| Abdominal Hysterectomy | $5,043$999$18k | $8,783 | $25,094 |
| ACL Reconstruction (Arthroscopic) | $7,179$2.2k$29k | — | — |
| Allergy Skin Testing | $1,022$9$1.0k | — | — |
| Basic Metabolic Panel | $24$7$222 | $111 | $317 |
| Bone Marrow Biopsy | $1,455$303$3.3k | $802 | $2,292 |
| Breast Biopsy (Ultrasound-guided) | $1,936$198$8.2k | $1,621 | $4,632 |
| Bunion Correction Surgery | $3,261$2.0k$13k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $21,553$2.1k$31k | $12,877 | $36,792 |
| Cardiac Catheterization (Left Heart) | $6,226$2.3k$19k | $9,349 | $26,711 |
| Cardiac Stress Test (Treadmill) | $73$73$478 | — | — |
| Carpal Tunnel Release Surgery | $2,306$1.0k$8.2k | — | — |
| Cataract Surgery with Lens Implant | $3,152$1.2k$8.2k | — | — |
| Cervical Spinal Fusion (Anterior) | $12,931$3.9k$32k | — | — |
| Cesarean Delivery (Global Package) | $7,401$2.6k$17k | — | — |
| Chemotherapy Infusion (First Hour) | $893$288$1.8k | $603 | $1,724 |
| Chest X-ray (2 Views) | $91$35$641 | $256 | $731 |
| Colonoscopy with Biopsy | $1,237$867$4.6k | $2,014 | $5,754 |
| Complete Abdominal Ultrasound | $293$107$1.5k | $759 | $2,168 |
| Complete Blood Count (CBC) with Differential | $22$6$166 | $83 | $237 |
| Comprehensive Metabolic Panel | $30$8$426 | $213 | $608 |
| Coronary Angioplasty with Stent | $11,397$1.3k$26k | $12,625 | $36,071 |
| Critical Care, First Hour | $5,116$350$10k | $4,113 | $11,752 |
| CT Abdomen and Pelvis with Contrast | $604$298$9.9k | $4,948 | $14,136 |
| CT Cardiac Calcium Scoring | $369$88$1.0k | $212 | $606 |
| CT Chest without Contrast | $532$107$2.5k | $1,254 | $3,583 |
| CT Head without Contrast | $339$107$3.5k | $1,758 | $5,024 |
| DEXA Bone Density Scan | $113$31$667 | $329 | $941 |
| Diagnostic Colonoscopy | $916$400$4.6k | $1,852 | $5,291 |
| Diagnostic Mammogram (Both Breasts) | $160$69$390 | — | — |
| Ear Tube Placement (Tympanostomy) | $1,489$363$8.2k | — | — |
| Echocardiogram (Complete with Doppler) | $625$296$5.2k | $2,575 | $7,356 |
| EKG (Electrocardiogram, 12-lead) | $14$14$93 | — | — |
| Emergency Room Visit (Level 3) | $1,192$278$2.7k | $863 | $2,465 |
| Group Therapy Session | $93$61$210 | — | — |
| Hemodialysis Treatment | $100$100$650 | — | — |
| Hemoglobin A1c (Diabetes Test) | $37$7$165 | $78 | $224 |
| HIV Antibody Test | $34$7$90 | $41 | $117 |
| Holter Monitor (24-48 Hour Heart Monitor) | $71$71$464 | — | — |
| Home Sleep Study | $269$132$773 | $377 | $1,078 |
| Individual Therapy Session (45 Minutes) | $161$143$253 | — | — |
| Inguinal Hernia Repair (Open) | $3,547$1.2k$13k | — | — |
| Initial Hospital Admission (Level 1) | $80$80$524 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $210$143$488 | $241 | $689 |
| Initial Psychiatric Evaluation with Medication Management | $351$143$659 | $283 | $809 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,510$581$5.5k | $2,709 | $7,739 |
| IUD Insertion | $272$109$4.7k | — | — |
| IUD Removal | $328$250$3.3k | $276 | $788 |
| Knee Arthroscopy with Meniscectomy | $3,261$1.2k$13k | — | — |
| Laparoscopic Appendectomy | $5,863$1.4k$21k | — | — |
