| Abdominal Hysterectomy | $8,577$844$8.8k | $8,125 | $9,028 |
| ACL Reconstruction (Arthroscopic) | $7,700$934$7.9k | $10,772 | $11,969 |
| Allergy Skin Testing | $37$2$39 | $35 | $39 |
| Basic Metabolic Panel | $178$8$183 | $168 | $187 |
| Bone Marrow Biopsy | $1,753$63$1.8k | $2,167 | $2,408 |
| Breast Biopsy (Ultrasound-guided) | $1,753$140$1.8k | $1,859 | $2,066 |
| Bunion Correction Surgery | $3,472$526$3.6k | $5,940 | $6,600 |
| Cardiac Ablation for Atrial Fibrillation | $35,162$818$36k | $33,312 | $37,013 |
| Cardiac Catheterization (Left Heart) | $13,346$1.1k$14k | $12,643 | $14,048 |
| Cardiac Stress Test (Treadmill) | $1,227$58$1.3k | $1,163 | $1,292 |
| Carpal Tunnel Release Surgery | $2,072$449$2.1k | $4,151 | $4,612 |
| Cataract Surgery with Lens Implant | $4,386$508$4.5k | $5,240 | $5,822 |
| Cervical Spinal Fusion (Anterior) | $13,625$1.6k$14k | $18,278 | $20,309 |
| Cesarean Delivery (Global Package) | $7,781$1.7k$8.0k | $7,372 | $8,191 |
| Chemotherapy Infusion (First Hour) | $869$146$897 | $824 | $915 |
| Chest X-ray (2 Views) | $235$8$353 | $267 | $297 |
| Colonoscopy with Biopsy | $1,270$191$1.3k | $2,809 | $3,122 |
| Complete Abdominal Ultrasound | $534$108$551 | $506 | $562 |
| Complete Blood Count (CBC) with Differential | $108$8$112 | $103 | $114 |
| Comprehensive Metabolic Panel | $212$11$219 | $201 | $223 |
| Coronary Angioplasty with Stent | $15,476$469$16k | $14,661 | $16,290 |
| Critical Care, First Hour | $3,359$215$13k | $5,949 | $6,610 |
| CT Abdomen and Pelvis with Contrast | $3,430$80$4.6k | $3,249 | $3,610 |
| CT Cardiac Calcium Scoring | $174$21$183 | $165 | $183 |
| CT Chest without Contrast | $1,958$48$2.7k | $1,855 | $2,061 |
| CT Head without Contrast | $1,718$38$2.3k | $1,627 | $1,808 |
| DEXA Bone Density Scan | $899$7$1.1k | $851 | $946 |
| Diagnostic Colonoscopy | $987$176$1.0k | $2,265 | $2,517 |
| Diagnostic Mammogram (Both Breasts) | $360$36$612 | $341 | $379 |
| Ear Tube Placement (Tympanostomy) | $1,647$156$1.7k | $2,298 | $2,553 |
| Echocardiogram (Complete with Doppler) | $1,244$53$4.7k | $2,672 | $2,969 |
| EKG (Electrocardiogram, 12-lead) | $280$12$295 | $266 | $295 |
| Emergency Room Visit (Level 3) | $427$74$638 | $491 | $546 |
| Group Therapy Session | $246$28$340 | $233 | $259 |
| Hemodialysis Treatment | $1,149$69$1.2k | $1,088 | $1,209 |
| Hemoglobin A1c (Diabetes Test) | $29$6$72 | $46 | $52 |
| HIV Antibody Test | $99$9$102 | $94 | $104 |
| Holter Monitor (24-48 Hour Heart Monitor) | $2,436$67$2.5k | $2,308 | $2,564 |
| Home Sleep Study | $391$35$412 | $371 | $412 |
| Individual Therapy Session (45 Minutes) | $341$75$352 | $323 | $359 |
| Inguinal Hernia Repair (Open) | $3,800$521$3.9k | $3,853 | $4,281 |
| Initial Hospital Admission (Level 1) | $448$70$463 | $425 | $472 |
| Initial Psychiatric Diagnostic Evaluation | $501$110$516 | $474 | $527 |
| Initial Psychiatric Evaluation with Medication Management | $842$126$886 | $797 | $886 |
| IUD Insertion | $3,435$214$3.5k | $698 | $775 |
| IUD Removal | $323$60$331 | $596 | $663 |
| Knee Arthroscopy with Meniscectomy | $3,472$544$3.6k | $6,552 | $7,280 |
| Laparoscopic Appendectomy | $6,416$592$6.6k | $6,582 | $7,313 |
| Laparoscopic Gallbladder Removal | $6,416$646$6.6k | $5,643 | $6,270 |
