| Abdominal Hysterectomy | $8,678$187$21k | $8,783 | $25,094 |
| ACL Reconstruction (Arthroscopic) | $7,179$3.4k$26k | — | — |
| Allergy Skin Testing | $1,022$13$1.0k | — | — |
| Anesthesia for Screening Colonoscopy | $187 | — | — |
| Anesthesia for Upper Endoscopy | $187 | — | — |
| Basic Metabolic Panel | $51$8$219 | $111 | $317 |
| Bone Marrow Biopsy | $1,628$756$6.4k | $802 | $2,292 |
| Breast Biopsy (Ultrasound-guided) | $1,913$142$11k | $1,621 | $4,632 |
| Bunion Correction Surgery | $3,369$1.8k$11k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $21,615$3.1k$54k | $12,877 | $36,792 |
| Cardiac Catheterization (Left Heart) | $7,132$3.0k$18k | $9,349 | $26,711 |
| Cardiac Stress Test (Treadmill) | $73$73$590 | — | — |
| Carpal Tunnel Release Surgery | $2,465$1.6k$7.9k | — | — |
| Cataract Surgery with Lens Implant | $2,961$1.9k$21k | — | — |
| Cervical Spinal Fusion (Anterior) | $12,931$3.9k$30k | — | — |
| Cesarean Delivery (Global Package) | $5,009$187$21k | — | — |
| Chemotherapy Infusion (First Hour) | $735$333$1.9k | $603 | $1,724 |
| Chest X-ray (2 Views) | $124$32$873 | $256 | $731 |
| Colonoscopy with Biopsy | $2,463$1.1k$7.9k | $2,014 | $5,754 |
| Complete Abdominal Ultrasound | $452$107$1.5k | $759 | $2,168 |
| Complete Blood Count (CBC) with Differential | $47$8$164 | $83 | $237 |
| Comprehensive Metabolic Panel | $63$10$420 | $213 | $608 |
| Coronary Angioplasty with Stent | $12,949$2.9k$30k | $12,625 | $36,071 |
| Critical Care, First Hour | $4,556$768$8.1k | $4,113 | $11,752 |
| CT Abdomen and Pelvis with Contrast | $534$359$9.8k | $4,948 | $14,136 |
| CT Cardiac Calcium Scoring | $366$88$895 | $212 | $606 |
| CT Chest without Contrast | $534$107$2.5k | $1,254 | $3,583 |
| CT Head without Contrast | $387$107$3.5k | $1,758 | $5,024 |
| DEXA Bone Density Scan | $159$29$873 | $329 | $941 |
| Diagnostic Colonoscopy | $2,165$831$7.9k | $1,852 | $5,291 |
| Diagnostic Mammogram (Both Breasts) | $160$51$1.1k | — | — |
| Ear Tube Placement (Tympanostomy) | $1,489$564$11k | — | — |
| Echocardiogram (Complete with Doppler) | $677$234$5.1k | $2,575 | $7,356 |
| EKG (Electrocardiogram, 12-lead) | $14$14$187 | — | — |
| Emergency Room Visit (Level 3) | $1,159$245$2.3k | $863 | $2,465 |
| Group Therapy Session | $93$93$187 | — | — |
| Hemodialysis Treatment | $100$100$802 | — | — |
| Hemoglobin A1c (Diabetes Test) | $77$9$162 | $78 | $224 |
| HIV Antibody Test | $43$9$89 | $41 | $117 |
| Holter Monitor (24-48 Hour Heart Monitor) | $71$71$573 | — | — |
| Home Sleep Study | $284$126$856 | $377 | $1,078 |
| Individual Therapy Session (45 Minutes) | $161$109$686 | — | — |
| Inguinal Hernia Repair (Open) | $3,547$1.8k$11k | — | — |
| Initial Hospital Admission (Level 1) | $80$80$646 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $237$109$1.2k | $241 | $689 |
| Initial Psychiatric Evaluation with Medication Management | $323$109$1.3k | $283 | $809 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,257$572$6.6k | $2,709 | $7,739 |
| IUD Insertion | $726$109$3.2k | — | — |
| IUD Removal | $337$260$5.4k | $276 | $788 |
| Knee Arthroscopy with Meniscectomy | $3,261$1.9k$11k | — | — |
| Laparoscopic Appendectomy | $5,863$2.1k$18k | — | — |
