| Abdominal Hysterectomy | $9,052$999$19k | $11,773 | $26,163 |
| ACL Reconstruction (Arthroscopic) | $7,179$2.3k$21k | — | — |
| Allergy Skin Testing | $1,022$9$1.0k | — | — |
| Basic Metabolic Panel | $29$8$226 | $143 | $318 |
| Bone Marrow Biopsy | $2,012$1.2k$6.9k | $2,322 | $5,160 |
| Breast Biopsy (Ultrasound-guided) | $1,628$168$6.9k | $2,034 | $4,521 |
| Bunion Correction Surgery | $3,882$2.0k$9.8k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $24,654$7.2k$47k | $29,810 | $66,245 |
| Cardiac Catheterization (Left Heart) | $7,977$3.2k$18k | $11,174 | $24,832 |
| Cardiac Stress Test (Treadmill) | $73$73$637 | — | — |
| Carpal Tunnel Release Surgery | $3,054$1.0k$6.9k | — | — |
| Cataract Surgery with Lens Implant | $3,534$1.3k$7.4k | — | — |
| Cervical Spinal Fusion (Anterior) | $12,931$4.0k$23k | — | — |
| Cesarean Delivery (Global Package) | $6,350$2.6k$23k | — | — |
| Chemotherapy Infusion (First Hour) | $523$298$1.6k | $604 | $1,342 |
| Chest X-ray (2 Views) | $109$26$490 | $311 | $690 |
| Colonoscopy with Biopsy | $1,580$938$6.9k | $1,814 | $4,031 |
| Complete Abdominal Ultrasound | $300$107$856 | $542 | $1,205 |
| Complete Blood Count (CBC) with Differential | $27$8$154 | $98 | $217 |
| Comprehensive Metabolic Panel | $37$11$281 | $178 | $396 |
| Coronary Angioplasty with Stent | $11,352$3.5k$21k | $13,047 | $28,993 |
| Critical Care, First Hour | $5,916$847$12k | $5,312 | $11,805 |
| CT Abdomen and Pelvis with Contrast | $538$336$6.3k | $3,975 | $8,834 |
| CT Cardiac Calcium Scoring | $429$88$1.1k | $272 | $604 |
| CT Chest without Contrast | $500$107$2.0k | $1,256 | $2,792 |
| CT Head without Contrast | $505$107$2.4k | $1,518 | $3,373 |
| DEXA Bone Density Scan | $140$24$666 | $422 | $938 |
| Diagnostic Colonoscopy | $1,453$487$6.7k | $1,668 | $3,706 |
| Diagnostic Mammogram (Both Breasts) | $173$47$852 | $333 | $741 |
| Ear Tube Placement (Tympanostomy) | $1,489$375$7.3k | — | — |
| Echocardiogram (Complete with Doppler) | $1,048$361$5.4k | $3,451 | $7,669 |
| EKG (Electrocardiogram, 12-lead) | $14$14$124 | — | — |
| Emergency Room Visit (Level 3) | $1,176$278$2.2k | $1,025 | $2,277 |
| Group Therapy Session | $93$63$212 | — | — |
| Hemodialysis Treatment | $100$100$866 | — | — |
| Hemoglobin A1c (Diabetes Test) | $53$10$174 | $91 | $202 |
| HIV Antibody Test | $42$9$122 | $69 | $154 |
| Holter Monitor (24-48 Hour Heart Monitor) | $71$71$618 | — | — |
| Home Sleep Study | $413$157$1.7k | $1,049 | $2,330 |
| Individual Therapy Session (45 Minutes) | $161$132$263 | — | — |
| Inguinal Hernia Repair (Open) | $3,882$1.2k$9.8k | — | — |
| Initial Hospital Admission (Level 1) | $80$80$697 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $229$124$535 | $295 | $655 |
| Initial Psychiatric Evaluation with Medication Management | $276$129$612 | $319 | $710 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,960$581$6.0k | $3,812 | $8,472 |
| IUD Insertion | $772$109$6.4k | — | — |
| IUD Removal | $495$233$6.4k | $451 | $1,002 |
| Knee Arthroscopy with Meniscectomy | $3,882$1.3k$9.8k | — | — |
| Laparoscopic Appendectomy | $5,863$1.4k$16k | — | — |
