| Abdominal Hysterectomy | $4,983$1.1k$8.3k | — | — |
| ACL Reconstruction (Arthroscopic) | $7,854$1.1k$26k | — | — |
| Allergy Skin Testing | $934$4$8.3k | $56 | $93 |
| Basic Metabolic Panel | $9$8$18 | $122 | $203 |
| Bone Marrow Biopsy | $1,788$161$6.0k | $1,812 | $3,020 |
| Breast Biopsy (Ultrasound-guided) | $1,805$653$7.4k | $4,714 | $7,857 |
| Bunion Correction Surgery | $3,576$966$12k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $28,010$1.3k$95k | $45,015 | $75,025 |
| Cardiac Catheterization (Left Heart) | $3,544$739$41k | $11,996 | $19,994 |
| Cardiac Stress Test (Treadmill) | $2,529$74$8.3k | — | — |
| Carpal Tunnel Release Surgery | $2,134$468$7.4k | — | — |
| Cataract Surgery with Lens Implant | $2,523$677$32k | — | — |
| Cervical Spinal Fusion (Anterior) | $13,758$1.9k$47k | — | — |
| Cesarean Delivery (Global Package) | $3,785$2.6k$8.3k | — | — |
| Chemotherapy Infusion (First Hour) | $359$142$8.3k | $680 | $1,134 |
| Chest X-ray (2 Views) | $94$21$317 | $329 | $548 |
| Colonoscopy with Biopsy | $1,308$434$7.4k | — | — |
| Complete Abdominal Ultrasound | $113$81$381 | $1,318 | $2,196 |
| Complete Blood Count (CBC) with Differential | $8$8$17 | $80 | $134 |
| Comprehensive Metabolic Panel | $11$11$22 | $193 | $322 |
| Coronary Angioplasty with Stent | $12,618$673$42k | $20,672 | $34,454 |
| Critical Care, First Hour | $898$296$8.3k | $1,636 | $2,726 |
| CT Abdomen and Pelvis with Contrast | $376$227$1.3k | $2,253 | $3,755 |
| CT Cardiac Calcium Scoring | $94$75$317 | $117 | $195 |
| CT Chest without Contrast | $113$100$381 | $2,253 | $3,755 |
| CT Head without Contrast | $113$73$381 | $2,253 | $3,755 |
| DEXA Bone Density Scan | $113$30$381 | $423 | $705 |
| Diagnostic Colonoscopy | $1,016$341$7.4k | $767 | $1,279 |
| Diagnostic Mammogram (Both Breasts) | $116$112$239 | $668 | $1,113 |
| Ear Tube Placement (Tympanostomy) | $1,696$169$8.3k | — | — |
| Echocardiogram (Complete with Doppler) | $594$133$8.3k | $3,343 | $5,572 |
| EKG (Electrocardiogram, 12-lead) | $2,500$18$8.3k | — | — |
| Emergency Room Visit (Level 3) | $297$68$8.3k | $745 | $1,242 |
| Group Therapy Session | $111$29$8.3k | $131 | $219 |
| Hemodialysis Treatment | $2,548$112$8.3k | — | — |
| Hemoglobin A1c (Diabetes Test) | $10$10$21 | $82 | $137 |
| HIV Antibody Test | $9$9$19 | $204 | $340 |
| Holter Monitor (24-48 Hour Heart Monitor) | $2,537$91$8.3k | — | — |
| Home Sleep Study | $235$88$8.3k | $1,349 | $2,249 |
| Individual Therapy Session (45 Minutes) | $191$97$647 | $249 | $416 |
| Inguinal Hernia Repair (Open) | $3,914$580$17k | — | — |
| Initial Hospital Admission (Level 1) | $2,546$109$8.3k | $242 | $403 |
| Initial Psychiatric Diagnostic Evaluation | $191$148$647 | $316 | $526 |
| Initial Psychiatric Evaluation with Medication Management | $191$167$647 | $257 | $429 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $357 | — | — |
| IUD Insertion | $693$86$8.3k | $136 | $226 |
| IUD Removal | $333$101$5.6k | $232 | $387 |
| Knee Arthroscopy with Meniscectomy | $3,576$589$17k | — | — |
| Laparoscopic Appendectomy | $6,608$672$23k | — | — |
| Laparoscopic Gallbladder Removal | $6,608$736$23k | — | — |
