| Abdominal Hysterectomy | $949 | $3,105 | $4,436 |
| ACL Reconstruction (Arthroscopic) | $7,784 | $3,732 | $5,331 |
| Allergy Skin Testing | $921 | $13 | $18 |
| Anesthesia for Screening Colonoscopy | $156$78$234 | — | — |
| Anesthesia for Upper Endoscopy | $156$78$234 | — | — |
| Basic Metabolic Panel | $149$9$169 | $123 | $176 |
| Bone Marrow Biopsy | $719$596$1.8k | $572 | $817 |
| Breast Biopsy (Ultrasound-guided) | $3,999$1.7k$4.5k | $3,270 | $4,672 |
| Bunion Correction Surgery | $3,510 | $1,771 | $2,529 |
| Cardiac Ablation for Atrial Fibrillation | $59,049$27k$66k | $48,288 | $68,983 |
| Cardiac Catheterization (Left Heart) | $26,866$3.4k$30k | $21,970 | $31,386 |
| Cardiac Stress Test (Treadmill) | $77 | $325 | $464 |
| Carpal Tunnel Release Surgery | $2,095 | $1,354 | $1,934 |
| Cataract Surgery with Lens Implant | $2,476 | $2,089 | $2,984 |
| Cervical Spinal Fusion (Anterior) | $13,773 | $6,397 | $9,139 |
| Cesarean Delivery (Global Package) | $2,478 | $5,963 | $8,518 |
| Chemotherapy Infusion (First Hour) | $879$344$986 | $719 | $1,027 |
| Chest X-ray (2 Views) | $553$91$620 | $452 | $646 |
| Colonoscopy with Biopsy | $4,809$1.2k$5.4k | $3,933 | $5,618 |
| Complete Abdominal Ultrasound | $1,523$109$1.7k | $1,245 | $1,779 |
| Complete Blood Count (CBC) with Differential | $48$8$144 | $39 | $56 |
| Comprehensive Metabolic Panel | $82$11$198 | $66 | $94 |
| Coronary Angioplasty with Stent | $18,573$12k$28k | $17,310 | $24,728 |
| Critical Care, First Hour | $4,159$861$4.7k | $3,401 | $4,858 |
| CT Abdomen and Pelvis with Contrast | $6,009$364$6.7k | $4,914 | $7,020 |
| CT Cardiac Calcium Scoring | $297$91$333 | $243 | $346 |
| CT Chest without Contrast | $2,698$109$3.0k | $2,206 | $3,152 |
| CT Head without Contrast | $2,857$109$3.2k | $2,292 | $3,274 |
| DEXA Bone Density Scan | $646$109$725 | $529 | $755 |
| Diagnostic Colonoscopy | $4,643$969$5.2k | $3,797 | $5,424 |
| Diagnostic Mammogram (Both Breasts) | $418$159$469 | $342 | $488 |
| Ear Tube Placement (Tympanostomy) | $1,664 | $592 | $846 |
| Echocardiogram (Complete with Doppler) | $3,700$569$4.1k | $3,025 | $4,322 |
| EKG (Electrocardiogram, 12-lead) | $16 | $43 | $61 |
| Emergency Room Visit (Level 3) | $1,334$284$1.5k | $1,091 | $1,558 |
| Group Therapy Session | $109 | $66 | $94 |
| Hemodialysis Treatment | $92 | $340 | $486 |
| Hemoglobin A1c (Diabetes Test) | $147$10$167 | $121 | $173 |
| HIV Antibody Test | $60$9$185 | $69 | $98 |
| Holter Monitor (24-48 Hour Heart Monitor) | $74 | $417 | $595 |
| Home Sleep Study | $232 | $512 | $732 |
| Individual Therapy Session (45 Minutes) | $190 | $176 | $252 |
| Inguinal Hernia Repair (Open) | $3,841 | $2,354 | $3,362 |
| Initial Hospital Admission (Level 1) | $76 | $204 | $291 |
| Initial Psychiatric Diagnostic Evaluation | $190 | $268 | $382 |
| Initial Psychiatric Evaluation with Medication Management | $190 | $288 | $412 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,009$787$1.2k | — | — |
| IUD Insertion | $418$107$468 | $341 | $488 |
| IUD Removal | $553$318$620 | $452 | $646 |
| Knee Arthroscopy with Meniscectomy | $3,510 | $2,341 | $3,345 |
| Laparoscopic Appendectomy | $6,485 | $3,592 | $5,132 |
