| Abdominal Hysterectomy | $7,127$948$26k | — | — |
| ACL Reconstruction (Arthroscopic) | $4,125$2.4k$44k | — | — |
| Allergy Skin Testing | $3,463$36$4.9k | — | — |
| Basic Metabolic Panel | $13$5$1.1k | $1,067 | $1,067 |
| Bone Marrow Biopsy | $623$94$4.3k | — | — |
| Breast Biopsy (Ultrasound-guided) | $948$479$8.5k | — | — |
| Bunion Correction Surgery | $2,441$1.1k$12k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $50,222$5.6k$125k | $112,525 | $112,525 |
| Cardiac Arrhythmia (with Complications) | $8,236$455$22k | — | — |
| Cardiac Arrhythmia (with Major Complications) | $11,802$455$36k | — | — |
| Cardiac Arrhythmia (without Complications) | $7,035$455$17k | — | — |
| Cardiac Catheterization (Left Heart) | $22,360$2.8k$50k | $46,209 | $46,209 |
| Cardiac Stress Test (Treadmill) | $353$171$498 | — | — |
| Carpal Tunnel Release Surgery | $2,369$650$8.9k | — | — |
| Cataract Surgery with Lens Implant | $1,529$837$17k | — | — |
| Cellulitis (with Major Complications) | $13,493$455$43k | — | — |
| Cellulitis (without Major Complications) | $9,211$455$26k | — | — |
| Cervical Spinal Fusion (Anterior) | $7,764$2.4k$60k | — | — |
| Cesarean Delivery (Global Package) | $3,682$948$50k | — | — |
| Cesarean Section (with Complications) | $5,136$2.4k$7.9k | — | — |
| Cesarean Section (without Complications) | $5,136$2.4k$7.9k | — | — |
| Chemotherapy Infusion (First Hour) | $749$117$1.7k | $1,676 | $1,676 |
| Chest Pain | $8,195$455$22k | — | — |
| Chest X-ray (2 Views) | $101$33$967 | $967 | $967 |
| Colonoscopy with Biopsy | $1,078$423$5.0k | — | — |
| Complete Abdominal Ultrasound | $300$103$2.1k | $2,145 | $2,145 |
| Complete Blood Count (CBC) with Differential | $8$5$86 | — | — |
| Comprehensive Metabolic Panel | $24$6$2.0k | $1,159 | $1,159 |
| COPD (with Complications) | $8,994$455$25k | — | — |
| COPD (with Major Complications) | $11,053$455$33k | — | — |
| COPD (without Complications) | $7,500$455$19k | — | — |
| Coronary Angioplasty with Stent | $18,349$3.9k$46k | $33,957 | $33,957 |
| Coronary Stent (Drug-eluting, without Major Complications) | $36,701$30k$40k | — | — |
| Critical Care, First Hour | $4,051$770$9.8k | $5,706 | $5,706 |
| CT Abdomen and Pelvis with Contrast | $828$307$10k | $10,325 | $10,325 |
| CT Cardiac Calcium Scoring | $104$20$1.0k | $286 | $286 |
| CT Chest without Contrast | $428$103$4.3k | $4,260 | $4,260 |
| CT Head without Contrast | $393$103$3.8k | $3,790 | $3,790 |
| DEXA Bone Density Scan | $121$39$1.2k | $1,160 | $1,160 |
| Diabetes (with Complications) | $9,408$455$27k | — | — |
| Diabetes (with Major Complications) | $13,613$455$43k | — | — |
| Diabetes (without Complications) | $7,476$455$19k | — | — |
| Diagnostic Colonoscopy | $948$324$5.0k | — | — |
| Diagnostic Mammogram (Both Breasts) | $127$109$514 | — | — |
| Digestive Disorders, E.g. Gastroenteritis (with Major Complications) | $12,303$455$38k | — | — |
| Digestive Disorders, E.g. Gastroenteritis (without Major Complications) | $8,500$455$23k | — | — |
| Ear Tube Placement (Tympanostomy) | $1,257$414$9.3k | — | — |
| Echocardiogram (Complete with Doppler) | $2,094$320$7.1k | $7,097 | $7,097 |
| EKG (Electrocardiogram, 12-lead) | $31$12$118 | — | — |
| Emergency Room Visit (Level 3) | $1,010$51$3.0k | $2,138 | $2,138 |
| GI Hemorrhage (with Complications) | $10,065$455$29k | — | — |
| GI Hemorrhage (with Major Complications) | $16,658$455$55k | — | — |
| GI Hemorrhage (without Complications) | $7,500$455$19k | — | — |
