| Abdominal Hysterectomy | $4,346$3.9k$6.5k | — | — |
| ACL Reconstruction (Arthroscopic) | $8,032$1.5k$15k | — | — |
| Allergy Skin Testing | $977$897$1.8k | — | — |
| Basic Metabolic Panel | $9$8$17 | $110 | $315 |
| Bone Marrow Biopsy | $1,828$940$3.4k | $1,927 | $5,505 |
| Breast Biopsy (Ultrasound-guided) | $1,932$1.7k$3.4k | $868 | $2,480 |
| Bunion Correction Surgery | $3,622$1.5k$6.8k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $29,206$18k$55k | $12,210 | $34,885 |
| Cardiac Catheterization (Left Heart) | $3,724$3.4k$9.7k | $10,672 | $30,491 |
| Cardiac Stress Test (Treadmill) | — | $214 | $610 |
| Carpal Tunnel Release Surgery | $2,162$1.3k$5.2k | — | — |
| Cataract Surgery with Lens Implant | $3,345$2.4k$5.2k | — | — |
| Cervical Spinal Fusion (Anterior) | $14,212$3.9k$27k | — | — |
| Cesarean Delivery (Global Package) | $3,939$3.9k$4.0k | — | — |
| Chemotherapy Infusion (First Hour) | $376$345$690 | $646 | $1,846 |
| Chest X-ray (2 Views) | $99$91$182 | $256 | $732 |
| Colonoscopy with Biopsy | $1,612$1.2k$2.9k | $1,194 | $3,411 |
| Complete Abdominal Ultrasound | $119$109$218 | $615 | $1,756 |
| Complete Blood Count (CBC) with Differential | $8$8$16 | $76 | $219 |
| Comprehensive Metabolic Panel | $12$11$21 | $17 | $48 |
| Coronary Angioplasty with Stent | $13,140$10k$24k | $10,754 | $30,727 |
| Critical Care, First Hour | $940$863$1.7k | $1,901 | $5,431 |
| CT Abdomen and Pelvis with Contrast | $397$364$729 | $2,834 | $8,097 |
| CT Cardiac Calcium Scoring | $99$91$182 | $342 | $976 |
| CT Chest without Contrast | $119$109$218 | $845 | $2,415 |
| CT Head without Contrast | $119$109$218 | $1,297 | $3,705 |
| DEXA Bone Density Scan | $119$109$218 | $240 | $687 |
| Diagnostic Colonoscopy | $1,457$971$2.9k | $1,143 | $3,266 |
| Diagnostic Mammogram (Both Breasts) | $123$113$225 | $163 | $465 |
| Ear Tube Placement (Tympanostomy) | $1,843$1.5k$3.2k | — | — |
| Echocardiogram (Complete with Doppler) | $622$571$1.1k | $2,275 | $6,500 |
| EKG (Electrocardiogram, 12-lead) | — | $128 | $365 |
| Emergency Room Visit (Level 3) | $311$285$570 | $600 | $1,714 |
| Group Therapy Session | — | $161 | $459 |
| Hemoglobin A1c (Diabetes Test) | $11$10$19 | $25 | $72 |
| HIV Antibody Test | $10$9$18 | $131 | $375 |
| Holter Monitor (24-48 Hour Heart Monitor) | — | $165 | $470 |
| Home Sleep Study | $246$225$451 | $464 | $1,326 |
| Individual Therapy Session (45 Minutes) | — | $145 | $413 |
| Inguinal Hernia Repair (Open) | $3,963$1.9k$7.5k | $12,195 | $34,844 |
| Initial Psychiatric Diagnostic Evaluation | — | $161 | $459 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | — | $1,642 | $4,691 |
| IUD Insertion | $838$704$972 | $614 | $1,755 |
| IUD Removal | $356$318$1.5k | $117 | $335 |
| Knee Arthroscopy with Meniscectomy | $3,724$1.9k$6.8k | — | — |
| Laparoscopic Appendectomy | $6,881$5.5k$14k | — | — |
| Laparoscopic Gallbladder Removal | $6,881$5.3k$14k | — | — |
| Laparoscopic Tubal Ligation | $6,755$2.1k$14k | — | — |
| Lipid Panel (Cholesterol Test) | $15$13$27 | $119 | $341 |
