| Abdominal Hysterectomy | $1,713$1.1k$1.7k | — | — |
| ACL Reconstruction (Arthroscopic) | $6,627$5.9k$8.7k | — | — |
| Allergy Skin Testing | $50$25$1.9k | — | — |
| Basic Metabolic Panel | $17$8$22 | $89 | $127 |
| Bone Marrow Biopsy | $1,650$270$2.0k | $1,657 | $2,367 |
| Breast Biopsy (Ultrasound-guided) | $1,650$625$2.0k | $2,055 | $2,935 |
| Bunion Correction Surgery | $3,553$2.5k$6.7k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $26,648$11k$34k | — | — |
| Cardiac Catheterization (Left Heart) | $3,550$2.6k$4.3k | $9,745 | $13,922 |
| Cardiac Stress Test (Treadmill) | $150$123$177 | — | — |
| Carpal Tunnel Release Surgery | $2,103$1.3k$4.3k | $3,372 | $4,817 |
| Cataract Surgery with Lens Implant | $2,479$1.7k$4.3k | — | — |
| Cervical Spinal Fusion (Anterior) | $9,620$3.8k$15k | — | — |
| Cesarean Delivery (Global Package) | $6,735$6.4k$6.7k | — | — |
| Chemotherapy Infusion (First Hour) | $330$231$856 | $455 | $650 |
| Chest X-ray (2 Views) | $71$46$261 | $280 | $400 |
| Colonoscopy with Biopsy | $1,277$691$1.8k | — | — |
| Complete Abdominal Ultrasound | $129$99$335 | $755 | $1,079 |
| Complete Blood Count (CBC) with Differential | $15$8$20 | $73 | $104 |
| Comprehensive Metabolic Panel | $21$11$27 | $107 | $153 |
| Coronary Angioplasty with Stent | $12,446$6.1k$21k | — | — |
| Critical Care, First Hour | $1,479$846$2.0k | $1,862 | $2,660 |
| CT Abdomen and Pelvis with Contrast | $483$418$1.2k | $4,123 | $5,890 |
| CT Cardiac Calcium Scoring | $71$50$242 | $97 | $138 |
| CT Chest without Contrast | $174$125$334 | $1,535 | $2,193 |
| CT Head without Contrast | $174$125$334 | $1,226 | $1,751 |
| DEXA Bone Density Scan | $129$74$334 | $456 | $651 |
| Diagnostic Colonoscopy | $1,006$691$1.8k | $846 | $1,209 |
| Diagnostic Mammogram (Both Breasts) | $214$103$494 | $578 | $826 |
| Ear Tube Placement (Tympanostomy) | $1,671$1.1k$4.3k | — | — |
| Echocardiogram (Complete with Doppler) | $569$390$1.3k | $1,126 | $1,609 |
| EKG (Electrocardiogram, 12-lead) | $29$27$79 | — | — |
| Emergency Room Visit (Level 3) | $759$255$765 | $774 | $1,105 |
| Group Therapy Session | $56$24$122 | $110 | $157 |
| Hemodialysis Treatment | $475$172$479 | — | — |
| Hemoglobin A1c (Diabetes Test) | $19$10$25 | $136 | $194 |
| HIV Antibody Test | $17$9$23 | $36 | $52 |
| Holter Monitor (24-48 Hour Heart Monitor) | $157$67$493 | — | — |
| Home Sleep Study | $173$155$376 | $638 | $911 |
| Individual Therapy Session (45 Minutes) | $94$43$213 | — | — |
| Inguinal Hernia Repair (Open) | $3,831$2.4k$6.7k | — | — |
| Initial Hospital Admission (Level 1) | $2,617$167$2.6k | — | — |
| Initial Psychiatric Diagnostic Evaluation | $94$43$213 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $94$43$213 | $246 | $352 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $594$484$1.8k | — | — |
| IUD Insertion | $90$55$552 | $721 | $1,030 |
| IUD Removal | $298$119$552 | $312 | $445 |
| Knee Arthroscopy with Meniscectomy | $3,461$2.1k$4.3k | — | — |
| Laparoscopic Appendectomy | $5,850$3.5k$7.2k | $5,324 | $7,606 |
| Laparoscopic Gallbladder Removal | $5,850$3.5k$7.2k | $4,803 | $6,861 |