| Group Therapy Session | $10 | — | — |
| Heart Attack, Discharged Alive (with Complications) | $9,860$455$36k | — | — |
| Heart Attack, Discharged Alive (with Major Complications) | $15,342$455$48k | — | — |
| Heart Attack, Discharged Alive (without Complications) | $8,291$455$36k | — | — |
| Heart Failure and Shock (with Complications) | $9,299$455$26k | — | — |
| Heart Failure and Shock (with Major Complications) | $12,542$455$39k | — | — |
| Heart Failure and Shock (without Complications) | $7,034$455$18k | — | — |
| Hemodialysis Treatment | $412$84$739 | — | — |
| Hemoglobin A1c (Diabetes Test) | $15$6$760 | $760 | $760 |
| Hip and Femur Procedures (with Complications) | $19,266$455$96k | — | — |
| Hip and Femur Procedures (with Major Complications) | $25,572$455$134k | — | — |
| Hip and Femur Procedures (without Complications) | $15,557$455$75k | — | — |
| Hip or Knee Replacement (with Major Complications) | $27,193$455$139k | — | — |
| Hip or Knee Replacement (without Major Complications) | $18,439$455$89k | — | — |
| HIV Antibody Test | $13$5$1.3k | $1,260 | $1,260 |
| Holter Monitor (24-48 Hour Heart Monitor) | $441$58$630 | — | — |
| Home Sleep Study | $342$111$3.1k | — | — |
| Individual Therapy Session (45 Minutes) | $24 | — | — |
| Inguinal Hernia Repair (Open) | $2,441$1.1k$12k | — | — |
| Initial Hospital Admission (Level 1) | $502$243$717 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $56 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $56 | — | — |
| Inpatient Rehabilitation (with Complications) | $13,863$455$31k | — | — |
| Inpatient Rehabilitation (without Complications) | $10,871$455$24k | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $4,844$3.5k$5.3k | — | — |
| IUD Insertion | $1,481$42$4.3k | — | — |
| IUD Removal | $259$50$4.3k | — | — |
| Kidney Failure (with Complications) | $9,249$455$26k | — | — |
| Kidney Failure (with Major Complications) | $13,958$455$45k | — | — |
| Kidney Failure (without Complications) | $7,333$455$18k | — | — |
| Kidney or Urinary Tract Infection (with Major Complications) | $11,462$455$35k | — | — |
| Kidney or Urinary Tract Infection (without Major Complications) | $8,733$455$24k | — | — |
| Knee Arthroscopy with Meniscectomy | $2,369$1.1k$19k | — | — |
| Laparoscopic Appendectomy | $8,778$2.4k$22k | — | — |
| Laparoscopic Gallbladder Removal | $2,369$1.9k$22k | — | — |
| Laparoscopic Gallbladder Removal (with Complications) | $15,671$455$51k | — | — |
| Laparoscopic Gallbladder Removal (with Major Complications) | $21,002$455$72k | — | — |
| Laparoscopic Gallbladder Removal (without Complications) | $13,079$455$41k | — | — |
| Laparoscopic Tubal Ligation | $2,369$1.9k$22k | — | — |
| Lipid Panel (Cholesterol Test) | $20$8$1.7k | $1,735 | $1,735 |
| Lumbar Epidural Steroid Injection | $948$259$4.3k | — | — |
| Lumbar Puncture (Spinal Tap) | $948$259$4.3k | — | — |
| Lumbar Spinal Fusion (Posterior) | $7,897$2.4k$106k | — | — |
| Lumpectomy (Partial Mastectomy) | $2,369$949$9.3k | — | — |
| Major Bowel Procedure (with Complications) | $21,086$455$72k | — | — |
| Major Bowel Procedure (with Major Complications) | $38,316$455$138k | — | — |
| Major Bowel Procedure (without Complications) | $15,603$455$51k | — | — |
| MRI Abdomen with and without Contrast | $937$343$8.4k | $8,374 | $8,374 |
| MRI Brain with and without Contrast | $937$323$8.7k | $8,747 | $8,747 |
| MRI Brain with Contrast | $880$274$7.4k | $7,439 | $7,439 |
| MRI Brain without Contrast | $696$199$6.6k | $6,583 | $6,583 |
