| Abdominal Hysterectomy | $2,399$2.3k$8.5k | — | — |
| ACL Reconstruction (Arthroscopic) | $4,500$3.6k$9.8k | $1,541 | $3,022 |
| Allergy Skin Testing | $585$14$1.2k | — | — |
| Basic Metabolic Panel | $34$8$39 | $51 | $100 |
| Bone Marrow Biopsy | $1,483$721$4.0k | $1,843 | $3,613 |
| Breast Biopsy (Ultrasound-guided) | $3,168$2.2k$5.2k | — | — |
| Bunion Correction Surgery | $4,039$3.6k$5.3k | $3,658 | $7,172 |
| Cardiac Ablation for Atrial Fibrillation | $7,831$7.0k$35k | — | — |
| Cardiac Catheterization (Left Heart) | $7,062$4.4k$7.2k | — | — |
| Cardiac Stress Test (Treadmill) | $369$222$516 | — | — |
| Carpal Tunnel Release Surgery | $3,168$2.6k$5.2k | $1,447 | $2,837 |
| Cataract Surgery with Lens Implant | $6,882$3.1k$7.0k | — | — |
| Cervical Spinal Fusion (Anterior) | $5,778$3.6k$17k | — | — |
| Cesarean Delivery (Global Package) | $3,621$3.6k$3.7k | — | — |
| Chemotherapy Infusion (First Hour) | $416$388$445 | $700 | $1,372 |
| Chest X-ray (2 Views) | $103$61$117 | $223 | $438 |
| Colonoscopy with Biopsy | $3,168$1.6k$5.2k | $761 | $1,492 |
| Complete Abdominal Ultrasound | $264$141$302 | $360 | $706 |
| Complete Blood Count (CBC) with Differential | $31$8$36 | $50 | $98 |
| Comprehensive Metabolic Panel | $42$11$49 | $67 | $131 |
| Coronary Angioplasty with Stent | $5,158$5.0k$16k | — | — |
| Critical Care, First Hour | $1,113 | $2,673 | $5,241 |
| CT Abdomen and Pelvis with Contrast | $790$470$890 | $1,701 | $3,335 |
| CT Cardiac Calcium Scoring | $146$117$154 | — | — |
| CT Chest without Contrast | $609$141$783 | $223 | $437 |
| CT Head without Contrast | $487$141$626 | $456 | $894 |
| DEXA Bone Density Scan | $265$141$381 | $315 | $619 |
| Diagnostic Colonoscopy | $3,168$1.3k$5.2k | $744 | $1,459 |
| Diagnostic Mammogram (Both Breasts) | $382$121$436 | $540 | $1,058 |
| Ear Tube Placement (Tympanostomy) | $3,621$2.1k$5.3k | — | — |
| Echocardiogram (Complete with Doppler) | $736$405$1.0k | $958 | $1,879 |
| EKG (Electrocardiogram, 12-lead) | $86$47$125 | $66 | $129 |
| Emergency Room Visit (Level 3) | $368 | $1,753 | $3,438 |
| Group Therapy Session | $137 | — | — |
| Hemodialysis Treatment | $248 | — | — |
| Hemoglobin A1c (Diabetes Test) | $39$10$45 | $80 | $156 |
| HIV Antibody Test | $36$9$41 | — | — |
| Holter Monitor (24-48 Hour Heart Monitor) | $501$253$748 | — | — |
| Home Sleep Study | $292$291$710 | — | — |
| Individual Therapy Session (45 Minutes) | $239 | $278 | $546 |
| Inguinal Hernia Repair (Open) | $4,681$4.4k$6.3k | $3,166 | $6,208 |
| Initial Hospital Admission (Level 1) | — | $152 | $298 |
| Initial Psychiatric Diagnostic Evaluation | $239 | $378 | $742 |
| Initial Psychiatric Evaluation with Medication Management | $239 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,688$1.3k$2.1k | — | — |
| IUD Insertion | $741$721$4.0k | $128 | $251 |
| IUD Removal | $731$411$4.0k | $923 | $1,810 |
| Knee Arthroscopy with Meniscectomy | $4,477$4.4k$6.3k | $857 | $1,680 |
| Laparoscopic Appendectomy | $5,849$5.3k$8.1k | $910 | $1,785 |
| Laparoscopic Gallbladder Removal | $7,067$7.0k$8.1k | $993 | $1,948 |
