| Abdominal Hysterectomy | $13,261$7.8k$24k | — | — |
| ACL Reconstruction (Arthroscopic) | $7,011$6.9k$13k | — | — |
| Allergy Skin Testing | $28$11$1.8k | $22 | $33 |
| Anesthesia for Screening Colonoscopy | $1 | — | — |
| Anesthesia for Upper Endoscopy | $1 | — | — |
| Basic Metabolic Panel | $89$8$211 | $162 | $245 |
| Bone Marrow Biopsy | $1,590$1.6k$2.9k | $1,068 | $1,618 |
| Breast Biopsy (Ultrasound-guided) | $1,590$926$2.9k | $1,846 | $2,797 |
| Bunion Correction Surgery | $3,184$3.1k$5.7k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $24,076$14k$43k | $28,464 | $43,128 |
| Cardiac Catheterization (Left Heart) | $5,167$3.1k$11k | $8,247 | $12,495 |
| Cardiac Stress Test (Treadmill) | $126 | — | — |
| Carpal Tunnel Release Surgery | $1,916$978$3.5k | $1,950 | $2,955 |
| Cataract Surgery with Lens Implant | $2,238$2.2k$4.0k | — | — |
| Cervical Spinal Fusion (Anterior) | $12,628$13k$23k | — | — |
| Cesarean Delivery (Global Package) | $5,615 | — | — |
| Chemotherapy Infusion (First Hour) | $332$257$667 | $512 | $776 |
| Chest X-ray (2 Views) | $135$86$281 | $216 | $327 |
| Colonoscopy with Biopsy | $1,267$1.0k$2.6k | $2,022 | $3,064 |
| Complete Abdominal Ultrasound | $310$104$732 | $562 | $851 |
| Complete Blood Count (CBC) with Differential | $62$8$146 | $112 | $170 |
| Comprehensive Metabolic Panel | $35$11$254 | $114 | $172 |
| Coronary Angioplasty with Stent | $11,130$11k$20k | $11,970 | $18,137 |
| Critical Care, First Hour | $1,034$827$2.1k | $1,650 | $2,500 |
| CT Abdomen and Pelvis with Contrast | $1,514$350$3.3k | $2,511 | $3,804 |
| CT Cardiac Calcium Scoring | $43$17$156 | $33 | $50 |
| CT Chest without Contrast | $687$104$1.6k | $1,245 | $1,886 |
| CT Head without Contrast | $660$104$1.6k | $1,195 | $1,811 |
| DEXA Bone Density Scan | $377$104$814 | $624 | $946 |
| Diagnostic Colonoscopy | $1,169$881$2.4k | $1,866 | $2,827 |
| Diagnostic Mammogram (Both Breasts) | $155$111$324 | — | — |
| Ear Tube Placement (Tympanostomy) | $1,454$1.5k$2.6k | — | — |
| Echocardiogram (Complete with Doppler) | $1,033$532$2.0k | $1,480 | $2,242 |
| EKG (Electrocardiogram, 12-lead) | $25 | — | — |
| Emergency Room Visit (Level 3) | $311$249$648 | $497 | $753 |
| Group Therapy Session | $91$53$164 | $106 | $160 |
| Hemodialysis Treatment | $697 | — | — |
| Hemoglobin A1c (Diabetes Test) | $33$5$86 | $66 | $100 |
| HIV Antibody Test | $26$9$53 | $41 | $62 |
| Holter Monitor (24-48 Hour Heart Monitor) | $126 | — | — |
| Home Sleep Study | $338$151$1.3k | $549 | $832 |
| Individual Therapy Session (45 Minutes) | $158$74$285 | $148 | $224 |
| Inguinal Hernia Repair (Open) | $3,463$1.4k$6.2k | $2,866 | $4,342 |
| Initial Hospital Admission (Level 1) | $147 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $158$115$298 | $229 | $347 |
| Initial Psychiatric Evaluation with Medication Management | $158$98$285 | $196 | $297 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,184$568$2.6k | $1,964 | $2,975 |
| IUD Insertion | $857$104$1.1k | $860 | $1,303 |
| IUD Removal | $299$141$539 | $281 | $426 |
| Knee Arthroscopy with Meniscectomy | $3,184$3.1k$5.7k | — | — |
