| Abdominal Hysterectomy | $13,564$1.5k$35k | — | — |
| ACL Reconstruction (Arthroscopic) | $8,246$7.2k$20k | — | — |
| Allergy Skin Testing | $1,149$1.0k$2.6k | — | — |
| Basic Metabolic Panel | $22$5$257 | $87 | $145 |
| Bone Marrow Biopsy | $1,952$798$5.9k | $2,660 | $4,433 |
| Breast Biopsy (Ultrasound-guided) | $963$298$5.9k | $995 | $1,658 |
| Bunion Correction Surgery | $3,745$3.3k$11k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $25,408$9.2k$63k | $30,695 | $51,158 |
| Cardiac Catheterization (Left Heart) | $6,815$1.6k$21k | $12,321 | $20,535 |
| Cardiac Stress Test (Treadmill) | $1,944$67$4.2k | $2,505 | $4,175 |
| Carpal Tunnel Release Surgery | $2,744$2.0k$8.7k | — | — |
| Cataract Surgery with Lens Implant | $3,205$2.3k$8.7k | — | — |
| Cervical Spinal Fusion (Anterior) | $14,853$13k$33k | — | — |
| Cesarean Delivery (Global Package) | $2,666$1.8k$3.2k | — | — |
| Chemotherapy Infusion (First Hour) | $466$177$1.4k | $844 | $1,407 |
| Chest X-ray (2 Views) | $199$30$759 | $455 | $759 |
| Colonoscopy with Biopsy | $1,361$1.2k$3.0k | — | — |
| Complete Abdominal Ultrasound | $406$98$2.0k | $1,218 | $2,030 |
| Complete Blood Count (CBC) with Differential | $19$3$208 | $71 | $118 |
| Comprehensive Metabolic Panel | $24$5$601 | $27 | $45 |
| Coronary Angioplasty with Stent | $12,677$4.8k$29k | $15,908 | $26,513 |
| Critical Care, First Hour | $3,494$846$8.1k | $4,877 | $8,129 |
| CT Abdomen and Pelvis with Contrast | $1,511$209$7.6k | $4,532 | $7,553 |
| CT Cardiac Calcium Scoring | $465$68$2.3k | $1,396 | $2,326 |
| CT Chest without Contrast | $904$68$4.5k | $2,713 | $4,521 |
| CT Head without Contrast | $885$86$4.4k | $2,655 | $4,425 |
| DEXA Bone Density Scan | $117$38$292 | $175 | $292 |
| Diagnostic Colonoscopy | $1,052$915$2.3k | — | — |
| Diagnostic Mammogram (Both Breasts) | $189$30$492 | $295 | $492 |
| Ear Tube Placement (Tympanostomy) | $1,710$1.5k$5.6k | — | — |
| Echocardiogram (Complete with Doppler) | $1,011$302$3.3k | $1,957 | $3,262 |
| EKG (Electrocardiogram, 12-lead) | $13 | — | — |
| Emergency Room Visit (Level 3) | $1,280$278$2.8k | $1,666 | $2,776 |
| Group Therapy Session | $93$88$237 | — | — |
| Hemodialysis Treatment | $96 | — | — |
| Hemoglobin A1c (Diabetes Test) | $22$3$135 | $25 | $42 |
| HIV Antibody Test | $20$6$63 | $32 | $53 |
| Holter Monitor (24-48 Hour Heart Monitor) | $63 | — | — |
| Home Sleep Study | $367$97$1.2k | $734 | $1,223 |
| Individual Therapy Session (45 Minutes) | $363$161$3.1k | — | — |
| Inguinal Hernia Repair (Open) | $5,202$2.5k$14k | $8,497 | $14,161 |
| Initial Hospital Admission (Level 1) | $165$78$173 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $185$72$411 | $239 | $399 |
| Initial Psychiatric Evaluation with Medication Management | $181$161$411 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $832$299$2.7k | $1,611 | $2,685 |
| IUD Insertion | $2,429$48$3.2k | — | — |
| IUD Removal | $371$141$2.5k | $544 | $907 |
| Knee Arthroscopy with Meniscectomy | $3,745$3.3k$11k | — | — |
| Laparoscopic Appendectomy | $6,735$5.9k$20k | — | — |