| Laparoscopic Tubal Ligation | $6,064$5.0k$8.1k | $1,206 | $2,365 |
| Lipid Panel (Cholesterol Test) | $54$13$62 | $82 | $160 |
| Lumbar Epidural Steroid Injection | $2,367$951$4.0k | $1,572 | $3,082 |
| Lumbar Puncture (Spinal Tap) | $2,367$951$4.0k | $1,476 | $2,894 |
| Lumbar Spinal Fusion (Posterior) | $7,524$7.0k$24k | — | — |
| Lumpectomy (Partial Mastectomy) | $4,472$3.6k$5.3k | — | — |
| MRI Abdomen with and without Contrast | $1,149$470$3.3k | $1,881 | $3,689 |
| MRI Brain with and without Contrast | $1,149$470$2.9k | $2,141 | $4,198 |
| MRI Brain with Contrast | $1,149$470$1.8k | $1,872 | $3,671 |
| MRI Brain without Contrast | $1,149$321$1.5k | $1,073 | $2,105 |
| MRI Cervical Spine (Neck) without Contrast | $1,149$321$1.5k | $1,078 | $2,114 |
| MRI Knee without Contrast | $1,149$321$1.5k | $1,123 | $2,201 |
| MRI Lower Back (Lumbar Spine) without Contrast | $1,149$321$1.6k | $1,108 | $2,172 |
| MRI Thoracic Spine (Mid-back) without Contrast | $1,149$321$1.6k | $1,107 | $2,171 |
| Newborn Circumcision | $2,608$2.3k$4.0k | — | — |
| Nuclear Cardiac Stress Test | $1,533$1.3k$1.7k | — | — |
| Office Visit, Established Patient (Level 3) | — | $188 | $368 |
| Office Visit, New Patient (Level 3) | — | $298 | $585 |
| Pacemaker Insertion (Dual Chamber) | $9,511$8.5k$14k | — | — |
| PET/CT Scan, Whole Body | $3,340$1.9k$7.2k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $274$141$302 | $380 | $746 |
| Prostate Biopsy | $3,210$3.1k$5.2k | — | — |
| PSA Prostate Cancer Screening | $74$18$86 | $122 | $239 |
| Pulmonary Function Test with Bronchodilator | $327$152$503 | $358 | $701 |
| Rotator Cuff Repair (Arthroscopic) | $6,064$5.0k$9.8k | $1,672 | $3,278 |
| Screening Mammogram | $316$100$360 | $315 | $617 |
| Septoplasty (Deviated Septum Repair) | $4,502$4.4k$6.3k | $3,496 | $6,855 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,064$5.0k$9.5k | — | — |
| Skin Biopsy (Tangential) | $3,168$548$4.0k | $241 | $472 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,367$2.2k$5.2k | $1,054 | $2,067 |
| Sleep Study (In-lab Polysomnography) | $1,157$863$1.4k | — | — |
| Spinal Cord Stimulator Trial | $4,204$3.1k$8.6k | — | — |
| Spirometry (Breathing Test) | $180$69$291 | $196 | $384 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $5,090$4.5k$7.0k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $4,500$3.6k$8.0k | — | — |
| Total Hip Replacement | $5,778$3.6k$17k | $2,033 | $3,986 |
| Total Knee Replacement | $5,778$3.6k$17k | $2,101 | $4,120 |
| Total Mastectomy | $5,430$4.4k$8.9k | — | — |
| TSH Thyroid Function Test | $67$17$78 | $138 | $270 |
| TURP (Transurethral Prostate Resection) | $5,430$4.4k$7.2k | — | — |
| Upper GI Endoscopy (EGD) | $2,367$1.2k$4.0k | $535 | $1,049 |
| Urinalysis with Microscopy | $13$3$14 | $36 | $70 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $3,168$3.1k$3.2k | — | — |
| Vaginal Delivery (Global Package) | $3,168$3.1k$3.2k | — | — |
| Vaginal Hysterectomy | $4,570$2.3k$7.0k | — | — |
| Vasectomy | $3,168$2.8k$5.2k | $634 | $1,244 |
| Vitamin D Blood Test | $119$30$138 | $94 | $185 |