| Abdominal Hysterectomy | $6,362$2.1k$16k | $4,731 | $7,885 |
| ACL Reconstruction (Arthroscopic) | $8,540$2.1k$10k | — | — |
| Allergy Skin Testing | $1,216$8$1.3k | — | — |
| Basic Metabolic Panel | $8$4$195 | $140 | $234 |
| Bone Marrow Biopsy | $2,076$144$3.6k | $1,947 | $3,245 |
| Breast Biopsy (Ultrasound-guided) | $3,004$303$9.2k | $3,387 | $5,645 |
| Bunion Correction Surgery | $4,145$1.1k$18k | $3,098 | $5,163 |
| Cardiac Ablation for Atrial Fibrillation | $29,328$2.1k$51k | $32,334 | $53,890 |
| Cardiac Catheterization (Left Heart) | $3,903$552$18k | $11,379 | $18,965 |
| Cardiac Stress Test (Treadmill) | $139 | — | — |
| Carpal Tunnel Release Surgery | $3,881$706$9.0k | $3,726 | $6,210 |
| Cataract Surgery with Lens Implant | $2,727$1.0k$9.5k | — | — |
| Cervical Spinal Fusion (Anterior) | $15,382$3.7k$16k | — | — |
| Cesarean Delivery (Global Package) | $4,853 | — | — |
| Chemotherapy Infusion (First Hour) | $470$279$1.2k | $741 | $1,235 |
| Chest X-ray (2 Views) | $65$13$3.4k | $234 | $391 |
| Colonoscopy with Biopsy | $1,410$406$5.7k | — | — |
| Complete Abdominal Ultrasound | $136$46$3.4k | $489 | $815 |
| Complete Blood Count (CBC) with Differential | $8$3$49 | $35 | $59 |
| Comprehensive Metabolic Panel | $11$5$390 | $281 | $469 |
| Coronary Angioplasty with Stent | $14,794$1.1k$57k | $17,670 | $29,450 |
| Critical Care, First Hour | $1,713$392$3.1k | $1,932 | $3,220 |
| CT Abdomen and Pelvis with Contrast | $540$143$3.4k | $2,016 | $3,360 |
| CT Cardiac Calcium Scoring | $108$35$3.4k | $78 | $130 |
| CT Chest without Contrast | $228$82$3.4k | $489 | $815 |
| CT Head without Contrast | $183$68$3.4k | $903 | $1,505 |
| DEXA Bone Density Scan | $113$12$3.4k | $537 | $895 |
| Diagnostic Colonoscopy | $1,090$187$5.7k | — | — |
| Diagnostic Mammogram (Both Breasts) | $209$57$3.4k | $426 | $710 |
| Ear Tube Placement (Tympanostomy) | $1,771$255$6.9k | — | — |
| Echocardiogram (Complete with Doppler) | $1,170$132$1.8k | $1,107 | $1,845 |
| EKG (Electrocardiogram, 12-lead) | $28 | — | — |
| Emergency Room Visit (Level 3) | $1,166$130$13k | $966 | $1,610 |
| Group Therapy Session | $131$44$205 | $148 | $246 |
| Hemodialysis Treatment | $195$195$248 | — | — |
| Hemoglobin A1c (Diabetes Test) | $10$4$49 | $35 | $59 |
| HIV Antibody Test | $9$4$212 | $153 | $255 |
| Holter Monitor (24-48 Hour Heart Monitor) | $150 | — | — |
| Home Sleep Study | $308$84$4.0k | $2,517 | $4,195 |
| Individual Therapy Session (45 Minutes) | $192$168$471 | $216 | $360 |
| Inguinal Hernia Repair (Open) | $4,219$1.1k$4.3k | — | — |
| Initial Hospital Admission (Level 1) | $181 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $199$166$390 | $225 | $375 |
| Initial Psychiatric Evaluation with Medication Management | $210$181$390 | $237 | $395 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $692$462$3.4k | $2,145 | $3,575 |
| IUD Insertion | $1,348$103$3.6k | $1,002 | $1,670 |
| IUD Removal | $390$135$3.6k | $366 | $610 |
| Knee Arthroscopy with Meniscectomy | $3,879$1.2k$10k | — | — |
| Laparoscopic Appendectomy | $6,975$1.2k$10k | — | — |
