| Abdominal Hysterectomy | $963$888$8.8k | — | — |
| ACL Reconstruction (Arthroscopic) | $7,358$979$13k | — | — |
| Allergy Skin Testing | $1,048$4$1.1k | — | — |
| Anesthesia for Screening Colonoscopy | $1 | — | — |
| Anesthesia for Upper Endoscopy | $1 | — | — |
| Basic Metabolic Panel | $9$8$23 | — | — |
| Bone Marrow Biopsy | $1,669$69$2.9k | $2,354 | $2,943 |
| Breast Biopsy (Ultrasound-guided) | $1,699$151$3.8k | $3,364 | $4,205 |
| Bunion Correction Surgery | $3,342$517$5.7k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $25,268$922$42k | $30,374 | $37,967 |
| Cardiac Catheterization (Left Heart) | $3,415$1.0k$21k | $18,599 | $23,249 |
| Cardiac Stress Test (Treadmill) | $72$67$126 | — | — |
| Carpal Tunnel Release Surgery | $2,024$445$4.3k | $3,821 | $4,776 |
| Cataract Surgery with Lens Implant | $2,349$537$4.1k | — | — |
| Cervical Spinal Fusion (Anterior) | $13,253$1.7k$23k | — | — |
| Cesarean Delivery (Global Package) | $2,442$2.3k$5.6k | — | — |
| Chemotherapy Infusion (First Hour) | $348$129$1.1k | $1,013 | $1,266 |
| Chest X-ray (2 Views) | $95$34$410 | $365 | $456 |
| Colonoscopy with Biopsy | $1,237$197$3.0k | $2,662 | $3,328 |
| Complete Abdominal Ultrasound | $116$80$1.0k | $906 | $1,132 |
| Complete Blood Count (CBC) with Differential | $8$7$21 | — | — |
| Comprehensive Metabolic Panel | $11$10$29 | — | — |
| Coronary Angioplasty with Stent | $11,681$572$19k | $15,891 | $19,864 |
| Critical Care, First Hour | $930$210$4.4k | $3,909 | $4,886 |
| CT Abdomen and Pelvis with Contrast | $403$280$4.3k | $3,834 | $4,793 |
| CT Cardiac Calcium Scoring | $102$66$482 | $429 | $536 |
| CT Chest without Contrast | $136$80$2.6k | $2,345 | $2,931 |
| CT Head without Contrast | $115$80$2.4k | $2,109 | $2,636 |
| DEXA Bone Density Scan | $115$39$273 | $242 | $303 |
| Diagnostic Colonoscopy | $958$181$3.0k | $2,662 | $3,328 |
| Diagnostic Mammogram (Both Breasts) | $243$145$534 | $474 | $593 |
| Ear Tube Placement (Tympanostomy) | $1,526$161$2.7k | — | — |
| Echocardiogram (Complete with Doppler) | $578$196$2.8k | $2,505 | $3,131 |
| EKG (Electrocardiogram, 12-lead) | $14$13$25 | — | — |
| Emergency Room Visit (Level 3) | $299$70$927 | $824 | $1,030 |
| Group Therapy Session | $145$24$293 | $236 | $295 |
| Hemodialysis Treatment | $99$91$782 | — | — |
| Hemoglobin A1c (Diabetes Test) | $10$9$27 | — | — |
| HIV Antibody Test | $9$8$24 | — | — |
| Holter Monitor (24-48 Hour Heart Monitor) | $70$64$126 | — | — |
| Home Sleep Study | $161$94$276 | — | — |
| Individual Therapy Session (45 Minutes) | $165$90$291 | $258 | $323 |
| Inguinal Hernia Repair (Open) | $3,626$527$6.1k | — | — |
| Initial Hospital Admission (Level 1) | $78$72$147 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $167$116$480 | $426 | $533 |
| Initial Psychiatric Evaluation with Medication Management | $169$116$489 | $434 | $543 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $596$429$1.0k | — | — |
| IUD Insertion | $105$50$108 | — | — |
| IUD Removal | $336$66$900 | $800 | $1,000 |
| Knee Arthroscopy with Meniscectomy | $3,342$549$5.7k | — | — |
| Laparoscopic Appendectomy | $6,009$605$10k | — | — |
