| Abdominal Hysterectomy | $926$484$11k | — | — |
| ACL Reconstruction (Arthroscopic) | $7,230$3.8k$15k | — | — |
| Allergy Skin Testing | $856$7$1.6k | — | — |
| Basic Metabolic Panel | $9$4$82 | $82 | $97 |
| Bone Marrow Biopsy | $1,527$341$2.8k | $1,623 | $1,909 |
| Breast Biopsy (Ultrasound-guided) | $1,646$861$2.8k | $2,404 | $2,828 |
| Bunion Correction Surgery | $1,958$870$5.9k | $1,958 | $2,304 |
| Cardiac Ablation for Atrial Fibrillation | $26,044$910$44k | — | — |
| Cardiac Catheterization (Left Heart) | $3,230$1.7k$5.5k | — | — |
| Cardiac Stress Test (Treadmill) | $75$36$1.0k | $1,007 | $1,185 |
| Carpal Tunnel Release Surgery | $1,946$1.0k$3.3k | — | — |
| Cataract Surgery with Lens Implant | $2,300$1.2k$3.9k | — | — |
| Cervical Spinal Fusion (Anterior) | $12,793$6.7k$31k | — | — |
| Cesarean Delivery (Global Package) | $2,471$1.3k$9.0k | — | — |
| Chemotherapy Infusion (First Hour) | $329$172$560 | $552 | $649 |
| Chest X-ray (2 Views) | $87$45$335 | $335 | $394 |
| Colonoscopy with Biopsy | $1,192$624$2.0k | — | — |
| Complete Abdominal Ultrasound | $113$54$904 | $904 | $1,063 |
| Complete Blood Count (CBC) with Differential | $8$4$71 | $71 | $83 |
| Comprehensive Metabolic Panel | $11$6$145 | $145 | $171 |
| Coronary Angioplasty with Stent | $11,503$6.0k$22k | — | — |
| Critical Care, First Hour | $823$209$3.3k | $605 | $712 |
| CT Abdomen and Pelvis with Contrast | $375$182$3.4k | $3,391 | $3,989 |
| CT Cardiac Calcium Scoring | $94$45$532 | $473 | $557 |
| CT Chest without Contrast | $962$54$2.0k | $1,690 | $1,989 |
| CT Head without Contrast | $113$54$1.3k | $1,335 | $1,570 |
| DEXA Bone Density Scan | $104$54$586 | $586 | $689 |
| Diagnostic Colonoscopy | $757$337$1.7k | $757 | $891 |
| Diagnostic Mammogram (Both Breasts) | $293$77$415 | $405 | $477 |
| Ear Tube Placement (Tympanostomy) | $1,546$809$4.7k | — | — |
| Echocardiogram (Complete with Doppler) | $1,218$285$1.8k | $1,755 | $2,065 |
| EKG (Electrocardiogram, 12-lead) | $93$8$190 | $161 | $190 |
| Emergency Room Visit (Level 3) | $509$142$723 | $722 | $850 |
| Group Therapy Session | $53$21$172 | $48 | $57 |
| Hemodialysis Treatment | $88$46$149 | — | — |
| Hemoglobin A1c (Diabetes Test) | $10$5$79 | $79 | $93 |
| HIV Antibody Test | $10$5$38 | $35 | $42 |
| Holter Monitor (24-48 Hour Heart Monitor) | $66$34$242 | — | — |
| Home Sleep Study | $297$113$421 | $420 | $495 |
| Individual Therapy Session (45 Minutes) | $177$93$400 | $228 | $268 |
| Inguinal Hernia Repair (Open) | $3,568$1.9k$8.4k | — | — |
| Initial Hospital Admission (Level 1) | $74$39$126 | $131 | $154 |
| Initial Psychiatric Diagnostic Evaluation | $177$93$309 | $309 | $363 |
| Initial Psychiatric Evaluation with Medication Management | $177$93$347 | $347 | $408 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $2,599$826$2.6k | — | — |
| IUD Insertion | $183$52$808 | $465 | $548 |
| IUD Removal | $304$159$516 | $382 | $449 |
| Knee Arthroscopy with Meniscectomy | $3,260$1.7k$7.1k | — | — |
| Laparoscopic Appendectomy | $6,024$3.2k$10k | — | — |
| Laparoscopic Gallbladder Removal | $6,024$3.2k$11k | — | — |