| Laparoscopic Tubal Ligation | $6,416$610$6.6k | $5,926 | $6,584 |
| Lipid Panel (Cholesterol Test) | $183$13$189 | $174 | $193 |
| Lumbar Epidural Steroid Injection | $749$97$767 | $1,559 | $1,732 |
| Lumbar Puncture (Spinal Tap) | $924$59$997 | $887 | $985 |
| Lumbar Spinal Fusion (Posterior) | $9,204$528$19k | $17,438 | $19,376 |
| Lumpectomy (Partial Mastectomy) | $4,155$649$4.3k | $2,651 | $2,946 |
| MRI Abdomen with and without Contrast | $5,211$97$6.8k | $4,937 | $5,485 |
| MRI Brain with and without Contrast | $5,995$101$7.9k | $5,679 | $6,310 |
| MRI Brain with Contrast | $1,282$64$6.2k | $3,387 | $3,764 |
| MRI Brain without Contrast | $4,267$65$5.6k | $4,043 | $4,492 |
| MRI Cervical Spine (Neck) without Contrast | $3,308$65$4.5k | $3,134 | $3,482 |
| MRI Knee without Contrast | $864$60$4.7k | $2,517 | $2,797 |
| MRI Lower Back (Lumbar Spine) without Contrast | $3,468$65$4.6k | $3,285 | $3,650 |
| MRI Thoracic Spine (Mid-back) without Contrast | $4,200$65$5.4k | $3,979 | $4,421 |
| Newborn Circumcision | $2,218$90$2.3k | $809 | $899 |
| Nuclear Cardiac Stress Test | $1,228$59$1.3k | $1,164 | $1,293 |
| Office Visit, Established Patient (Level 3) | $232$50$626 | $395 | $439 |
| Office Visit, New Patient (Level 3) | $332$67$342 | $314 | $349 |
| Pacemaker Insertion (Dual Chamber) | $11,092$467$11k | $16,895 | $18,772 |
| PET/CT Scan, Whole Body | $972$86$1.0k | $921 | $1,023 |
| Pregnancy Ultrasound (Second or Third Trimester) | $492$108$508 | $466 | $518 |
| Prostate Biopsy | $390$108$396 | — | — |
| PSA Prostate Cancer Screening | $152$18$234 | $178 | $198 |
| Pulmonary Function Test with Bronchodilator | $394$48$407 | $374 | $415 |
| Rotator Cuff Repair (Arthroscopic) | $7,700$1.0k$7.9k | $7,599 | $8,443 |
| Screening Mammogram | $174$28$558 | $332 | $369 |
| Septoplasty (Deviated Septum Repair) | $3,518$661$3.6k | $6,941 | $7,712 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,489$290$7.7k | $4,775 | $5,306 |
| Skin Biopsy (Tangential) | $431$33$442 | $526 | $584 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,753$83$1.8k | $663 | $737 |
| Sleep Study (In-lab Polysomnography) | $1,553$94$1.6k | $1,472 | $1,635 |
| Spinal Cord Stimulator Trial | $6,763$405$6.9k | $7,866 | $8,740 |
| Spirometry (Breathing Test) | $251$33$259 | $238 | $264 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,518$292$3.6k | $2,633 | $2,926 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,282$279$6.4k | $2,288 | $2,542 |
| Total Hip Replacement | $13,625$1.2k$14k | $16,358 | $18,176 |
| Total Knee Replacement | $13,625$1.2k$14k | $13,673 | $15,192 |
| Total Mastectomy | $7,047$939$7.2k | $4,616 | $5,129 |
| TSH Thyroid Function Test | $214$17$221 | $203 | $225 |
| TURP (Transurethral Prostate Resection) | $5,690$564$5.8k | $7,438 | $8,264 |
| Upper GI Endoscopy (EGD) | $963$119$986 | $2,016 | $2,241 |
| Urinalysis with Microscopy | $45$3$46 | $42 | $47 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $4,526$823$9.5k | $8,576 | $9,529 |
| Vaginal Delivery (Global Package) | $7,107$1.6k$7.3k | $6,733 | $7,481 |
| Vaginal Hysterectomy | $5,309$780$5.4k | $7,052 | $7,836 |
| Vasectomy | $2,218$235$2.3k | $2,450 | $2,722 |
| Vitamin D Blood Test | $253$30$261 | $239 | $266 |