| Abdominal Hysterectomy | $5,005$1$15k | $6,118 | $11,123 |
| ACL Reconstruction (Arthroscopic) | $7,374$3.9k$13k | — | — |
| Allergy Skin Testing | $1,021$28$3.5k | $2,120 | $3,854 |
| Anesthesia for Screening Colonoscopy | $17$16$18 | — | — |
| Anesthesia for Upper Endoscopy | $17$16$18 | — | — |
| Basic Metabolic Panel | $19$5$65 | $37 | $68 |
| Bone Marrow Biopsy | $1,864$1$6.5k | $3,946 | $7,174 |
| Breast Biopsy (Ultrasound-guided) | $1,864$1$5.1k | $3,106 | $5,648 |
| Bunion Correction Surgery | $3,759$3.3k$5.9k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $27,650$12k$80k | $48,750 | $88,636 |
| Cardiac Catheterization (Left Heart) | $3,724$1.8k$16k | $7,094 | $12,899 |
| Cardiac Stress Test (Treadmill) | $125$119$133 | — | — |
| Carpal Tunnel Release Surgery | $2,039$968$4.4k | — | — |
| Cataract Surgery with Lens Implant | $2,422$1.2k$7.8k | — | — |
| Cervical Spinal Fusion (Anterior) | $13,407$6.1k$23k | — | — |
| Cesarean Delivery (Global Package) | $1,933$1.8k$2.1k | — | — |
| Chemotherapy Infusion (First Hour) | $379$193$1.2k | $745 | $1,354 |
| Chest X-ray (2 Views) | $100$39$324 | $198 | $360 |
| Colonoscopy with Biopsy | $1,350$1$3.8k | $2,320 | $4,219 |
| Complete Abdominal Ultrasound | $126$107$927 | $567 | $1,030 |
| Complete Blood Count (CBC) with Differential | $17$3$61 | $34 | $62 |
| Comprehensive Metabolic Panel | $27$5$157 | $73 | $133 |
| Coronary Angioplasty with Stent | $13,261$6.1k$49k | $30,238 | $54,978 |
| Critical Care, First Hour | $1,799$846$4.7k | $2,580 | $4,690 |
| CT Abdomen and Pelvis with Contrast | $401$228$2.1k | $1,306 | $2,375 |
| CT Cardiac Calcium Scoring | $100$74$1.7k | $952 | $1,731 |
| CT Chest without Contrast | $120$74$2.0k | $1,202 | $2,185 |
| CT Head without Contrast | $248$107$2.3k | $1,318 | $2,397 |
| DEXA Bone Density Scan | $120$52$578 | $353 | $642 |
| Diagnostic Colonoscopy | $1,049$1$4.1k | $2,483 | $4,515 |
| Diagnostic Mammogram (Both Breasts) | $234$32$872 | $480 | $872 |
| Ear Tube Placement (Tympanostomy) | $1,636$972$4.3k | — | — |
| Echocardiogram (Complete with Doppler) | $628$329$2.5k | $1,528 | $2,779 |
| EKG (Electrocardiogram, 12-lead) | $19$19$21 | — | — |
| Emergency Room Visit (Level 3) | $1,184$278$2.7k | $1,668 | $3,033 |
| Group Therapy Session | $188$93$425 | $228 | $415 |
| Hemodialysis Treatment | $655$625$715 | — | — |
| Hemoglobin A1c (Diabetes Test) | $17$3$63 | $35 | $65 |
| HIV Antibody Test | $10$6$31 | $19 | $34 |
| Holter Monitor (24-48 Hour Heart Monitor) | $41$39$50 | — | — |
| Home Sleep Study | $233$105$492 | $301 | $547 |
| Individual Therapy Session (45 Minutes) | $230$95$572 | $298 | $542 |
| Inguinal Hernia Repair (Open) | $3,739$2.7k$7.1k | — | — |
| Initial Psychiatric Diagnostic Evaluation | $249$161$589 | $322 | $585 |
| Initial Psychiatric Evaluation with Medication Management | $187$161$290 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $2,127$325$5.2k | $3,181 | $5,784 |
| IUD Insertion | $688$1$1.6k | $893 | $1,624 |
| IUD Removal | $344$1$3.0k | $865 | $1,572 |
| Knee Arthroscopy with Meniscectomy | $3,434$1.5k$5.9k | — | — |
| Laparoscopic Appendectomy | $6,313$2.9k$11k | — | — |
