| Basic Metabolic Panel | $10$4$76 | $35 | $99 |
| Bone Marrow Biopsy | $1,546$264$3.0k | $522 | $1,492 |
| Breast Biopsy (Ultrasound-guided) | $1,811$536$5.4k | $1,038 | $2,967 |
| Cardiac Ablation for Atrial Fibrillation | $26,112$1.6k$47k | $17,821 | $50,916 |
| Cardiac Arrhythmia (with Complications) | $6,535$2.0k$9.8k | — | — |
| Cardiac Arrhythmia (with Major Complications) | $10,366$2.0k$16k | — | — |
| Cardiac Arrhythmia (without Complications) | $5,251$2.0k$7.7k | — | — |
| Cardiac Catheterization (Left Heart) | $3,732$1.1k$7.5k | $2,927 | $8,364 |
| Cellulitis (with Major Complications) | $12,145$2.0k$18k | — | — |
| Cellulitis (without Major Complications) | $7,640$2.0k$11k | — | — |
| Cesarean Section (with Complications) | $8,007 | — | — |
| Cesarean Section (without Complications) | $5,589 | — | — |
| Chemotherapy Infusion (First Hour) | $378$79$595 | $522 | $1,490 |
| Chest Pain | $6,535$2.0k$9.6k | — | — |
| Chest X-ray (2 Views) | $114$43$228 | $97 | $278 |
| Colonoscopy with Biopsy | $1,447$536$2.9k | $448 | $1,279 |
| Complete Abdominal Ultrasound | $180$17$414 | $278 | $794 |
| Complete Blood Count (CBC) with Differential | $9$4$35 | $27 | $78 |
| Comprehensive Metabolic Panel | $12$5$87 | $43 | $124 |
| COPD (with Complications) | $7,412$2.0k$11k | — | — |
| COPD (with Major Complications) | $9,578$2.0k$14k | — | — |
| COPD (without Complications) | $5,885$2.0k$8.7k | — | — |
| Coronary Angioplasty with Stent | $12,658$861$21k | $5,948 | $16,994 |
| Coronary Stent (Drug-eluting, without Major Complications) | $14,688 | — | — |
| Critical Care, First Hour | $1,194$659$2.4k | $1,746 | $4,989 |
| CT Abdomen and Pelvis with Contrast | $394$94$973 | $1,700 | $4,858 |
| CT Cardiac Calcium Scoring | $96$22$220 | $91 | $260 |
| CT Chest without Contrast | $176$94$529 | $666 | $1,903 |
| CT Head without Contrast | $147$90$648 | $493 | $1,409 |
| DEXA Bone Density Scan | $140$47$414 | $223 | $637 |
| Diabetes (with Complications) | $7,847$2.0k$12k | — | — |
| Diabetes (with Major Complications) | $12,271$2.0k$18k | — | — |
| Diabetes (without Complications) | $5,711$2.0k$8.4k | — | — |
| Diagnostic Colonoscopy | $1,447$536$2.9k | $596 | $1,703 |
| Diagnostic Mammogram (Both Breasts) | $165$110$447 | $243 | $695 |
| Digestive Disorders, E.g. Gastroenteritis (with Major Complications) | $10,893$2.0k$16k | — | — |
| Digestive Disorders, E.g. Gastroenteritis (without Major Complications) | $6,893$2.0k$10k | — | — |
| Echocardiogram (Complete with Doppler) | $787$427$1.8k | $821 | $2,345 |
| Emergency Room Visit (Level 3) | $408$180$641 | $517 | $1,478 |
| GI Hemorrhage (with Complications) | $8,539$2.0k$13k | — | — |
| GI Hemorrhage (with Major Complications) | $15,473$2.0k$23k | — | — |
| GI Hemorrhage (without Complications) | $5,899$2.0k$8.5k | — | — |
| Group Therapy Session | $115$19$183 | $84 | $240 |
| Heart Attack, Discharged Alive (with Complications) | $8,035$2.0k$12k | — | — |
| Heart Attack, Discharged Alive (with Major Complications) | $13,641$2.0k$20k | — | — |
| Heart Attack, Discharged Alive (without Complications) | $6,562$2.0k$9.6k | — | — |
| Heart Failure and Shock (with Complications) | $7,461$2.0k$11k | — | — |
| Heart Failure and Shock (with Major Complications) | $11,020$2.0k$17k | — | — |
| Heart Failure and Shock (without Complications) | $5,250$2.0k$7.7k | — | — |
| Hemoglobin A1c (Diabetes Test) | $11$4$113 | $39 | $112 |
| Hip and Femur Procedures (with Complications) | $18,360$2.0k$26k | — | — |
| Hip and Femur Procedures (with Major Complications) | $24,347$2.0k$39k | — | — |
| Hip and Femur Procedures (without Complications) | $14,415$2.0k$24k | — | — |
| Hip or Knee Replacement (with Major Complications) | $25,336$2.0k$38k | — | — |
| Hip or Knee Replacement (without Major Complications) | $16,951$2.0k$24k | — | — |
| Home Sleep Study | $247$176$684 | $237 | $678 |
| Individual Therapy Session (45 Minutes) | $199$34$320 | $151 | $432 |
| Initial Psychiatric Diagnostic Evaluation | $208$34$426 | $151 | $432 |
| Initial Psychiatric Evaluation with Medication Management | $203$34$426 | $184 | $525 |
