| Abdominal Hysterectomy | $1,230$984$8.8k | — | — |
| ACL Reconstruction (Arthroscopic) | $10,142$3.7k$12k | — | — |
| Allergy Skin Testing | $1,208$7$1.7k | — | — |
| Basic Metabolic Panel | $10$8$27 | $25 | $35 |
| Bone Marrow Biopsy | $2,347$62$3.2k | $1,786 | $2,552 |
| Breast Biopsy (Ultrasound-guided) | $2,347$944$3.7k | $2,680 | $3,828 |
| Bunion Correction Surgery | $4,477$3.7k$5.6k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $29,716$4.8k$41k | — | — |
| Cardiac Catheterization (Left Heart) | $4,800$2.3k$7.1k | $4,259 | $6,084 |
| Cardiac Stress Test (Treadmill) | $88$72$191 | — | — |
| Carpal Tunnel Release Surgery | $2,872$2.3k$4.0k | — | — |
| Cataract Surgery with Lens Implant | $3,365$2.7k$4.3k | — | — |
| Cervical Spinal Fusion (Anterior) | $17,114$4.6k$25k | — | — |
| Cesarean Delivery (Global Package) | $2,612$2.3k$3.2k | — | — |
| Chemotherapy Infusion (First Hour) | $483$340$893 | $956 | $1,365 |
| Chest X-ray (2 Views) | $105$33$214 | $270 | $386 |
| Colonoscopy with Biopsy | $1,743$944$3.7k | $1,786 | $2,552 |
| Complete Abdominal Ultrasound | $153$67$307 | $388 | $554 |
| Complete Blood Count (CBC) with Differential | $10$8$25 | $22 | $32 |
| Comprehensive Metabolic Panel | $13$10$34 | $31 | $44 |
| Coronary Angioplasty with Stent | $13,737$6.1k$21k | $19,998 | $28,568 |
| Critical Care, First Hour | $1,207$299$1.5k | $2,258 | $3,225 |
| CT Abdomen and Pelvis with Contrast | $471$81$1.2k | $1,273 | $1,819 |
| CT Cardiac Calcium Scoring | $106$24$193 | $244 | $348 |
| CT Chest without Contrast | $153$81$505 | $377 | $538 |
| CT Head without Contrast | $152$59$505 | $377 | $538 |
| DEXA Bone Density Scan | $153$43$299 | $377 | $538 |
| Diagnostic Colonoscopy | $1,325$944$3.7k | $1,786 | $2,552 |
| Diagnostic Mammogram (Both Breasts) | $188$81$324 | $408 | $583 |
| Ear Tube Placement (Tympanostomy) | $2,215$1.7k$3.7k | — | — |
| Echocardiogram (Complete with Doppler) | $780$200$1.2k | $1,448 | $2,068 |
| EKG (Electrocardiogram, 12-lead) | $18$14$46 | — | — |
| Emergency Room Visit (Level 3) | $399$299$1.5k | $987 | $1,410 |
| Group Therapy Session | $135$45$392 | $495 | $707 |
| Hemodialysis Treatment | $102$98$269 | — | — |
| Hemoglobin A1c (Diabetes Test) | $12$10$31 | $28 | $40 |
| HIV Antibody Test | $11$9$28 | $26 | $37 |
| Holter Monitor (24-48 Hour Heart Monitor) | $87$70$244 | — | — |
| Home Sleep Study | $227$113$540 | — | — |
| Individual Therapy Session (45 Minutes) | $195$116$265 | $247 | $353 |
| Inguinal Hernia Repair (Open) | $4,700$4.0k$6.3k | — | — |
| Initial Hospital Admission (Level 1) | $98$28$7.2k | $53 | $75 |
| Initial Psychiatric Diagnostic Evaluation | $212$179$265 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $215$187$265 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $840$325$1.5k | $1,877 | $2,681 |
| IUD Insertion | $134$107$3.1k | — | — |
| IUD Removal | $365$286$3.1k | $576 | $823 |
| Knee Arthroscopy with Meniscectomy | $4,287$3.8k$5.6k | — | — |
| Laparoscopic Appendectomy | $7,067$3.7k$9.8k | — | — |
