| Abdominal Hysterectomy | $12,558$861$14k | — | — |
| ACL Reconstruction (Arthroscopic) | $7,310$1.8k$15k | — | — |
| Basic Metabolic Panel | $58$8$333 | $165 | $392 |
| Bone Marrow Biopsy | $1,383$134$3.5k | $703 | $1,675 |
| Breast Biopsy (Ultrasound-guided) | $1,744$289$3.5k | $1,444 | $3,437 |
| Bunion Correction Surgery | $3,320$994$9.2k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $23,908$1.7k$53k | $18,013 | $42,889 |
| Cardiac Catheterization (Left Heart) | $14,033$1.4k$28k | $13,369 | $31,832 |
| Carpal Tunnel Release Surgery | $1,998$829$5.1k | — | — |
| Cataract Surgery with Lens Implant | $2,334$1.0k$12k | — | — |
| Cervical Spinal Fusion (Anterior) | $12,539$3.0k$28k | — | — |
| Cesarean Delivery (Global Package) | $1,895$1.5k$2.0k | — | — |
| Chemotherapy Infusion (First Hour) | $470$150$849 | $420 | $999 |
| Chest X-ray (2 Views) | $125$16$413 | $145 | $346 |
| Colonoscopy with Biopsy | $1,207$375$3.5k | — | — |
| Complete Abdominal Ultrasound | $271$101$1.1k | $525 | $1,249 |
| Complete Blood Count (CBC) with Differential | $32$8$186 | $92 | $219 |
| Comprehensive Metabolic Panel | $72$10$415 | $205 | $488 |
| Coronary Angioplasty with Stent | $11,759$1.0k$25k | $10,275 | $24,464 |
| Critical Care, First Hour | $2,302$406$4.9k | $2,250 | $5,358 |
| CT Abdomen and Pelvis with Contrast | $773$339$4.2k | $2,051 | $4,884 |
| CT Cardiac Calcium Scoring | $138$39$236 | $109 | $260 |
| CT Chest without Contrast | $423$101$1.5k | $755 | $1,797 |
| CT Head without Contrast | $241$101$1.4k | $674 | $1,604 |
| DEXA Bone Density Scan | $142$56$567 | $280 | $667 |
| Diagnostic Colonoscopy | $933$345$3.5k | — | — |
| Diagnostic Mammogram (Both Breasts) | $197$46$394 | $128 | $305 |
| Ear Tube Placement (Tympanostomy) | $1,516$304$9.2k | — | — |
| Echocardiogram (Complete with Doppler) | $1,622$243$3.0k | $1,481 | $3,527 |
| Emergency Room Visit (Level 3) | $806$135$1.6k | $651 | $1,550 |
| Group Therapy Session | $105$19$612 | $72 | $171 |
| Hemoglobin A1c (Diabetes Test) | $41$9$164 | $81 | $193 |
| HIV Antibody Test | $43$9$245 | $121 | $288 |
| Home Sleep Study | $351$96$649 | $321 | $764 |
| Individual Therapy Session (45 Minutes) | $157$33$348 | $92 | $220 |
| Inguinal Hernia Repair (Open) | $3,611$958$11k | — | — |
| Initial Psychiatric Diagnostic Evaluation | $220$45$388 | $159 | $379 |
| Initial Psychiatric Evaluation with Medication Management | $223$68$388 | $192 | $456 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $723$549$4.1k | $2,044 | $4,867 |
| IUD Insertion | $226$45$3.3k | $126 | $301 |
| IUD Removal | $296$56$3.3k | $156 | $371 |
| Knee Arthroscopy with Meniscectomy | $3,320$1.0k$11k | — | — |
| Laparoscopic Appendectomy | $5,800$701$13k | $3,937 | $9,374 |
| Laparoscopic Gallbladder Removal | $5,970$1.2k$13k | — | — |
| Laparoscopic Tubal Ligation | $5,970$1.2k$13k | — | — |
| Lipid Panel (Cholesterol Test) | $13$2$262 | $66 | $157 |
| Lumbar Epidural Steroid Injection | $1,416$189$3.3k | $1,144 | $2,724 |
