| Abdominal Hysterectomy | $752$100$2.5k | $630 | $2,864 |
| ACL Reconstruction (Arthroscopic) | $1,167$79$22k | $604 | $2,747 |
| Allergy Skin Testing | $4$2$3.1k | — | — |
| Basic Metabolic Panel | $9$4$23 | $53 | $68 |
| Bone Marrow Biopsy | $101$57$4.9k | $43 | $194 |
| Breast Biopsy (Ultrasound-guided) | $201$9$4.9k | $4,550 | $5,833 |
| Bunion Correction Surgery | $571$42$9.8k | $322 | $1,462 |
| Cardiac Ablation for Atrial Fibrillation | $1,268$744$74k | $570 | $2,593 |
| Cardiac Catheterization (Left Heart) | $1,007$232$9.7k | $177 | $805 |
| Cardiac Stress Test (Treadmill) | $93$59$236 | $44 | $201 |
| Carpal Tunnel Release Surgery | $514$40$5.9k | $273 | $1,243 |
| Cataract Surgery with Lens Implant | $874$44$6.9k | $329 | $1,494 |
| Cervical Spinal Fusion (Anterior) | $1,893$137$39k | $1,056 | $4,801 |
| Cesarean Delivery (Global Package) | $3,101$1.8k$5.7k | $1,654 | $7,517 |
| Chemotherapy Infusion (First Hour) | $256$125$1.0k | $1,048 | $1,344 |
| Chest X-ray (2 Views) | $28$9$267 | $425 | $545 |
| Colonoscopy with Biopsy | $327$161$3.6k | $123 | $557 |
| Complete Abdominal Ultrasound | $97$31$322 | $560 | $718 |
| Complete Blood Count (CBC) with Differential | $8$4$22 | $49 | $63 |
| Comprehensive Metabolic Panel | $11$5$29 | $67 | $86 |
| Coronary Angioplasty with Stent | $699$462$34k | $355 | $1,613 |
| Critical Care, First Hour | $268$159$2.6k | $3,549 | $4,550 |
| CT Abdomen and Pelvis with Contrast | $280$71$1.1k | $3,635 | $4,660 |
| CT Cardiac Calcium Scoring | $88$22$267 | $896 | $1,149 |
| CT Chest without Contrast | $106$42$322 | $1,083 | $1,388 |
| CT Head without Contrast | $94$33$322 | $1,083 | $1,388 |
| DEXA Bone Density Scan | $40$8$322 | $411 | $527 |
| Diagnostic Colonoscopy | $262$74$2.8k | $113 | $512 |
| Diagnostic Mammogram (Both Breasts) | $129$39$313 | $429 | $550 |
| Ear Tube Placement (Tympanostomy) | $182$13$4.5k | $99 | $448 |
| Echocardiogram (Complete with Doppler) | $167$45$1.7k | $1,540 | $1,974 |
| EKG (Electrocardiogram, 12-lead) | $20$12$53 | $9 | $40 |
| Emergency Room Visit (Level 3) | $97$56$932 | $1,166 | $1,495 |
| Group Therapy Session | $25$5$280 | $16 | $71 |
| Hemodialysis Treatment | $134$56$264 | $63 | $286 |
| Hemoglobin A1c (Diabetes Test) | $10$5$27 | $61 | $78 |
| HIV Antibody Test | $9$4$30 | $56 | $72 |
| Holter Monitor (24-48 Hour Heart Monitor) | $84$58$230 | $42 | $192 |
| Home Sleep Study | $97$36$474 | $549 | $704 |
| Individual Therapy Session (45 Minutes) | $95$62$487 | $59 | $267 |
| Inguinal Hernia Repair (Open) | $532$38$11k | $326 | $1,481 |
| Initial Hospital Admission (Level 1) | $88$65$250 | $51 | $231 |
| Initial Psychiatric Diagnostic Evaluation | $124$42$3.0k | $92 | $420 |
| Initial Psychiatric Evaluation with Medication Management | $198$98$487 | $106 | $480 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $512$284$1.8k | — | — |
| IUD Insertion | $28$17$323 | $33 | $149 |
| IUD Removal | $79$17$1.3k | $854 | $1,095 |
| Knee Arthroscopy with Meniscectomy | $716$19$9.8k | $338 | $1,538 |
| Laparoscopic Appendectomy | $685$44$18k | $374 | $1,701 |
| Laparoscopic Gallbladder Removal | $751$48$18k | $411 | $1,866 |
