| Abdominal Hysterectomy | $791$109$2.5k | $745 | $2,864 |
| ACL Reconstruction (Arthroscopic) | $1,274$138$23k | $714 | $2,747 |
| Allergy Skin Testing | $4$2$3.3k | — | — |
| Basic Metabolic Panel | $9$4$26 | $53 | $72 |
| Bone Marrow Biopsy | $103$60$5.2k | $4,556 | $6,157 |
| Breast Biopsy (Ultrasound-guided) | $215$9$5.2k | $4,556 | $6,157 |
| Bunion Correction Surgery | $602$70$10k | $380 | $1,462 |
| Cardiac Ablation for Atrial Fibrillation | $1,268$918$78k | $674 | $2,593 |
| Cardiac Catheterization (Left Heart) | $1,194$270$10k | $9,045 | $12,223 |
| Cardiac Stress Test (Treadmill) | $93$88$236 | $52 | $201 |
| Carpal Tunnel Release Surgery | $543$315$6.2k | $323 | $1,243 |
| Cataract Surgery with Lens Implant | $874$633$7.3k | $388 | $1,494 |
| Cervical Spinal Fusion (Anterior) | $2,015$233$41k | $1,248 | $4,801 |
| Cesarean Delivery (Global Package) | $3,101$2.5k$5.7k | $1,954 | $7,517 |
| Chemotherapy Infusion (First Hour) | $256$172$1.1k | $1,049 | $1,418 |
| Chest X-ray (2 Views) | $34$9$281 | $426 | $575 |
| Colonoscopy with Biopsy | $349$173$3.8k | $145 | $557 |
| Complete Abdominal Ultrasound | $97$40$340 | $561 | $758 |
| Complete Blood Count (CBC) with Differential | $8$4$24 | $50 | $67 |
| Comprehensive Metabolic Panel | $11$5$32 | $67 | $90 |
| Coronary Angioplasty with Stent | $699$506$36k | $31,890 | $43,094 |
| Critical Care, First Hour | $268$159$2.7k | $3,554 | $4,803 |
| CT Abdomen and Pelvis with Contrast | $316$74$1.1k | $3,640 | $4,919 |
| CT Cardiac Calcium Scoring | $91$23$281 | $898 | $1,213 |
| CT Chest without Contrast | $107$53$340 | $1,084 | $1,465 |
| CT Head without Contrast | $105$41$340 | $1,084 | $1,465 |
| DEXA Bone Density Scan | $41$9$340 | $411 | $556 |
| Diagnostic Colonoscopy | $262$80$2.9k | $133 | $512 |
| Diagnostic Mammogram (Both Breasts) | $134$41$313 | $34 | $132 |
| Ear Tube Placement (Tympanostomy) | $290$103$4.7k | $116 | $448 |
| Echocardiogram (Complete with Doppler) | $208$45$1.8k | $1,541 | $2,083 |
| EKG (Electrocardiogram, 12-lead) | $24$16$53 | $10 | $40 |
| Emergency Room Visit (Level 3) | $91$56$932 | $1,168 | $1,578 |
| Group Therapy Session | $29$5$296 | $18 | $71 |
| Hemodialysis Treatment | $134$56$264 | $74 | $286 |
| Hemoglobin A1c (Diabetes Test) | $10$5$30 | $61 | $83 |
| HIV Antibody Test | $9$4$30 | $56 | $76 |
| Holter Monitor (24-48 Hour Heart Monitor) | $84$79$230 | $50 | $192 |
| Home Sleep Study | $103$48$500 | $32 | $122 |
| Individual Therapy Session (45 Minutes) | $108$62$514 | $69 | $267 |
| Inguinal Hernia Repair (Open) | $596$67$11k | $385 | $1,481 |
| Initial Hospital Admission (Level 1) | $88$68$250 | $60 | $231 |
| Initial Psychiatric Diagnostic Evaluation | $149$42$3.0k | $109 | $420 |
| Initial Psychiatric Evaluation with Medication Management | $176$88$514 | $125 | $480 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $555$318$1.8k | — | — |
| IUD Insertion | $28$18$323 | $39 | $149 |
| IUD Removal | $79$18$1.3k | $855 | $1,156 |
| Knee Arthroscopy with Meniscectomy | $1,010$19$10k | $400 | $1,538 |
| Laparoscopic Appendectomy | $685$93$19k | $442 | $1,701 |
| Laparoscopic Gallbladder Removal | $855$124$19k | $485 | $1,866 |
