| Abdominal Hysterectomy | $8,184$969$17k | $8,353 | $23,866 |
| ACL Reconstruction (Arthroscopic) | $7,179$2.3k$21k | — | — |
| Allergy Skin Testing | $31$9$1.0k | $19 | $53 |
| Basic Metabolic Panel | $29$8$203 | $102 | $290 |
| Bone Marrow Biopsy | $2,390$374$6.3k | $2,261 | $6,460 |
| Breast Biopsy (Ultrasound-guided) | $2,474$242$7.7k | $2,340 | $6,687 |
| Bunion Correction Surgery | $3,953$2.4k$9.6k | $3,450 | $9,857 |
| Cardiac Ablation for Atrial Fibrillation | $26,620$4.9k$72k | $36,237 | $103,533 |
| Cardiac Catheterization (Left Heart) | $10,772$3.1k$35k | $17,453 | $49,866 |
| Cardiac Stress Test (Treadmill) | $73$71$646 | — | — |
| Carpal Tunnel Release Surgery | $2,207$1.0k$7.0k | $1,458 | $4,165 |
| Cataract Surgery with Lens Implant | $3,405$1.3k$7.7k | — | — |
| Cervical Spinal Fusion (Anterior) | $12,931$4.0k$23k | — | — |
| Cesarean Delivery (Global Package) | $6,646$2.5k$23k | — | — |
| Chemotherapy Infusion (First Hour) | $971$301$1.7k | $846 | $2,416 |
| Chest X-ray (2 Views) | $149$34$872 | $436 | $1,245 |
| Colonoscopy with Biopsy | $2,249$1.1k$6.6k | $2,016 | $5,761 |
| Complete Abdominal Ultrasound | $506$104$1.9k | $945 | $2,699 |
| Complete Blood Count (CBC) with Differential | $27$8$168 | $84 | $240 |
| Comprehensive Metabolic Panel | $37$10$347 | $174 | $496 |
| Coronary Angioplasty with Stent | $12,638$5.9k$33k | $16,523 | $47,209 |
| Critical Care, First Hour | $4,254$821$13k | $2,826 | $8,073 |
| CT Abdomen and Pelvis with Contrast | $793$348$10k | $5,221 | $14,917 |
| CT Cardiac Calcium Scoring | $318$86$1.0k | $189 | $541 |
| CT Chest without Contrast | $690$104$3.8k | $1,895 | $5,413 |
| CT Head without Contrast | $518$104$4.1k | $2,050 | $5,857 |
| DEXA Bone Density Scan | $127$31$751 | $114 | $327 |
| Diagnostic Colonoscopy | $1,960$494$6.6k | $1,854 | $5,297 |
| Diagnostic Mammogram (Both Breasts) | $254$57$1.0k | $514 | $1,469 |
| Ear Tube Placement (Tympanostomy) | $1,489$380$7.7k | — | — |
| Echocardiogram (Complete with Doppler) | $1,620$366$5.5k | $2,770 | $7,915 |
| EKG (Electrocardiogram, 12-lead) | $14$14$126 | — | — |
| Emergency Room Visit (Level 3) | $1,327$270$2.4k | $842 | $2,407 |
| Group Therapy Session | $93$41$264 | $72 | $205 |
| Hemodialysis Treatment | $100$97$878 | — | — |
| Hemoglobin A1c (Diabetes Test) | $73$9$168 | $81 | $232 |
| HIV Antibody Test | $41$9$120 | $49 | $139 |
| Holter Monitor (24-48 Hour Heart Monitor) | $71$69$627 | — | — |
| Home Sleep Study | $252$148$643 | $214 | $612 |
| Individual Therapy Session (45 Minutes) | $175$105$305 | $152 | $435 |
| Inguinal Hernia Repair (Open) | $3,578$1.2k$10k | — | — |
| Initial Hospital Admission (Level 1) | $51$21$707 | $30 | $86 |
| Initial Psychiatric Diagnostic Evaluation | $191$112$1.6k | $162 | $463 |
| Initial Psychiatric Evaluation with Medication Management | $175$105$522 | $152 | $436 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,514$564$7.5k | $3,741 | $10,689 |
| IUD Insertion | $694$105$6.3k | $467 | $1,335 |
| IUD Removal | $484$271$6.3k | $394 | $1,125 |
| Knee Arthroscopy with Meniscectomy | $3,608$1.3k$10k | — | — |
| Laparoscopic Appendectomy | $5,863$1.4k$15k | — | — |
