| Abdominal Hysterectomy | $752$100$2.5k | $687 | $2,864 |
| ACL Reconstruction (Arthroscopic) | $1,167$79$24k | $659 | $2,747 |
| Allergy Skin Testing | $4$2$3.4k | — | — |
| Basic Metabolic Panel | $9$4$28 | $58 | $76 |
| Bone Marrow Biopsy | $101$57$5.4k | $4,926 | $6,481 |
| Breast Biopsy (Ultrasound-guided) | $201$9$5.4k | $4,926 | $6,481 |
| Bunion Correction Surgery | $571$42$11k | $351 | $1,462 |
| Cardiac Ablation for Atrial Fibrillation | $1,268$744$82k | $74,578 | $98,129 |
| Cardiac Catheterization (Left Heart) | $1,007$232$11k | $9,778 | $12,866 |
| Cardiac Stress Test (Treadmill) | $93$59$236 | $48 | $201 |
| Carpal Tunnel Release Surgery | $514$40$6.5k | $298 | $1,243 |
| Cataract Surgery with Lens Implant | $874$44$7.6k | $359 | $1,494 |
| Cervical Spinal Fusion (Anterior) | $1,893$137$43k | $1,152 | $4,801 |
| Cesarean Delivery (Global Package) | $3,101$2.1k$5.7k | $1,804 | $7,517 |
| Chemotherapy Infusion (First Hour) | $256$150$1.1k | $1,135 | $1,493 |
| Chest X-ray (2 Views) | $28$9$295 | $460 | $605 |
| Colonoscopy with Biopsy | $327$161$4.0k | $134 | $557 |
| Complete Abdominal Ultrasound | $97$31$357 | $606 | $798 |
| Complete Blood Count (CBC) with Differential | $8$4$26 | $53 | $70 |
| Comprehensive Metabolic Panel | $11$5$35 | $72 | $95 |
| Coronary Angioplasty with Stent | $699$462$38k | $34,475 | $45,362 |
| Critical Care, First Hour | $268$159$2.8k | $3,843 | $5,056 |
| CT Abdomen and Pelvis with Contrast | $285$71$1.2k | $3,935 | $5,178 |
| CT Cardiac Calcium Scoring | $88$22$295 | $971 | $1,277 |
| CT Chest without Contrast | $106$42$357 | $1,172 | $1,542 |
| CT Head without Contrast | $94$33$357 | $1,172 | $1,542 |
| DEXA Bone Density Scan | $40$8$357 | $445 | $585 |
| Diagnostic Colonoscopy | $262$74$3.1k | $123 | $512 |
| Diagnostic Mammogram (Both Breasts) | $129$39$336 | $464 | $611 |
| Ear Tube Placement (Tympanostomy) | $182$13$5.0k | $108 | $448 |
| Echocardiogram (Complete with Doppler) | $167$45$1.8k | $1,667 | $2,193 |
| EKG (Electrocardiogram, 12-lead) | $20$12$53 | $10 | $40 |
| Emergency Room Visit (Level 3) | $97$56$932 | $1,262 | $1,661 |
| Group Therapy Session | $29$5$310 | $246 | $324 |
| Hemodialysis Treatment | $134$56$264 | $69 | $286 |
| Hemoglobin A1c (Diabetes Test) | $10$5$32 | $66 | $87 |
| HIV Antibody Test | $9$4$30 | $61 | $80 |
| Holter Monitor (24-48 Hour Heart Monitor) | $84$58$230 | $46 | $192 |
| Home Sleep Study | $97$36$525 | $29 | $122 |
| Individual Therapy Session (45 Minutes) | $105$62$539 | $427 | $562 |
| Inguinal Hernia Repair (Open) | $532$38$12k | $355 | $1,481 |
| Initial Hospital Admission (Level 1) | $88$65$250 | $55 | $231 |
| Initial Psychiatric Diagnostic Evaluation | $141$42$3.0k | $427 | $562 |
| Initial Psychiatric Evaluation with Medication Management | $168$98$539 | $427 | $562 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $512$286$1.9k | $3,298 | $4,339 |
| IUD Insertion | $28$18$323 | $36 | $149 |
| IUD Removal | $79$18$1.3k | $925 | $1,217 |
| Knee Arthroscopy with Meniscectomy | $716$19$11k | $369 | $1,538 |
| Laparoscopic Appendectomy | $685$44$20k | $408 | $1,701 |