| Laparoscopic Gallbladder Removal | $6,735$5.9k$20k | — | — |
| Laparoscopic Tubal Ligation | $6,735$5.9k$20k | — | — |
| Lipid Panel (Cholesterol Test) | $30$5$342 | $35 | $58 |
| Lumbar Epidural Steroid Injection | $906$417$3.5k | $1,391 | $2,319 |
| Lumbar Puncture (Spinal Tap) | $507$29$3.5k | $540 | $901 |
| Lumbar Spinal Fusion (Posterior) | $20,306$18k$47k | — | — |
| Lumpectomy (Partial Mastectomy) | $4,420$3.8k$9.8k | — | — |
| MRI Abdomen with and without Contrast | $1,132$257$5.7k | $3,397 | $5,661 |
| MRI Brain with and without Contrast | $1,452$257$7.3k | $4,355 | $7,258 |
| MRI Brain with Contrast | $1,229$241$6.1k | $3,687 | $6,145 |
| MRI Brain without Contrast | $891$155$4.5k | $2,672 | $4,453 |
| MRI Cervical Spine (Neck) without Contrast | $619$155$3.1k | $1,839 | $3,065 |
| MRI Knee without Contrast | $2,281$155$7.3k | $3,653 | $6,089 |
| MRI Lower Back (Lumbar Spine) without Contrast | $837$155$4.2k | $2,511 | $4,185 |
| MRI Thoracic Spine (Mid-back) without Contrast | $733$155$3.7k | $2,199 | $3,665 |
| Newborn Circumcision | $1,398$298$8.7k | $992 | $1,654 |
| Nuclear Cardiac Stress Test | $2,624$438$8.9k | $5,370 | $8,950 |
| Office Visit, Established Patient (Level 3) | $108$62$113 | — | — |
| Office Visit, New Patient (Level 3) | $91$78$95 | — | — |
| Pacemaker Insertion (Dual Chamber) | $10,095$3.4k$27k | $11,415 | $19,025 |
| PET/CT Scan, Whole Body | $3,294$914$8.6k | $5,149 | $8,582 |
| Pregnancy Ultrasound (Second or Third Trimester) | $111$20$1.1k | $355 | $592 |
| Prostate Biopsy | $4,166$1.1k$11k | $5,368 | $8,947 |
| PSA Prostate Cancer Screening | $32$6$215 | $38 | $64 |
| Pulmonary Function Test with Bronchodilator | $359$70$797 | $475 | $791 |
| Rotator Cuff Repair (Arthroscopic) | $8,246$7.2k$20k | — | — |
| Screening Mammogram | $175$30$455 | $273 | $455 |
| Septoplasty (Deviated Septum Repair) | $3,744$3.3k$8.7k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,991$6.9k$18k | — | — |
| Skin Biopsy (Tangential) | $479$199$2.5k | $942 | $1,570 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,435$487$4.1k | $1,623 | $2,705 |
| Sleep Study (In-lab Polysomnography) | $1,096$212$7.5k | $2,612 | $4,354 |
| Spinal Cord Stimulator Trial | $7,576$6.6k$20k | — | — |
| Spirometry (Breathing Test) | $181$41$446 | $268 | $446 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,744$3.3k$8.7k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,829$5.9k$15k | — | — |
| Total Hip Replacement | $14,853$13k$33k | — | — |
| Total Knee Replacement | $14,853$13k$33k | — | — |
| Total Mastectomy | $7,528$6.5k$17k | — | — |
| TSH Thyroid Function Test | $31$6$306 | $43 | $72 |
| TURP (Transurethral Prostate Resection) | $5,868$5.1k$14k | — | — |
| Upper GI Endoscopy (EGD) | $1,392$655$11k | $2,288 | $3,813 |
| Urinalysis with Microscopy | $24$2$187 | $42 | $71 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,517$1.8k$3.2k | — | — |
| Vaginal Delivery (Global Package) | $2,590$1.8k$3.2k | — | — |
| Vaginal Hysterectomy | $5,698$5.0k$13k | — | — |
| Vasectomy | $2,879$2.1k$8.7k | — | — |
| Vitamin D Blood Test | $40$8$106 | $56 | $94 |