| Laparoscopic Gallbladder Removal | $5,863$1.6k$16k | — | — |
| Laparoscopic Tubal Ligation | $5,863$1.5k$16k | — | — |
| Lipid Panel (Cholesterol Test) | $74$13$240 | $134 | $298 |
| Lumbar Epidural Steroid Injection | $796$253$6.4k | $918 | $2,040 |
| Lumbar Puncture (Spinal Tap) | $1,323$161$6.4k | $1,548 | $3,439 |
| Lumbar Spinal Fusion (Posterior) | $14,669$3.7k$23k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,882$1.6k$9.8k | — | — |
| MRI Abdomen with and without Contrast | $744$359$2.5k | $1,605 | $3,566 |
| MRI Brain with and without Contrast | $744$359$3.3k | $2,078 | $4,617 |
| MRI Brain with Contrast | $723$359$3.1k | $1,941 | $4,314 |
| MRI Brain without Contrast | $654$243$3.0k | $1,912 | $4,249 |
| MRI Cervical Spine (Neck) without Contrast | $654$243$2.4k | $1,548 | $3,440 |
| MRI Knee without Contrast | $654$243$2.9k | $1,838 | $4,085 |
| MRI Lower Back (Lumbar Spine) without Contrast | $654$243$2.5k | $1,567 | $3,482 |
| MRI Thoracic Spine (Mid-back) without Contrast | $654$243$2.6k | $1,663 | $3,695 |
| Newborn Circumcision | $2,059$347$6.9k | $1,849 | $4,109 |
| Nuclear Cardiac Stress Test | $1,923$398$6.5k | $4,150 | $9,223 |
| Office Visit, Established Patient (Level 3) | $91$91$561 | — | — |
| Office Visit, New Patient (Level 3) | $111$111$696 | — | — |
| Pacemaker Insertion (Dual Chamber) | $12,276$7.2k$32k | $14,164 | $31,476 |
| PET/CT Scan, Whole Body | $1,830$1.1k$7.8k | $4,921 | $10,936 |
| Pregnancy Ultrasound (Second or Third Trimester) | $340$107$1.0k | $662 | $1,470 |
| Prostate Biopsy | $2,059$561$6.9k | — | — |
| PSA Prostate Cancer Screening | $75$18$160 | $101 | $224 |
| Pulmonary Function Test with Bronchodilator | $313$53$896 | $517 | $1,148 |
| Rotator Cuff Repair (Arthroscopic) | $7,179$2.5k$21k | — | — |
| Screening Mammogram | $149$36$706 | $223 | $495 |
| Septoplasty (Deviated Septum Repair) | $3,897$1.6k$7.2k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,957$761$18k | — | — |
| Skin Biopsy (Tangential) | $807$200$6.4k | $898 | $1,995 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,628$730$6.9k | $1,411 | $3,136 |
| Sleep Study (In-lab Polysomnography) | $2,352$413$4.8k | $2,980 | $6,623 |
| Spinal Cord Stimulator Trial | $6,596$2.2k$23k | — | — |
| Spirometry (Breathing Test) | $160$43$896 | $311 | $690 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,259$720$7.4k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,945$688$14k | — | — |
| Total Hip Replacement | $12,931$3.0k$36k | — | — |
| Total Knee Replacement | $12,931$3.0k$36k | — | — |
| Total Mastectomy | $6,554$2.3k$18k | — | — |
| TSH Thyroid Function Test | $58$17$197 | $125 | $277 |
| TURP (Transurethral Prostate Resection) | $5,109$1.7k$14k | — | — |
| Upper GI Endoscopy (EGD) | $1,516$648$6.4k | $1,381 | $3,069 |
| Urinalysis with Microscopy | $11$3$129 | $81 | $181 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $6,268$2.5k$21k | — | — |
| Vaginal Delivery (Global Package) | $6,148$2.4k$20k | — | — |
| Vaginal Hysterectomy | $4,961$2.0k$14k | — | — |
| Vasectomy | $2,059$779$6.9k | — | — |
| Vitamin D Blood Test | $112$30$363 | $190 | $421 |