| Laparoscopic Tubal Ligation | $6,608$711$23k | — | — |
| Lipid Panel (Cholesterol Test) | $14$13$29 | $140 | $233 |
| Lumbar Epidural Steroid Injection | $772$259$8.3k | $4,705 | $7,841 |
| Lumbar Puncture (Spinal Tap) | $772$156$5.6k | $1,963 | $3,272 |
| Lumbar Spinal Fusion (Posterior) | $17,033$1.8k$64k | — | — |
| Lumpectomy (Partial Mastectomy) | $4,280$727$14k | — | — |
| MRI Abdomen with and without Contrast | $376$288$1.3k | $3,613 | $6,022 |
| MRI Brain with and without Contrast | $376$255$1.3k | $3,613 | $6,022 |
| MRI Brain with Contrast | $376$224$1.3k | $3,380 | $5,633 |
| MRI Brain without Contrast | $257$151$869 | $3,380 | $5,633 |
| MRI Cervical Spine (Neck) without Contrast | $257$145$869 | $3,380 | $5,633 |
| MRI Knee without Contrast | $257$164$869 | $4,225 | $7,041 |
| MRI Lower Back (Lumbar Spine) without Contrast | $257$146$869 | $3,380 | $5,633 |
| MRI Thoracic Spine (Mid-back) without Contrast | $257$146$869 | $3,380 | $5,633 |
| Newborn Circumcision | $2,285$165$7.6k | $2,036 | $3,394 |
| Nuclear Cardiac Stress Test | $1,394$403$4.7k | $5,288 | $8,813 |
| Office Visit, Established Patient (Level 3) | $2,530$78$8.3k | $157 | $261 |
| Office Visit, New Patient (Level 3) | $2,549$114$8.3k | $212 | $353 |
| Pacemaker Insertion (Dual Chamber) | $11,425$585$41k | $17,902 | $29,836 |
| PET/CT Scan, Whole Body | $1,540$892$5.2k | $8,012 | $13,353 |
| Pregnancy Ultrasound (Second or Third Trimester) | $113$90$381 | $1,273 | $2,121 |
| Prostate Biopsy | $4,157$263$7.4k | — | — |
| PSA Prostate Cancer Screening | $19$18$39 | $152 | $253 |
| Pulmonary Function Test with Bronchodilator | $406$47$8.3k | $363 | $605 |
| Rotator Cuff Repair (Arthroscopic) | $7,854$1.2k$26k | — | — |
| Screening Mammogram | $96$92$196 | $406 | $677 |
| Septoplasty (Deviated Septum Repair) | $3,624$672$17k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,563$358$26k | — | — |
| Skin Biopsy (Tangential) | $444$102$8.3k | $306 | $510 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,770$130$6.0k | $149 | $249 |
| Sleep Study (In-lab Polysomnography) | $934$494$8.3k | $4,018 | $6,696 |
| Spinal Cord Stimulator Trial | $6,898$1.7k$23k | $11,765 | $19,608 |
| Spirometry (Breathing Test) | $235$27$8.3k | $371 | $618 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,624$326$23k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,344$314$22k | — | — |
| Total Hip Replacement | $13,758$1.5k$47k | — | — |
| Total Knee Replacement | $13,758$1.5k$47k | — | — |
| Total Mastectomy | $7,116$1.1k$24k | — | — |
| TSH Thyroid Function Test | $18$17$36 | $125 | $208 |
| TURP (Transurethral Prostate Resection) | $5,861$805$20k | — | — |
| Umbilical Hernia Repair | $3,321$494$17k | — | — |
| Upper GI Endoscopy (EGD) | $991$279$5.6k | $1,039 | $1,732 |
| Urinalysis with Microscopy | $3$3$7 | $55 | $91 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $3,715$2.4k$8.3k | — | — |
| Vaginal Delivery (Global Package) | $3,655$2.3k$8.3k | — | — |
| Vaginal Hysterectomy | $5,468$895$23k | — | — |
| Vasectomy | $2,285$393$7.6k | — | — |
| Vitamin D Blood Test | $31$30$63 | $150 | $250 |