| Abdominal Hysterectomy | $7,304$2.8k$50k | — | — |
| ACL Reconstruction (Arthroscopic) | $7,776$3.3k$50k | — | — |
| Allergy Skin Testing | $4,967$58$27k | — | — |
| Basic Metabolic Panel | $13$8$27k | $190 | $380 |
| Bone Marrow Biopsy | $1,776$564$25k | $897 | $1,794 |
| Breast Biopsy (Ultrasound-guided) | $3,375$1.7k$25k | $2,597 | $5,193 |
| Bunion Correction Surgery | $3,612$2.8k$25k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $27,484$9.9k$70k | — | — |
| Cardiac Catheterization (Left Heart) | $5,327$3.0k$27k | $8,454 | $16,909 |
| Cardiac Stress Test (Treadmill) | $23,750$208$50k | — | — |
| Carpal Tunnel Release Surgery | $5,112$1.7k$25k | — | — |
| Cataract Surgery with Lens Implant | $5,167$2.0k$25k | — | — |
| Cervical Spinal Fusion (Anterior) | $13,788$3.3k$50k | — | — |
| Cesarean Delivery (Global Package) | $14,570$3.2k$50k | — | — |
| Chemotherapy Infusion (First Hour) | $758$151$27k | $643 | $1,285 |
| Chest X-ray (2 Views) | $340$27$27k | $286 | $573 |
| Colonoscopy with Biopsy | $4,963$1.2k$25k | — | — |
| Complete Abdominal Ultrasound | $1,224$90$27k | $1,077 | $2,154 |
| Complete Blood Count (CBC) with Differential | $12$6$27k | $101 | $202 |
| Comprehensive Metabolic Panel | $16$9$27k | $205 | $410 |
| Coronary Angioplasty with Stent | $12,265$5.0k$50k | $10,946 | $21,892 |
| Critical Care, First Hour | $2,438$220$27k | $2,228 | $4,455 |
| CT Abdomen and Pelvis with Contrast | $2,264$263$27k | $3,515 | $7,031 |
| CT Cardiac Calcium Scoring | $4,862$4.6k$27k | — | — |
| CT Chest without Contrast | $1,319$99$27k | $1,448 | $2,897 |
| CT Head without Contrast | $1,242$79$27k | $1,331 | $2,663 |
| DEXA Bone Density Scan | $371$33$27k | $359 | $719 |
| Diagnostic Colonoscopy | $4,927$1.2k$25k | — | — |
| Diagnostic Mammogram (Both Breasts) | $169$60$27k | $381 | $761 |
| Ear Tube Placement (Tympanostomy) | $5,058$1.7k$25k | — | — |
| Echocardiogram (Complete with Doppler) | $2,825$147$27k | $2,443 | $4,886 |
| EKG (Electrocardiogram, 12-lead) | $21,250$13$38k | — | — |
| Emergency Room Visit (Level 3) | $1,031$220$27k | $688 | $1,375 |
| Group Therapy Session | $4,864$296$27k | — | — |
| Hemodialysis Treatment | $11,738$97$27k | — | — |
| Hemoglobin A1c (Diabetes Test) | $15$6$27k | $88 | $177 |
| HIV Antibody Test | $14$8$27k | $112 | $223 |
| Holter Monitor (24-48 Hour Heart Monitor) | $21,250$63$38k | — | — |
| Home Sleep Study | $759$55$27k | $801 | $1,602 |
| Individual Therapy Session (45 Minutes) | $4,874$194$27k | — | — |
| Inguinal Hernia Repair (Open) | $3,952$2.8k$25k | — | — |
| Initial Hospital Admission (Level 1) | $23,750$220$50k | — | — |
| Initial Psychiatric Diagnostic Evaluation | $4,874$312$27k | — | — |
| Initial Psychiatric Evaluation with Medication Management | $4,874$312$27k | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $5,072$4.8k$50k | — | — |
| IUD Insertion | $7,036$49$38k | — | — |
| IUD Removal | $549$265$25k | $305 | $610 |
| Knee Arthroscopy with Meniscectomy | $3,506$2.7k$25k | — | — |
| Laparoscopic Appendectomy | $6,490$3.3k$25k | — | — |