| Laparoscopic Gallbladder Removal | $6,485 | $1,925 | $2,750 |
| Laparoscopic Tubal Ligation | $6,485 | $2,217 | $3,167 |
| Lipid Panel (Cholesterol Test) | $73$14$219 | $61 | $87 |
| Lumbar Epidural Steroid Injection | $3,763$736$4.2k | $3,078 | $4,396 |
| Lumbar Puncture (Spinal Tap) | $1,280$736$1.4k | $1,047 | $1,495 |
| Lumbar Spinal Fusion (Posterior) | $18,809 | $5,539 | $7,913 |
| Lumpectomy (Partial Mastectomy) | $4,200 | $2,257 | $3,224 |
| MRI Abdomen with and without Contrast | $5,695$364$6.4k | $4,657 | $6,653 |
| MRI Brain with and without Contrast | $5,827$364$6.5k | $4,765 | $6,807 |
| MRI Brain with Contrast | $4,798$364$5.4k | $3,924 | $5,605 |
| MRI Brain without Contrast | $3,892$249$4.4k | $3,183 | $4,547 |
| MRI Cervical Spine (Neck) without Contrast | $3,829$249$4.3k | $3,131 | $4,473 |
| MRI Knee without Contrast | $3,738$249$4.2k | $3,057 | $4,367 |
| MRI Lower Back (Lumbar Spine) without Contrast | $3,824$249$4.3k | $3,127 | $4,467 |
| MRI Thoracic Spine (Mid-back) without Contrast | $3,879$249$4.3k | $3,172 | $4,531 |
| Newborn Circumcision | $2,242 | $505 | $722 |
| Nuclear Cardiac Stress Test | $6,594$1.3k$7.4k | $5,392 | $7,703 |
| Office Visit, Established Patient (Level 3) | $375$96$951 | $299 | $427 |
| Office Visit, New Patient (Level 3) | $614$119$689 | $502 | $718 |
| Pacemaker Insertion (Dual Chamber) | $23,257$11k$26k | $19,018 | $27,169 |
| PET/CT Scan, Whole Body | $10,026$1.5k$11k | $8,199 | $11,713 |
| Pregnancy Ultrasound (Second or Third Trimester) | $1,072$109$1.2k | $877 | $1,253 |
| Prostate Biopsy | $387$222$910 | $477 | $682 |
| PSA Prostate Cancer Screening | $144$19$512 | $114 | $163 |
| Pulmonary Function Test with Bronchodilator | $1,065$389$1.2k | $871 | $1,244 |
| Rotator Cuff Repair (Arthroscopic) | $7,784 | $3,297 | $4,711 |
| Screening Mammogram | $132 | — | — |
| Septoplasty (Deviated Septum Repair) | $3,557 | $1,733 | $2,475 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,571 | $2,222 | $3,174 |
| Skin Biopsy (Tangential) | $675$424$757 | $552 | $789 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,772 | $217 | $310 |
| Sleep Study (In-lab Polysomnography) | $921 | $2,711 | $3,873 |
| Spinal Cord Stimulator Trial | $6,410$5.3k$7.0k | $5,099 | $7,284 |
| Spirometry (Breathing Test) | $521$225$585 | $426 | $609 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,557 | $868 | $1,240 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,350 | $833 | $1,190 |
| Total Hip Replacement | $13,773 | $5,684 | $8,120 |
| Total Knee Replacement | $13,773 | $5,312 | $7,589 |
| Total Mastectomy | $7,123 | $2,740 | $3,914 |
| TSH Thyroid Function Test | $128$17$210 | $105 | $150 |
| TURP (Transurethral Prostate Resection) | $5,752 | $2,298 | $3,284 |
| Umbilical Hernia Repair | $3,084$1.0k$3.4k | $2,453 | $3,504 |
| Upper GI Endoscopy (EGD) | $2,696$945$3.0k | $2,205 | $3,150 |
| Urinalysis with Microscopy | $51$3$57 | $42 | $60 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,334 | $5,642 | $8,061 |
| Vaginal Delivery (Global Package) | $2,229 | $4,853 | $6,933 |
| Vaginal Hysterectomy | $5,366 | $2,351 | $3,358 |
| Vasectomy | $2,242 | $620 | $885 |
| Vitamin D Blood Test | $158$30$229 | $126 | $180 |