| Abdominal Hysterectomy | $926$484$11k | — | — |
| ACL Reconstruction (Arthroscopic) | $7,230$3.8k$12k | — | — |
| Allergy Skin Testing | $856$448$1.6k | — | — |
| Basic Metabolic Panel | $21$4$126 | $116 | $137 |
| Bone Marrow Biopsy | $1,640$341$2.8k | $1,634 | $1,922 |
| Breast Biopsy (Ultrasound-guided) | $1,711$861$3.3k | $3,032 | $3,567 |
| Bunion Correction Surgery | $3,260$1.7k$3.9k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $26,044$14k$36k | — | — |
| Cardiac Catheterization (Left Heart) | $3,230$1.7k$3.5k | — | — |
| Cardiac Stress Test (Treadmill) | $70$36$216 | — | — |
| Carpal Tunnel Release Surgery | $1,946$1.0k$2.3k | — | — |
| Cataract Surgery with Lens Implant | $2,300$1.2k$2.5k | — | — |
| Cervical Spinal Fusion (Anterior) | $12,793$6.7k$25k | — | — |
| Cesarean Delivery (Global Package) | $2,471$1.3k$2.7k | — | — |
| Chemotherapy Infusion (First Hour) | $342$172$560 | $461 | $542 |
| Chest X-ray (2 Views) | $90$45$370 | $342 | $402 |
| Colonoscopy with Biopsy | $1,192$624$1.3k | — | — |
| Complete Abdominal Ultrasound | $233$54$997 | $921 | $1,084 |
| Complete Blood Count (CBC) with Differential | $16$4$95 | $88 | $103 |
| Comprehensive Metabolic Panel | $23$6$180 | $167 | $196 |
| Coronary Angioplasty with Stent | $11,503$6.0k$17k | — | — |
| Critical Care, First Hour | $1,417$430$2.6k | $2,357 | $2,773 |
| CT Abdomen and Pelvis with Contrast | $692$182$5.4k | $4,953 | $5,827 |
| CT Cardiac Calcium Scoring | $340$45$1.0k | $927 | $1,090 |
| CT Chest without Contrast | $1,262$54$2.4k | $1,778 | $2,092 |
| CT Head without Contrast | $205$54$2.5k | $2,327 | $2,738 |
| DEXA Bone Density Scan | $520$54$664 | $601 | $708 |
| Diagnostic Colonoscopy | $927$485$1.0k | — | — |
| Diagnostic Mammogram (Both Breasts) | $376$77$466 | $424 | $499 |
| Ear Tube Placement (Tympanostomy) | $1,546$809$4.7k | — | — |
| Echocardiogram (Complete with Doppler) | $584$285$2.1k | $1,914 | $2,252 |
| EKG (Electrocardiogram, 12-lead) | $124$8$324 | $215 | $254 |
| Emergency Room Visit (Level 3) | $613$142$753 | $695 | $818 |
| Group Therapy Session | $101$53$127 | — | — |
| Hemodialysis Treatment | $88$46$95 | — | — |
| Hemoglobin A1c (Diabetes Test) | $23$5$82 | $76 | $89 |
| HIV Antibody Test | $18$5$38 | $35 | $42 |
| Holter Monitor (24-48 Hour Heart Monitor) | $66$34$242 | — | — |
| Home Sleep Study | $224$113$509 | $470 | $553 |
| Individual Therapy Session (45 Minutes) | $177$93$227 | — | — |
| Inguinal Hernia Repair (Open) | $3,568$1.9k$4.1k | — | — |
| Initial Hospital Admission (Level 1) | $74$39$99 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $202$93$328 | $303 | $356 |
| Initial Psychiatric Evaluation with Medication Management | $177$93$227 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $2,599 | — | — |
| IUD Insertion | $100$52$198 | — | — |
| IUD Removal | $304$159$516 | $366 | $431 |
| Knee Arthroscopy with Meniscectomy | $3,260$1.7k$3.5k | — | — |
| Laparoscopic Appendectomy | $6,024$3.2k$6.9k | — | — |
| Laparoscopic Gallbladder Removal | $6,024$3.2k$6.5k | — | — |
| Laparoscopic Tubal Ligation | $6,024$3.2k$6.7k | — | — |