| Laparoscopic Gallbladder Removal | $6,490$3.3k$25k | — | — |
| Laparoscopic Tubal Ligation | $6,490$3.3k$25k | — | — |
| Lipid Panel (Cholesterol Test) | $21$9$27k | $125 | $249 |
| Lumbar Epidural Steroid Injection | $4,945$959$25k | — | — |
| Lumbar Puncture (Spinal Tap) | $1,036$529$25k | $578 | $1,156 |
| Lumbar Spinal Fusion (Posterior) | $18,448$3.3k$50k | — | — |
| Lumpectomy (Partial Mastectomy) | $4,211$2.0k$25k | — | — |
| MRI Abdomen with and without Contrast | $1,921$285$27k | $3,524 | $7,048 |
| MRI Brain with and without Contrast | $2,227$255$27k | $3,434 | $6,868 |
| MRI Brain with Contrast | $1,832$226$27k | $2,882 | $5,764 |
| MRI Brain without Contrast | $1,832$152$27k | $2,394 | $4,788 |
| MRI Cervical Spine (Neck) without Contrast | $1,832$146$27k | $2,286 | $4,572 |
| MRI Knee without Contrast | $1,832$167$27k | $2,427 | $4,854 |
| MRI Lower Back (Lumbar Spine) without Contrast | $1,857$147$27k | $2,344 | $4,688 |
| MRI Thoracic Spine (Mid-back) without Contrast | $1,853$146$27k | $2,391 | $4,782 |
| Newborn Circumcision | $2,291$1.4k$25k | $1,516 | $3,032 |
| Nuclear Cardiac Stress Test | $3,496$413$27k | $2,937 | $5,874 |
| Office Visit, Established Patient (Level 3) | $204$81$50k | $164 | $329 |
| Office Visit, New Patient (Level 3) | $215$103$50k | $172 | $344 |
| Pacemaker Insertion (Dual Chamber) | $11,106$6.0k$50k | $15,200 | $30,401 |
| PET/CT Scan, Whole Body | $4,947$1.5k$27k | $4,179 | $8,358 |
| Pregnancy Ultrasound (Second or Third Trimester) | $854$102$27k | $752 | $1,503 |
| Prostate Biopsy | $5,187$1.3k$50k | — | — |
| PSA Prostate Cancer Screening | $29$12$27k | $133 | $265 |
| Pulmonary Function Test with Bronchodilator | $741$32$27k | $612 | $1,225 |
| Rotator Cuff Repair (Arthroscopic) | $7,651$3.3k$25k | — | — |
| Screening Mammogram | $142$60$27k | $260 | $519 |
| Septoplasty (Deviated Septum Repair) | $3,553$2.0k$25k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,442$2.8k$25k | — | — |
| Skin Biopsy (Tangential) | $4,876$528$25k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $5,071$1.2k$25k | — | — |
| Sleep Study (In-lab Polysomnography) | $4,055$560$27k | $3,524 | $7,049 |
| Spinal Cord Stimulator Trial | $7,035$3.3k$50k | — | — |
| Spirometry (Breathing Test) | $4,867$72$27k | — | — |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,566$2.0k$25k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,344$2.0k$25k | — | — |
| Total Hip Replacement | $13,638$3.4k$50k | — | — |
| Total Knee Replacement | $13,638$3.4k$50k | — | — |
| Total Mastectomy | $7,002$2.8k$25k | — | — |
| TSH Thyroid Function Test | $26$13$27k | $136 | $273 |
| TURP (Transurethral Prostate Resection) | $5,746$3.1k$25k | — | — |
| Upper GI Endoscopy (EGD) | $4,924$1.2k$25k | — | — |
| Urinalysis with Microscopy | $5$3$27k | $68 | $137 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $14,570$2.7k$50k | — | — |
| Vaginal Delivery (Global Package) | $6,646$2.7k$25k | — | — |
| Vaginal Hysterectomy | $5,380$2.8k$25k | — | — |
| Vasectomy | $5,137$2.0k$25k | — | — |
| Vitamin D Blood Test | $46$28$27k | $174 | $348 |