| Abdominal Hysterectomy | $12,659$7.8k$18k2 plans | — | — |
| ACL Reconstruction (Arthroscopic) | $17,271$5.3k$21k4 plansshared rate · 5 | — | — |
| Allergy Skin Testing | $730$626$8342 plansshared rate · 2 | — | — |
| Basic Metabolic Panel | $11$6$1145 plans | $189 | $343 |
| Bone Marrow Biopsy | $2,783$1.2k$5.7k4 plansshared rate · 4 | $1,703 | $3,097 |
| Breast Biopsy (Ultrasound-guided) | $3,367$1.2k$5.7k4 plansshared rate · 5 | $1,465 | $2,663 |
| Bunion Correction Surgery | $8,248$2.4k$13k4 plansshared rate · 6 | — | — |
| Cardiac Ablation for Atrial Fibrillation | $22,215$14k$42k4 plans | — | — |
| Cardiac Arrhythmia (with Complications) Inpatient | $12,831$4.7k$23k6 plans | — | — |
| Cardiac Arrhythmia (with Major Complications) Inpatient | $20,999$7.3k$37k6 plans | — | — |
| Cardiac Arrhythmia (without Complications) Inpatient | $9,873$3.7k$18k6 plans | — | — |
| Cardiac Catheterization (Left Heart) | $13,059$2.4k$16k4 plansshared rate · 4 | — | — |
| Carpal Tunnel Release Surgery | $5,680$1.4k$7.3k4 plansshared rate · 6 | — | — |
| Cataract Surgery with Lens Implant | $5,680$1.7k$7.3k4 plansshared rate · 6 | — | — |
| Cellulitis (with Major Complications) Inpatient | $24,789$8.5k$44k6 plans | — | — |
| Cellulitis (without Major Complications) Inpatient | $15,189$5.4k$27k6 plans | — | — |
| Cervical Spinal Fusion (Anterior) | $17,271$9.4k$19k4 plansshared rate · 5 | — | — |
| Cesarean Delivery (Global Package) | $13,059$11k$13k1 planshared rate · 4 | — | — |
| Chemotherapy Infusion (First Hour) | $281$241$3212 plans | $499 | $908 |
| Chest Pain Inpatient | $12,558$4.6k$22k6 plans | — | — |
| Chest X-ray (2 Views) | $210$63$2263 plans | $346 | $629 |
| Colonoscopy with Biopsy | $3,367$872$5.7k4 plansshared rate · 5 | — | — |
| Complete Abdominal Ultrasound | $894$76$9593 plans | $895 | $1,628 |
| Complete Blood Count (CBC) with Differential | $10$6$1055 plans | $155 | $281 |
| Comprehensive Metabolic Panel | $13$8$1425 plans | $228 | $415 |
| COPD (with Complications) Inpatient | $14,703$5.3k$26k6 plans | — | — |
| COPD (with Major Complications) Inpatient | $19,319$6.8k$34k6 plans | — | — |
| COPD (without Complications) Inpatient | $11,197$4.1k$20k6 plans | — | — |
| Coronary Angioplasty with Stent | $17,271$8.4k$19k4 plansshared rate · 5 | — | — |
| Critical Care, First Hour | $702$602$8022 plans | $2,114 | $3,844 |
| CT Abdomen and Pelvis with Contrast | $2,368$254$2.5k3 plans | $2,884 | $5,243 |
| CT Cardiac Calcium Scoring | $770$63$8263 plans | — | — |
| CT Chest without Contrast | $1,387$76$1.5k3 plans | $1,260 | $2,291 |
| CT Head without Contrast | $786$76$8433 plans | $1,390 | $2,528 |
| DEXA Bone Density Scan | $334$76$3593 plans | $336 | $610 |
| Diabetes (with Complications) Inpatient | $15,631$5.6k$28k6 plans | — | — |
| Diabetes (with Major Complications) Inpatient | $25,057$8.6k$45k6 plans | — | — |
| Diabetes (without Complications) Inpatient | $10,834$4.0k$19k6 plans | — | — |
| Diagnostic Colonoscopy | $3,367$677$4.5k4 plansshared rate · 5 | — | — |
| Diagnostic Mammogram (Both Breasts) | $1,307$79$1.4k3 plans | $254 | $462 |
| Digestive Disorders, E.g. Gastroenteritis (with Major Complications) Inpatient | $22,120$7.7k$39k6 plans | — | — |
| Digestive Disorders, E.g. Gastroenteritis (without Major Complications) Inpatient | $13,597$4.9k$24k6 plans | — | — |
| Ear Tube Placement (Tympanostomy) | $3,367$1.1k$5.7k4 plansshared rate · 5 | — | — |
| Echocardiogram (Complete with Doppler) | $464$398$5312 plans | $1,404 | $2,553 |
| Emergency Room Visit (Level 3) | $232$199$2652 plans | $499 | $907 |
| GI Hemorrhage (with Complications) Inpatient | $17,104$6.0k$30k6 plans | — | — |
| GI Hemorrhage (with Major Complications) Inpatient | $31,882$11k$57k6 plans | — | — |
| GI Hemorrhage (without Complications) Inpatient | $10,995$4.1k$20k6 plans | — | — |
