| Abdominal Hysterectomy | $984$965$3.4k | — | — |
| ACL Reconstruction (Arthroscopic) | $6,961$3.6k$14k | — | — |
| Allergy Skin Testing | $1,001$991$1.5k | — | — |
| Basic Metabolic Panel | $133$8$619 | $364 | $728 |
| Bone Marrow Biopsy | $1,595$1.5k$3.2k | — | — |
| Breast Biopsy (Ultrasound-guided) | $2,368$1.1k$8.3k | $3,302 | $6,603 |
| Bunion Correction Surgery | $3,161$1.9k$6.3k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $35,856$4.1k$64k | $37,784 | $75,567 |
| Cardiac Catheterization (Left Heart) | $5,373$2.0k$10k | $6,046 | $12,091 |
| Cardiac Stress Test (Treadmill) | $66$66$99 | — | — |
| Carpal Tunnel Release Surgery | $1,922$1.5k$3.8k | — | — |
| Cataract Surgery with Lens Implant | $2,222$1.5k$4.4k | — | — |
| Cervical Spinal Fusion (Anterior) | $12,537$3.9k$25k | — | — |
| Cesarean Delivery (Global Package) | $2,562$1.9k$5.1k | — | — |
| Chemotherapy Infusion (First Hour) | $448$147$740 | $435 | $870 |
| Chest X-ray (2 Views) | $208$86$1.0k | $609 | $1,217 |
| Colonoscopy with Biopsy | $1,178$1.1k$2.5k | — | — |
| Complete Abdominal Ultrasound | $336$104$1.7k | $985 | $1,969 |
| Complete Blood Count (CBC) with Differential | $95$8$440 | $259 | $518 |
| Comprehensive Metabolic Panel | $200$11$928 | $546 | $1,092 |
| Coronary Angioplasty with Stent | $11,050$3.9k$22k | — | — |
| Critical Care, First Hour | $1,310$821$5.7k | $3,357 | $6,714 |
| CT Abdomen and Pelvis with Contrast | $787$250$7.2k | $4,215 | $8,429 |
| CT Cardiac Calcium Scoring | $152$86$873 | $361 | $721 |
| CT Chest without Contrast | $462$104$2.3k | $1,360 | $2,719 |
| CT Head without Contrast | $523$104$2.6k | $1,546 | $3,091 |
| DEXA Bone Density Scan | $155$95$476 | $280 | $560 |
| Diagnostic Colonoscopy | $911$888$2.5k | — | — |
| Diagnostic Mammogram (Both Breasts) | $238$112$565 | $333 | $665 |
| Ear Tube Placement (Tympanostomy) | $1,472$1.4k$2.9k | — | — |
| Echocardiogram (Complete with Doppler) | $850$534$3.7k | $2,180 | $4,360 |
| EKG (Electrocardiogram, 12-lead) | $13$13$20 | — | — |
| Emergency Room Visit (Level 3) | $405$270$1.8k | $1,036 | $2,071 |
| Group Therapy Session | $191$54$812 | $319 | $637 |
| Hemodialysis Treatment | $97$96$144 | — | — |
| Hemoglobin A1c (Diabetes Test) | $44$10$207 | $122 | $243 |
| HIV Antibody Test | $29$9$137 | $81 | $161 |
| Holter Monitor (24-48 Hour Heart Monitor) | $63$62$93 | — | — |
| Home Sleep Study | $466$152$2.0k | $1,196 | $2,391 |
| Individual Therapy Session (45 Minutes) | $224$73$369 | $217 | $434 |
| Inguinal Hernia Repair (Open) | $3,439$1.9k$6.9k | — | — |
| Initial Hospital Admission (Level 1) | $79$78$117 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $138$31$235 | $92 | $184 |
| Initial Psychiatric Evaluation with Medication Management | $235$72$407 | $227 | $454 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,040$564$4.5k | $2,667 | $5,333 |
| IUD Insertion | $420$97$8.3k | $1,077 | $2,153 |
| IUD Removal | $248$45$8.3k | $169 | $339 |
| Knee Arthroscopy with Meniscectomy | $3,161$1.9k$6.3k | — | — |
| Laparoscopic Appendectomy | $5,742$5.7k$11k | — | — |
| Laparoscopic Gallbladder Removal | $5,799$5.7k$11k | — | — |