| Laparoscopic Tubal Ligation | $6,024$3.2k$11k | $8,616 | $10,137 |
| Lipid Panel (Cholesterol Test) | $14$7$91 | $91 | $107 |
| Lumbar Epidural Steroid Injection | $575$256$1.3k | $575 | $677 |
| Lumbar Puncture (Spinal Tap) | $703$368$2.1k | $1,019 | $1,199 |
| Lumbar Spinal Fusion (Posterior) | $17,471$9.1k$30k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,901$2.0k$6.6k | — | — |
| MRI Abdomen with and without Contrast | $375$182$3.9k | $3,887 | $4,573 |
| MRI Brain with and without Contrast | $375$182$3.7k | $3,731 | $4,389 |
| MRI Brain with Contrast | $375$182$3.2k | $3,229 | $3,799 |
| MRI Brain without Contrast | $1,703$124$2.5k | $2,454 | $2,887 |
| MRI Cervical Spine (Neck) without Contrast | $1,591$124$2.3k | $2,293 | $2,698 |
| MRI Knee without Contrast | $1,892$124$2.6k | $2,591 | $3,048 |
| MRI Lower Back (Lumbar Spine) without Contrast | $1,624$124$2.5k | $2,382 | $2,802 |
| MRI Thoracic Spine (Mid-back) without Contrast | $1,682$124$2.5k | $2,424 | $2,852 |
| Newborn Circumcision | $2,083$1.1k$3.5k | $2,995 | $3,523 |
| Nuclear Cardiac Stress Test | $2,324$675$3.4k | $3,339 | $3,928 |
| Office Visit, Established Patient (Level 3) | $98$30$159 | $129 | $152 |
| Office Visit, New Patient (Level 3) | $113$53$192 | $118 | $139 |
| Pacemaker Insertion (Dual Chamber) | $10,414$5.4k$30k | — | — |
| PET/CT Scan, Whole Body | $1,539$745$5.8k | $5,138 | $6,045 |
| Pregnancy Ultrasound (Second or Third Trimester) | $272$54$717 | $511 | $601 |
| Prostate Biopsy | $505$238$3.4k | $536 | $631 |
| PSA Prostate Cancer Screening | $18$5$56 | $35 | $41 |
| Pulmonary Function Test with Bronchodilator | $101$28$632 | $230 | $271 |
| Rotator Cuff Repair (Arthroscopic) | $7,230$3.8k$12k | — | — |
| Screening Mammogram | $127$62$320 | $320 | $377 |
| Septoplasty (Deviated Septum Repair) | $3,304$1.7k$5.6k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,032$3.7k$12k | — | — |
| Skin Biopsy (Tangential) | $270$81$689 | $276 | $325 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $861$102$2.8k | $230 | $270 |
| Sleep Study (In-lab Polysomnography) | $924$448$3.6k | $3,590 | $4,223 |
| Spinal Cord Stimulator Trial | $6,350$3.3k$13k | — | — |
| Spirometry (Breathing Test) | $178$27$366 | $152 | $179 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,304$1.7k$5.6k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,899$3.1k$10k | — | — |
| Total Hip Replacement | $12,793$6.7k$23k | — | — |
| Total Knee Replacement | $12,793$6.7k$22k | — | — |
| Total Mastectomy | $6,616$3.5k$11k | — | — |
| TSH Thyroid Function Test | $26$9$120 | $74 | $87 |
| TURP (Transurethral Prostate Resection) | $5,343$2.8k$9.1k | — | — |
| Upper GI Endoscopy (EGD) | $904$473$1.7k | — | — |
| Urinalysis with Microscopy | $3$2$31 | $31 | $37 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,330$1.2k$8.5k | $5,109 | $6,011 |
| Vaginal Delivery (Global Package) | $2,205$1.2k$8.1k | — | — |
| Vaginal Hysterectomy | $4,984$2.6k$8.5k | — | — |
| Vasectomy | $1,089$266$3.5k | $598 | $704 |
| Vitamin D Blood Test | $30$8$96 | $57 | $67 |