| Abdominal Hysterectomy | $10,175$5.6k$15k | — | — |
| ACL Reconstruction (Arthroscopic) | $14,510$8.6k$19k | — | — |
| Allergy Skin Testing | $25$24$26 | $15 | $20 |
| Basic Metabolic Panel | $68$22$74 | $206 | $275 |
| Bone Marrow Biopsy | $4,621$1.7k$9.4k | $1,199 | $1,598 |
| Breast Biopsy (Ultrasound-guided) | $7,162$6.2k$9.4k | — | — |
| Bunion Correction Surgery | $9,669$8.0k$12k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $18,024$13k$26k | $45,812 | $61,082 |
| Cardiac Catheterization (Left Heart) | $16,689$9.4k$24k | $18,524 | $24,698 |
| Cardiac Stress Test (Treadmill) | $928$892$964 | $1,148 | $1,531 |
| Carpal Tunnel Release Surgery | $9,049$6.4k$11k | — | — |
| Cataract Surgery with Lens Implant | $11,636$9.4k$19k | — | — |
| Cervical Spinal Fusion (Anterior) | $16,586$8.6k$22k | — | — |
| Cesarean Delivery (Global Package) | $9,918$8.6k$12k | — | — |
| Chemotherapy Infusion (First Hour) | — | $926 | $1,234 |
| Chest X-ray (2 Views) | $180$59$195 | $306 | $408 |
| Colonoscopy with Biopsy | $6,863$4.6k$9.4k | — | — |
| Complete Abdominal Ultrasound | $456$196$493 | $1,056 | $1,408 |
| Complete Blood Count (CBC) with Differential | $63$20$68 | $106 | $141 |
| Comprehensive Metabolic Panel | $85$28$92 | $295 | $393 |
| Coronary Angioplasty with Stent | $16,807$12k$22k | $22,037 | $29,383 |
| Critical Care, First Hour | — | $9,667 | $12,889 |
| CT Abdomen and Pelvis with Contrast | $1,552$559$1.7k | $5,414 | $7,219 |
| CT Cardiac Calcium Scoring | $268$189$289 | — | — |
| CT Chest without Contrast | $1,354$214$1.5k | $2,914 | $3,885 |
| CT Head without Contrast | $1,082$173$1.2k | $2,106 | $2,809 |
| DEXA Bone Density Scan | $659$76$713 | $884 | $1,179 |
| Diagnostic Colonoscopy | $6,863$4.6k$9.4k | — | — |
| Diagnostic Mammogram (Both Breasts) | $760$283$822 | — | — |
| Ear Tube Placement (Tympanostomy) | $7,162$6.2k$9.9k | — | — |
| Echocardiogram (Complete with Doppler) | $1,871$1.8k$1.9k | $1,981 | $2,641 |
| EKG (Electrocardiogram, 12-lead) | $225$216$234 | $294 | $392 |
| Emergency Room Visit (Level 3) | — | $1,500 | $2,000 |
| Group Therapy Session | — | $135 | $180 |
| Hemoglobin A1c (Diabetes Test) | $78$25$85 | $77 | $103 |
| HIV Antibody Test | $72$23$78 | $94 | $125 |
| Holter Monitor (24-48 Hour Heart Monitor) | $1,347$1.3k$1.4k | $1,403 | $1,871 |
| Home Sleep Study | $1,278$1.2k$1.3k | — | — |
| Individual Therapy Session (45 Minutes) | — | $203 | $270 |
| Inguinal Hernia Repair (Open) | $10,375$9.4k$12k | — | — |
| Initial Psychiatric Diagnostic Evaluation | — | $307 | $410 |
| Initial Psychiatric Evaluation with Medication Management | — | $274 | $365 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $3,686$1.6k$4.0k | — | — |
| IUD Insertion | $1,741$1.5k$9.4k | $504 | $672 |
| IUD Removal | $1,879$1.5k$9.4k | — | — |
| Knee Arthroscopy with Meniscectomy | $10,375$9.4k$12k | — | — |
| Laparoscopic Appendectomy | $14,917$8.0k$19k | — | — |
| Laparoscopic Gallbladder Removal | $17,854$9.4k$22k | — | — |
| Laparoscopic Tubal Ligation | $12,981$9.4k$19k | — | — |
