| Abdominal Hysterectomy | $6,743$1.5k$14k | $1,676 | $2,793 |
| ACL Reconstruction (Arthroscopic) | $7,795$1.8k$14k | $1,937 | $3,229 |
| Allergy Skin Testing | $7,584$4.0k$8.4k | — | — |
| Basic Metabolic Panel | $120$21$8.4k | $198 | $331 |
| Bone Marrow Biopsy | $3,590$1.7k$8.4k | — | — |
| Breast Biopsy (Ultrasound-guided) | $3,888$502$8.4k | $547 | $912 |
| Bunion Correction Surgery | $5,449$1.2k$8.4k | $1,294 | $2,156 |
| Cardiac Ablation for Atrial Fibrillation | $8,928$4.0k$23k | — | — |
| Cardiac Catheterization (Left Heart) | $8,748$4.0k$15k | — | — |
| Cardiac Stress Test (Treadmill) | $7,584$4.0k$8.4k | — | — |
| Carpal Tunnel Release Surgery | $4,680$843$8.4k | $920 | $1,533 |
| Cataract Surgery with Lens Implant | $5,665$1.5k$9.4k | $1,676 | $2,793 |
| Cervical Spinal Fusion (Anterior) | $7,795$3.0k$14k | $3,236 | $5,393 |
| Cesarean Delivery (Global Package) | $6,720$4.0k$8.4k | — | — |
| Chemotherapy Infusion (First Hour) | $7,584$4.0k$8.4k | — | — |
| Chest X-ray (2 Views) | $308$153$8.4k | $228 | $380 |
| Colonoscopy with Biopsy | $3,833$843$8.4k | $920 | $1,533 |
| Complete Abdominal Ultrasound | $1,055$398$8.4k | $658 | $1,097 |
| Complete Blood Count (CBC) with Differential | $107$19$8.4k | $139 | $232 |
| Comprehensive Metabolic Panel | $177$26$8.4k | $289 | $481 |
| Coronary Angioplasty with Stent | $8,982$4.0k$19k | — | — |
| Critical Care, First Hour | $7,320$3.8k$8.4k | $2,614 | $4,357 |
| CT Abdomen and Pelvis with Contrast | $5,646$2.8k$8.4k | $3,606 | $6,010 |
| CT Cardiac Calcium Scoring | $1,222$74$8.4k | $1,466 | $2,443 |
| CT Chest without Contrast | $2,583$1.2k$8.4k | $1,527 | $2,545 |
| CT Head without Contrast | $2,393$1.2k$8.4k | $1,510 | $2,517 |
| DEXA Bone Density Scan | $598$298$8.4k | — | — |
| Diagnostic Colonoscopy | $3,833$843$8.4k | $920 | $1,533 |
| Diagnostic Mammogram (Both Breasts) | $440$134$8.4k | — | — |
| Ear Tube Placement (Tympanostomy) | $5,563$843$8.4k | $920 | $1,533 |
| Echocardiogram (Complete with Doppler) | $7,584$4.0k$8.4k | — | — |
| EKG (Electrocardiogram, 12-lead) | $7,584$4.0k$8.4k | — | — |
| Emergency Room Visit (Level 3) | $2,509$917$8.4k | $1,064 | $1,773 |
| Group Therapy Session | $7,584$4.0k$8.4k | — | — |
| Hemodialysis Treatment | $7,584$4.0k$8.4k | — | — |
| Hemoglobin A1c (Diabetes Test) | $128$24$8.4k | $119 | $198 |
| HIV Antibody Test | $131$22$8.4k | $31 | $52 |
| Holter Monitor (24-48 Hour Heart Monitor) | $7,584$4.0k$8.4k | — | — |
| Home Sleep Study | $7,584$4.0k$8.4k | — | — |
| Individual Therapy Session (45 Minutes) | $7,584$4.0k$8.4k | — | — |
| Inguinal Hernia Repair (Open) | $5,549$1.2k$8.4k | $1,294 | $2,156 |
| Initial Hospital Admission (Level 1) | $7,584$4.0k$8.4k | — | — |
| Initial Psychiatric Diagnostic Evaluation | $7,584$4.0k$8.4k | — | — |
| Initial Psychiatric Evaluation with Medication Management | $7,584$4.0k$8.4k | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $2,433$1.2k$8.4k | — | — |
| IUD Insertion | $3,182$109$8.4k | $269 | $449 |
| IUD Removal | $3,986$247$8.4k | $269 | $449 |
| Knee Arthroscopy with Meniscectomy | $5,549$1.5k$8.4k | $1,676 | $2,793 |
| Laparoscopic Appendectomy | $7,795$1.5k$14k | $1,676 | $2,793 |
| Laparoscopic Gallbladder Removal | $8,239$1.8k$14k | $1,937 | $3,229 |