| Laparoscopic Appendectomy | $5,726$5.6k$10k | — | — |
| Laparoscopic Gallbladder Removal | $5,726$5.6k$10k | — | — |
| Laparoscopic Tubal Ligation | $5,726$5.6k$10k | — | — |
| Lipid Panel (Cholesterol Test) | $54$13$126 | $97 | $147 |
| Lumbar Epidural Steroid Injection | $782$626$1.6k | $1,248 | $1,891 |
| Lumbar Puncture (Spinal Tap) | $680$383$1.2k | $763 | $1,156 |
| Lumbar Spinal Fusion (Posterior) | $18,048$18k$33k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,758$3.7k$6.8k | — | — |
| MRI Abdomen with and without Contrast | $1,454$350$3.4k | $2,633 | $3,990 |
| MRI Brain with and without Contrast | $1,431$350$3.4k | $2,591 | $3,926 |
| MRI Brain with Contrast | $1,130$350$2.7k | $2,046 | $3,100 |
| MRI Brain without Contrast | $1,071$236$2.5k | $1,938 | $2,937 |
| MRI Cervical Spine (Neck) without Contrast | $1,072$236$2.5k | $1,940 | $2,940 |
| MRI Knee without Contrast | $1,060$236$2.5k | $1,919 | $2,907 |
| MRI Lower Back (Lumbar Spine) without Contrast | $1,032$236$2.4k | $1,869 | $2,832 |
| MRI Thoracic Spine (Mid-back) without Contrast | $1,049$236$2.5k | $1,900 | $2,879 |
| Newborn Circumcision | $289$113$3.6k | $224 | $340 |
| Nuclear Cardiac Stress Test | $1,613$1.3k$3.4k | $2,574 | $3,900 |
| Office Visit, Established Patient (Level 3) | $88$38$169 | $103 | $156 |
| Office Visit, New Patient (Level 3) | $126$58$151 | $116 | $176 |
| Pacemaker Insertion (Dual Chamber) | $10,295$7.9k$21k | $15,824 | $23,975 |
| PET/CT Scan, Whole Body | $1,431$1.4k$2.9k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $104$104$213 | $506 | $766 |
| Prostate Biopsy | $1,171$456$3.6k | $909 | $1,378 |
| PSA Prostate Cancer Screening | $73$18$139 | $97 | $147 |
| Pulmonary Function Test with Bronchodilator | $306$155$551 | $308 | $467 |
| Rotator Cuff Repair (Arthroscopic) | $7,011$6.9k$13k | — | — |
| Screening Mammogram | $126$92$262 | — | — |
| Septoplasty (Deviated Septum Repair) | $3,183$3.1k$5.7k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,794$6.6k$12k | — | — |
| Skin Biopsy (Tangential) | $195$193$352 | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,590$1.6k$2.9k | — | — |
| Sleep Study (In-lab Polysomnography) | $1,954$998$4.1k | $3,178 | $4,815 |
| Spinal Cord Stimulator Trial | $6,441$2.7k$12k | $5,464 | $8,279 |
| Spirometry (Breathing Test) | $154$71$277 | $154 | $233 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,183$3.1k$5.7k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,806$5.6k$10k | — | — |
| Total Hip Replacement | $12,628$13k$23k | — | — |
| Total Knee Replacement | $12,628$13k$23k | — | — |
| Total Mastectomy | $6,400$2.6k$12k | $5,105 | $7,735 |
| TSH Thyroid Function Test | $58$17$128 | $98 | $149 |
| TURP (Transurethral Prostate Resection) | $4,695$1.8k$9.0k | $3,645 | $5,523 |
| Upper GI Endoscopy (EGD) | $1,112$874$2.3k | $1,775 | $2,689 |
| Urinalysis with Microscopy | $29$3$68 | $52 | $79 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $4,918 | — | — |
| Vaginal Delivery (Global Package) | $4,918 | — | — |
| Vaginal Hysterectomy | $4,845$4.8k$8.7k | — | — |
| Vasectomy | $2,010$2.0k$3.6k | — | — |
| Vitamin D Blood Test | $108$30$224 | $149 | $226 |