| MRI Cervical Spine (Neck) without Contrast | $683$194$6.3k | $6,306 | $6,306 |
| MRI Knee without Contrast | $1,902$206$11k | $5,433 | $5,433 |
| MRI Lower Back (Lumbar Spine) without Contrast | $683$194$6.9k | $6,872 | $6,872 |
| MRI Thoracic Spine (Mid-back) without Contrast | $684$193$7.1k | $7,071 | $7,071 |
| Newborn Circumcision | $1,472$643$8.9k | — | — |
| Nuclear Cardiac Stress Test | $1,148$431$8.2k | $8,198 | $8,198 |
| Office Visit, Established Patient (Level 3) | $314$51$861 | $768 | $768 |
| Office Visit, New Patient (Level 3) | $345$54$861 | $814 | $814 |
| Pacemaker Insertion (Dual Chamber) | $10,229$2.4k$86k | $21,584 | $21,584 |
| PET/CT Scan, Whole Body | $1,668$1.5k$5.9k | — | — |
| Pneumonia and Pleurisy (with Complications) | $8,705$455$24k | — | — |
| Pneumonia and Pleurisy (with Major Complications) | $12,661$455$40k | — | — |
| Pneumonia and Pleurisy (without Complications) | $7,534$455$19k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $307$103$2.2k | $2,195 | $2,195 |
| Prostate Biopsy | $731$643$4.9k | — | — |
| PSA Prostate Cancer Screening | $28$11$557 | $557 | $557 |
| Psychiatric Admission (Psychoses) | $12,922$455$42k | — | — |
| Pulmonary Edema and Respiratory Failure | $12,047$455$37k | — | — |
| Pulmonary Function Test with Bronchodilator | $759$111$2.6k | $2,573 | $2,573 |
| Rotator Cuff Repair (Arthroscopic) | $2,998$2.4k$22k | — | — |
| Screening Mammogram | $104$90$425 | — | — |
| Sepsis (with Major Complications) | $17,047$455$58k | — | — |
| Sepsis (without Major Complications) | $10,099$455$31k | — | — |
| Septoplasty (Deviated Septum Repair) | $2,441$873$11k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $2,441$1.6k$13k | — | — |
| Skin Biopsy (Tangential) | $328$63$6.6k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $495$73$4.3k | — | — |
| Sleep Study (In-lab Polysomnography) | $3,164$759$11k | $10,843 | $10,843 |
| Spinal Cord Stimulator Trial | $4,095$948$78k | — | — |
| Spinal Fusion, Except Cervical (without Major Complications) | $65,852$31k$80k | — | — |
| Spirometry (Breathing Test) | $246$39$740 | $554 | $554 |
| Stroke (with Complications) | $10,295$455$30k | — | — |
| Stroke (with Major Complications) | $18,081$455$60k | — | — |
| Stroke (without Complications) | $7,819$455$21k | — | — |
| Syncope and Collapse | $9,216$455$26k | — | — |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $1,552$873$12k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $2,394$948$12k | — | — |
| Total Hip Replacement | $16,121$948$70k | — | — |
| Total Knee Replacement | $16,121$948$70k | — | — |
| Total Mastectomy | $2,369$1.8k$13k | — | — |
| TSH Thyroid Function Test | $25$10$1.9k | $1,851 | $1,851 |
| TURP (Transurethral Prostate Resection) | $2,369$1.7k$18k | — | — |
| Umbilical Hernia Repair | $6,776$5.3k$11k | — | — |
| Upper GI Endoscopy (EGD) | $948$330$5.0k | — | — |
| Urinalysis with Microscopy | $5$2$702 | $702 | $702 |
| Uterine and Adnexa Surgery, Non-cancer (without Complications) | $12,146$455$37k | — | — |
| Vaginal Birth After Cesarean (VBAC) Global Package | $3,682$948$47k | — | — |
| Vaginal Delivery (Global Package) | $3,682$948$45k | — | — |
| Vaginal Delivery (with Complications) | $3,864$2.4k$5.3k | — | — |
| Vaginal Delivery (without Complications) | $3,864$2.4k$5.3k | — | — |
| Vaginal Hysterectomy | $2,369$1.5k$12k | — | — |
| Vasectomy | $1,472$643$8.9k | — | — |
| Vitamin D Blood Test | $44$18$712 | $712 | $712 |