| Abdominal Hysterectomy | $1,493$852$3.2k | $1,906 | $2,383 |
| ACL Reconstruction (Arthroscopic) | $1,609$825$3.2k | $3,225 | $4,031 |
| Allergy Skin Testing | $7$3$14 | $9 | $11 |
| Basic Metabolic Panel | $54$10$59 | $48 | $60 |
| Bone Marrow Biopsy | $88$35$96 | $78 | $98 |
| Breast Biopsy (Ultrasound-guided) | $3,020$1.2k$3.3k | $2,688 | $3,360 |
| Bunion Correction Surgery | $1,113$427$3.0k | $2,963 | $3,704 |
| Cardiac Ablation for Atrial Fibrillation | $44,945$18k$49k | $40,000 | $50,000 |
| Cardiac Catheterization (Left Heart) | $10,490$4.2k$11k | $9,336 | $11,670 |
| Cardiac Stress Test (Treadmill) | $118$59$220 | $205 | $256 |
| Carpal Tunnel Release Surgery | $736$367$1.5k | $1,488 | $1,860 |
| Cesarean Delivery (Global Package) | $4,313$2.2k$8.3k | $6,238 | $7,797 |
| Chemotherapy Infusion (First Hour) | $863$346$936 | $768 | $960 |
| Chest X-ray (2 Views) | $102$26$361 | $177 | $222 |
| Colonoscopy with Biopsy | $486$167$1.4k | $1,282 | $1,603 |
| Complete Abdominal Ultrasound | $836$335$907 | $744 | $930 |
| Complete Blood Count (CBC) with Differential | $71$9$98 | $69 | $87 |
| Comprehensive Metabolic Panel | $99$12$107 | $88 | $110 |
| Coronary Angioplasty with Stent | $16,270$6.5k$18k | $14,480 | $18,100 |
| Critical Care, First Hour | $2,859$1.1k$3.1k | $2,544 | $3,180 |
| CT Abdomen and Pelvis with Contrast | $2,157$864$2.3k | $1,920 | $2,400 |
| CT Cardiac Calcium Scoring | $396$158$429 | $352 | $440 |
| CT Chest without Contrast | $1,034$414$1.1k | $920 | $1,150 |
| CT Head without Contrast | $1,034$414$1.1k | $920 | $1,150 |
| DEXA Bone Density Scan | $133$35$468 | $230 | $288 |
| Diagnostic Colonoscopy | $403$155$1.2k | $1,156 | $1,445 |
| Diagnostic Mammogram (Both Breasts) | $476$191$517 | $424 | $530 |
| Ear Tube Placement (Tympanostomy) | $267$132$504 | $390 | $487 |
| Echocardiogram (Complete with Doppler) | $2,247$900$2.4k | $2,000 | $2,500 |
| EKG (Electrocardiogram, 12-lead) | $24$12$45 | $42 | $52 |
| Emergency Room Visit (Level 3) | $1,079$432$1.2k | $960 | $1,200 |
| Group Therapy Session | $15$6$17 | $14 | $17 |
| Hemodialysis Treatment | $170$86$315 | $232 | $290 |
| Hemoglobin A1c (Diabetes Test) | $22$5$81 | $20 | $25 |
| HIV Antibody Test | $55$10$179 | $58 | $73 |
| Holter Monitor (24-48 Hour Heart Monitor) | $128$66$228 | $211 | $264 |
| Home Sleep Study | $719$288$780 | $640 | $800 |
| Individual Therapy Session (45 Minutes) | $80$23$263 | $134 | $167 |
| Initial Hospital Admission (Level 1) | $153$76$258 | $213 | $266 |
| Initial Psychiatric Diagnostic Evaluation | $109$40$234 | $141 | $176 |
| Initial Psychiatric Evaluation with Medication Management | $122$45$302 | $174 | $218 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $2,876$1.2k$3.1k | $2,560 | $3,200 |
| IUD Insertion | $272$101$566 | $344 | $430 |
| IUD Removal | $126$25$497 | $232 | $290 |
| Knee Arthroscopy with Meniscectomy | $900$459$1.8k | $1,804 | $2,255 |
| Laparoscopic Appendectomy | $990$510$1.9k | $1,654 | $2,068 |
| Laparoscopic Gallbladder Removal | $1,086$559$2.1k | $1,808 | $2,260 |