| Lumbar Puncture (Spinal Tap) | $694$115$3.3k | $486 | $1,157 |
| Lumbar Spinal Fusion (Posterior) | $17,460$2.9k$40k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,844$1.2k$9.2k | — | — |
| MRI Abdomen with and without Contrast | $1,202$339$3.6k | $1,803 | $4,293 |
| MRI Brain with and without Contrast | $859$339$3.8k | $1,864 | $4,438 |
| MRI Brain with Contrast | $773$339$3.4k | $1,696 | $4,038 |
| MRI Brain without Contrast | $523$230$2.9k | $1,454 | $3,462 |
| MRI Cervical Spine (Neck) without Contrast | $523$230$2.9k | $1,425 | $3,392 |
| MRI Knee without Contrast | $552$230$2.5k | $1,258 | $2,995 |
| MRI Lower Back (Lumbar Spine) without Contrast | $523$230$2.9k | $1,425 | $3,392 |
| MRI Thoracic Spine (Mid-back) without Contrast | $558$230$3.2k | $1,562 | $3,718 |
| Newborn Circumcision | $2,076$180$5.1k | $1,359 | $3,235 |
| Nuclear Cardiac Stress Test | $2,158$676$4.4k | $2,107 | $5,018 |
| Office Visit, Established Patient (Level 3) | $110$22$177 | $74 | $177 |
| Office Visit, New Patient (Level 3) | $316$79$448 | $221 | $527 |
| Pacemaker Insertion (Dual Chamber) | $13,544$929$29k | $11,619 | $27,664 |
| PET/CT Scan, Whole Body | $1,777$1.2k$6.5k | $3,221 | $7,669 |
| Pregnancy Ultrasound (Second or Third Trimester) | $422$101$1.2k | $560 | $1,333 |
| Prostate Biopsy | $1,996$245$4.4k | $1,347 | $3,208 |
| PSA Prostate Cancer Screening | $62$18$189 | $93 | $222 |
| Pulmonary Function Test with Bronchodilator | $316$54$881 | $436 | $1,037 |
| Rotator Cuff Repair (Arthroscopic) | $7,310$2.0k$15k | — | — |
| Screening Mammogram | $183$46$326 | $128 | $305 |
| Septoplasty (Deviated Septum Repair) | $3,319$1.3k$11k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,881$605$15k | — | — |
| Skin Biopsy (Tangential) | $199$47$3.3k | $132 | $315 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,626$158$3.5k | — | — |
| Sleep Study (In-lab Polysomnography) | $2,201$711$4.0k | $1,991 | $4,741 |
| Spinal Cord Stimulator Trial | $6,396$789$14k | — | — |
| Spirometry (Breathing Test) | $159$36$351 | $173 | $413 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,319$581$12k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,880$556$13k | — | — |
| Total Hip Replacement | $12,539$2.4k$28k | — | — |
| Total Knee Replacement | $12,539$2.4k$28k | — | — |
| Total Mastectomy | $6,546$1.7k$14k | — | — |
| TSH Thyroid Function Test | $71$16$229 | $113 | $269 |
| TURP (Transurethral Prostate Resection) | $5,202$1.4k$11k | — | — |
| Umbilical Hernia Repair | $5,513$4.8k$6.5k | — | — |
| Upper GI Endoscopy (EGD) | $932$230$3.3k | $643 | $1,531 |
| Urinalysis with Microscopy | $25$3$124 | $60 | $143 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $1,895$1.5k$2.0k | — | — |
| Vaginal Delivery (Global Package) | $1,895$1.5k$2.0k | — | — |
| Vaginal Hysterectomy | $4,955$1.6k$12k | — | — |
| Vasectomy | $2,096$439$5.1k | — | — |
| Vitamin D Blood Test | $125$29$472 | $233 | $555 |