| Heart Attack, Discharged Alive (with Complications) Inpatient | $16,030$5.7k$28k6 plans | — | — |
| Heart Attack, Discharged Alive (with Major Complications) Inpatient | $27,977$9.5k$50k6 plans | — | — |
| Heart Attack, Discharged Alive (without Complications) Inpatient | $12,612$4.6k$22k6 plans | — | — |
| Heart Failure and Shock (with Complications) Inpatient | $14,807$5.3k$26k6 plans | — | — |
| Heart Failure and Shock (with Major Complications) Inpatient | $22,391$7.7k$40k6 plans | — | — |
| Heart Failure and Shock (without Complications) Inpatient | $9,872$3.7k$18k6 plans | — | — |
| Hemoglobin A1c (Diabetes Test) | $12$7$1315 plans | $82 | $149 |
| Hip and Femur Procedures (with Complications) Inpatient | $36,530$12k$65k6 plans | — | — |
| Hip and Femur Procedures (with Major Complications) Inpatient | $50,793$17k$90k6 plans | — | — |
| Hip and Femur Procedures (without Complications) Inpatient | $28,446$9.7k$51k6 plans | — | — |
| Hip or Knee Replacement (with Major Complications) Inpatient | $52,902$18k$94k6 plans | — | — |
| Hip or Knee Replacement (without Major Complications) Inpatient | $33,642$11k$60k6 plans | — | — |
| HIV Antibody Test | $11$7$1205 plans | $141 | $257 |
| Home Sleep Study | $184$157$2102 plansshared rate · 2 | $697 | $1,268 |
| Inguinal Hernia Repair (Open) | $8,248$2.6k$13k4 plansshared rate · 6 | — | — |
| Inpatient Rehabilitation (with Complications) Inpatient | $27,009$9.2k$48k6 plans | — | — |
| Inpatient Rehabilitation (without Complications) Inpatient | $20,001$7.0k$36k6 plans | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $4,010$3.7k$4.0k1 plan | $1,806 | $3,284 |
| IUD Insertion | $3,119$1.7k$4.5k2 plans | — | — |
| IUD Removal | $1,775$222$4.5k4 plansshared rate · 2 | — | — |
| Kidney Failure (with Complications) Inpatient | $15,275$5.5k$27k6 plans | — | — |
| Kidney Failure (with Major Complications) Inpatient | $25,830$8.9k$46k6 plans | — | — |
| Kidney Failure (without Complications) Inpatient | $10,470$3.9k$19k6 plans | — | — |
| Kidney or Urinary Tract Infection (with Major Complications) Inpatient | $20,237$7.1k$36k6 plans | — | — |
| Kidney or Urinary Tract Infection (without Major Complications) Inpatient | $14,118$5.1k$25k6 plans | — | — |
| Knee Arthroscopy with Meniscectomy | $8,248$2.4k$13k4 plansshared rate · 6 | — | — |
| Laparoscopic Appendectomy | $16,725$4.4k$18k4 plansshared rate · 3 | — | — |
| Laparoscopic Gallbladder Removal | $16,725$4.4k$18k4 plansshared rate · 3 | — | — |
| Laparoscopic Gallbladder Removal (with Complications) Inpatient | $29,503$10k$52k6 plans | — | — |
| Laparoscopic Gallbladder Removal (with Major Complications) Inpatient | $41,621$14k$74k6 plans | — | — |
| Laparoscopic Gallbladder Removal (without Complications) Inpatient | $23,821$8.2k$42k6 plans | — | — |
| Laparoscopic Tubal Ligation | $16,725$4.4k$18k4 plansshared rate · 3 | — | — |
| Lipid Panel (Cholesterol Test) | $17$10$1805 plans | $41 | $74 |
| Lumbar Epidural Steroid Injection | $2,783$514$4.5k4 plansshared rate · 4 | $2,021 | $3,674 |
| Lumbar Puncture (Spinal Tap) | $2,783$514$4.5k4 plansshared rate · 4 | $785 | $1,428 |
| Lumbar Spinal Fusion (Posterior) | $17,453$13k$19k4 plans | — | — |
| Lumpectomy (Partial Mastectomy) | $7,081$2.9k$13k4 plansshared rate · 2 | — | — |
| Major Bowel Procedure (with Complications) Inpatient | $41,810$14k$74k6 plans | — | — |
| Major Bowel Procedure (with Major Complications) Inpatient | $80,168$26k$142k6 plans | — | — |
| Major Bowel Procedure (without Complications) Inpatient | $29,351$10.0k$52k6 plans | — | — |
| MRI Abdomen with and without Contrast | $4,237$254$4.5k3 plans | $2,449 | $4,452 |
| MRI Brain with and without Contrast | $2,825$254$3.0k3 plans | $2,449 | $4,452 |
| MRI Brain with Contrast | $2,478$254$2.7k3 plans | $2,415 | $4,391 |
| MRI Brain without Contrast | $1,681$174$1.8k3 plans | $2,288 | $4,160 |