| Laparoscopic Gallbladder Removal | $5,863$1.6k$15k | — | — |
| Laparoscopic Tubal Ligation | $5,863$1.6k$15k | — | — |
| Lipid Panel (Cholesterol Test) | $33$13$270 | $77 | $220 |
| Lumbar Epidural Steroid Injection | $1,385$325$6.3k | $1,242 | $3,548 |
| Lumbar Puncture (Spinal Tap) | $991$207$6.3k | $1,063 | $3,036 |
| Lumbar Spinal Fusion (Posterior) | $14,889$3.8k$23k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,848$1.6k$10k | — | — |
| MRI Abdomen with and without Contrast | $920$348$6.2k | $3,092 | $8,834 |
| MRI Brain with and without Contrast | $914$348$7.1k | $3,549 | $10,140 |
| MRI Brain with Contrast | $914$348$5.5k | $2,744 | $7,839 |
| MRI Brain without Contrast | $914$236$5.2k | $2,613 | $7,466 |
| MRI Cervical Spine (Neck) without Contrast | $914$236$4.8k | $2,422 | $6,921 |
| MRI Knee without Contrast | $914$236$3.2k | $1,599 | $4,568 |
| MRI Lower Back (Lumbar Spine) without Contrast | $914$236$5.2k | $2,577 | $7,362 |
| MRI Thoracic Spine (Mid-back) without Contrast | $914$236$5.1k | $2,567 | $7,334 |
| Newborn Circumcision | $3,182$352$7.0k | $3,010 | $8,600 |
| Nuclear Cardiac Stress Test | $2,684$404$9.7k | $4,836 | $13,816 |
| Office Visit, Established Patient (Level 3) | $91$88$569 | — | — |
| Office Visit, New Patient (Level 3) | $111$108$705 | — | — |
| Pacemaker Insertion (Dual Chamber) | $14,470$2.7k$40k | $14,545 | $41,556 |
| PET/CT Scan, Whole Body | $2,616$1.4k$11k | $5,718 | $16,338 |
| Pregnancy Ultrasound (Second or Third Trimester) | $527$104$1.5k | $764 | $2,184 |
| Prostate Biopsy | $2,059$693$6.6k | $1,525 | $4,358 |
| PSA Prostate Cancer Screening | $59$16$284 | $73 | $210 |
| Pulmonary Function Test with Bronchodilator | $313$54$879 | $439 | $1,255 |
| Rotator Cuff Repair (Arthroscopic) | $7,240$2.5k$21k | — | — |
| Screening Mammogram | $254$44$736 | $368 | $1,052 |
| Septoplasty (Deviated Septum Repair) | $3,410$993$7.2k | $2,933 | $8,379 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,957$771$18k | — | — |
| Skin Biopsy (Tangential) | $454$194$6.3k | $396 | $1,132 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,380$458$6.6k | $821 | $2,346 |
| Sleep Study (In-lab Polysomnography) | $2,823$503$7.6k | $3,799 | $10,855 |
| Spinal Cord Stimulator Trial | $6,596$2.3k$15k | $5,653 | $16,151 |
| Spirometry (Breathing Test) | $219$43$636 | $318 | $908 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,259$729$7.7k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,945$696$13k | — | — |
| Total Hip Replacement | $12,931$3.1k$27k | — | — |
| Total Knee Replacement | $12,931$3.0k$27k | — | — |
| Total Mastectomy | $6,554$2.3k$18k | — | — |
| TSH Thyroid Function Test | $58$16$204 | $102 | $291 |
| TURP (Transurethral Prostate Resection) | $5,260$1.7k$13k | — | — |
| Upper GI Endoscopy (EGD) | $1,632$657$6.3k | $1,425 | $4,071 |
| Urinalysis with Microscopy | $11$3$95 | $47 | $135 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $6,623$2.4k$22k | — | — |
| Vaginal Delivery (Global Package) | $6,329$2.3k$21k | — | — |
| Vaginal Hysterectomy | $4,961$2.0k$13k | — | — |
| Vasectomy | $2,059$1.2k$7.0k | $1,789 | $5,110 |
| Vitamin D Blood Test | $116$29$249 | $114 | $326 |