| Laparoscopic Gallbladder Removal | $751$48$20k | $448 | $1,866 |
| Laparoscopic Tubal Ligation | $780$53$20k | $440 | $1,834 |
| Lipid Panel (Cholesterol Test) | $14$7$45 | $92 | $121 |
| Lumbar Epidural Steroid Injection | $118$81$2.3k | $2,632 | $3,463 |
| Lumbar Puncture (Spinal Tap) | $70$44$2.3k | $2,105 | $2,770 |
| Lumbar Spinal Fusion (Posterior) | $1,660$128$62k | $1,070 | $4,459 |
| Lumpectomy (Partial Mastectomy) | $534$53$13k | $446 | $1,859 |
| MRI Abdomen with and without Contrast | $318$85$1.2k | $4,071 | $5,357 |
| MRI Brain with and without Contrast | $318$74$1.2k | $4,071 | $5,357 |
| MRI Brain with Contrast | $279$69$1.2k | $3,257 | $4,286 |
| MRI Brain without Contrast | $202$58$811 | $2,205 | $2,901 |
| MRI Cervical Spine (Neck) without Contrast | $195$58$811 | $2,205 | $2,901 |
| MRI Knee without Contrast | $221$53$811 | $2,205 | $2,901 |
| MRI Lower Back (Lumbar Spine) without Contrast | $196$58$811 | $2,205 | $2,901 |
| MRI Thoracic Spine (Mid-back) without Contrast | $195$58$811 | $2,205 | $2,901 |
| Newborn Circumcision | $129$78$6.9k | $65 | $269 |
| Nuclear Cardiac Stress Test | $417$62$4.4k | $3,472 | $4,569 |
| Office Visit, Established Patient (Level 3) | $63$21$192 | $515 | $677 |
| Office Visit, New Patient (Level 3) | $79$21$247 | $515 | $677 |
| Pacemaker Insertion (Dual Chamber) | $702$29$35k | $31,814 | $41,861 |
| PET/CT Scan, Whole Body | $1,033$92$4.9k | $9,700 | $12,763 |
| Pregnancy Ultrasound (Second or Third Trimester) | $108$33$357 | $606 | $798 |
| Prostate Biopsy | $175$94$6.9k | $6,227 | $8,194 |
| PSA Prostate Cancer Screening | $19$9$61 | $132 | $174 |
| Pulmonary Function Test with Bronchodilator | $36$8$1.0k | $769 | $1,012 |
| Rotator Cuff Repair (Arthroscopic) | $1,168$87$24k | $723 | $3,013 |
| Screening Mammogram | $104$30$278 | $381 | $501 |
| Septoplasty (Deviated Septum Repair) | $768$55$11k | $446 | $1,859 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $547$262$23k | $217 | $903 |
| Skin Biopsy (Tangential) | $47$15$1.3k | $604 | $795 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $80$7$5.4k | $56 | $232 |
| Sleep Study (In-lab Polysomnography) | $624$80$3.4k | $78 | $327 |
| Spinal Cord Stimulator Trial | $505$34$22k | $19,952 | $26,252 |
| Spirometry (Breathing Test) | $24$6$525 | $386 | $508 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $347$23$11k | $206 | $860 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $333$22$20k | $198 | $825 |
| Total Hip Replacement | $1,450$104$43k | $868 | $3,617 |
| Total Knee Replacement | $1,450$104$43k | $867 | $3,613 |
| Total Mastectomy | $880$77$22k | $649 | $2,703 |
| TSH Thyroid Function Test | $18$8$56 | $115 | $151 |
| TURP (Transurethral Prostate Resection) | $987$47$17k | $491 | $2,044 |
| Upper GI Endoscopy (EGD) | $182$99$3.1k | $82 | $341 |
| Urinalysis with Microscopy | $3$2$11 | $22 | $29 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $3,101$1.6k$5.4k | $1,701 | $7,089 |
| Vaginal Delivery (Global Package) | $3,101$2.0k$5.0k | $1,624 | $6,768 |
| Vaginal Hysterectomy | $962$82$17k | $565 | $2,356 |
| Vasectomy | $240$19$6.9k | $156 | $649 |
| Vitamin D Blood Test | $31$15$99 | $202 | $266 |