| Abdominal Hysterectomy | $5,853$1.1k$6.2k | — | — |
| ACL Reconstruction (Arthroscopic) | $7,854$1.1k$27k | — | — |
| Allergy Skin Testing | $939$4$5.5k | $58 | $96 |
| Basic Metabolic Panel | $9$8$30 | $122 | $203 |
| Bone Marrow Biopsy | $1,805$161$6.2k | $851 | $1,418 |
| Breast Biopsy (Ultrasound-guided) | $1,858$653$6.2k | $5,041 | $8,401 |
| Bunion Correction Surgery | $3,682$966$12k | $1,413 | $2,355 |
| Cardiac Ablation for Atrial Fibrillation | $28,010$1.3k$98k | $15,455 | $25,759 |
| Cardiac Catheterization (Left Heart) | $3,648$739$14k | $11,827 | $19,712 |
| Cardiac Stress Test (Treadmill) | $2,806$74$5.5k | — | — |
| Carpal Tunnel Release Surgery | $2,197$468$7.3k | $929 | $1,548 |
| Cataract Surgery with Lens Implant | $2,597$677$10k | — | — |
| Cervical Spinal Fusion (Anterior) | $13,896$1.9k$48k | $4,303 | $7,171 |
| Cesarean Delivery (Global Package) | $4,063$2.6k$5.5k | — | — |
| Chemotherapy Infusion (First Hour) | $361$142$5.5k | $1,150 | $1,917 |
| Chest X-ray (2 Views) | $95$21$326 | $332 | $553 |
| Colonoscopy with Biopsy | $1,346$434$4.9k | — | — |
| Complete Abdominal Ultrasound | $114$81$392 | $1,345 | $2,242 |
| Complete Blood Count (CBC) with Differential | $8$8$27 | $80 | $134 |
| Comprehensive Metabolic Panel | $11$11$37 | $193 | $322 |
| Coronary Angioplasty with Stent | $12,618$673$43k | $18,314 | $30,524 |
| Critical Care, First Hour | $903$296$5.5k | $1,795 | $2,992 |
| CT Abdomen and Pelvis with Contrast | $379$227$1.3k | $3,136 | $5,227 |
| CT Cardiac Calcium Scoring | $95$75$326 | $117 | $195 |
| CT Chest without Contrast | $114$100$392 | $1,978 | $3,297 |
| CT Head without Contrast | $114$73$392 | $1,881 | $3,135 |
| DEXA Bone Density Scan | $114$30$392 | $576 | $960 |
| Diagnostic Colonoscopy | $1,046$341$4.9k | — | — |
| Diagnostic Mammogram (Both Breasts) | $116$112$392 | $637 | $1,061 |
| Ear Tube Placement (Tympanostomy) | $1,746$169$5.8k | — | — |
| Echocardiogram (Complete with Doppler) | $597$133$5.5k | $2,925 | $4,875 |
| EKG (Electrocardiogram, 12-lead) | $2,778$18$5.5k | — | — |
| Emergency Room Visit (Level 3) | $298$68$5.5k | $400 | $667 |
| Group Therapy Session | $111$29$5.5k | — | — |
| Hemodialysis Treatment | $2,825$112$5.5k | — | — |
| Hemoglobin A1c (Diabetes Test) | $10$10$34 | $82 | $137 |
| HIV Antibody Test | $9$9$31 | $160 | $266 |
| Holter Monitor (24-48 Hour Heart Monitor) | $2,815$91$5.5k | — | — |
| Home Sleep Study | $236$88$5.5k | $673 | $1,122 |
| Individual Therapy Session (45 Minutes) | $193$97$666 | $174 | $290 |
| Inguinal Hernia Repair (Open) | $4,029$580$13k | — | — |
| Initial Hospital Admission (Level 1) | $2,824$109$5.5k | $195 | $325 |
| Initial Psychiatric Diagnostic Evaluation | $193$148$666 | $283 | $471 |
| Initial Psychiatric Evaluation with Medication Management | $193$167$666 | $227 | $379 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $357 | — | — |
| IUD Insertion | $1,081$86$5.5k | — | — |
| IUD Removal | $343$101$3.6k | $278 | $463 |
| Knee Arthroscopy with Meniscectomy | $3,682$589$12k | $1,217 | $2,028 |
| Laparoscopic Appendectomy | $6,802$672$23k | — | — |
| Laparoscopic Gallbladder Removal | $6,802$736$23k | — | — |