| Laparoscopic Tubal Ligation | $5,850$3.5k$7.2k | — | — |
| Lipid Panel (Cholesterol Test) | $26$13$35 | $166 | $237 |
| Lumbar Epidural Steroid Injection | $846$507$1.8k | $1,621 | $2,315 |
| Lumbar Puncture (Spinal Tap) | $765$292$1.8k | $701 | $1,001 |
| Lumbar Spinal Fusion (Posterior) | $8,916$3.8k$21k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,956$1.9k$6.7k | — | — |
| MRI Abdomen with and without Contrast | $549$418$1.2k | $4,164 | $5,948 |
| MRI Brain with and without Contrast | $549$418$1.2k | $4,738 | $6,769 |
| MRI Brain with Contrast | $455$418$1.2k | $2,563 | $3,662 |
| MRI Brain without Contrast | $338$264$730 | $1,865 | $2,664 |
| MRI Cervical Spine (Neck) without Contrast | $338$264$730 | $2,042 | $2,917 |
| MRI Knee without Contrast | $338$264$730 | $2,069 | $2,956 |
| MRI Lower Back (Lumbar Spine) without Contrast | $338$264$730 | $2,476 | $3,537 |
| MRI Thoracic Spine (Mid-back) without Contrast | $338$264$730 | $2,199 | $3,141 |
| Newborn Circumcision | $1,805$1.7k$2.5k | — | — |
| Nuclear Cardiac Stress Test | $1,406$680$4.1k | $4,111 | $5,873 |
| Office Visit, Established Patient (Level 3) | $36$36$84 | $274 | $391 |
| Office Visit, New Patient (Level 3) | $36$36$126 | $288 | $412 |
| Pacemaker Insertion (Dual Chamber) | $12,711$6.6k$18k | $11,409 | $16,299 |
| PET/CT Scan, Whole Body | $1,573$1.1k$4.6k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $129$99$334 | $853 | $1,219 |
| Prostate Biopsy | $1,805$967$2.0k | — | — |
| PSA Prostate Cancer Screening | $36$18$48 | $206 | $294 |
| Pulmonary Function Test with Bronchodilator | $289$101$721 | $753 | $1,075 |
| Rotator Cuff Repair (Arthroscopic) | $7,525$3.9k$8.9k | — | — |
| Screening Mammogram | $177$79$360 | $531 | $758 |
| Septoplasty (Deviated Septum Repair) | $3,262$1.8k$6.7k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,166$2.0k$8.5k | — | — |
| Skin Biopsy (Tangential) | $487$107$552 | $295 | $421 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,650$584$2.0k | $1,872 | $2,674 |
| Sleep Study (In-lab Polysomnography) | $1,044$806$2.4k | $3,613 | $5,162 |
| Spinal Cord Stimulator Trial | $4,400$4.1k$7.6k | $7,355 | $10,507 |
| Spirometry (Breathing Test) | $155$63$376 | $236 | $337 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,262$1.8k$8.9k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,752$1.8k$7.1k | — | — |
| Total Hip Replacement | $18,462$1.4k$19k | — | — |
| Total Knee Replacement | $18,877$12k$19k | — | — |
| Total Mastectomy | $6,789$2.5k$8.9k | — | — |
| TSH Thyroid Function Test | $33$17$44 | $234 | $334 |
| TURP (Transurethral Prostate Resection) | $5,512$2.7k$6.7k | — | — |
| Umbilical Hernia Repair | $3,370$3.2k$6.4k | — | — |
| Upper GI Endoscopy (EGD) | $979$623$1.8k | $811 | $1,158 |
| Urinalysis with Microscopy | $6$3$8 | $81 | $116 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $6,735$6.4k$6.7k | — | — |
| Vaginal Delivery (Global Package) | $4,580$2.2k$4.6k | — | — |
| Vaginal Hysterectomy | $5,357$2.6k$6.7k | — | — |
| Vasectomy | $1,805$1.7k$2.5k | — | — |
| Vitamin D Blood Test | $58$30$77 | $253 | $361 |