| Abdominal Hysterectomy | $28,573$18k$58k | — | — |
| ACL Reconstruction (Arthroscopic) | $35,501$11k$48k | $3,670 | $7,340 |
| Allergy Skin Testing | $1,263 | $51 | $128 |
| Basic Metabolic Panel | $8 | $414 | $1,035 |
| Bone Marrow Biopsy | $10,972$2.4k$14k | $3,158 | $7,896 |
| Breast Biopsy (Ultrasound-guided) | $15,618$2.4k$22k | $4,793 | $11,983 |
| Bunion Correction Surgery | $27,573$4.8k$39k | $2,097 | $4,194 |
| Cardiac Ablation for Atrial Fibrillation | $55,537$38k$59k | $53,753 | $134,383 |
| Cardiac Catheterization (Left Heart) | $47,636$4.8k$59k | $26,708 | $66,769 |
| Carpal Tunnel Release Surgery | $19,507$2.9k$22k | $3,333 | $8,333 |
| Cataract Surgery with Lens Implant | $36,608$3.4k$60k | — | — |
| Cervical Spinal Fusion (Anterior) | $42,269$19k$53k | $4,042 | $8,084 |
| Cesarean Delivery (Global Package) | $39,140$26k$39k | — | — |
| Chemotherapy Infusion (First Hour) | $486 | $1,673 | $4,183 |
| Chest X-ray (2 Views) | $128 | $540 | $1,351 |
| Colonoscopy with Biopsy | $15,618$1.8k$22k | $4,798 | $11,995 |
| Complete Abdominal Ultrasound | $154 | $1,309 | $3,272 |
| Complete Blood Count (CBC) with Differential | $8 | $178 | $445 |
| Comprehensive Metabolic Panel | $11 | $497 | $1,243 |
| Coronary Angioplasty with Stent | $46,272$17k$63k | $19,199 | $47,998 |
| Critical Care, First Hour | $1,215 | $8,315 | $20,787 |
| CT Abdomen and Pelvis with Contrast | $513 | $6,879 | $17,197 |
| CT Cardiac Calcium Scoring | $128 | $478 | $1,195 |
| CT Chest without Contrast | $154 | $3,341 | $8,352 |
| CT Head without Contrast | $154 | $3,111 | $7,777 |
| DEXA Bone Density Scan | $154 | $618 | $1,544 |
| Diagnostic Colonoscopy | $15,618$1.4k$22k | $3,432 | $8,581 |
| Diagnostic Mammogram (Both Breasts) | $121 | $616 | $1,541 |
| Ear Tube Placement (Tympanostomy) | $20,418$2.3k$39k | — | — |
| Echocardiogram (Complete with Doppler) | $804 | $4,826 | $12,065 |
| EKG (Electrocardiogram, 12-lead) | $75$39$118 | $62 | $124 |
| Emergency Room Visit (Level 3) | $402 | $1,995 | $4,988 |
| Group Therapy Session | — | $159 | $398 |
| Hemoglobin A1c (Diabetes Test) | $10 | $126 | $315 |
| HIV Antibody Test | $9 | $32 | $80 |
| Home Sleep Study | $318 | $371 | $928 |
| Individual Therapy Session (45 Minutes) | $261 | $199 | $497 |
| Inguinal Hernia Repair (Open) | $31,632$5.3k$41k | $1,143 | $2,285 |
| Initial Hospital Admission (Level 1) | $302$60$385 | $203 | $405 |
| Initial Psychiatric Diagnostic Evaluation | $261 | $258 | $644 |
| Initial Psychiatric Evaluation with Medication Management | $261 | $292 | $729 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | — | $6,910 | $17,274 |
| IUD Insertion | $13,381$5.2k$14k | $454 | $1,135 |
| IUD Removal | $10,972$448$14k | $675 | $1,687 |
| Knee Arthroscopy with Meniscectomy | $31,632$4.8k$41k | — | — |
| Laparoscopic Appendectomy | $37,273$8.9k$54k | $1,433 | $2,865 |
| Laparoscopic Gallbladder Removal | $46,686$8.9k$59k | $1,891 | $3,781 |
| Laparoscopic Tubal Ligation | $45,199$8.9k$48k | $1,885 | $3,771 |