| Laparoscopic Tubal Ligation | $6,802$711$23k | — | — |
| Lipid Panel (Cholesterol Test) | $14$13$47 | $140 | $233 |
| Lumbar Epidural Steroid Injection | $794$259$5.5k | $1,979 | $3,298 |
| Lumbar Puncture (Spinal Tap) | $794$156$3.6k | $1,129 | $1,881 |
| Lumbar Spinal Fusion (Posterior) | $18,790$1.8k$66k | — | — |
| Lumpectomy (Partial Mastectomy) | $4,406$727$15k | — | — |
| MRI Abdomen with and without Contrast | $379$288$1.3k | $3,481 | $5,801 |
| MRI Brain with and without Contrast | $379$255$1.3k | $3,772 | $6,286 |
| MRI Brain with Contrast | $379$224$1.3k | $3,337 | $5,562 |
| MRI Brain without Contrast | $260$151$895 | $3,092 | $5,153 |
| MRI Cervical Spine (Neck) without Contrast | $260$145$895 | $3,189 | $5,315 |
| MRI Knee without Contrast | $260$164$895 | $3,868 | $6,447 |
| MRI Lower Back (Lumbar Spine) without Contrast | $260$146$895 | $3,092 | $5,153 |
| MRI Thoracic Spine (Mid-back) without Contrast | $260$146$895 | $3,092 | $5,153 |
| Newborn Circumcision | $2,352$165$7.8k | $5,206 | $8,676 |
| Nuclear Cardiac Stress Test | $1,408$403$4.9k | $4,667 | $7,779 |
| Office Visit, Established Patient (Level 3) | $2,808$78$5.5k | $149 | $248 |
| Office Visit, New Patient (Level 3) | $2,826$114$5.5k | $235 | $392 |
| Pacemaker Insertion (Dual Chamber) | $11,425$585$39k | $15,233 | $25,389 |
| PET/CT Scan, Whole Body | $1,555$892$5.4k | $5,626 | $9,377 |
| Pregnancy Ultrasound (Second or Third Trimester) | $114$90$392 | $1,134 | $1,890 |
| Prostate Biopsy | $4,494$263$4.9k | — | — |
| PSA Prostate Cancer Screening | $19$18$64 | $142 | $237 |
| Pulmonary Function Test with Bronchodilator | $408$47$5.5k | $692 | $1,153 |
| Rotator Cuff Repair (Arthroscopic) | $7,854$1.2k$27k | — | — |
| Screening Mammogram | $95$92$322 | $406 | $677 |
| Septoplasty (Deviated Septum Repair) | $3,731$672$12k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,639$358$26k | — | — |
| Skin Biopsy (Tangential) | $457$102$5.5k | $325 | $541 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,805$130$6.2k | $2,974 | $4,956 |
| Sleep Study (In-lab Polysomnography) | $939$494$5.5k | $5,085 | $8,475 |
| Spinal Cord Stimulator Trial | $6,966$1.7k$24k | — | — |
| Spirometry (Breathing Test) | $236$27$5.5k | $295 | $491 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,731$326$12k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,407$314$22k | — | — |
| Total Hip Replacement | $13,896$1.5k$48k | $3,140 | $5,234 |
| Total Knee Replacement | $13,896$1.5k$48k | $3,146 | $5,243 |
| Total Mastectomy | $7,116$1.1k$25k | — | — |
| TSH Thyroid Function Test | $17$17$59 | $125 | $208 |
| TURP (Transurethral Prostate Resection) | $6,033$805$20k | — | — |
| Umbilical Hernia Repair | $3,669$494$6.8k | — | — |
| Upper GI Endoscopy (EGD) | $1,021$279$4.9k | $1,125 | $1,875 |
| Urinalysis with Microscopy | $3$3$11 | $50 | $84 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $3,993$2.4k$5.5k | — | — |
| Vaginal Delivery (Global Package) | $3,933$2.3k$5.5k | — | — |
| Vaginal Hysterectomy | $5,629$895$19k | — | — |
| Vasectomy | $2,352$393$7.8k | — | — |
| Vitamin D Blood Test | $31$30$104 | $150 | $250 |