast | $358$268$536 | $688 | $1,058 |
| MRI Lower Back (Lumbar Spine) without Contrast | $315$268$536 | $523 | $805 |
| MRI Thoracic Spine (Mid-back) without Contrast | $318$268$536 | $675 | $1,038 |
| Newborn Circumcision | $3,303$2.3k$9.5k | $241 | $370 |
| Nuclear Cardiac Stress Test | $1,526$876$2.9k | $1,864 | $2,868 |
| Office Visit, Established Patient (Level 3) | — | $134 | $207 |
| Office Visit, New Patient (Level 3) | — | $196 | $302 |
| Pacemaker Insertion (Dual Chamber) | $17,819$12k$23k | $930 | $1,431 |
| PET/CT Scan, Whole Body | $1,766$1.6k$3.3k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $197$117$245 | $651 | $1,002 |
| Prostate Biopsy | $4,770$4.0k$5.5k | $1,188 | $1,827 |
| PSA Prostate Cancer Screening | $29$18$45 | $12 | $18 |
| Pulmonary Function Test with Bronchodilator | $461$419$838 | $270 | $415 |
| Rotator Cuff Repair (Arthroscopic) | $11,520$8.1k$21k | $1,973 | $3,036 |
| Screening Mammogram | $109$101$202 | $418 | $643 |
| Septoplasty (Deviated Septum Repair) | $5,122$3.7k$9.5k | $1,229 | $1,890 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $10,902$7.9k$16k | $587 | $903 |
| Skin Biopsy (Tangential) | $491$404$913 | $309 | $475 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,151$1.9k$3.7k | $1,217 | $1,872 |
| Sleep Study (In-lab Polysomnography) | $1,061$964$2.1k | $932 | $1,434 |
| Spinal Cord Stimulator Trial | $10,862$7.2k$21k | $759 | $1,167 |
| Spirometry (Breathing Test) | $267$242$485 | $153 | $236 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $5,122$3.7k$9.5k | $564 | $867 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $8,421$6.6k$13k | $540 | $831 |
| Total Hip Replacement | $21,159$14k$29k | $2,366 | $3,640 |
| Total Knee Replacement | $21,159$14k$29k | $2,363 | $3,635 |
| Total Mastectomy | $10,319$7.5k$15k | $1,767 | $2,718 |
| TSH Thyroid Function Test | $26$17$41 | $35 | $54 |
| TURP (Transurethral Prostate Resection) | $8,269$6.0k$16k | $1,329 | $2,044 |
| Umbilical Hernia Repair | $7,150 | $800 | $1,231 |
| Upper GI Endoscopy (EGD) | $1,469$1.0k$5.5k | $519 | $798 |
| Urinalysis with Microscopy | $5$3$8 | $12 | $19 |
| Vaginal Birth After Cesarean (VBAC) Global Package | — | $4,636 | $7,132 |
| Vaginal Delivery (Global Package) | — | $4,426 | $6,809 |
| Vaginal Hysterectomy | $8,044$5.6k$13k | $1,535 | $2,362 |
| Vasectomy | $3,303$2.3k$9.5k | $608 | $936 |
| Vitamin D Blood Test | $46$30$59 | $42 | $65 |