| Abdominal Hysterectomy | $1,707$916$21k | $3,298 | $6,029 |
| ACL Reconstruction (Arthroscopic) | $6,898$4.0k$19k | $6,485 | $11,856 |
| Allergy Skin Testing | $982$982$2.7k | — | — |
| Basic Metabolic Panel | $18$8$219 | $68 | $125 |
| Bone Marrow Biopsy | $1,564$1.6k$5.9k | — | — |
| Breast Biopsy (Ultrasound-guided) | $1,564$1.3k$9.4k | $1,987 | $3,632 |
| Bunion Correction Surgery | $3,133$2.4k$10k | $1,893 | $3,462 |
| Cardiac Ablation for Atrial Fibrillation | $23,687$24k$65k | — | — |
| Cardiac Catheterization (Left Heart) | $3,106$3.1k$21k | — | — |
| Cardiac Stress Test (Treadmill) | $116$68$610 | $351 | $642 |
| Carpal Tunnel Release Surgery | $2,377$1.9k$9.4k | $2,242 | $4,099 |
| Cataract Surgery with Lens Implant | $2,202$2.2k$21k | — | — |
| Cervical Spinal Fusion (Anterior) | $14,376$12k$34k | $12,759 | $23,326 |
| Cesarean Delivery (Global Package) | $2,312$2.3k$21k | — | — |
| Chemotherapy Infusion (First Hour) | $320$320$874 | — | — |
| Chest X-ray (2 Views) | $145$85$485 | $279 | $510 |
| Colonoscopy with Biopsy | $1,416$1.1k$9.4k | $1,323 | $2,420 |
| Complete Abdominal Ultrasound | $175$103$1.7k | $966 | $1,766 |
| Complete Blood Count (CBC) with Differential | $21$8$273 | $157 | $288 |
| Comprehensive Metabolic Panel | $22$11$321 | $99 | $180 |
| Coronary Angioplasty with Stent | $10,950$11k$30k | — | — |
| Critical Care, First Hour | $1,010$413$14k | $1,638 | $2,995 |
| CT Abdomen and Pelvis with Contrast | $586$345$6.5k | $3,767 | $6,886 |
| CT Cardiac Calcium Scoring | $85$85$232 | — | — |
| CT Chest without Contrast | $175$103$4.8k | $1,880 | $3,438 |
| CT Head without Contrast | $227$103$4.8k | $1,806 | $3,303 |
| DEXA Bone Density Scan | $175$103$639 | $368 | $673 |
| Diagnostic Colonoscopy | $1,151$880$9.4k | $1,111 | $2,031 |
| Diagnostic Mammogram (Both Breasts) | $196$147$551 | $317 | $580 |
| Ear Tube Placement (Tympanostomy) | $1,430$1.4k$10k | — | — |
| Echocardiogram (Complete with Doppler) | $900$529$3.0k | $1,708 | $3,123 |
| EKG (Electrocardiogram, 12-lead) | $36$13$190 | $109 | $200 |
| Emergency Room Visit (Level 3) | $434$200$7.0k | $742 | $1,357 |
| Group Therapy Session | $89$61$244 | $99 | $181 |
| Hemodialysis Treatment | $94$94$258 | — | — |
| Hemoglobin A1c (Diabetes Test) | $26$10$171 | $98 | $180 |
| HIV Antibody Test | $9$9$50 | — | — |
| Holter Monitor (24-48 Hour Heart Monitor) | $65$65$199 | — | — |
| Home Sleep Study | $492$151$5.8k | $1,011 | $1,849 |
| Individual Therapy Session (45 Minutes) | $191$155$636 | $366 | $670 |
| Inguinal Hernia Repair (Open) | $3,408$1.8k$13k | $1,422 | $2,599 |
| Initial Hospital Admission (Level 1) | $75$75$205 | $186 | $341 |
| Initial Psychiatric Diagnostic Evaluation | $209$155$1.0k | $587 | $1,073 |
| Initial Psychiatric Evaluation with Medication Management | $155$155$423 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $559$559$1.5k | — | — |
| IUD Insertion | $186$100$5.9k | $263 | $482 |
| IUD Removal | $294$82$5.9k | $175 | $320 |
| Knee Arthroscopy with Meniscectomy | $3,133$2.6k$8.5k | $4,178 | $7,637 |
| Laparoscopic Appendectomy | $5,633$2.1k$29k | $1,639 | $2,996 |
| Laparoscopic Gallbladder Removal | $5,633$2.8k$29k | $2,151 | $3,932 |