| Laparoscopic Tubal Ligation | $961$550$2.1k | $1,227 | $1,534 |
| Lipid Panel (Cholesterol Test) | $24$9$98 | $50 | $63 |
| Lumbar Epidural Steroid Injection | $284$83$923 | $923 | $1,154 |
| Lumbar Puncture (Spinal Tap) | $1,558$590$1.9k | $1,420 | $1,775 |
| Lumbar Spinal Fusion (Posterior) | $2,602$1.3k$5.1k | $5,146 | $6,433 |
| MRI Abdomen with and without Contrast | $3,002$1.2k$3.3k | $2,672 | $3,340 |
| MRI Brain with and without Contrast | $3,002$1.2k$3.3k | $2,672 | $3,340 |
| MRI Brain with Contrast | $2,760$1.1k$3.0k | $2,456 | $3,070 |
| MRI Brain without Contrast | $2,499$1.0k$2.7k | $2,224 | $2,780 |
| MRI Cervical Spine (Neck) without Contrast | $1,996$799$2.2k | $1,776 | $2,220 |
| MRI Knee without Contrast | $1,996$799$2.2k | $1,776 | $2,220 |
| MRI Lower Back (Lumbar Spine) without Contrast | $1,996$799$2.2k | $1,776 | $2,220 |
| MRI Thoracic Spine (Mid-back) without Contrast | $1,996$799$2.2k | $1,776 | $2,220 |
| Newborn Circumcision | $3,128$1.3k$3.4k | $2,784 | $3,480 |
| Nuclear Cardiac Stress Test | $3,146$1.3k$3.4k | $2,800 | $3,500 |
| Office Visit, Established Patient (Level 3) | $81$20$293 | $142 | $178 |
| Office Visit, New Patient (Level 3) | $82$24$263 | $135 | $169 |
| Pacemaker Insertion (Dual Chamber) | $17,978$7.2k$20k | $16,000 | $20,000 |
| PET/CT Scan, Whole Body | $6,953$2.7k$7.8k | $6,192 | $7,740 |
| Pregnancy Ultrasound (Second or Third Trimester) | $377$126$1.1k | $600 | $750 |
| Prostate Biopsy | $131$53$142 | $117 | $146 |
| PSA Prostate Cancer Screening | $38$9$185 | $58 | $73 |
| Pulmonary Function Test with Bronchodilator | $132$30$497 | $237 | $296 |
| Rotator Cuff Repair (Arthroscopic) | $1,762$903$3.5k | $3,533 | $4,416 |
| Screening Mammogram | $449$180$488 | $400 | $500 |
| Septoplasty (Deviated Septum Repair) | $994$566$2.1k | $1,298 | $1,622 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $470$268$1.0k | $607 | $759 |
| Skin Biopsy (Tangential) | $387$155$419 | $344 | $430 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $70$28$76 | $62 | $78 |
| Sleep Study (In-lab Polysomnography) | $4,818$1.9k$5.2k | $4,288 | $5,360 |
| Spinal Cord Stimulator Trial | $2,444$348$7.8k | $7,761 | $9,701 |
| Spirometry (Breathing Test) | $116$22$273 | $224 | $280 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $509$252$963 | $858 | $1,073 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $487$242$919 | $820 | $1,025 |
| Total Hip Replacement | $2,106$1.1k$4.2k | $4,220 | $5,275 |
| Total Knee Replacement | $2,104$1.1k$4.2k | $4,216 | $5,270 |
| TSH Thyroid Function Test | $62$9$135 | $66 | $83 |
| TURP (Transurethral Prostate Resection) | $1,195$608$2.5k | $2,450 | $3,063 |
| Umbilical Hernia Repair | $900$379$1.3k | $1,200 | $1,500 |
| Upper GI Endoscopy (EGD) | $316$102$909 | $802 | $1,003 |
| Urinalysis with Microscopy | $19$3$60 | $17 | $21 |
| 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 | $1,237$708$2.6k | $1,583 | $1,979 |
| Vasectomy | $183$73$199 | $163 | $204 |
| Vitamin D Blood Test | $58$16$439 | $88 | $110 |