| Laparoscopic Tubal Ligation | $819$119$19k | $477 | $1,834 |
| Lipid Panel (Cholesterol Test) | $14$6$41 | $85 | $115 |
| Lumbar Epidural Steroid Injection | $132$85$2.2k | $2,435 | $3,290 |
| Lumbar Puncture (Spinal Tap) | $70$44$2.2k | $1,948 | $2,632 |
| Lumbar Spinal Fusion (Posterior) | $1,756$197$59k | $1,159 | $4,459 |
| Lumpectomy (Partial Mastectomy) | $803$292$12k | $483 | $1,859 |
| MRI Abdomen with and without Contrast | $352$110$1.1k | $3,766 | $5,089 |
| MRI Brain with and without Contrast | $344$74$1.1k | $3,766 | $5,089 |
| MRI Brain with Contrast | $296$74$1.1k | $3,013 | $4,072 |
| MRI Brain without Contrast | $217$72$773 | $2,039 | $2,756 |
| MRI Cervical Spine (Neck) without Contrast | $211$74$773 | $2,039 | $2,756 |
| MRI Knee without Contrast | $222$66$773 | $2,039 | $2,756 |
| MRI Lower Back (Lumbar Spine) without Contrast | $212$72$773 | $2,039 | $2,756 |
| MRI Thoracic Spine (Mid-back) without Contrast | $211$78$773 | $2,039 | $2,756 |
| Newborn Circumcision | $130$83$6.5k | $5,760 | $7,784 |
| Nuclear Cardiac Stress Test | $420$66$4.2k | $3,212 | $4,341 |
| Office Visit, Established Patient (Level 3) | $54$21$192 | $476 | $643 |
| Office Visit, New Patient (Level 3) | $79$21$247 | $476 | $643 |
| Pacemaker Insertion (Dual Chamber) | $987$486$33k | $371 | $1,426 |
| PET/CT Scan, Whole Body | $1,033$105$4.7k | $83 | $318 |
| Pregnancy Ultrasound (Second or Third Trimester) | $108$33$340 | $561 | $758 |
| Prostate Biopsy | $175$94$6.5k | $94 | $362 |
| PSA Prostate Cancer Screening | $19$9$56 | $122 | $165 |
| Pulmonary Function Test with Bronchodilator | $36$8$995 | $7 | $28 |
| Rotator Cuff Repair (Arthroscopic) | $1,242$135$23k | $783 | $3,013 |
| Screening Mammogram | $110$31$257 | $27 | $102 |
| Septoplasty (Deviated Septum Repair) | $1,218$436$10k | $483 | $1,859 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $547$342$22k | $235 | $903 |
| Skin Biopsy (Tangential) | $52$15$1.3k | $559 | $755 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $87$14$5.2k | $60 | $232 |
| Sleep Study (In-lab Polysomnography) | $624$80$3.3k | $85 | $327 |
| Spinal Cord Stimulator Trial | $661$361$21k | $303 | $1,165 |
| Spirometry (Breathing Test) | $24$6$500 | $6 | $23 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $575$209$10k | $224 | $860 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $551$193$19k | $215 | $825 |
| Total Hip Replacement | $1,450$210$41k | $940 | $3,617 |
| Total Knee Replacement | $1,450$210$41k | $939 | $3,613 |
| Total Mastectomy | $1,164$102$21k | $703 | $2,703 |
| TSH Thyroid Function Test | $18$8$51 | $106 | $143 |
| TURP (Transurethral Prostate Resection) | $1,242$632$16k | $531 | $2,044 |
| Upper GI Endoscopy (EGD) | $197$106$3.0k | $89 | $341 |
| Urinalysis with Microscopy | $3$2$10 | $21 | $28 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $3,101$1.6k$5.4k | $1,843 | $7,089 |
| Vaginal Delivery (Global Package) | $3,101$2.5k$5.0k | $1,760 | $6,768 |
| Vaginal Hysterectomy | $1,038$96$16k | $613 | $2,356 |
| Vasectomy | $315$156$6.5k | $169 | $649 |
| Vitamin D Blood Test | $30$14$90 | $187 | $253 |