| Laparoscopic Gallbladder Removal | $7,067$4.3k$9.8k | — | — |
| Laparoscopic Tubal Ligation | $7,067$4.3k$9.8k | — | — |
| Lipid Panel (Cholesterol Test) | $16$13$43 | $39 | $55 |
| Lumbar Epidural Steroid Injection | $1,066$106$3.2k | $2,680 | $3,828 |
| Lumbar Puncture (Spinal Tap) | $995$81$3.2k | $1,821 | $2,602 |
| Lumbar Spinal Fusion (Posterior) | $21,839$4.6k$30k | — | — |
| Lumpectomy (Partial Mastectomy) | $4,825$3.7k$6.3k | — | — |
| MRI Abdomen with and without Contrast | $518$81$1.4k | $1,273 | $1,819 |
| MRI Brain with and without Contrast | $513$81$1.4k | $1,273 | $1,819 |
| MRI Brain with Contrast | $471$81$1.0k | $1,273 | $1,819 |
| MRI Brain without Contrast | $347$81$940 | $796 | $1,137 |
| MRI Cervical Spine (Neck) without Contrast | $347$81$940 | $796 | $1,137 |
| MRI Knee without Contrast | $350$81$1.3k | $1,194 | $1,706 |
| MRI Lower Back (Lumbar Spine) without Contrast | $347$81$940 | $796 | $1,137 |
| MRI Thoracic Spine (Mid-back) without Contrast | $347$81$940 | $796 | $1,137 |
| Newborn Circumcision | $3,038$2.4k$4.0k | — | — |
| Nuclear Cardiac Stress Test | $1,858$333$3.1k | $2,300 | $3,286 |
| Office Visit, Established Patient (Level 3) | $94$49$986 | $130 | $186 |
| Office Visit, New Patient (Level 3) | $124$74$197 | — | — |
| Pacemaker Insertion (Dual Chamber) | $12,552$4.8k$18k | $17,981 | $25,687 |
| PET/CT Scan, Whole Body | $2,113$875$3.5k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $153$75$299 | $377 | $538 |
| Prostate Biopsy | $3,038$2.4k$3.7k | — | — |
| PSA Prostate Cancer Screening | $22$18$59 | $53 | $76 |
| Pulmonary Function Test with Bronchodilator | $429$50$629 | $793 | $1,133 |
| Rotator Cuff Repair (Arthroscopic) | $8,653$4.3k$12k | — | — |
| Screening Mammogram | $158$81$268 | $337 | $482 |
| Septoplasty (Deviated Septum Repair) | $3,984$3.8k$5.3k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $8,772$4.3k$11k | — | — |
| Skin Biopsy (Tangential) | $302$231$3.1k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,402$1.9k$3.4k | — | — |
| Sleep Study (In-lab Polysomnography) | $1,474$525$2.3k | — | — |
| Spinal Cord Stimulator Trial | $7,794$431$13k | $6,388 | $9,126 |
| Spirometry (Breathing Test) | $224$29$438 | $418 | $597 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,984$3.8k$5.3k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $7,519$3.7k$9.7k | — | — |
| Total Hip Replacement | $15,693$4.6k$21k | — | — |
| Total Knee Replacement | $17,114$4.6k$21k | — | — |
| Total Mastectomy | $8,323$4.0k$11k | — | — |
| TSH Thyroid Function Test | $21$16$54 | $48 | $69 |
| TURP (Transurethral Prostate Resection) | $6,656$4.0k$8.6k | — | — |
| Upper GI Endoscopy (EGD) | $1,358$944$3.7k | $1,786 | $2,552 |
| Urinalysis with Microscopy | $4$3$10 | $9 | $13 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,462$2.3k$3.0k | — | — |
| Vaginal Delivery (Global Package) | $2,407$2.3k$5.6k | — | — |
| Vaginal Hysterectomy | $6,566$4.3k$8.8k | — | — |
| Vasectomy | $3,038$2.4k$4.0k | — | — |
| Vitamin D Blood Test | $36$29$95 | $85 | $122 |