| Abdominal Hysterectomy | $4,508$4.1k$4.6k | — | — |
| ACL Reconstruction (Arthroscopic) | $7,578$3.9k$13k | — | — |
| Allergy Skin Testing | $897$27$1.8k | — | — |
| Anesthesia for Screening Colonoscopy | $17$15$18 | — | — |
| Anesthesia for Upper Endoscopy | $17$15$18 | — | — |
| Basic Metabolic Panel | $85$5$174 | $101 | $184 |
| Bone Marrow Biopsy | $1,776$1$4.8k | $1,229 | $2,235 |
| Breast Biopsy (Ultrasound-guided) | $2,418$1$4.8k | $2,660 | $4,837 |
| Bunion Correction Surgery | $3,759$3.2k$5.9k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $27,295$3.9k$44k | — | — |
| Cardiac Catheterization (Left Heart) | $3,385$1.7k$5.8k | — | — |
| Cardiac Stress Test (Treadmill) | $130$119$132 | — | — |
| Carpal Tunnel Release Surgery | $2,080$961$5.4k | — | — |
| Cataract Surgery with Lens Implant | $2,494$1.2k$9.0k | — | — |
| Cervical Spinal Fusion (Anterior) | $13,407$7.1k$23k | — | — |
| Cesarean Delivery (Global Package) | $2,017$1.8k$2.0k | — | — |
| Chemotherapy Infusion (First Hour) | $566$193$1.1k | $663 | $1,205 |
| Chest X-ray (2 Views) | $442$39$971 | $474 | $862 |
| Colonoscopy with Biopsy | $1,953$1$5.9k | $3,439 | $6,253 |
| Complete Abdominal Ultrasound | $424$104$3.1k | $1,776 | $3,230 |
| Complete Blood Count (CBC) with Differential | $109$3$971 | $107 | $194 |
| Comprehensive Metabolic Panel | $159$5$971 | $156 | $283 |
| Coronary Angioplasty with Stent | $12,055$6.0k$20k | — | — |
| Critical Care, First Hour | $2,315$819$9.3k | $3,584 | $6,516 |
| CT Abdomen and Pelvis with Contrast | $971$226$9.2k | $5,307 | $9,650 |
| CT Cardiac Calcium Scoring | $492$74$1.7k | $492 | $895 |
| CT Chest without Contrast | $971$74$2.7k | $1,540 | $2,799 |
| CT Head without Contrast | $971$104$4.0k | $2,321 | $4,220 |
| DEXA Bone Density Scan | $268$52$1.6k | $904 | $1,643 |
| Diagnostic Colonoscopy | $1,777$1$5.5k | $3,176 | $5,774 |
| Diagnostic Mammogram (Both Breasts) | $291$32$657 | $381 | $692 |
| Ear Tube Placement (Tympanostomy) | $1,620$972$4.3k | — | — |
| Echocardiogram (Complete with Doppler) | $1,403$329$3.9k | $2,263 | $4,114 |
| EKG (Electrocardiogram, 12-lead) | $20$18$20 | — | — |
| Emergency Room Visit (Level 3) | $1,022$270$2.1k | $1,097 | $1,994 |
| Group Therapy Session | $117$101$194 | — | — |
| Hemodialysis Treatment | $683$626$715 | — | — |
| Hemoglobin A1c (Diabetes Test) | $18$3$971 | $15 | $28 |
| HIV Antibody Test | $112$6$971 | $120 | $219 |
| Holter Monitor (24-48 Hour Heart Monitor) | $43$39$45 | — | — |
| Home Sleep Study | $1,574$105$3.8k | $2,203 | $4,005 |
| Individual Therapy Session (45 Minutes) | $191$45$382 | $221 | $402 |
| Inguinal Hernia Repair (Open) | $4,605$1$10k | $5,924 | $10,771 |
| Initial Hospital Admission (Level 1) | $113$35$215 | $124 | $226 |
| Initial Psychiatric Diagnostic Evaluation | $191$45$382 | $221 | $402 |
| Initial Psychiatric Evaluation with Medication Management | $187$169$290 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $2,681$325$5.7k | $3,277 | $5,958 |
| IUD Insertion | $119$1$7.2k | $116 | $212 |
| IUD Removal | $563$1$3.0k | $529 | $962 |
| Knee Arthroscopy with Meniscectomy | $3,519$1.5k$5.9k | — | — |
| Laparoscopic Appendectomy | $6,503$1$14k | $7,901 | $14,366 |
