| Abdominal Hysterectomy | $14,719$8.0k$50k | — | — |
| ACL Reconstruction (Arthroscopic) | $14,997$5.4k$26k | $12,140 | $23,804 |
| Allergy Skin Testing | $1,108$18$3.8k | $15 | $30 |
| Basic Metabolic Panel | $14$6$46 | $30 | $58 |
| Bone Marrow Biopsy | $2,664$1.2k$6.0k | $2,027 | $3,974 |
| Breast Biopsy (Ultrasound-guided) | $2,847$1.2k$8.5k | $2,166 | $4,247 |
| Bunion Correction Surgery | $7,514$2.5k$13k | $6,070 | $11,901 |
| Cardiac Ablation for Atrial Fibrillation | $39,947$19k$91k | $32,071 | $62,884 |
| Cardiac Catheterization (Left Heart) | $9,095$2.5k$29k | $7,524 | $14,753 |
| Cardiac Stress Test (Treadmill) | $83$2$323 | — | — |
| Carpal Tunnel Release Surgery | $3,697$1.5k$8.5k | $2,944 | $5,772 |
| Cataract Surgery with Lens Implant | $4,052$1.7k$20k | $2,952 | $5,789 |
| Cervical Spinal Fusion (Anterior) | $22,923$9.8k$47k | $18,191 | $35,668 |
| Cesarean Delivery (Global Package) | $2,811$3$11k | — | — |
| Chemotherapy Infusion (First Hour) | $880$253$1.2k | $706 | $1,385 |
| Chest X-ray (2 Views) | $271$67$361 | $230 | $451 |
| Colonoscopy with Biopsy | $2,889$899$8.5k | $2,105 | $4,127 |
| Complete Abdominal Ultrasound | $360$81$689 | $398 | $781 |
| Complete Blood Count (CBC) with Differential | $13$5$78 | $50 | $98 |
| Comprehensive Metabolic Panel | $18$7$56 | $36 | $70 |
| Coronary Angioplasty with Stent | $26,377$8.6k$42k | $20,071 | $39,354 |
| Critical Care, First Hour | $2,762$642$3.9k | $2,492 | $4,887 |
| CT Abdomen and Pelvis with Contrast | $1,253$272$3.0k | $1,885 | $3,696 |
| CT Cardiac Calcium Scoring | $96$67$657 | $66 | $130 |
| CT Chest without Contrast | $360$81$1.5k | $968 | $1,898 |
| CT Head without Contrast | $360$81$1.1k | $679 | $1,331 |
| DEXA Bone Density Scan | $322$81$429 | $273 | $536 |
| Diagnostic Colonoscopy | $2,510$695$8.5k | $1,907 | $3,740 |
| Diagnostic Mammogram (Both Breasts) | $195$127$971 | $284 | $557 |
| Ear Tube Placement (Tympanostomy) | $3,930$1.1k$13k | $2,888 | $5,663 |
| Echocardiogram (Complete with Doppler) | $627$255$2.1k | $770 | $1,510 |
| EKG (Electrocardiogram, 12-lead) | $22$16$226 | — | — |
| Emergency Room Visit (Level 3) | $927$211$1.6k | $812 | $1,592 |
| Group Therapy Session | $71$46$341 | $47 | $92 |
| Hemodialysis Treatment | $549$133$624 | — | — |
| Hemoglobin A1c (Diabetes Test) | $16$7$58 | $37 | $72 |
| HIV Antibody Test | $15$6$58 | $37 | $72 |
| Holter Monitor (24-48 Hour Heart Monitor) | $85$2$2.2k | — | — |
| Home Sleep Study | $519$119$708 | $451 | $885 |
| Individual Therapy Session (45 Minutes) | $123$80$593 | $82 | $160 |
| Inguinal Hernia Repair (Open) | $9,896$2.7k$15k | $7,880 | $15,451 |
| Initial Hospital Admission (Level 1) | $92$3$852 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $123$80$593 | $82 | $160 |
| Initial Psychiatric Evaluation with Medication Management | $175$106$593 | $90 | $177 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,878$441$3.0k | $1,941 | $3,806 |
| IUD Insertion | $484$415$4.5k | $353 | $692 |
| IUD Removal | $464$232$4.5k | $353 | $692 |
| Knee Arthroscopy with Meniscectomy | $5,459$2.5k$15k | $3,977 | $7,799 |
| Laparoscopic Appendectomy | $10,221$4.4k$22k | $7,778 | $15,250 |
| Laparoscopic Gallbladder Removal | $13,006$4.4k$22k | $9,896 | $19,404 |