| Laparoscopic Gallbladder Removal | $6,313$2.6k$13k | — | — |
| Laparoscopic Tubal Ligation | $6,367$1$15k | $9,179 | $16,689 |
| Lipid Panel (Cholesterol Test) | $16$5$104 | $44 | $80 |
| Lumbar Epidural Steroid Injection | $774$1$3.2k | $1,103 | $2,006 |
| Lumbar Puncture (Spinal Tap) | $796$1$3.2k | $1,594 | $2,899 |
| Lumbar Spinal Fusion (Posterior) | $18,460$7.1k$33k | — | — |
| Lumpectomy (Partial Mastectomy) | $4,089$2.4k$7.1k | — | — |
| MRI Abdomen with and without Contrast | $401$280$2.7k | $1,658 | $3,015 |
| MRI Brain with and without Contrast | $401$280$2.7k | $1,647 | $2,995 |
| MRI Brain with Contrast | $401$280$2.5k | $1,531 | $2,783 |
| MRI Brain without Contrast | $388$168$2.6k | $1,510 | $2,746 |
| MRI Cervical Spine (Neck) without Contrast | $274$168$2.6k | $1,607 | $2,921 |
| MRI Knee without Contrast | $274$168$2.6k | $1,581 | $2,874 |
| MRI Lower Back (Lumbar Spine) without Contrast | $274$168$2.6k | $1,607 | $2,921 |
| MRI Thoracic Spine (Mid-back) without Contrast | $274$168$2.6k | $1,607 | $2,921 |
| Newborn Circumcision | $2,266$1$7.5k | $4,613 | $8,387 |
| Nuclear Cardiac Stress Test | $1,487$618$5.3k | $3,240 | $5,890 |
| Office Visit, Established Patient (Level 3) | $224$37$559 | $204 | $371 |
| Office Visit, New Patient (Level 3) | $267$47$700 | $255 | $465 |
| Pacemaker Insertion (Dual Chamber) | $11,024$1$32k | $19,802 | $36,003 |
| PET/CT Scan, Whole Body | $1,643$995$7.8k | $4,117 | $7,486 |
| Pregnancy Ultrasound (Second or Third Trimester) | $120$69$764 | $467 | $849 |
| Prostate Biopsy | $3,132$1$7.1k | $4,337 | $7,886 |
| PSA Prostate Cancer Screening | $20$7$95 | $58 | $106 |
| Pulmonary Function Test with Bronchodilator | $391$76$1.2k | $743 | $1,351 |
| Rotator Cuff Repair (Arthroscopic) | $7,578$3.9k$13k | — | — |
| Screening Mammogram | $190$32$863 | $475 | $863 |
| Septoplasty (Deviated Septum Repair) | $3,480$1.9k$5.9k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,370$3.1k$13k | — | — |
| Skin Biopsy (Tangential) | $427$1$3.0k | $675 | $1,227 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,742$1$4.9k | $1,495 | $2,719 |
| Sleep Study (In-lab Polysomnography) | $1,021$526$5.1k | $3,144 | $5,717 |
| Spinal Cord Stimulator Trial | $6,655$4.3k$12k | — | — |
| Spirometry (Breathing Test) | $228$43$505 | $309 | $561 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,480$1.5k$5.9k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,182$1.5k$11k | — | — |
| Total Hip Replacement | $13,407$5.0k$23k | — | — |
| Total Knee Replacement | $13,407$5.0k$23k | — | — |
| Total Mastectomy | $6,934$2.4k$12k | — | — |
| TSH Thyroid Function Test | $18$7$109 | $67 | $121 |
| TURP (Transurethral Prostate Resection) | $5,599$3.3k$9.2k | — | — |
| Umbilical Hernia Repair | $2,793$2.7k$3.0k | — | — |
| Upper GI Endoscopy (EGD) | $1,039$1$3.7k | $2,281 | $4,147 |
| Urinalysis with Microscopy | $3$2$21 | $13 | $23 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $1,740$1.7k$1.8k | — | — |
| Vaginal Delivery (Global Package) | $1,740$1.7k$1.8k | — | — |
| Vaginal Hysterectomy | $5,497$1$32k | $19,592 | $35,622 |
| Vasectomy | $2,183$1.6k$4.4k | — | — |
| Vitamin D Blood Test | $31$13$212 | $29 | $53 |