| Inpatient Rehabilitation (with Complications) | $13,187$1.1k$20k | — | — |
| Inpatient Rehabilitation (without Complications) | $9,898$1.1k$15k | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $917$390$1.1k | $675 | $1,928 |
| IUD Insertion | $192$54$5.4k | $103 | $293 |
| IUD Removal | $334$58$5.4k | $469 | $1,339 |
| Kidney Failure (with Complications) | $7,680$2.0k$12k | — | — |
| Kidney Failure (with Major Complications) | $12,633$2.0k$19k | — | — |
| Kidney Failure (without Complications) | $5,537$2.0k$8.1k | — | — |
| Kidney or Urinary Tract Infection (with Major Complications) | $10,009$2.0k$15k | — | — |
| Kidney or Urinary Tract Infection (without Major Complications) | $7,138$2.0k$11k | — | — |
| Laparoscopic Gallbladder Removal (with Complications) | $14,931$2.0k$24k | — | — |
| Laparoscopic Gallbladder Removal (with Major Complications) | $20,452$2.0k$30k | — | — |
| Laparoscopic Gallbladder Removal (without Complications) | $12,158$2.0k$24k | — | — |
| Lipid Panel (Cholesterol Test) | $16$6$105 | $37 | $107 |
| Lumbar Puncture (Spinal Tap) | $782$388$1.3k | $1,092 | $3,119 |
| Lumpectomy (Partial Mastectomy) | $4,362$1.8k$7.1k | $2,860 | $8,172 |
| Major Bowel Procedure (with Complications) | $20,937$2.0k$30k | — | — |
| Major Bowel Procedure (with Major Complications) | $38,130$2.0k$57k | — | — |
| Major Bowel Procedure (without Complications) | $14,857$2.0k$24k | — | — |
| MRI Abdomen with and without Contrast | $550$222$1.6k | $1,776 | $5,074 |
| MRI Brain with and without Contrast | $530$222$1.6k | $1,554 | $4,440 |
| MRI Brain with Contrast | $466$222$1.6k | $668 | $1,909 |
| MRI Brain without Contrast | $384$189$855 | $1,184 | $3,383 |
| MRI Cervical Spine (Neck) without Contrast | $358$186$1.2k | $676 | $1,930 |
| MRI Knee without Contrast | $273$205$1.2k | $567 | $1,620 |
| MRI Lower Back (Lumbar Spine) without Contrast | $358$186$1.2k | $676 | $1,930 |
| MRI Thoracic Spine (Mid-back) without Contrast | $358$186$856 | $639 | $1,825 |
| Newborn Circumcision | $2,395$536$4.4k | $215 | $613 |
| Nuclear Cardiac Stress Test | $1,483$307$4.2k | $1,674 | $4,784 |
| Office Visit, Established Patient (Level 3) | $71$29$239 | $91 | $261 |
| Office Visit, New Patient (Level 3) | $95$29$157 | $128 | $366 |
| Pacemaker Insertion (Dual Chamber) | $11,460$1.4k$19k | $8,130 | $23,229 |
| Pneumonia and Pleurisy (with Complications) | $7,108$2.0k$11k | — | — |
| Pneumonia and Pleurisy (with Major Complications) | $11,270$2.0k$17k | — | — |
| Pneumonia and Pleurisy (without Complications) | $5,772$2.0k$8.5k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $180$35$414 | $278 | $794 |
| PSA Prostate Cancer Screening | $21$8$124 | $49 | $141 |
| Psychiatric Admission (Psychoses) | $4,864$1.2k$18k | — | — |
| Pulmonary Edema and Respiratory Failure | $10,623$2.0k$16k | — | — |
| Pulmonary Function Test with Bronchodilator | $413$134$1.2k | $434 | $1,239 |
| Screening Mammogram | $137$91$369 | $183 | $524 |
| Sepsis (with Major Complications) | $16,410$2.0k$25k | — | — |
| Sepsis (without Major Complications) | $8,888$2.0k$13k | — | — |
| Skin Biopsy (Tangential) | $446$235$732 | $266 | $761 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,589$536$3.0k | $1,038 | $2,966 |
| Sleep Study (In-lab Polysomnography) | $1,242$858$1.8k | $1,978 | $5,652 |
| Spinal Fusion, Except Cervical (without Major Complications) | $15,481$2.0k$29k | — | — |
| Spirometry (Breathing Test) | $237$20$1.2k | $148 | $424 |
| Stroke (with Complications) | $8,781$2.0k$13k | — | — |
| Stroke (with Major Complications) | $16,971$2.0k$25k | — | — |
| Stroke (without Complications) | $6,359$2.0k$9.2k | — | — |
| Syncope and Collapse | $7,646$2.0k$11k | — | — |
| TSH Thyroid Function Test | $20$8$84 | $39 | $111 |
| Upper GI Endoscopy (EGD) | $1,315$536$2.9k | $336 | $959 |
| Urinalysis with Microscopy | $4$1$31 | $11 | $31 |
| Uterine and Adnexa Surgery, Non-cancer (without Complications) | $11,093$2.0k$24k | — | — |
| Vaginal Delivery (with Complications) | $5,137 | — | — |
| Vaginal Delivery (without Complications) | $4,048 | — | — |
| Vasectomy | $2,395$536$4.4k | $305 | $872 |
| Vitamin D Blood Test | $34$14$133 | $119 | $340 |