| Abdominal Hysterectomy | $19,239$2.2k$31k | — | — |
| ACL Reconstruction (Arthroscopic) | $18,877$10k$31k | — | — |
| Allergy Skin Testing | $43$33$53 | — | — |
| Basic Metabolic Panel | $63$23$182 | $48 | $62 |
| Bone Marrow Biopsy | $4,473$1.5k$10k | $2,618 | $3,356 |
| Breast Biopsy (Ultrasound-guided) | $6,826$3.1k$20k | $2,292 | $2,939 |
| Bunion Correction Surgery | $11,201$10k$20k | $11,950 | $15,321 |
| Cardiac Ablation for Atrial Fibrillation | $11,626$2.2k$19k | $30,170 | $38,680 |
| Cardiac Catheterization (Left Heart) | $8,082$2.2k$19k | $15,513 | $19,888 |
| Cardiac Stress Test (Treadmill) | $843$643$1.0k | — | — |
| Carpal Tunnel Release Surgery | $8,303$6.8k$15k | — | — |
| Cataract Surgery with Lens Implant | $15,642$2.2k$19k | — | — |
| Cervical Spinal Fusion (Anterior) | $20,911$2.2k$52k | — | — |
| Cesarean Delivery (Global Package) | $47,935$37k$59k | — | — |
| Chemotherapy Infusion (First Hour) | $1,395$1.2k$2.2k | $1,527 | $1,958 |
| Chest X-ray (2 Views) | $390$257$416 | $734 | $941 |
| Colonoscopy with Biopsy | $6,938$4.3k$15k | — | — |
| Complete Abdominal Ultrasound | $873$471$1.4k | $1,233 | $1,581 |
| Complete Blood Count (CBC) with Differential | $58$21$167 | $15 | $19 |
| Comprehensive Metabolic Panel | $79$29$227 | $67 | $86 |
| Coronary Angioplasty with Stent | $6,514$5.0k$8.1k | $30,307 | $38,855 |
| Critical Care, First Hour | $2,176$1.7k$2.7k | $8,492 | $10,887 |
| CT Abdomen and Pelvis with Contrast | $4,331$3.3k$5.4k | $5,892 | $7,554 |
| CT Cardiac Calcium Scoring | $1,409$1.1k$1.7k | $1,380 | $1,769 |
| CT Chest without Contrast | $1,622$1.2k$2.0k | $2,812 | $3,605 |
| CT Head without Contrast | $1,303$994$1.6k | $3,366 | $4,316 |
| DEXA Bone Density Scan | $471$316$512 | $473 | $606 |
| Diagnostic Colonoscopy | $6,372$2.0k$15k | — | — |
| Diagnostic Mammogram (Both Breasts) | $1,231$489$2.0k | $652 | $836 |
| Ear Tube Placement (Tympanostomy) | $10,175$3.0k$20k | — | — |
| Echocardiogram (Complete with Doppler) | $1,371$1.0k$1.7k | $5,479 | $7,024 |
| EKG (Electrocardiogram, 12-lead) | $173$132$214 | — | — |
| Emergency Room Visit (Level 3) | $738$563$913 | $1,596 | $2,046 |
| Group Therapy Session | $191$145$236 | $191 | $245 |
| Hemodialysis Treatment | $1,207$921$1.5k | — | — |
| Hemoglobin A1c (Diabetes Test) | $73$27$209 | $64 | $83 |
| HIV Antibody Test | $67$25$191 | $160 | $205 |
| Holter Monitor (24-48 Hour Heart Monitor) | $823$628$1.0k | — | — |
| Home Sleep Study | $231$100$579 | $534 | $685 |
| Individual Therapy Session (45 Minutes) | $721$550$892 | $200 | $257 |
| Inguinal Hernia Repair (Open) | $14,723$2.2k$24k | — | — |
| Initial Hospital Admission (Level 1) | $834$636$1.0k | — | — |
| Initial Psychiatric Diagnostic Evaluation | $1,235$942$1.5k | $140 | $180 |
| Initial Psychiatric Evaluation with Medication Management | $1,386$1.1k$1.7k | $158 | $202 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $5,408$4.1k$6.7k | $4,815 | $6,173 |
| IUD Insertion | $3,035$984$5.1k | $381 | $489 |
| IUD Removal | $4,473$1.3k$10k | $1,154 | $1,480 |
| Knee Arthroscopy with Meniscectomy | $14,723$2.2k$24k | — | — |
| Laparoscopic Appendectomy | $12,535$10k$24k | — | — |
