| Abdominal Hysterectomy | $7,326$601$14k | — | — |
| ACL Reconstruction (Arthroscopic) | $6,579$5.7k$7.4k | $2,471 | $4,118 |
| Allergy Skin Testing | $948$837$1.1k | — | — |
| Basic Metabolic Panel | $8$8$8 | — | — |
| Bone Marrow Biopsy | $1,492$1.3k$1.7k | — | — |
| Breast Biopsy (Ultrasound-guided) | $1,492$1.3k$1.7k | — | — |
| Bunion Correction Surgery | $2,983$2.6k$3.4k | $1,403 | $2,339 |
| Cardiac Ablation for Atrial Fibrillation | $22,267$19k$26k | — | — |
| Cardiac Catheterization (Left Heart) | $2,977$2.6k$3.3k | — | — |
| Cardiac Stress Test (Treadmill) | $125$52$136 | — | — |
| Carpal Tunnel Release Surgery | $1,789$1.5k$2.0k | $1,016 | $1,693 |
| Cataract Surgery with Lens Implant | $2,119$1.9k$2.4k | — | — |
| Cervical Spinal Fusion (Anterior) | $11,961$11k$13k | — | — |
| Cesarean Delivery (Global Package) | $4,057$1.4k$5.6k | — | — |
| Chemotherapy Infusion (First Hour) | $308$271$345 | — | — |
| Chest X-ray (2 Views) | $282$73$401 | $283 | $472 |
| Colonoscopy with Biopsy | $1,086$945$1.2k | $715 | $1,192 |
| Complete Abdominal Ultrasound | $905$88$1.3k | $908 | $1,514 |
| Complete Blood Count (CBC) with Differential | $7$7$8 | — | — |
| Comprehensive Metabolic Panel | $10$10$11 | — | — |
| Coronary Angioplasty with Stent | $10,302$8.8k$12k | — | — |
| Critical Care, First Hour | $793$711$876 | $406 | $676 |
| CT Abdomen and Pelvis with Contrast | $3,409$308$4.8k | $3,420 | $5,700 |
| CT Cardiac Calcium Scoring | $82$73$92 | — | — |
| CT Chest without Contrast | $1,818$88$2.6k | $1,824 | $3,040 |
| CT Head without Contrast | $1,503$88$2.2k | $1,505 | $2,509 |
| DEXA Bone Density Scan | $760$88$1.1k | $763 | $1,271 |
| Diagnostic Colonoscopy | $840$732$948 | — | — |
| Diagnostic Mammogram (Both Breasts) | $113$71$155 | — | — |
| Ear Tube Placement (Tympanostomy) | $1,381$1.2k$1.5k | $412 | $687 |
| Echocardiogram (Complete with Doppler) | $506$442$570 | $416 | $693 |
| EKG (Electrocardiogram, 12-lead) | $26$10$27 | — | — |
| Emergency Room Visit (Level 3) | $258$229$288 | $113 | $189 |
| Group Therapy Session | $84$71$96 | — | — |
| Hemodialysis Treatment | $170$73$185 | — | — |
| Hemoglobin A1c (Diabetes Test) | $9$9$10 | — | — |
| HIV Antibody Test | $9$8$9 | — | — |
| Holter Monitor (24-48 Hour Heart Monitor) | $129$54$149 | — | — |
| Home Sleep Study | $144$125$163 | — | — |
| Individual Therapy Session (45 Minutes) | $173$80$246 | $173 | $289 |
| Inguinal Hernia Repair (Open) | $3,220$2.8k$3.7k | $1,268 | $2,113 |
| Initial Hospital Admission (Level 1) | $211$58$299 | $211 | $352 |
| Initial Psychiatric Diagnostic Evaluation | $147$128$167 | $271 | $452 |
| Initial Psychiatric Evaluation with Medication Management | $147$128$167 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $537$472$602 | — | — |
| IUD Insertion | $133 | — | — |
| IUD Removal | $287$257$316 | — | — |
| Knee Arthroscopy with Meniscectomy | $2,983$2.6k$3.4k | $1,588 | $2,647 |
| Laparoscopic Appendectomy | $5,344$4.6k$6.1k | — | — |
| Laparoscopic Gallbladder Removal | $5,344$4.6k$6.1k | $1,141 | $1,901 |
