| Abdominal Hysterectomy | $1,185$778$2.7k | $2,760 | $2,760 |
| ACL Reconstruction (Arthroscopic) | $1,129$741$2.7k | $2,684 | $2,684 |
| Allergy Skin Testing | $1,478$3$1.8k | $1,835 | $1,835 |
| Basic Metabolic Panel | $170$8$220 | $207 | $207 |
| Bone Marrow Biopsy | $2,528$50$11k | $4,048 | $4,048 |
| Breast Biopsy (Ultrasound-guided) | $115$44$4.7k | $325 | $325 |
| Bunion Correction Surgery | $839$387$1.4k | $1,399 | $1,399 |
| Cardiac Ablation for Atrial Fibrillation | $27,505$722$48k | $41,256 | $41,256 |
| Cardiac Catheterization (Left Heart) | $3,362$526$23k | $16,732 | $16,732 |
| Carpal Tunnel Release Surgery | $501$329$1.1k | $1,141 | $1,141 |
| Cataract Surgery with Lens Implant | $595$390$1.6k | $8,643 | $8,643 |
| Cervical Spinal Fusion (Anterior) | $1,744$1.2k$5.0k | $5,085 | $5,085 |
| Cesarean Delivery (Global Package) | $2,702$2.1k$7.8k | $7,876 | $7,876 |
| Chemotherapy Infusion (First Hour) | $844$97$1.7k | $1,719 | $1,719 |
| Chest X-ray (2 Views) | $334$84$424 | $400 | $400 |
| Colonoscopy with Biopsy | $1,234$151$2.1k | $1,999 | $1,999 |
| Complete Abdominal Ultrasound | $424$56$1.6k | $1,418 | $1,418 |
| Complete Blood Count (CBC) with Differential | $155$7$200 | $189 | $189 |
| Comprehensive Metabolic Panel | $214$10$276 | $260 | $260 |
| Coronary Angioplasty with Stent | $12,148$451$26k | $19,720 | $19,720 |
| Critical Care, First Hour | $838$162$3.2k | $1,409 | $1,409 |
| CT Abdomen and Pelvis with Contrast | $5,950$159$7.6k | $7,116 | $7,116 |
| CT Cardiac Calcium Scoring | $206$51$536 | $504 | $504 |
| CT Chest without Contrast | $250$68$2.5k | $2,170 | $2,170 |
| CT Head without Contrast | $1,814$49$2.3k | $2,170 | $2,170 |
| DEXA Bone Density Scan | $602$20$752 | $714 | $714 |
| Diagnostic Colonoscopy | $1,057$138$1.8k | $1,711 | $1,711 |
| Diagnostic Mammogram (Both Breasts) | $326$80$522 | $496 | $496 |
| Ear Tube Placement (Tympanostomy) | $224$118$2.7k | $429 | $429 |
| Echocardiogram (Complete with Doppler) | $180$45$3.9k | $2,030 | $2,030 |
| EKG (Electrocardiogram, 12-lead) | $36$11$470 | $263 | $263 |
| Emergency Room Visit (Level 3) | $198$50$1.7k | $949 | $949 |
| Group Therapy Session | $31$19$229 | $231 | $231 |
| Hemodialysis Treatment | $115$76$301 | $304 | $304 |
| Hemoglobin A1c (Diabetes Test) | $127$9$183 | $171 | $171 |
| HIV Antibody Test | $22$8$81 | $83 | $83 |
| Holter Monitor (24-48 Hour Heart Monitor) | $79$49$221 | $223 | $223 |
| Home Sleep Study | $220$49$1.4k | $846 | $846 |
| Individual Therapy Session (45 Minutes) | $181$65$306 | $273 | $273 |
| Inguinal Hernia Repair (Open) | $618$406$1.4k | $17,151 | $17,151 |
| Initial Hospital Admission (Level 1) | $96$63$200 | $202 | $202 |
| Initial Psychiatric Diagnostic Evaluation | $190$97$467 | $372 | $372 |
| Initial Psychiatric Evaluation with Medication Management | $203$129$466 | $471 | $471 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $3,034$245$5.0k | $4,859 | $4,859 |
| IUD Insertion | $272$38$1.0k | $936 | $936 |
| IUD Removal | $311$51$805 | $720 | $720 |
| Knee Arthroscopy with Meniscectomy | $626$411$1.4k | $7,459 | $7,459 |
| Laparoscopic Appendectomy | $712$467$1.7k | $1,682 | $1,682 |
| Laparoscopic Gallbladder Removal | $783$514$1.8k | $19,625 | $19,625 |