| Laparoscopic Gallbladder Removal | $6,975$1.4k$10k | — | — |
| Laparoscopic Tubal Ligation | $6,975$1.3k$11k | — | — |
| Lipid Panel (Cholesterol Test) | $13$8$91 | $65 | $109 |
| Lumbar Epidural Steroid Injection | $977$207$3.6k | $981 | $1,635 |
| Lumbar Puncture (Spinal Tap) | $1,037$128$3.6k | $1,041 | $1,735 |
| Lumbar Spinal Fusion (Posterior) | $21,985$3.5k$23k | — | — |
| Lumpectomy (Partial Mastectomy) | $4,578$1.3k$5.6k | — | — |
| MRI Abdomen with and without Contrast | $651$180$3.4k | $2,310 | $3,850 |
| MRI Brain with and without Contrast | $600$189$4.0k | $2,883 | $4,805 |
| MRI Brain with Contrast | $529$143$3.4k | $2,436 | $4,060 |
| MRI Brain without Contrast | $410$118$3.4k | $1,983 | $3,305 |
| MRI Cervical Spine (Neck) without Contrast | $392$129$3.4k | $1,983 | $3,305 |
| MRI Knee without Contrast | $448$110$3.4k | $1,983 | $3,305 |
| MRI Lower Back (Lumbar Spine) without Contrast | $393$120$3.4k | $1,983 | $3,305 |
| MRI Thoracic Spine (Mid-back) without Contrast | $391$129$3.4k | $1,983 | $3,305 |
| Newborn Circumcision | $3,332$195$5.5k | $3,474 | $5,790 |
| Nuclear Cardiac Stress Test | $814$77$3.8k | $2,760 | $4,600 |
| Office Visit, Established Patient (Level 3) | $174$122$282 | $164 | $274 |
| Office Visit, New Patient (Level 3) | $199$134$1.7k | $186 | $310 |
| Pacemaker Insertion (Dual Chamber) | $14,557$1.2k$40k | $17,598 | $29,330 |
| PET/CT Scan, Whole Body | $1,608$134$7.4k | $5,352 | $8,920 |
| Pregnancy Ultrasound (Second or Third Trimester) | $138$56$3.4k | $507 | $845 |
| Prostate Biopsy | $3,446$260$5.7k | $3,461 | $5,768 |
| PSA Prostate Cancer Screening | $18$8$113 | $82 | $136 |
| Pulmonary Function Test with Bronchodilator | $430$19$854 | $540 | $900 |
| Rotator Cuff Repair (Arthroscopic) | $8,540$2.3k$11k | — | — |
| Screening Mammogram | $170$46$3.4k | $336 | $560 |
| Septoplasty (Deviated Septum Repair) | $3,877$1.5k$10k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $8,276$678$11k | — | — |
| Skin Biopsy (Tangential) | $486$78$3.6k | $425 | $709 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,887$174$5.0k | $1,022 | $1,704 |
| Sleep Study (In-lab Polysomnography) | $1,425$225$6.7k | $4,212 | $7,020 |
| Spinal Cord Stimulator Trial | $7,846$866$8.1k | — | — |
| Spirometry (Breathing Test) | $187$16$299 | $189 | $315 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,877$628$4.0k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $7,072$601$7.3k | — | — |
| Total Hip Replacement | $15,151$2.8k$16k | — | — |
| Total Knee Replacement | $14,920$2.8k$16k | — | — |
| Total Mastectomy | $7,796$1.9k$10k | — | — |
| TSH Thyroid Function Test | $17$8$92 | $52 | $86 |
| TURP (Transurethral Prostate Resection) | $6,077$1.5k$10k | — | — |
| Upper GI Endoscopy (EGD) | $1,324$249$3.6k | $1,330 | $2,216 |
| Urinalysis with Microscopy | $3$1$37 | $26 | $44 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $4,853 | — | — |
| Vaginal Delivery (Global Package) | $4,853 | — | — |
| Vaginal Hysterectomy | $5,901$1.7k$6.1k | — | — |
| Vasectomy | $2,449$468$2.5k | — | — |
| Vitamin D Blood Test | $30$15$120 | $86 | $144 |