| Laparoscopic Gallbladder Removal | $5,863$2.3k$22k | — | — |
| Laparoscopic Tubal Ligation | $5,863$2.2k$18k | — | — |
| Lipid Panel (Cholesterol Test) | $95$13$237 | $104 | $298 |
| Lumbar Epidural Steroid Injection | $732$303$5.4k | $642 | $1,835 |
| Lumbar Puncture (Spinal Tap) | $964$193$5.4k | $870 | $2,486 |
| Lumbar Spinal Fusion (Posterior) | $18,029$3.9k$30k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,848$2.3k$11k | — | — |
| MRI Abdomen with and without Contrast | $736$359$5.8k | $2,955 | $8,442 |
| MRI Brain with and without Contrast | $736$359$6.3k | $3,190 | $9,113 |
| MRI Brain with Contrast | $736$359$4.4k | $2,215 | $6,328 |
| MRI Brain without Contrast | $736$234$2.9k | $1,486 | $4,245 |
| MRI Cervical Spine (Neck) without Contrast | $736$234$4.6k | $2,319 | $6,626 |
| MRI Knee without Contrast | $736$234$4.4k | $2,238 | $6,395 |
| MRI Lower Back (Lumbar Spine) without Contrast | $736$234$4.5k | $2,272 | $6,490 |
| MRI Thoracic Spine (Mid-back) without Contrast | $736$234$4.2k | $2,147 | $6,135 |
| Newborn Circumcision | $1,906$328$7.1k | $992 | $2,835 |
| Nuclear Cardiac Stress Test | $1,619$258$8.2k | $4,151 | $11,859 |
| Office Visit, Established Patient (Level 3) | $91$91$610 | — | — |
| Office Visit, New Patient (Level 3) | $111$111$757 | — | — |
| Pacemaker Insertion (Dual Chamber) | $11,384$1.7k$54k | $10,851 | $31,003 |
| PET/CT Scan, Whole Body | $1,734$1.1k$10k | $3,880 | $11,087 |
| Pregnancy Ultrasound (Second or Third Trimester) | $452$107$1.1k | $543 | $1,552 |
| Prostate Biopsy | $2,059$349$7.9k | $371 | $1,059 |
| PSA Prostate Cancer Screening | $129$18$250 | $127 | $362 |
| Pulmonary Function Test with Bronchodilator | $313$35$797 | $381 | $1,088 |
| Rotator Cuff Repair (Arthroscopic) | $7,179$3.7k$26k | — | — |
| Screening Mammogram | $130$40$858 | — | — |
| Septoplasty (Deviated Septum Repair) | $3,529$2.4k$11k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,957$1.1k$21k | — | — |
| Skin Biopsy (Tangential) | $422$187$3.2k | $345 | $985 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,628$1.0k$6.4k | $1,098 | $3,136 |
| Sleep Study (In-lab Polysomnography) | $2,601$401$7.5k | $3,809 | $10,882 |
| Spinal Cord Stimulator Trial | $6,596$1.4k$30k | — | — |
| Spirometry (Breathing Test) | $157$28$797 | $232 | $662 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,259$1.1k$14k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,945$1.0k$13k | — | — |
| Total Hip Replacement | $12,931$3.9k$38k | — | — |
| Total Knee Replacement | $12,931$3.9k$38k | — | — |
| Total Mastectomy | $6,554$3.3k$21k | — | — |
| TSH Thyroid Function Test | $101$16$336 | $170 | $487 |
| TURP (Transurethral Prostate Resection) | $5,109$2.5k$13k | — | — |
| Umbilical Hernia Repair | $187 | — | — |
| Upper GI Endoscopy (EGD) | $1,260$826$5.4k | $1,030 | $2,944 |
| Urinalysis with Microscopy | $19$3$148 | $75 | $214 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $5,009$187$20k | — | — |
| Vaginal Delivery (Global Package) | $5,009$187$19k | — | — |
| Vaginal Hysterectomy | $4,961$2.9k$22k | — | — |
| Vasectomy | $2,059$811$7.9k | — | — |
| Vitamin D Blood Test | $186$29$358 | $182 | $519 |