| Laparoscopic Tubal Ligation | $5,633$2.3k$29k | $1,768 | $3,233 |
| Lipid Panel (Cholesterol Test) | $37$13$248 | $95 | $174 |
| Lumbar Epidural Steroid Injection | $1,137$669$3.8k | $908 | $1,660 |
| Lumbar Puncture (Spinal Tap) | $669$505$5.9k | $395 | $723 |
| Lumbar Spinal Fusion (Posterior) | $17,757$13k$48k | $10,473 | $19,147 |
| Lumpectomy (Partial Mastectomy) | $3,697$2.7k$10k | $2,126 | $3,887 |
| MRI Abdomen with and without Contrast | $586$345$4.6k | $2,652 | $4,849 |
| MRI Brain with and without Contrast | $586$345$5.7k | $3,307 | $6,047 |
| MRI Brain with Contrast | $1,225$345$4.6k | $2,545 | $4,652 |
| MRI Brain without Contrast | $996$233$4.2k | $2,218 | $4,055 |
| MRI Cervical Spine (Neck) without Contrast | $397$233$4.3k | $2,450 | $4,480 |
| MRI Knee without Contrast | $1,172$233$4.2k | $1,900 | $3,474 |
| MRI Lower Back (Lumbar Spine) without Contrast | $397$233$4.3k | $2,450 | $4,480 |
| MRI Thoracic Spine (Mid-back) without Contrast | $397$233$4.3k | $2,450 | $4,480 |
| Newborn Circumcision | $1,978$472$5.9k | $372 | $680 |
| Nuclear Cardiac Stress Test | $1,973$1.3k$5.6k | $3,199 | $5,848 |
| Office Visit, Established Patient (Level 3) | $156$21$1.1k | $157 | $288 |
| Office Visit, New Patient (Level 3) | $130$38$538 | $248 | $453 |
| Pacemaker Insertion (Dual Chamber) | $10,105$10k$28k | — | — |
| PET/CT Scan, Whole Body | $1,408$1.4k$3.8k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $175$103$1.5k | $878 | $1,605 |
| Prostate Biopsy | $1,862$146$9.4k | $511 | $934 |
| PSA Prostate Cancer Screening | $61$18$281 | $106 | $194 |
| Pulmonary Function Test with Bronchodilator | $301$96$820 | $194 | $355 |
| Rotator Cuff Repair (Arthroscopic) | $6,898$4.4k$19k | $7,084 | $12,950 |
| Screening Mammogram | $229$119$551 | $261 | $478 |
| Septoplasty (Deviated Septum Repair) | $3,131$3.1k$13k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,684$6.7k$18k | — | — |
| Skin Biopsy (Tangential) | $228$66$5.9k | $206 | $377 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,038$75$5.9k | $150 | $274 |
| Sleep Study (In-lab Polysomnography) | $2,559$982$8.8k | $4,523 | $8,269 |
| Spinal Cord Stimulator Trial | $6,337$3.9k$17k | $3,047 | $5,570 |
| Spirometry (Breathing Test) | $151$63$412 | $126 | $230 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,131$3.1k$15k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,712$5.7k$16k | — | — |
| Total Hip Replacement | $12,424$12k$34k | $9,506 | $17,378 |
| Total Knee Replacement | $13,011$12k$34k | $10,167 | $18,587 |
| Total Mastectomy | $6,297$4.2k$17k | $3,291 | $6,017 |
| TSH Thyroid Function Test | $73$17$256 | $111 | $204 |
| TURP (Transurethral Prostate Resection) | $4,909$3.4k$13k | $2,676 | $4,893 |
| Upper GI Endoscopy (EGD) | $992$905$5.9k | $843 | $1,542 |
| Urinalysis with Microscopy | $9$3$167 | $96 | $176 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,940$2.2k$21k | $5,661 | $10,350 |
| Vaginal Delivery (Global Package) | $2,838$2.1k$21k | $5,362 | $9,803 |
| Vaginal Hysterectomy | $4,766$3.5k$21k | $2,732 | $4,995 |
| Vasectomy | $1,978$398$9.4k | $1,245 | $2,276 |
| Vitamin D Blood Test | $105$30$184 | $99 | $182 |