| Lipid Panel (Cholesterol Test) | $26$7$115 | $106 | $125 |
| Lumbar Epidural Steroid Injection | $368$185$1.2k | $313 | $368 |
| Lumbar Puncture (Spinal Tap) | $1,468$368$1.9k | $1,697 | $1,997 |
| Lumbar Spinal Fusion (Posterior) | $17,471$9.1k$25k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,901$2.0k$4.2k | — | — |
| MRI Abdomen with and without Contrast | $724$182$4.1k | $3,794 | $4,464 |
| MRI Brain with and without Contrast | $677$182$6.6k | $6,129 | $7,210 |
| MRI Brain with Contrast | $631$182$4.3k | $3,953 | $4,651 |
| MRI Brain without Contrast | $429$124$3.5k | $3,208 | $3,774 |
| MRI Cervical Spine (Neck) without Contrast | $421$124$3.5k | $3,208 | $3,774 |
| MRI Knee without Contrast | $449$124$3.5k | $3,208 | $3,774 |
| MRI Lower Back (Lumbar Spine) without Contrast | $421$124$3.5k | $3,208 | $3,774 |
| MRI Thoracic Spine (Mid-back) without Contrast | $421$124$3.5k | $3,208 | $3,774 |
| Newborn Circumcision | $2,166$1.1k$3.5k | $2,802 | $3,296 |
| Nuclear Cardiac Stress Test | $1,493$675$2.4k | $2,256 | $2,654 |
| Office Visit, Established Patient (Level 3) | $102$24$159 | $114 | $135 |
| Office Visit, New Patient (Level 3) | $113$59$192 | $116 | $136 |
| Pacemaker Insertion (Dual Chamber) | $10,414$5.4k$23k | — | — |
| PET/CT Scan, Whole Body | $3,815$745$9.5k | $8,823 | $10,380 |
| Pregnancy Ultrasound (Second or Third Trimester) | $237$54$1.1k | $1,060 | $1,247 |
| Prostate Biopsy | $1,887$1.1k$2.3k | $1,887 | $2,220 |
| PSA Prostate Cancer Screening | $23$6$188 | $35 | $41 |
| Pulmonary Function Test with Bronchodilator | $372$28$1.9k | $1,785 | $2,100 |
| Rotator Cuff Repair (Arthroscopic) | $7,230$3.8k$7.8k | — | — |
| Screening Mammogram | $185$62$311 | $287 | $338 |
| Septoplasty (Deviated Septum Repair) | $3,304$1.7k$3.6k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,032$3.7k$7.6k | — | — |
| Skin Biopsy (Tangential) | $405$212$437 | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,646$269$2.8k | $2,521 | $2,966 |
| Sleep Study (In-lab Polysomnography) | $3,935$448$5.9k | $4,814 | $5,664 |
| Spinal Cord Stimulator Trial | $6,350$3.3k$13k | — | — |
| Spirometry (Breathing Test) | $145$65$366 | $144 | $169 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,304$1.7k$5.3k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,899$3.1k$6.4k | — | — |
| Total Hip Replacement | $12,793$6.7k$23k | — | — |
| Total Knee Replacement | $12,793$6.7k$22k | — | — |
| Total Mastectomy | $6,616$3.5k$7.1k | — | — |
| TSH Thyroid Function Test | $28$9$201 | $107 | $126 |
| TURP (Transurethral Prostate Resection) | $5,343$2.8k$6.0k | — | — |
| Umbilical Hernia Repair | $448 | — | — |
| Upper GI Endoscopy (EGD) | $904$473$1.7k | — | — |
| Urinalysis with Microscopy | $10$2$69 | $64 | $75 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,330$1.2k$2.5k | — | — |
| Vaginal Delivery (Global Package) | $2,205$1.2k$2.5k | — | — |
| Vaginal Hysterectomy | $4,984$2.6k$7.9k | — | — |
| Vasectomy | $2,281$1.1k$3.7k | $3,390 | $3,988 |
| Vitamin D Blood Test | $30$10$89 | $50 | $59 |