| Lipid Panel (Cholesterol Test) | $13 | $265 | $662 |
| Lumbar Epidural Steroid Injection | $10,972$1.0k$18k | $4,110 | $10,275 |
| Lumbar Puncture (Spinal Tap) | $10,972$1.0k$18k | $2,406 | $6,014 |
| Lumbar Spinal Fusion (Posterior) | $50,445$26k$59k | $3,130 | $7,419 |
| Lumpectomy (Partial Mastectomy) | $24,307$5.8k$39k | $2,675 | $2,675 |
| MRI Abdomen with and without Contrast | $513 | $6,459 | $16,147 |
| MRI Brain with and without Contrast | $513 | $6,788 | $16,970 |
| MRI Brain with Contrast | $513 | $5,055 | $12,637 |
| MRI Brain without Contrast | $351 | $4,698 | $11,744 |
| MRI Cervical Spine (Neck) without Contrast | $351 | $4,513 | $11,282 |
| MRI Knee without Contrast | $351 | $4,156 | $10,390 |
| MRI Lower Back (Lumbar Spine) without Contrast | $351 | $4,408 | $11,019 |
| MRI Thoracic Spine (Mid-back) without Contrast | $351 | $4,500 | $11,251 |
| Newborn Circumcision | $15,190$3.1k$22k | — | — |
| Nuclear Cardiac Stress Test | $1,904 | $6,450 | $16,125 |
| Office Visit, Established Patient (Level 3) | $246$67$346 | $341 | $363 |
| Office Visit, New Patient (Level 3) | $330$160$493 | $333 | $666 |
| Pacemaker Insertion (Dual Chamber) | $55,537$15k$69k | $28,949 | $72,373 |
| PET/CT Scan, Whole Body | $2,103 | $7,785 | $19,463 |
| Pregnancy Ultrasound (Second or Third Trimester) | $154 | $879 | $2,197 |
| Prostate Biopsy | $16,973$14k$22k | $5,496 | $13,741 |
| PSA Prostate Cancer Screening | $18 | $234 | $584 |
| Pulmonary Function Test with Bronchodilator | $549 | $1,318 | $3,296 |
| Rotator Cuff Repair (Arthroscopic) | $45,199$11k$48k | $2,468 | $4,935 |
| Screening Mammogram | $100 | $287 | $717 |
| Septoplasty (Deviated Septum Repair) | $31,891$4.9k$41k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $36,349$10k$46k | — | — |
| Skin Biopsy (Tangential) | $10,972$598$22k | $307 | $767 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $15,335$2.4k$18k | $993 | $2,483 |
| Sleep Study (In-lab Polysomnography) | $1,263 | $4,320 | $10,799 |
| Spinal Cord Stimulator Trial | $19,559$9.4k$48k | — | — |
| Spirometry (Breathing Test) | $318 | $745 | $1,863 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $33,083$4.9k$46k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $24,307$8.7k$39k | — | — |
| Total Hip Replacement | $39,140$19k$53k | $4,722 | $9,444 |
| Total Knee Replacement | $42,269$19k$53k | $4,536 | $9,071 |
| Total Mastectomy | $31,632$9.8k$41k | $2,044 | $4,089 |
| TSH Thyroid Function Test | $17 | $22 | $54 |
| TURP (Transurethral Prostate Resection) | $35,334$7.9k$41k | — | — |
| Umbilical Hernia Repair | $21,946 | — | — |
| Upper GI Endoscopy (EGD) | $13,980$1.3k$18k | $3,788 | $9,471 |
| Urinalysis with Microscopy | $3 | $170 | $426 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $22,145$22k$24k | — | — |
| Vaginal Delivery (Global Package) | $22,145$22k$26k | — | — |
| Vaginal Hysterectomy | $23,299$7.4k$44k | — | — |
| Vasectomy | $19,507$3.1k$22k | $4,898 | $12,246 |
| Vitamin D Blood Test | $30 | $297 | $742 |