| Laparoscopic Gallbladder Removal | $6,313$2.6k$13k | — | — |
| Laparoscopic Tubal Ligation | $6,195$2.8k$11k | — | — |
| Lipid Panel (Cholesterol Test) | $13$4$259 | $77 | $141 |
| Lumbar Epidural Steroid Injection | $1,732$1$3.7k | $2,165 | $3,936 |
| Lumbar Puncture (Spinal Tap) | $1,030$1$3.7k | $977 | $1,776 |
| Lumbar Spinal Fusion (Posterior) | $18,310$7.1k$33k | — | — |
| Lumpectomy (Partial Mastectomy) | $4,130$2.0k$6.9k | — | — |
| MRI Abdomen with and without Contrast | $1,329$280$5.6k | $3,233 | $5,877 |
| MRI Brain with and without Contrast | $1,329$280$5.9k | $3,394 | $6,172 |
| MRI Brain with Contrast | $1,329$280$4.9k | $2,828 | $5,141 |
| MRI Brain without Contrast | $1,329$168$4.2k | $2,459 | $4,471 |
| MRI Cervical Spine (Neck) without Contrast | $1,329$168$4.5k | $2,596 | $4,721 |
| MRI Knee without Contrast | $1,329$168$6.2k | $3,565 | $6,482 |
| MRI Lower Back (Lumbar Spine) without Contrast | $1,329$168$4.7k | $2,692 | $4,895 |
| MRI Thoracic Spine (Mid-back) without Contrast | $1,329$168$4.9k | $2,831 | $5,148 |
| Newborn Circumcision | $2,183$1.4k$3.7k | — | — |
| Nuclear Cardiac Stress Test | $2,398$618$12k | $6,740 | $12,254 |
| Office Visit, Established Patient (Level 3) | $178$45$448 | $130 | $237 |
| Office Visit, New Patient (Level 3) | $201$45$561 | $137 | $249 |
| Pacemaker Insertion (Dual Chamber) | $10,915$4.8k$19k | — | — |
| PET/CT Scan, Whole Body | $4,232$985$18k | $10,358 | $18,833 |
| Pregnancy Ultrasound (Second or Third Trimester) | $390$69$842 | $487 | $886 |
| Prostate Biopsy | $3,287$1$6.2k | $3,615 | $6,574 |
| PSA Prostate Cancer Screening | $96$7$197 | $114 | $208 |
| Pulmonary Function Test with Bronchodilator | $401$75$733 | $425 | $772 |
| Rotator Cuff Repair (Arthroscopic) | $7,578$3.9k$13k | — | — |
| Screening Mammogram | $289$32$657 | $381 | $692 |
| Septoplasty (Deviated Septum Repair) | $3,566$1.9k$5.9k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,370$3.1k$13k | — | — |
| Skin Biopsy (Tangential) | $425$1$7.2k | $330 | $601 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,149$1$4.8k | $2,273 | $4,133 |
| Sleep Study (In-lab Polysomnography) | $2,858$526$6.9k | $3,999 | $7,272 |
| Spinal Cord Stimulator Trial | $6,855$1$16k | $9,085 | $16,519 |
| Spirometry (Breathing Test) | $232$41$381 | $220 | $401 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,497$1.5k$5.9k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,182$1.5k$11k | — | — |
| Total Hip Replacement | $13,407$4.6k$23k | — | — |
| Total Knee Replacement | $13,407$3.3k$23k | — | — |
| Total Mastectomy | $6,934$2.3k$12k | — | — |
| TSH Thyroid Function Test | $32$7$212 | $74 | $134 |
| TURP (Transurethral Prostate Resection) | $5,599$3.2k$9.2k | — | — |
| Umbilical Hernia Repair | $2,820$2.6k$3.0k | — | — |
| Upper GI Endoscopy (EGD) | $1,553$1$4.6k | $2,629 | $4,779 |
| Urinalysis with Microscopy | $60$2$971 | $58 | $106 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $1,824$1.7k$1.8k | — | — |
| Vaginal Delivery (Global Package) | $1,824$1.7k$1.8k | — | — |
| Vaginal Hysterectomy | $5,224$2.9k$8.9k | — | — |
| Vasectomy | $2,216$1.6k$4.4k | — | — |
| Vitamin D Blood Test | $38$5$138 | $44 | $81 |