| Laparoscopic Tubal Ligation | $644$282$1.8k | $1,770 | $1,770 |
| Lipid Panel (Cholesterol Test) | $178$12$229 | $216 | $216 |
| Lumbar Epidural Steroid Injection | $360$74$1.8k | $1,393 | $1,393 |
| Lumbar Puncture (Spinal Tap) | $818$30$8.2k | $1,879 | $1,879 |
| Lumbar Spinal Fusion (Posterior) | $1,602$1.1k$4.6k | $4,678 | $4,678 |
| Lumpectomy (Partial Mastectomy) | $778$510$1.8k | $1,818 | $1,818 |
| MRI Abdomen with and without Contrast | $5,702$190$7.5k | $7,043 | $7,043 |
| MRI Brain with and without Contrast | $6,140$169$7.8k | $7,343 | $7,343 |
| MRI Brain with Contrast | $3,565$148$4.6k | $4,374 | $4,374 |
| MRI Brain without Contrast | $3,428$100$4.5k | $4,212 | $4,212 |
| MRI Cervical Spine (Neck) without Contrast | $3,477$96$4.5k | $4,272 | $4,272 |
| MRI Knee without Contrast | $2,758$109$4.5k | $4,250 | $4,250 |
| MRI Lower Back (Lumbar Spine) without Contrast | $3,662$96$4.7k | $4,380 | $4,380 |
| MRI Thoracic Spine (Mid-back) without Contrast | $3,537$96$4.6k | $4,343 | $4,343 |
| Newborn Circumcision | $2,200$66$4.7k | $4,180 | $4,180 |
| Nuclear Cardiac Stress Test | $1,389$147$5.5k | $5,193 | $5,193 |
| Office Visit, Established Patient (Level 3) | $95$39$258 | $257 | $257 |
| Office Visit, New Patient (Level 3) | $118$58$331 | $289 | $289 |
| Pacemaker Insertion (Dual Chamber) | $10,678$393$22k | $13,305 | $13,305 |
| PET/CT Scan, Whole Body | $6,430$961$8.4k | $8,572 | $8,572 |
| Pregnancy Ultrasound (Second or Third Trimester) | $208$61$1.4k | $949 | $949 |
| Prostate Biopsy | $331$98$4.4k | $2,700 | $2,700 |
| PSA Prostate Cancer Screening | $190$17$239 | $234 | $234 |
| Pulmonary Function Test with Bronchodilator | $381$17$782 | $733 | $733 |
| Rotator Cuff Repair (Arthroscopic) | $1,238$812$2.8k | $2,873 | $2,873 |
| Screening Mammogram | $140$24$524 | $493 | $493 |
| Septoplasty (Deviated Septum Repair) | $740$486$1.6k | $1,627 | $1,627 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $155$37$12k | $155 | $155 |
| Skin Biopsy (Tangential) | $133$28$7.6k | $409 | $409 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $167$61$3.7k | $256 | $256 |
| Sleep Study (In-lab Polysomnography) | $327$184$10k | $5,331 | $5,331 |
| Spinal Cord Stimulator Trial | $1,171$312$1.3k | $1,195 | $1,195 |
| Spirometry (Breathing Test) | $232$17$373 | $366 | $366 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $347$229$1.1k | $1,129 | $1,129 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $332$220$2.7k | $12,238 | $12,238 |
| Total Hip Replacement | $1,496$982$3.7k | $3,718 | $3,718 |
| Total Knee Replacement | $1,494$981$3.7k | $3,718 | $3,718 |
| Total Mastectomy | $1,133$743$3.9k | $3,906 | $3,906 |
| TSH Thyroid Function Test | $170$15$220 | $207 | $207 |
| TURP (Transurethral Prostate Resection) | $717$508$2.3k | $2,313 | $2,313 |
| Upper GI Endoscopy (EGD) | $362$92$1.7k | $1,742 | $1,742 |
| Urinalysis with Microscopy | $110$3$142 | $134 | $134 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,819$2.0k$7.5k | $7,575 | $7,575 |
| Vaginal Delivery (Global Package) | $2,684$1.9k$7.0k | $7,100 | $7,100 |
| Vaginal Hysterectomy | $974$639$3.1k | $3,100 | $3,100 |
| Vasectomy | $470$172$6.0k | $1,364 | $1,364 |
| Vitamin D Blood Test | $102$27$131 | $124 | $124 |