| Lipid Panel (Cholesterol Test) | $108$35$117 | $130 | $173 |
| Lumbar Epidural Steroid Injection | $5,128$4.6k$9.4k | $568 | $757 |
| Lumbar Puncture (Spinal Tap) | $5,128$4.6k$9.4k | $568 | $757 |
| Lumbar Spinal Fusion (Posterior) | $16,527$9.4k$19k | — | — |
| Lumpectomy (Partial Mastectomy) | $9,449$8.0k$11k | — | — |
| MRI Abdomen with and without Contrast | $5,780$606$6.2k | $6,092 | $8,122 |
| MRI Brain with and without Contrast | $5,035$547$5.4k | $6,400 | $8,534 |
| MRI Brain with Contrast | $3,063$484$3.3k | $4,040 | $5,386 |
| MRI Brain without Contrast | $2,557$330$2.8k | $3,645 | $4,861 |
| MRI Cervical Spine (Neck) without Contrast | $2,558$314$2.8k | $4,329 | $5,773 |
| MRI Knee without Contrast | $2,548$361$2.8k | $4,590 | $6,120 |
| MRI Lower Back (Lumbar Spine) without Contrast | $2,835$315$3.1k | $5,191 | $6,921 |
| MRI Thoracic Spine (Mid-back) without Contrast | $2,837$314$3.1k | $5,191 | $6,921 |
| Newborn Circumcision | $7,953$4.6k$11k | — | — |
| Nuclear Cardiac Stress Test | $2,672$879$2.9k | — | — |
| Office Visit, Established Patient (Level 3) | — | $441 | $589 |
| Office Visit, New Patient (Level 3) | — | $515 | $686 |
| Pacemaker Insertion (Dual Chamber) | $17,784$9.4k$26k | $15,212 | $20,282 |
| PET/CT Scan, Whole Body | $5,778$2.0k$6.2k | $10,622 | $14,163 |
| Pregnancy Ultrasound (Second or Third Trimester) | $474$220$512 | — | — |
| Prostate Biopsy | $7,481$6.4k$9.4k | $2,156 | $2,875 |
| PSA Prostate Cancer Screening | $149$48$161 | $6 | $8 |
| Pulmonary Function Test with Bronchodilator | $273$263$284 | $902 | $1,203 |
| Rotator Cuff Repair (Arthroscopic) | $13,624$9.4k$19k | — | — |
| Screening Mammogram | $628$234$678 | — | — |
| Septoplasty (Deviated Septum Repair) | $10,768$9.4k$13k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $10,175$8.0k$14k | — | — |
| Skin Biopsy (Tangential) | $4,748$1.5k$9.4k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $6,012$4.6k$9.4k | $116 | $155 |
| Sleep Study (In-lab Polysomnography) | $1,553$1.5k$1.6k | $5,423 | $7,231 |
| Spinal Cord Stimulator Trial | $9,049$6.4k$19k | — | — |
| Spirometry (Breathing Test) | $124$119$128 | $596 | $795 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $10,087$9.4k$14k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $9,695$8.6k$11k | — | — |
| Total Hip Replacement | $11,459$8.6k$20k | — | — |
| Total Knee Replacement | $17,366$8.6k$22k | — | — |
| Total Mastectomy | $10,375$9.4k$12k | — | — |
| TSH Thyroid Function Test | $136$44$147 | $78 | $104 |
| TURP (Transurethral Prostate Resection) | $11,418$8.0k$16k | — | — |
| Umbilical Hernia Repair | $9,654$9.4k$10k | — | — |
| Upper GI Endoscopy (EGD) | $6,460$5.6k$9.4k | $982 | $1,309 |
| Urinalysis with Microscopy | $25$8$27 | $75 | $100 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $9,420$7.5k$11k | — | — |
| Vaginal Delivery (Global Package) | $9,420$7.5k$12k | — | — |
| Vaginal Hysterectomy | $10,175$5.6k$15k | — | — |
| Vasectomy | $9,049$6.4k$11k | — | — |
| Vitamin D Blood Test | $239$78$258 | $138 | $184 |