| Abdominal Hysterectomy | $7,776$7.1k$8.4k | — | — |
| ACL Reconstruction (Arthroscopic) | $12,858$11k$21k | — | — |
| Allergy Skin Testing | $1,570$1.3k$2.5k | $36 | $121 |
| Basic Metabolic Panel | $11$8$17 | $137 | $455 |
| Bone Marrow Biopsy | $2,596$2.2k$4.8k | $1,557 | $5,190 |
| Breast Biopsy (Ultrasound-guided) | $4,832$2.4k$11k | $1,466 | $4,887 |
| Bunion Correction Surgery | $9,573$4.8k$13k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $42,059$21k$76k | $13,400 | $44,665 |
| Cardiac Catheterization (Left Heart) | $13,671$4.7k$25k | $11,525 | $38,416 |
| Carpal Tunnel Release Surgery | $5,713$2.9k$11k | — | — |
| Cataract Surgery with Lens Implant | $6,752$3.4k$24k | — | — |
| Cervical Spinal Fusion (Anterior) | $18,781$11k$38k | — | — |
| Cesarean Delivery (Global Package) | $11,893$11k$13k | — | — |
| Chemotherapy Infusion (First Hour) | $604$483$966 | $487 | $1,624 |
| Chest X-ray (2 Views) | $159$127$255 | $159 | $531 |
| Colonoscopy with Biopsy | $3,501$1.8k$11k | $1,215 | $4,049 |
| Complete Abdominal Ultrasound | $191$153$306 | $648 | $2,159 |
| Complete Blood Count (CBC) with Differential | $10$8$16 | $70 | $232 |
| Comprehensive Metabolic Panel | $13$11$21 | $162 | $539 |
| Coronary Angioplasty with Stent | $19,170$15k$46k | $8,461 | $28,204 |
| Critical Care, First Hour | $1,510$1.2k$2.4k | $4,330 | $14,433 |
| CT Abdomen and Pelvis with Contrast | $638$510$1.0k | $2,482 | $8,272 |
| CT Cardiac Calcium Scoring | $159$127$255 | $154 | $512 |
| CT Chest without Contrast | $191$153$306 | $1,174 | $3,912 |
| CT Head without Contrast | $191$153$306 | $986 | $3,288 |
| DEXA Bone Density Scan | $191$153$306 | $421 | $1,402 |
| Diagnostic Colonoscopy | $2,721$1.4k$11k | — | — |
| Diagnostic Mammogram (Both Breasts) | $151$121$242 | $248 | $827 |
| Ear Tube Placement (Tympanostomy) | $4,539$2.3k$13k | — | — |
| Echocardiogram (Complete with Doppler) | $999$799$1.6k | $2,382 | $7,940 |
| Emergency Room Visit (Level 3) | $499$399$799 | $989 | $3,297 |
| Group Therapy Session | $186$149$297 | — | — |
| Hemoglobin A1c (Diabetes Test) | $12$10$19 | $3 | $10 |
| HIV Antibody Test | $11$9$18 | $77 | $258 |
| Home Sleep Study | $395$316$632 | — | — |
| Individual Therapy Session (45 Minutes) | $325$260$519 | $108 | $359 |
| Inguinal Hernia Repair (Open) | $10,475$5.2k$16k | — | — |
| Initial Psychiatric Diagnostic Evaluation | $325$260$519 | $164 | $548 |
| Initial Psychiatric Evaluation with Medication Management | $325$260$519 | $96 | $320 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | — | $3,134 | $10,448 |
| IUD Insertion | $2,402$2.2k$2.6k | $91 | $304 |
| IUD Removal | $892$446$2.6k | $396 | $1,321 |
| Knee Arthroscopy with Meniscectomy | $9,573$4.8k$16k | — | — |
| Laparoscopic Appendectomy | $17,654$8.8k$21k | — | — |
| Laparoscopic Gallbladder Removal | $17,687$8.8k$25k | — | — |
| Laparoscopic Tubal Ligation | $15,363$8.8k$18k | — | — |
| Lipid Panel (Cholesterol Test) | $17$13$27 | $101 | $338 |