| Laparoscopic Tubal Ligation | $13,827$4.4k$22k | $11,010 | $21,588 |
| Lipid Panel (Cholesterol Test) | $22$9$85 | $54 | $106 |
| Lumbar Epidural Steroid Injection | $1,668$528$4.5k | $1,269 | $2,489 |
| Lumbar Puncture (Spinal Tap) | $1,909$528$4.5k | $1,530 | $3,000 |
| Lumbar Spinal Fusion (Posterior) | $22,969$14k$68k | $18,264 | $35,812 |
| Lumpectomy (Partial Mastectomy) | $9,151$2.9k$14k | $7,287 | $14,288 |
| MRI Abdomen with and without Contrast | $1,253$272$3.0k | $1,903 | $3,731 |
| MRI Brain with and without Contrast | $1,253$272$2.3k | $1,476 | $2,895 |
| MRI Brain with Contrast | $1,253$272$1.8k | $1,167 | $2,288 |
| MRI Brain without Contrast | $809$184$1.6k | $989 | $1,940 |
| MRI Cervical Spine (Neck) without Contrast | $809$184$1.4k | $893 | $1,750 |
| MRI Knee without Contrast | $809$184$1.5k | $942 | $1,847 |
| MRI Lower Back (Lumbar Spine) without Contrast | $809$184$1.7k | $1,098 | $2,153 |
| MRI Thoracic Spine (Mid-back) without Contrast | $809$184$1.8k | $1,135 | $2,225 |
| Newborn Circumcision | $3,522$1.6k$7.6k | $2,804 | $5,499 |
| Nuclear Cardiac Stress Test | $3,588$995$4.8k | $2,880 | $5,648 |
| Office Visit, Established Patient (Level 3) | $99$85$114 | $72 | $142 |
| Office Visit, New Patient (Level 3) | $99$85$114 | $72 | $142 |
| Pacemaker Insertion (Dual Chamber) | $11,851$8.0k$39k | $8,634 | $16,930 |
| PET/CT Scan, Whole Body | $3,120$1.1k$5.4k | $2,484 | $4,871 |
| Pregnancy Ultrasound (Second or Third Trimester) | $360$81$775 | $439 | $861 |
| Prostate Biopsy | $3,578$1.6k$8.5k | $2,677 | $5,249 |
| PSA Prostate Cancer Screening | $31$13$93 | $59 | $116 |
| Pulmonary Function Test with Bronchodilator | $744$237$1.1k | $593 | $1,162 |
| Rotator Cuff Repair (Arthroscopic) | $11,943$5.4k$26k | $9,510 | $18,647 |
| Screening Mammogram | $289$103$805 | $239 | $470 |
| Septoplasty (Deviated Septum Repair) | $7,715$2.5k$15k | $5,621 | $11,022 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $11,022$5.3k$26k | $8,776 | $17,208 |
| Skin Biopsy (Tangential) | $330$152$4.5k | $251 | $493 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $3,196$1.2k$8.5k | $2,432 | $4,769 |
| Sleep Study (In-lab Polysomnography) | $2,597$776$4.0k | $1,991 | $3,904 |
| Spinal Cord Stimulator Trial | $11,247$3.6k$24k | $9,105 | $17,852 |
| Spirometry (Breathing Test) | $349$119$577 | $278 | $545 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $4,538$2.5k$20k | $3,306 | $6,483 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $8,193$4.5k$22k | $6,523 | $12,791 |
| Total Hip Replacement | $14,716$9.8k$47k | — | — |
| Total Knee Replacement | $22,969$9.8k$47k | $18,264 | $35,812 |
| Total Mastectomy | $13,226$5.0k$24k | $10,532 | $20,650 |
| TSH Thyroid Function Test | $28$12$110 | $70 | $138 |
| TURP (Transurethral Prostate Resection) | $10,606$3.9k$19k | $8,445 | $16,559 |
| Umbilical Hernia Repair | $9,396$8.5k$10k | — | — |
| Upper GI Endoscopy (EGD) | $2,180$715$4.5k | $1,736 | $3,403 |
| Urinalysis with Microscopy | $5$2$30 | $19 | $37 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,649$3$10k | — | — |
| Vaginal Delivery (Global Package) | $2,542$12$9.6k | — | — |
| Vaginal Hysterectomy | $11,028$3.8k$20k | $8,392 | $16,454 |
| Vasectomy | $3,578$1.6k$8.5k | $2,811 | $5,512 |
| Vitamin D Blood Test | $50$21$144 | $92 | $180 |