| Laparoscopic Gallbladder Removal | $17,617$2.2k$34k | — | — |
| Laparoscopic Tubal Ligation | $17,617$2.2k$31k | — | — |
| Lipid Panel (Cholesterol Test) | $100$37$288 | $38 | $49 |
| Lumbar Epidural Steroid Injection | $4,473$1.9k$10k | $3,341 | $4,283 |
| Lumbar Puncture (Spinal Tap) | $4,473$1.2k$10k | $2,634 | $3,377 |
| Lumbar Spinal Fusion (Posterior) | $19,931$2.2k$49k | — | — |
| Lumpectomy (Partial Mastectomy) | $12,637$10k$20k | — | — |
| MRI Abdomen with and without Contrast | $6,450$4.9k$8.0k | $6,076 | $7,790 |
| MRI Brain with and without Contrast | $5,770$4.4k$7.1k | $5,550 | $7,115 |
| MRI Brain with Contrast | $5,090$3.9k$6.3k | $5,072 | $6,503 |
| MRI Brain without Contrast | $3,444$2.6k$4.3k | $4,386 | $5,623 |
| MRI Cervical Spine (Neck) without Contrast | $3,298$2.5k$4.1k | $3,502 | $4,490 |
| MRI Knee without Contrast | $3,772$2.9k$4.7k | $3,833 | $4,914 |
| MRI Lower Back (Lumbar Spine) without Contrast | $3,315$2.5k$4.1k | $3,847 | $4,932 |
| MRI Thoracic Spine (Mid-back) without Contrast | $3,298$2.5k$4.1k | $3,249 | $4,166 |
| Newborn Circumcision | $4,473$2.2k$10k | $3,995 | $5,122 |
| Nuclear Cardiac Stress Test | $5,242$4.0k$6.5k | $6,041 | $7,745 |
| Office Visit, Established Patient (Level 3) | $667$509$825 | $206 | $264 |
| Office Visit, New Patient (Level 3) | $829$632$1.0k | $309 | $396 |
| Pacemaker Insertion (Dual Chamber) | $14,812$2.2k$19k | $12,508 | $16,036 |
| PET/CT Scan, Whole Body | $14,433$11k$18k | $9,142 | $11,720 |
| Pregnancy Ultrasound (Second or Third Trimester) | $982$471$1.6k | $1,058 | $1,357 |
| Prostate Biopsy | $6,826$2.9k$15k | $8,195 | $10,507 |
| PSA Prostate Cancer Screening | $138$51$396 | $117 | $150 |
| Pulmonary Function Test with Bronchodilator | $275$210$340 | $901 | $1,155 |
| Rotator Cuff Repair (Arthroscopic) | $20,663$2.2k$33k | — | — |
| Screening Mammogram | $1,021$405$1.7k | $537 | $689 |
| Septoplasty (Deviated Septum Repair) | $14,723$2.2k$24k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $10,041$2.2k$31k | — | — |
| Skin Biopsy (Tangential) | $2,845$751$5.1k | $903 | $1,158 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $6,826$1.6k$10k | $5,295 | $6,789 |
| Sleep Study (In-lab Polysomnography) | $2,339$1.0k$5.9k | $1,608 | $2,061 |
| Spinal Cord Stimulator Trial | $8,303$6.8k$34k | — | — |
| Spirometry (Breathing Test) | $181$138$223 | $474 | $608 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $10,404$2.2k$31k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $10,175$6.1k$20k | — | — |
| Total Hip Replacement | $17,271$2.2k$40k | — | — |
| Total Knee Replacement | $17,261$2.2k$40k | — | — |
| Total Mastectomy | $18,361$2.2k$30k | — | — |
| TSH Thyroid Function Test | $126$46$361 | $81 | $104 |
| TURP (Transurethral Prostate Resection) | $14,723$2.2k$24k | — | — |
| Upper GI Endoscopy (EGD) | $4,473$2.6k$10k | — | — |
| Urinalysis with Microscopy | $24$9$68 | $68 | $88 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $45,369$35k$56k | — | — |
| Vaginal Delivery (Global Package) | $43,583$33k$54k | — | — |
| Vaginal Hysterectomy | $17,617$2.2k$34k | — | — |
| Vasectomy | $8,035$5.0k$15k | — | — |
| Vitamin D Blood Test | $222$82$637 | $81 | $104 |