| Laparoscopic Tubal Ligation | $5,344$4.6k$6.1k | — | — |
| Lipid Panel (Cholesterol Test) | $12$11$13 | — | — |
| Lumbar Epidural Steroid Injection | $833$280$2.2k | $1,066 | $1,777 |
| Lumbar Puncture (Spinal Tap) | $498$208$720 | $451 | $752 |
| Lumbar Spinal Fusion (Posterior) | $17,025$15k$19k | $3,923 | $6,538 |
| Lumpectomy (Partial Mastectomy) | $3,518$3.1k$4.0k | — | — |
| MRI Abdomen with and without Contrast | $5,069$308$8.1k | $4,890 | $8,150 |
| MRI Brain with and without Contrast | $3,416$131$8.8k | $3,385 | $5,642 |
| MRI Brain with Contrast | $340$308$371 | — | — |
| MRI Brain without Contrast | $4,380$196$8.8k | $3,974 | $6,623 |
| MRI Cervical Spine (Neck) without Contrast | $3,322$196$8.8k | $3,818 | $6,363 |
| MRI Knee without Contrast | $4,400$196$8.8k | $4,315 | $7,192 |
| MRI Lower Back (Lumbar Spine) without Contrast | $3,617$196$9.5k | $4,365 | $7,276 |
| MRI Thoracic Spine (Mid-back) without Contrast | $3,666$196$8.8k | $4,454 | $7,424 |
| Newborn Circumcision | $1,881$1.6k$2.1k | — | — |
| Nuclear Cardiac Stress Test | $1,247$1.1k$1.4k | — | — |
| Office Visit, Established Patient (Level 3) | $72$34$103 | $73 | $121 |
| Office Visit, New Patient (Level 3) | $86$40$122 | $86 | $143 |
| Pacemaker Insertion (Dual Chamber) | $9,718$8.6k$11k | — | — |
| PET/CT Scan, Whole Body | $1,385$1.3k$1.5k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $99$88$111 | — | — |
| Prostate Biopsy | $1,881$1.6k$2.1k | — | — |
| PSA Prostate Cancer Screening | $18$17$18 | — | — |
| Pulmonary Function Test with Bronchodilator | $288$251$324 | $92 | $153 |
| Rotator Cuff Repair (Arthroscopic) | $6,579$5.7k$7.4k | — | — |
| Screening Mammogram | $92$59$126 | — | — |
| Septoplasty (Deviated Septum Repair) | $2,976$2.6k$3.4k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,340$5.5k$7.2k | — | — |
| Skin Biopsy (Tangential) | $183$160$207 | $124 | $206 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $205$86$1.7k | $185 | $309 |
| Sleep Study (In-lab Polysomnography) | $948$837$1.1k | $624 | $1,040 |
| Spinal Cord Stimulator Trial | $6,151$5.5k$6.8k | — | — |
| Spirometry (Breathing Test) | $1,907$125$2.7k | $1,913 | $3,189 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $2,976$2.6k$3.4k | $781 | $1,301 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,421$4.7k$6.2k | $749 | $1,248 |
| Total Hip Replacement | $11,961$11k$13k | $2,276 | $3,794 |
| Total Knee Replacement | $11,961$11k$13k | — | — |
| Total Mastectomy | $6,002$5.2k$6.8k | — | — |
| TSH Thyroid Function Test | $16$15$17 | — | — |
| TURP (Transurethral Prostate Resection) | $4,715$4.1k$5.3k | — | — |
| Umbilical Hernia Repair | $703$625$781 | — | — |
| Upper GI Endoscopy (EGD) | $851$726$975 | — | — |
| Urinalysis with Microscopy | $3$3$3 | — | — |
| Vaginal Birth After Cesarean (VBAC) Global Package | $3,828$1.4k$5.3k | — | — |
| Vaginal Delivery (Global Package) | $3,699$1.4k$5.1k | — | — |
| Vaginal Hysterectomy | $4,559$4.0k$5.1k | — | — |
| Vasectomy | $1,881$1.6k$2.1k | — | — |
| Vitamin D Blood Test | $28$27$30 | — | — |