| Lumbar Epidural Steroid Injection | $826$737$1.5k | $1,358 | $3,880 |
| Lumbar Puncture (Spinal Tap) | $826$414$1.5k | $2,443 | $6,979 |
| Lumbar Spinal Fusion (Posterior) | $19,409$3.9k$37k | — | — |
| Lumpectomy (Partial Mastectomy) | $4,334$1.5k$8.2k | $5,970 | $17,056 |
| MRI Abdomen with and without Contrast | $397$364$729 | $1,510 | $4,314 |
| MRI Brain with and without Contrast | $397$364$729 | $2,041 | $5,830 |
| MRI Brain with Contrast | $397$364$729 | $1,581 | $4,518 |
| MRI Brain without Contrast | $272$249$498 | $1,522 | $4,349 |
| MRI Cervical Spine (Neck) without Contrast | $272$249$498 | $1,178 | $3,365 |
| MRI Knee without Contrast | $272$249$498 | $631 | $1,802 |
| MRI Lower Back (Lumbar Spine) without Contrast | $272$249$498 | $1,293 | $3,694 |
| MRI Thoracic Spine (Mid-back) without Contrast | $272$249$498 | $1,492 | $4,264 |
| Newborn Circumcision | $2,314$991$5.2k | $1,498 | $4,280 |
| Nuclear Cardiac Stress Test | $1,474$1.4k$2.7k | $3,733 | $10,666 |
| Office Visit, Established Patient (Level 3) | — | $187 | $534 |
| Office Visit, New Patient (Level 3) | — | $211 | $603 |
| Pacemaker Insertion (Dual Chamber) | $11,897$3.9k$25k | $18,707 | $53,449 |
| PET/CT Scan, Whole Body | — | $3,704 | $10,582 |
| Pregnancy Ultrasound (Second or Third Trimester) | $119$109$218 | $213 | $608 |
| Prostate Biopsy | $2,032$1.0k$2.9k | $2,148 | $6,136 |
| PSA Prostate Cancer Screening | $20$18$37 | $167 | $478 |
| Pulmonary Function Test with Bronchodilator | $425$390$779 | $796 | $2,275 |
| Rotator Cuff Repair (Arthroscopic) | $8,108$2.1k$15k | — | — |
| Screening Mammogram | $95$87$175 | $203 | $581 |
| Septoplasty (Deviated Septum Repair) | $3,670$1.9k$6.9k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,738$2.1k$15k | — | — |
| Skin Biopsy (Tangential) | $467$425$972 | $179 | $511 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,811$940$3.4k | $2,948 | $8,422 |
| Sleep Study (In-lab Polysomnography) | $977$897$1.8k | $3,533 | $10,093 |
| Spinal Cord Stimulator Trial | $7,055$1.3k$14k | — | — |
| Spirometry (Breathing Test) | $246$225$451 | $169 | $483 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,705$2.1k$6.9k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,367$1.5k$12k | — | — |
| Total Hip Replacement | $14,346$3.9k$27k | — | — |
| Total Knee Replacement | $14,346$3.9k$27k | — | — |
| Total Mastectomy | $7,281$1.9k$14k | — | — |
| TSH Thyroid Function Test | $18$17$34 | $106 | $303 |
| TURP (Transurethral Prostate Resection) | $5,935$1.9k$11k | — | — |
| Umbilical Hernia Repair | $2,563$1.9k$3.0k | — | — |
| Upper GI Endoscopy (EGD) | $1,204$947$2.9k | $502 | $1,434 |
| Urinalysis with Microscopy | $3$3$6 | $62 | $177 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $3,939$3.9k$4.0k | — | — |
| Vaginal Delivery (Global Package) | $3,939$3.9k$4.0k | — | — |
| Vaginal Hysterectomy | $5,590$4.7k$10k | — | — |
| Vasectomy | $2,314$1.3k$5.2k | — | — |
| Vitamin D Blood Test | $32$30$59 | $77 | $219 |