| Laparoscopic Tubal Ligation | $5,742$5.7k$11k | — | — |
| Lipid Panel (Cholesterol Test) | $125$13$581 | $342 | $683 |
| Lumbar Epidural Steroid Injection | $1,012$319$8.3k | $944 | $1,888 |
| Lumbar Puncture (Spinal Tap) | $853$240$8.3k | $754 | $1,508 |
| Lumbar Spinal Fusion (Posterior) | $17,919$3.9k$36k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,731$1.9k$7.5k | — | — |
| MRI Abdomen with and without Contrast | $1,035$348$8.8k | $5,149 | $10,298 |
| MRI Brain with and without Contrast | $907$348$4.5k | $2,670 | $5,339 |
| MRI Brain with Contrast | $348$48$1.1k | $141 | $281 |
| MRI Brain without Contrast | $471$236$2.1k | $1,212 | $2,424 |
| MRI Cervical Spine (Neck) without Contrast | $471$236$2.1k | $1,229 | $2,458 |
| MRI Knee without Contrast | $1,035$236$7.5k | $4,384 | $8,768 |
| MRI Lower Back (Lumbar Spine) without Contrast | $941$236$4.7k | $2,768 | $5,536 |
| MRI Thoracic Spine (Mid-back) without Contrast | $941$236$4.7k | $2,768 | $5,536 |
| Newborn Circumcision | $1,659$374$4.0k | $1,106 | $2,212 |
| Nuclear Cardiac Stress Test | $1,908$1.1k$5.6k | $3,318 | $6,636 |
| Office Visit, Established Patient (Level 3) | $85$84$126 | — | — |
| Office Visit, New Patient (Level 3) | $105$104$155 | — | — |
| Pacemaker Insertion (Dual Chamber) | $10,075$2.4k$20k | $7,110 | $14,219 |
| PET/CT Scan, Whole Body | $2,416$1.4k$7.0k | $4,129 | $8,257 |
| Pregnancy Ultrasound (Second or Third Trimester) | $235$104$1.2k | $687 | $1,374 |
| Prostate Biopsy | $2,016$1.5k$4.0k | — | — |
| PSA Prostate Cancer Screening | $75$18$349 | $206 | $411 |
| Pulmonary Function Test with Bronchodilator | $426$140$704 | $414 | $828 |
| Rotator Cuff Repair (Arthroscopic) | $6,961$3.6k$14k | — | — |
| Screening Mammogram | $193$94$472 | $278 | $555 |
| Septoplasty (Deviated Septum Repair) | $3,160$1.5k$6.3k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,745$3.3k$13k | — | — |
| Skin Biopsy (Tangential) | $310$112$8.3k | $331 | $661 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,744$573$8.3k | $1,694 | $3,387 |
| Sleep Study (In-lab Polysomnography) | $1,671$991$7.3k | $4,284 | $8,568 |
| Spinal Cord Stimulator Trial | $6,395$3.9k$13k | — | — |
| Spirometry (Breathing Test) | $288$152$1.3k | $740 | $1,479 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,160$1.5k$6.3k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,764$2.2k$12k | — | — |
| Total Hip Replacement | $12,537$3.6k$25k | — | — |
| Total Knee Replacement | $12,537$3.9k$25k | — | — |
| Total Mastectomy | $6,354$3.3k$13k | — | — |
| TSH Thyroid Function Test | $71$17$331 | $195 | $389 |
| TURP (Transurethral Prostate Resection) | $4,953$2.2k$9.9k | — | — |
| Umbilical Hernia Repair | $2,230$1.9k$2.5k | — | — |
| Upper GI Endoscopy (EGD) | $932$914$1.8k | — | — |
| Urinalysis with Microscopy | $61$3$286 | $168 | $336 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,441$1.9k$4.8k | — | — |
| Vaginal Delivery (Global Package) | $2,322$1.9k$4.6k | — | — |
| Vaginal Hysterectomy | $4,810$2.2k$9.6k | — | — |
| Vasectomy | $2,016$1.5k$4.0k | — | — |
| Vitamin D Blood Test | $90$30$417 | $245 | $490 |