| MRI Cervical Spine (Neck) without Contrast | $1,604$174$1.7k3 plans | $2,318 | $4,215 |
| MRI Knee without Contrast | $1,810$174$1.9k3 plans | $2,318 | $4,215 |
| MRI Lower Back (Lumbar Spine) without Contrast | $1,592$174$1.7k3 plans | $2,318 | $4,215 |
| MRI Thoracic Spine (Mid-back) without Contrast | $1,607$174$1.7k3 plans | $2,318 | $4,215 |
| Newborn Circumcision | $5,680$1.5k$7.3k4 plansshared rate · 6 | $367 | $668 |
| Nuclear Cardiac Stress Test | $4,428$943$4.8k3 plans | $2,439 | $4,434 |
| Office Visit, Established Patient (Level 3) | — | $93 | $169 |
| Pacemaker Insertion (Dual Chamber) | $19,316$7.6k$42k4 plansshared rate · 2 | — | — |
| PET/CT Scan, Whole Body | $9,003$1.0k$9.7k3 plans | $3,321 | $6,038 |
| Pneumonia and Pleurisy (with Complications) Inpatient | $14,056$5.1k$25k6 plans | — | — |
| Pneumonia and Pleurisy (with Major Complications) Inpatient | $22,924$7.9k$41k6 plans | — | — |
| Pneumonia and Pleurisy (without Complications) Inpatient | $10,962$4.1k$19k6 plans | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $994$76$1.1k3 plans | $1,023 | $1,860 |
| Prostate Biopsy | $4,176$3.2k$5.7k2 plans | $2,126 | $3,865 |
| PSA Prostate Cancer Screening | $23$14$2485 plans | $15 | $27 |
| Psychiatric Admission (Psychoses) Inpatient | $24,362$8.4k$43k6 plans | — | — |
| Pulmonary Edema and Respiratory Failure Inpatient | $21,547$7.5k$38k6 plans | — | — |
| Pulmonary Function Test with Bronchodilator | — | $216 | $392 |
| Rotator Cuff Repair (Arthroscopic) | $17,271$5.3k$21k4 plansshared rate · 5 | — | — |
| Screening Mammogram | $1,080$65$1.2k3 plans | $74 | $135 |
| Sepsis (with Major Complications) Inpatient | $33,879$11k$60k6 plans | — | — |
| Sepsis (without Major Complications) Inpatient | $17,847$6.3k$32k6 plans | — | — |
| Septoplasty (Deviated Septum Repair) | $5,680$2.4k$7.3k4 plansshared rate · 6 | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $8,248$5.1k$18k4 plansshared rate · 6 | — | — |
| Skin Biopsy (Tangential) | $1,775$296$4.5k4 plansshared rate · 2 | $383 | $697 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,783$1.2k$5.7k4 plansshared rate · 4 | — | — |
| Sleep Study (In-lab Polysomnography) | $730$626$8342 plansshared rate · 2 | $642 | $1,168 |
| Spinal Cord Stimulator Trial | $17,271$4.6k$19k4 plansshared rate · 5 | — | — |
| Spirometry (Breathing Test) | $184$157$2102 plansshared rate · 2 | $82 | $149 |
| Stroke (with Complications) Inpatient | $17,621$6.2k$31k6 plans | — | — |
| Stroke (with Major Complications) Inpatient | $35,074$12k$62k6 plans | — | — |
| Stroke (without Complications) Inpatient | $11,937$4.4k$21k6 plans | — | — |
| Syncope and Collapse Inpatient | $15,202$5.4k$27k6 plans | — | — |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $5,680$2.4k$7.3k4 plansshared rate · 6 | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $7,081$4.3k$12k4 plansshared rate · 2 | — | — |
| Total Hip Replacement | $21,489$9.4k$26k4 plans | — | — |
| Total Knee Replacement | $19,316$9.4k$26k4 plansshared rate · 2 | — | — |
| Total Mastectomy | $8,248$4.8k$18k4 plansshared rate · 6 | — | — |
| TSH Thyroid Function Test | $21$13$2265 plans | $127 | $230 |
| TURP (Transurethral Prostate Resection) | $11,888$3.9k$16k4 plans | — | — |
| Upper GI Endoscopy (EGD) | $3,367$661$4.5k4 plansshared rate · 5 | — | — |
| Urinalysis with Microscopy | $4$2$435 plans | $44 | $80 |
| Uterine and Adnexa Surgery, Non-cancer (without Complications) Inpatient | $21,639$7.5k$38k6 plans | — | — |
| Vaginal Birth After Cesarean (VBAC) Global Package | $13,059$11k$13k1 planshared rate · 4 | — | — |
| Vaginal Delivery (Global Package) | $13,059$11k$13k1 planshared rate · 4 | — | — |
| Vaginal Hysterectomy | $8,248$3.6k$12k4 plansshared rate · 6 | — | — |
| Vasectomy | $5,680$1.5k$7.3k4 plansshared rate · 6 | — | — |
| Vitamin D Blood Test | $37$22$3985 plans | $45 | $82 |