| Laparoscopic Tubal Ligation | $7,795$1.5k$14k | $1,676 | $2,793 |
| Lipid Panel (Cholesterol Test) | $166$33$8.4k | $140 | $234 |
| Lumbar Epidural Steroid Injection | $3,590$502$8.4k | $547 | $912 |
| Lumbar Puncture (Spinal Tap) | $3,270$487$8.4k | $547 | $912 |
| Lumbar Spinal Fusion (Posterior) | $7,795$3.0k$14k | $3,236 | $5,393 |
| Lumpectomy (Partial Mastectomy) | $4,082$1.2k$8.4k | $1,294 | $2,156 |
| MRI Abdomen with and without Contrast | $4,088$2.1k$8.4k | $2,697 | $4,495 |
| MRI Brain with and without Contrast | $4,379$2.1k$8.4k | $2,731 | $4,552 |
| MRI Brain with Contrast | $3,781$1.8k$8.4k | $2,263 | $3,772 |
| MRI Brain without Contrast | $3,267$1.5k$8.4k | $1,931 | $3,219 |
| MRI Cervical Spine (Neck) without Contrast | $3,326$1.5k$8.4k | $1,966 | $3,277 |
| MRI Knee without Contrast | $3,674$1.7k$8.4k | $3,256 | $5,427 |
| MRI Lower Back (Lumbar Spine) without Contrast | $3,214$1.5k$8.4k | $1,900 | $3,166 |
| MRI Thoracic Spine (Mid-back) without Contrast | $2,986$1.4k$8.4k | $1,816 | $3,026 |
| Newborn Circumcision | $3,866$1.9k$8.4k | — | — |
| Nuclear Cardiac Stress Test | $4,758$2.3k$8.4k | — | — |
| Office Visit, Established Patient (Level 3) | $7,584$4.0k$8.4k | — | — |
| Office Visit, New Patient (Level 3) | $1,946$917$8.4k | — | — |
| Pacemaker Insertion (Dual Chamber) | $9,246$4.0k$23k | — | — |
| PET/CT Scan, Whole Body | $4,455$2.2k$8.4k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $493$259$8.4k | $466 | $776 |
| Prostate Biopsy | $3,690$843$8.4k | $920 | $1,533 |
| PSA Prostate Cancer Screening | $162$46$8.4k | $31 | $52 |
| Pulmonary Function Test with Bronchodilator | $7,584$4.0k$8.4k | — | — |
| Rotator Cuff Repair (Arthroscopic) | $7,795$1.8k$14k | $1,937 | $3,229 |
| Screening Mammogram | $365$109$8.4k | — | — |
| Septoplasty (Deviated Septum Repair) | $6,030$1.2k$10k | $1,294 | $2,156 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,188$843$9.5k | $920 | $1,533 |
| Skin Biopsy (Tangential) | $6,752$109$14k | $642 | $1,070 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $4,278$502$8.4k | $547 | $912 |
| Sleep Study (In-lab Polysomnography) | $7,584$4.0k$8.4k | — | — |
| Spinal Cord Stimulator Trial | $7,473$3.0k$10k | $3,236 | $5,393 |
| Spirometry (Breathing Test) | $7,584$4.0k$8.4k | $267 | $445 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $5,665$843$8.4k | $920 | $1,533 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $3,988$843$8.4k | $920 | $1,533 |
| Total Hip Replacement | $8,705$4.0k$19k | $5,377 | $8,961 |
| Total Knee Replacement | $9,166$4.0k$23k | $25,018 | $41,696 |
| Total Mastectomy | $6,583$1.5k$14k | $1,676 | $2,793 |
| TSH Thyroid Function Test | $174$42$8.4k | $120 | $201 |
| TURP (Transurethral Prostate Resection) | $5,856$1.2k$8.4k | $1,294 | $2,156 |
| Umbilical Hernia Repair | $6,615$3.3k$8.4k | — | — |
| Upper GI Endoscopy (EGD) | $3,658$843$8.4k | $920 | $1,533 |
| Urinalysis with Microscopy | $85$8$8.4k | $22 | $37 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $6,720$4.0k$8.4k | — | — |
| Vaginal Delivery (Global Package) | $6,800$3.6k$8.4k | — | — |
| Vaginal Hysterectomy | $5,718$1.5k$10k | $1,676 | $2,793 |
| Vasectomy | $4,680$843$8.4k | $920 | $1,533 |
| Vitamin D Blood Test | $206$74$8.4k | $61 | $101 |