| Abdominal Hysterectomy | $12,717$2.2k$26k | — | — |
| ACL Reconstruction (Arthroscopic) | $15,025$3.4k$36k | — | — |
| Allergy Skin Testing | $37$26$1.2k | — | — |
| Basic Metabolic Panel | $42$8$107 | $77 | $150 |
| Bone Marrow Biopsy | $3,100$691$13k | $2,502 | $4,906 |
| Breast Biopsy (Ultrasound-guided) | $4,737$2.3k$15k | $2,809 | $5,507 |
| Bunion Correction Surgery | $6,358$3.4k$20k | $6,447 | $12,642 |
| Cardiac Ablation for Atrial Fibrillation | $20,488$6.7k$113k | $26,151 | $51,277 |
| Cardiac Catheterization (Left Heart) | $12,568$4.5k$26k | $17,720 | $34,745 |
| Cardiac Stress Test (Treadmill) | $1,064$558$1.4k | — | — |
| Carpal Tunnel Release Surgery | $4,836$2.7k$15k | $3,893 | $7,634 |
| Cataract Surgery with Lens Implant | $7,934$3.2k$25k | — | — |
| Cervical Spinal Fusion (Anterior) | $17,615$3.4k$63k | — | — |
| Cesarean Delivery (Global Package) | $9,773$3.4k$14k | — | — |
| Chemotherapy Infusion (First Hour) | $469$460$701 | $749 | $1,468 |
| Chest X-ray (2 Views) | $132$121$279 | $210 | $411 |
| Colonoscopy with Biopsy | $4,737$1.7k$15k | — | — |
| Complete Abdominal Ultrasound | $338$145$712 | $704 | $1,381 |
| Complete Blood Count (CBC) with Differential | $38$8$98 | $79 | $155 |
| Comprehensive Metabolic Panel | $52$10$133 | $94 | $185 |
| Coronary Angioplasty with Stent | $15,819$4.8k$63k | $22,529 | $44,175 |
| Critical Care, First Hour | $1,161$1.1k$1.2k | $10,431 | $20,452 |
| CT Abdomen and Pelvis with Contrast | $1,143$485$2.4k | $3,564 | $6,989 |
| CT Cardiac Calcium Scoring | $208$121$414 | $261 | $512 |
| CT Chest without Contrast | $769$145$2.1k | $1,690 | $3,313 |
| CT Head without Contrast | $633$145$1.7k | $1,650 | $3,235 |
| DEXA Bone Density Scan | $386$145$1.0k | $618 | $1,211 |
| Diagnostic Colonoscopy | $4,737$1.3k$15k | $1,613 | $3,162 |
| Diagnostic Mammogram (Both Breasts) | $506$118$1.2k | $684 | $1,342 |
| Ear Tube Placement (Tympanostomy) | $4,737$2.2k$20k | — | — |
| Echocardiogram (Complete with Doppler) | $1,955$760$3.3k | $2,253 | $4,418 |
| EKG (Electrocardiogram, 12-lead) | $258$118$337 | — | — |
| Emergency Room Visit (Level 3) | $384$380$388 | $1,666 | $3,267 |
| Group Therapy Session | $143$141$144 | $372 | $729 |
| Hemoglobin A1c (Diabetes Test) | $48$10$122 | $79 | $155 |
| HIV Antibody Test | $44$9$112 | $23 | $45 |
| Holter Monitor (24-48 Hour Heart Monitor) | $1,545$637$2.0k | — | — |
| Home Sleep Study | $844$300$1.9k | $1,664 | $3,262 |
| Individual Therapy Session (45 Minutes) | $250$247$252 | $513 | $1,005 |
| Inguinal Hernia Repair (Open) | $11,377$4.2k$25k | $7,671 | $15,042 |
| Initial Psychiatric Diagnostic Evaluation | $250$247$252 | $226 | $444 |
| Initial Psychiatric Evaluation with Medication Management | $250$247$252 | $208 | $408 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $4,756$4.0k$5.7k | $5,224 | $10,244 |
| IUD Insertion | $1,716$691$13k | $2,379 | $4,665 |
| IUD Removal | $1,716$424$13k | $681 | $1,336 |
| Knee Arthroscopy with Meniscectomy | $11,377$4.2k$25k | — | — |
| Laparoscopic Appendectomy | $8,412$5.3k$27k | — | — |
