| Abdominal Hysterectomy | $6,331$999$21k | $7,528 | $25,094 |
| ACL Reconstruction (Arthroscopic) | $7,179$2.2k$28k | — | — |
| Allergy Skin Testing | $1,022$9$1.0k | — | — |
| Basic Metabolic Panel | $9$4$219 | $95 | $317 |
| Bone Marrow Biopsy | $1,628$807$8.1k | $688 | $2,292 |
| Breast Biopsy (Ultrasound-guided) | $1,853$189$8.1k | $1,390 | $4,632 |
| Bunion Correction Surgery | $3,261$2.0k$14k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $24,654$4.1k$33k | $11,038 | $36,792 |
| Cardiac Catheterization (Left Heart) | $6,953$3.2k$18k | $8,013 | $26,711 |
| Cardiac Stress Test (Treadmill) | $73$73$488 | — | — |
| Carpal Tunnel Release Surgery | $2,252$1.0k$8.1k | — | — |
| Cataract Surgery with Lens Implant | $3,416$1.2k$8.1k | — | — |
| Cervical Spinal Fusion (Anterior) | $12,931$3.8k$30k | — | — |
| Cesarean Delivery (Global Package) | $6,315$2.6k$17k | — | — |
| Chemotherapy Infusion (First Hour) | $721$286$1.8k | $517 | $1,724 |
| Chest X-ray (2 Views) | $98$40$628 | $219 | $731 |
| Colonoscopy with Biopsy | $2,314$1.2k$8.1k | $1,726 | $5,754 |
| Complete Abdominal Ultrasound | $273$107$1.5k | $650 | $2,168 |
| Complete Blood Count (CBC) with Differential | $8$4$164 | $71 | $237 |
| Comprehensive Metabolic Panel | $11$5$420 | $182 | $608 |
| Coronary Angioplasty with Stent | $11,397$4.2k$25k | $10,821 | $36,071 |
| Critical Care, First Hour | $4,912$847$8.1k | $3,526 | $11,752 |
| CT Abdomen and Pelvis with Contrast | $582$359$9.8k | $4,241 | $14,136 |
| CT Cardiac Calcium Scoring | $418$88$919 | $182 | $606 |
| CT Chest without Contrast | $495$107$2.5k | $1,075 | $3,583 |
| CT Head without Contrast | $396$107$3.5k | $1,507 | $5,024 |
| DEXA Bone Density Scan | $126$37$649 | $282 | $941 |
| Diagnostic Colonoscopy | $2,232$916$4.2k | $1,587 | $5,291 |
| Diagnostic Mammogram (Both Breasts) | $160$75$390 | — | — |
| Ear Tube Placement (Tympanostomy) | $1,489$361$8.1k | — | — |
| Echocardiogram (Complete with Doppler) | $677$306$5.1k | $2,207 | $7,356 |
| EKG (Electrocardiogram, 12-lead) | $14$14$95 | — | — |
| Emergency Room Visit (Level 3) | $1,342$278$2.3k | $740 | $2,465 |
| Group Therapy Session | $93$61$219 | — | — |
| Hemodialysis Treatment | $100$100$663 | — | — |
| Hemoglobin A1c (Diabetes Test) | $25$5$162 | $67 | $224 |
| HIV Antibody Test | $23$4$89 | $35 | $117 |
| Holter Monitor (24-48 Hour Heart Monitor) | $71$71$473 | — | — |
| Home Sleep Study | $267$126$744 | $323 | $1,078 |
| Individual Therapy Session (45 Minutes) | $161$151$253 | — | — |
| Inguinal Hernia Repair (Open) | $3,547$1.2k$14k | — | — |
| Initial Hospital Admission (Level 1) | $80$80$534 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $242$126$475 | $207 | $689 |
| Initial Psychiatric Evaluation with Medication Management | $339$151$642 | $243 | $809 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $2,724$581$5.3k | $2,322 | $7,739 |
| IUD Insertion | $265$109$3.2k | — | — |
| IUD Removal | $473$277$3.2k | $236 | $788 |
| Knee Arthroscopy with Meniscectomy | $3,261$1.2k$14k | — | — |