| Laparoscopic Gallbladder Removal | $6,009$663$10k | — | — |
| Laparoscopic Tubal Ligation | $6,009$654$10k | — | — |
| Lipid Panel (Cholesterol Test) | $14$13$37 | — | — |
| Lumbar Epidural Steroid Injection | $725$99$2.6k | $2,305 | $2,881 |
| Lumbar Puncture (Spinal Tap) | $725$63$1.7k | $1,467 | $1,834 |
| Lumbar Spinal Fusion (Posterior) | $18,942$1.6k$33k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,944$663$6.7k | — | — |
| MRI Abdomen with and without Contrast | $403$280$4.7k | $4,210 | $5,262 |
| MRI Brain with and without Contrast | $403$280$4.9k | $4,347 | $5,434 |
| MRI Brain with Contrast | $403$278$3.7k | $3,248 | $4,060 |
| MRI Brain without Contrast | $257$179$3.3k | $2,948 | $3,685 |
| MRI Cervical Spine (Neck) without Contrast | $257$179$3.9k | $3,426 | $4,282 |
| MRI Knee without Contrast | $257$179$3.3k | $2,904 | $3,630 |
| MRI Lower Back (Lumbar Spine) without Contrast | $257$179$3.9k | $3,446 | $4,307 |
| MRI Thoracic Spine (Mid-back) without Contrast | $257$179$3.5k | $3,094 | $3,867 |
| Newborn Circumcision | $2,110$95$3.6k | $2,174 | $2,718 |
| Nuclear Cardiac Stress Test | $1,488$432$4.1k | $3,677 | $4,596 |
| Office Visit, Established Patient (Level 3) | $99$67$218 | $194 | $242 |
| Office Visit, New Patient (Level 3) | $109$65$210 | $186 | $233 |
| Pacemaker Insertion (Dual Chamber) | $10,779$508$20k | $17,910 | $22,387 |
| PET/CT Scan, Whole Body | $2,966$1.1k$8.4k | $7,494 | $9,367 |
| Pregnancy Ultrasound (Second or Third Trimester) | $135$80$982 | $873 | $1,091 |
| Prostate Biopsy | $2,110$128$3.6k | — | — |
| PSA Prostate Cancer Screening | $19$17$51 | — | — |
| Pulmonary Function Test with Bronchodilator | $321$39$554 | $394 | $492 |
| Rotator Cuff Repair (Arthroscopic) | $7,358$1.1k$13k | — | — |
| Screening Mammogram | $207$117$454 | $403 | $504 |
| Septoplasty (Deviated Septum Repair) | $3,340$680$5.7k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,130$321$12k | — | — |
| Skin Biopsy (Tangential) | $210$37$518 | $461 | $576 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,669$83$3.0k | $2,691 | $3,364 |
| Sleep Study (In-lab Polysomnography) | $1,629$623$5.1k | $3,298 | $4,123 |
| Spinal Cord Stimulator Trial | $6,760$413$12k | $9,798 | $12,247 |
| Spirometry (Breathing Test) | $164$27$340 | $302 | $378 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,340$308$5.7k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,093$295$10k | — | — |
| Total Hip Replacement | $13,253$1.3k$23k | — | — |
| Total Knee Replacement | $13,253$1.3k$23k | — | — |
| Total Mastectomy | $6,717$961$12k | — | — |
| TSH Thyroid Function Test | $17$16$46 | — | — |
| TURP (Transurethral Prostate Resection) | $5,236$723$9.1k | — | — |
| Umbilical Hernia Repair | $4,315$2.5k$6.1k | — | — |
| Upper GI Endoscopy (EGD) | $966$121$2.9k | $2,562 | $3,202 |
| Urinalysis with Microscopy | $3$3$9 | — | — |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,300$2.1k$5.5k | — | — |
| Vaginal Delivery (Global Package) | $2,219$2.0k$5.5k | — | — |
| Vaginal Hysterectomy | $5,085$843$8.8k | — | — |
| Vasectomy | $2,110$231$3.6k | — | — |
| Vitamin D Blood Test | $30$28$81 | — | — |