| Lumbar Epidural Steroid Injection | $2,065$1.0k$8.4k | $1,763 | $5,878 |
| Lumbar Puncture (Spinal Tap) | $2,065$1.0k$8.4k | $722 | $2,405 |
| Lumbar Spinal Fusion (Posterior) | $25,649$21k$51k | — | — |
| Lumpectomy (Partial Mastectomy) | $10,928$5.7k$13k | $2,455 | $8,183 |
| MRI Abdomen with and without Contrast | $638$510$1.0k | $2,998 | $9,992 |
| MRI Brain with and without Contrast | $638$510$1.0k | $3,186 | $10,619 |
| MRI Brain with Contrast | $638$510$1.0k | $2,637 | $8,791 |
| MRI Brain without Contrast | $436$349$698 | $1,719 | $5,730 |
| MRI Cervical Spine (Neck) without Contrast | $436$349$698 | $1,994 | $6,645 |
| MRI Knee without Contrast | $436$349$698 | $1,954 | $6,514 |
| MRI Lower Back (Lumbar Spine) without Contrast | $436$349$698 | $2,218 | $7,392 |
| MRI Thoracic Spine (Mid-back) without Contrast | $436$349$698 | $1,991 | $6,635 |
| Newborn Circumcision | $6,116$3.1k$8.4k | $1,738 | $5,792 |
| Nuclear Cardiac Stress Test | $2,367$1.9k$3.8k | $3,131 | $10,435 |
| Office Visit, Established Patient (Level 3) | — | $70 | $234 |
| Office Visit, New Patient (Level 3) | — | $74 | $246 |
| Pacemaker Insertion (Dual Chamber) | $28,708$15k$53k | $8,646 | $28,821 |
| PET/CT Scan, Whole Body | $2,615$2.1k$4.2k | $3,837 | $12,789 |
| Pregnancy Ultrasound (Second or Third Trimester) | $191$153$306 | $371 | $1,236 |
| Prostate Biopsy | $10,407$9.6k$11k | $1,298 | $4,326 |
| PSA Prostate Cancer Screening | $23$18$37 | $81 | $269 |
| Pulmonary Function Test with Bronchodilator | $682$546$1.1k | $651 | $2,171 |
| Rotator Cuff Repair (Arthroscopic) | $15,363$11k$21k | — | — |
| Screening Mammogram | $125$100$200 | $201 | $670 |
| Septoplasty (Deviated Septum Repair) | $9,700$4.8k$16k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $15,363$10k$21k | — | — |
| Skin Biopsy (Tangential) | $1,189$595$11k | $249 | $830 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $4,832$2.4k$8.4k | $1,515 | $5,052 |
| Sleep Study (In-lab Polysomnography) | $1,570$1.3k$2.5k | $3,160 | $10,534 |
| Spinal Cord Stimulator Trial | $11,251$9.3k$19k | $5,370 | $17,899 |
| Spirometry (Breathing Test) | $395$316$632 | $213 | $710 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $9,700$4.8k$18k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $10,928$8.7k$17k | — | — |
| Total Hip Replacement | $18,781$11k$38k | — | — |
| Total Knee Replacement | $18,781$11k$38k | — | — |
| Total Mastectomy | $13,513$9.7k$19k | — | — |
| TSH Thyroid Function Test | $21$17$34 | $64 | $213 |
| TURP (Transurethral Prostate Resection) | $13,513$7.8k$16k | — | — |
| Upper GI Endoscopy (EGD) | $2,654$1.3k$8.4k | $869 | $2,896 |
| Urinalysis with Microscopy | $4$3$6 | $40 | $133 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $10,407$9.6k$11k | — | — |
| Vaginal Delivery (Global Package) | $10,407$9.6k$11k | — | — |
| Vaginal Hysterectomy | $8,407$7.1k$15k | — | — |
| Vasectomy | $6,116$3.1k$11k | $2,111 | $7,038 |
| Vitamin D Blood Test | $37$30$59 | $20 | $68 |