| 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) | $35$7$237 | $89 | $298 |
| Lumbar Epidural Steroid Injection | $767$387$3.2k | $551 | $1,835 |
| Lumbar Puncture (Spinal Tap) | $1,039$246$3.2k | $746 | $2,486 |
| Lumbar Spinal Fusion (Posterior) | $18,482$3.6k$30k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,848$1.5k$14k | — | — |
| MRI Abdomen with and without Contrast | $788$359$5.8k | $2,533 | $8,442 |
| MRI Brain with and without Contrast | $752$359$6.3k | $2,734 | $9,113 |
| MRI Brain with Contrast | $715$359$4.4k | $1,898 | $6,328 |
| MRI Brain without Contrast | $715$243$2.9k | $1,274 | $4,245 |
| MRI Cervical Spine (Neck) without Contrast | $715$243$4.6k | $1,988 | $6,626 |
| MRI Knee without Contrast | $715$243$4.4k | $1,919 | $6,395 |
| MRI Lower Back (Lumbar Spine) without Contrast | $715$243$4.5k | $1,947 | $6,490 |
| MRI Thoracic Spine (Mid-back) without Contrast | $715$243$4.2k | $1,841 | $6,135 |
| Newborn Circumcision | $2,007$335$8.1k | $851 | $2,835 |
| Nuclear Cardiac Stress Test | $1,452$338$8.2k | $3,558 | $11,859 |
| Office Visit, Established Patient (Level 3) | $91$91$429 | — | — |
| Office Visit, New Patient (Level 3) | $111$111$532 | — | — |
| Pacemaker Insertion (Dual Chamber) | $12,959$4.1k$32k | $9,301 | $31,003 |
| PET/CT Scan, Whole Body | $2,118$1.3k$7.7k | $3,326 | $11,087 |
| Pregnancy Ultrasound (Second or Third Trimester) | $287$107$1.1k | $466 | $1,552 |
| Prostate Biopsy | $2,059$373$8.1k | $318 | $1,059 |
| PSA Prostate Cancer Screening | $47$9$250 | $109 | $362 |
| Pulmonary Function Test with Bronchodilator | $313$45$822 | $326 | $1,088 |
| Rotator Cuff Repair (Arthroscopic) | $7,179$2.4k$28k | — | — |
| Screening Mammogram | $130$58$316 | — | — |
| Septoplasty (Deviated Septum Repair) | $3,303$1.5k$8.1k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,920$733$25k | — | — |
| Skin Biopsy (Tangential) | $412$200$3.2k | $296 | $985 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,628$1.1k$8.1k | $941 | $3,136 |
| Sleep Study (In-lab Polysomnography) | $1,412$263$7.5k | $3,265 | $10,882 |
| Spinal Cord Stimulator Trial | $6,596$1.9k$30k | — | — |
| Spirometry (Breathing Test) | $157$36$822 | $199 | $662 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,259$694$8.1k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,515$662$17k | — | — |
| Total Hip Replacement | $12,931$2.9k$28k | — | — |
| Total Knee Replacement | $12,931$2.9k$30k | — | — |
| Total Mastectomy | $6,554$2.2k$25k | — | — |
| TSH Thyroid Function Test | $17$8$336 | $146 | $487 |
| TURP (Transurethral Prostate Resection) | $5,109$1.6k$17k | — | — |
| Upper GI Endoscopy (EGD) | $1,588$942$4.2k | $883 | $2,944 |
| Urinalysis with Microscopy | $3$2$148 | $64 | $214 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $5,978$2.5k$16k | — | — |
| Vaginal Delivery (Global Package) | $5,713$2.4k$16k | — | — |
| Vaginal Hysterectomy | $4,961$1.9k$17k | — | — |
| Vasectomy | $2,059$750$8.1k | — | — |
| Vitamin D Blood Test | $76$15$358 | $156 | $519 |