| Laparoscopic Gallbladder Removal | $5,863$1.5k$21k | — | — |
| Laparoscopic Tubal Ligation | $5,863$1.5k$21k | — | — |
| Lipid Panel (Cholesterol Test) | $51$10$241 | $104 | $298 |
| Lumbar Epidural Steroid Injection | $696$332$3.3k | $642 | $1,835 |
| Lumbar Puncture (Spinal Tap) | $696$211$3.3k | $870 | $2,486 |
| Lumbar Spinal Fusion (Posterior) | $18,482$3.6k$32k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,848$1.5k$13k | — | — |
| MRI Abdomen with and without Contrast | $796$359$5.9k | $2,955 | $8,442 |
| MRI Brain with and without Contrast | $785$359$6.4k | $3,190 | $9,113 |
| MRI Brain with Contrast | $761$359$4.4k | $2,215 | $6,328 |
| MRI Brain without Contrast | $761$243$3.0k | $1,486 | $4,245 |
| MRI Cervical Spine (Neck) without Contrast | $761$243$4.6k | $2,319 | $6,626 |
| MRI Knee without Contrast | $761$243$4.5k | $2,238 | $6,395 |
| MRI Lower Back (Lumbar Spine) without Contrast | $761$243$4.5k | $2,272 | $6,490 |
| MRI Thoracic Spine (Mid-back) without Contrast | $761$243$4.3k | $2,147 | $6,135 |
| Newborn Circumcision | $1,701$336$6.7k | $992 | $2,835 |
| Nuclear Cardiac Stress Test | $1,606$327$8.4k | $4,151 | $11,859 |
| Office Visit, Established Patient (Level 3) | $91$91$421 | — | — |
| Office Visit, New Patient (Level 3) | $111$111$522 | — | — |
| Pacemaker Insertion (Dual Chamber) | $10,517$1.2k$31k | $10,851 | $31,003 |
| PET/CT Scan, Whole Body | $2,081$1.5k$7.8k | $3,880 | $11,087 |
| Pregnancy Ultrasound (Second or Third Trimester) | $314$107$1.1k | $543 | $1,552 |
| Prostate Biopsy | $1,349$373$4.6k | $371 | $1,059 |
| PSA Prostate Cancer Screening | $65$14$253 | $127 | $362 |
| Pulmonary Function Test with Bronchodilator | $313$44$870 | $381 | $1,088 |
| Rotator Cuff Repair (Arthroscopic) | $7,179$2.4k$29k | — | — |
| Screening Mammogram | $130$53$316 | — | — |
| Septoplasty (Deviated Septum Repair) | $3,305$1.5k$8.2k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,957$736$25k | — | — |
| Skin Biopsy (Tangential) | $234$164$3.3k | $345 | $985 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,628$287$3.5k | $1,098 | $3,136 |
| Sleep Study (In-lab Polysomnography) | $1,415$508$7.7k | $3,809 | $10,882 |
| Spinal Cord Stimulator Trial | $6,596$1.8k$32k | — | — |
| Spirometry (Breathing Test) | $157$35$870 | $232 | $662 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,259$697$8.2k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,743$665$16k | — | — |
| Total Hip Replacement | $12,931$2.9k$29k | — | — |
| Total Knee Replacement | $12,931$2.9k$32k | — | — |
| Total Mastectomy | $6,554$2.2k$25k | — | — |
| TSH Thyroid Function Test | $48$13$341 | $170 | $487 |
| TURP (Transurethral Prostate Resection) | $5,109$1.6k$16k | — | — |
| Upper GI Endoscopy (EGD) | $942$532$4.6k | $1,030 | $2,944 |
| Urinalysis with Microscopy | $9$2$150 | $75 | $214 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $7,224$2.5k$16k | — | — |
| Vaginal Delivery (Global Package) | $7,084$2.4k$15k | — | — |
| Vaginal Hysterectomy | $4,961$1.9k$16k | — | — |
| Vasectomy | $2,059$753$8.2k | — | — |
| Vitamin D Blood Test | $100$23$363 | $182 | $519 |