| Laparoscopic Tubal Ligation | $780$53$18k | $403 | $1,834 |
| Lipid Panel (Cholesterol Test) | $14$6$37 | $85 | $109 |
| Lumbar Epidural Steroid Injection | $118$81$2.1k | $2,431 | $3,117 |
| Lumbar Puncture (Spinal Tap) | $70$42$2.1k | $1,945 | $2,493 |
| Lumbar Spinal Fusion (Posterior) | $1,660$128$56k | $981 | $4,459 |
| Lumpectomy (Partial Mastectomy) | $534$53$12k | $409 | $1,859 |
| MRI Abdomen with and without Contrast | $318$85$1.1k | $3,760 | $4,821 |
| MRI Brain with and without Contrast | $316$74$1.1k | $3,760 | $4,821 |
| MRI Brain with Contrast | $279$69$1.1k | $3,008 | $3,857 |
| MRI Brain without Contrast | $202$58$732 | $2,037 | $2,611 |
| MRI Cervical Spine (Neck) without Contrast | $195$58$732 | $2,037 | $2,611 |
| MRI Knee without Contrast | $221$53$732 | $2,037 | $2,611 |
| MRI Lower Back (Lumbar Spine) without Contrast | $194$58$732 | $2,037 | $2,611 |
| MRI Thoracic Spine (Mid-back) without Contrast | $193$58$732 | $2,037 | $2,611 |
| Newborn Circumcision | $129$78$6.2k | $59 | $269 |
| Nuclear Cardiac Stress Test | $417$62$4.0k | $3,207 | $4,112 |
| Office Visit, Established Patient (Level 3) | $58$21$192 | $475 | $609 |
| Office Visit, New Patient (Level 3) | $79$21$247 | $475 | $609 |
| Pacemaker Insertion (Dual Chamber) | $702$29$32k | $314 | $1,426 |
| PET/CT Scan, Whole Body | $1,033$92$4.4k | $8,960 | $11,487 |
| Pregnancy Ultrasound (Second or Third Trimester) | $108$33$322 | $560 | $718 |
| Prostate Biopsy | $175$90$6.2k | $5,753 | $7,375 |
| PSA Prostate Cancer Screening | $19$9$50 | $122 | $157 |
| Pulmonary Function Test with Bronchodilator | $36$8$943 | $711 | $911 |
| Rotator Cuff Repair (Arthroscopic) | $1,168$87$22k | $663 | $3,013 |
| Screening Mammogram | $104$30$257 | $352 | $451 |
| Septoplasty (Deviated Septum Repair) | $768$55$9.8k | $409 | $1,859 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $547$262$21k | $199 | $903 |
| Skin Biopsy (Tangential) | $47$15$1.3k | $558 | $716 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $80$7$4.9k | $51 | $232 |
| Sleep Study (In-lab Polysomnography) | $624$80$3.1k | $3,571 | $4,578 |
| Spinal Cord Stimulator Trial | $505$34$20k | $18,429 | $23,627 |
| Spirometry (Breathing Test) | $24$6$474 | $356 | $457 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $347$23$9.8k | $189 | $860 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $333$22$18k | $182 | $825 |
| Total Hip Replacement | $1,450$104$39k | $796 | $3,617 |
| Total Knee Replacement | $1,450$104$39k | $795 | $3,613 |
| Total Mastectomy | $880$77$20k | $595 | $2,703 |
| TSH Thyroid Function Test | $18$8$46 | $106 | $136 |
| TURP (Transurethral Prostate Resection) | $987$47$15k | $450 | $2,044 |
| Upper GI Endoscopy (EGD) | $182$99$2.8k | $75 | $341 |
| Urinalysis with Microscopy | $3$2$9 | $20 | $26 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $3,101$1.6k$5.4k | $1,560 | $7,089 |
| Vaginal Delivery (Global Package) | $3,101$1.8k$5.0k | $1,489 | $6,768 |
| Vaginal Hysterectomy | $962$82$15k | $518 | $2,356 |
| Vasectomy | $240$19$6.2k | $143 | $649 |
| Vitamin D Blood Test | $31$14$81 | $186 | $239 |