| Laparoscopic Gallbladder Removal | $15,025$6.7k$27k | — | — |
| Laparoscopic Tubal Ligation | $11,684$4.8k$27k | — | — |
| Lipid Panel (Cholesterol Test) | $66$13$169 | $118 | $232 |
| Lumbar Epidural Steroid Injection | $3,100$982$13k | $2,985 | $5,852 |
| Lumbar Puncture (Spinal Tap) | $3,100$982$13k | $1,365 | $2,676 |
| Lumbar Spinal Fusion (Posterior) | $15,575$6.7k$63k | — | — |
| Lumpectomy (Partial Mastectomy) | $6,358$3.4k$20k | — | — |
| MRI Abdomen with and without Contrast | $1,587$485$9.0k | $3,648 | $7,153 |
| MRI Brain with and without Contrast | $1,587$485$7.9k | $3,763 | $7,379 |
| MRI Brain with Contrast | $1,587$485$4.8k | $3,328 | $6,526 |
| MRI Brain without Contrast | $1,468$332$4.0k | $2,242 | $4,397 |
| MRI Cervical Spine (Neck) without Contrast | $1,468$332$4.0k | $2,350 | $4,607 |
| MRI Knee without Contrast | $1,468$332$4.0k | $2,337 | $4,583 |
| MRI Lower Back (Lumbar Spine) without Contrast | $1,468$332$4.4k | $2,468 | $4,840 |
| MRI Thoracic Spine (Mid-back) without Contrast | $1,468$332$4.4k | $2,343 | $4,595 |
| Newborn Circumcision | $4,836$2.2k$13k | $3,146 | $6,168 |
| Nuclear Cardiac Stress Test | $2,418$1.8k$4.1k | $4,081 | $8,002 |
| Pacemaker Insertion (Dual Chamber) | $14,544$9.0k$63k | $18,892 | $37,044 |
| PET/CT Scan, Whole Body | $4,295$2.0k$16k | $5,955 | $11,676 |
| Pregnancy Ultrasound (Second or Third Trimester) | $347$145$738 | $485 | $950 |
| Prostate Biopsy | $4,836$3.0k$15k | — | — |
| PSA Prostate Cancer Screening | $91$18$232 | $148 | $291 |
| Pulmonary Function Test with Bronchodilator | $409$285$530 | $1,187 | $2,328 |
| Rotator Cuff Repair (Arthroscopic) | $15,025$4.8k$36k | — | — |
| Screening Mammogram | $419$98$972 | $281 | $550 |
| Septoplasty (Deviated Septum Repair) | $7,614$4.2k$25k | $6,162 | $12,082 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $9,820$4.8k$36k | — | — |
| Skin Biopsy (Tangential) | $2,995$566$13k | $343 | $672 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $3,100$2.2k$15k | $3,248 | $6,368 |
| Sleep Study (In-lab Polysomnography) | $1,651$1.2k$2.3k | $2,083 | $4,085 |
| Spinal Cord Stimulator Trial | $8,868$3.0k$36k | $16,566 | $32,482 |
| Spirometry (Breathing Test) | $185$129$307 | $699 | $1,371 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $7,614$4.6k$25k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $8,405$3.4k$27k | — | — |
| Total Hip Replacement | $17,865$3.4k$63k | — | — |
| Total Knee Replacement | $18,030$3.4k$63k | — | — |
| Total Mastectomy | $11,377$4.2k$36k | — | — |
| TSH Thyroid Function Test | $83$16$212 | $137 | $268 |
| TURP (Transurethral Prostate Resection) | $7,613$4.2k$27k | — | — |
| Umbilical Hernia Repair | $12,853$9.8k$17k | — | — |
| Upper GI Endoscopy (EGD) | $4,737$1.3k$13k | $1,602 | $3,141 |
| Urinalysis with Microscopy | $16$3$38 | $24 | $48 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $9,773$3.0k$14k | — | — |
| Vaginal Delivery (Global Package) | $9,773$3.0k$14k | — | — |
| Vaginal Hysterectomy | $12,568$2.2k$27k | — | — |
| Vasectomy | $4,836$2.9k$15k | — | — |
| Vitamin D Blood Test | $146$29$373 | $240 | $471 |