| Abdominal Hysterectomy | $4,600$2.3k$6.9k | $1,357 | $2,261 |
| ACL Reconstruction (Arthroscopic) | $7,501$2.2k$13k | — | — |
| Allergy Skin Testing | $887$9$1.6k | — | — |
| Basic Metabolic Panel | $9$8$32 | $83 | $139 |
| Bone Marrow Biopsy | $1,707$158$6.9k | $3,457 | $5,762 |
| Breast Biopsy (Ultrasound-guided) | $1,707$363$6.9k | $1,959 | $3,265 |
| Bunion Correction Surgery | $3,382$1.2k$6.9k | $1,216 | $2,027 |
| Cardiac Ablation for Atrial Fibrillation | $26,965$2.6k$48k | $34,398 | $57,330 |
| Cardiac Catheterization (Left Heart) | $3,351$1.6k$13k | $8,990 | $14,983 |
| Cardiac Stress Test (Treadmill) | $152 | — | — |
| Carpal Tunnel Release Surgery | $2,018$949$4.5k | $627 | $1,045 |
| Cataract Surgery with Lens Implant | $2,386$1.2k$6.9k | — | — |
| Cervical Spinal Fusion (Anterior) | $13,271$3.9k$24k | $2,424 | $4,040 |
| Cesarean Delivery (Global Package) | $5,339 | — | — |
| Chemotherapy Infusion (First Hour) | $341$289$612 | $527 | $879 |
| Chest X-ray (2 Views) | $90$44$161 | $246 | $410 |
| Colonoscopy with Biopsy | $1,237$457$2.2k | $900 | $1,500 |
| Complete Abdominal Ultrasound | $110$105$287 | $854 | $1,423 |
| Complete Blood Count (CBC) with Differential | $8$8$30 | $36 | $60 |
| Comprehensive Metabolic Panel | $11$11$40 | $110 | $183 |
| Coronary Angioplasty with Stent | $11,933$1.4k$21k | $9,018 | $15,030 |
| Critical Care, First Hour | $853$502$1.5k | $510 | $850 |
| CT Abdomen and Pelvis with Contrast | $364$349$646 | $1,241 | $2,068 |
| CT Cardiac Calcium Scoring | $91$87$161 | $148 | $247 |
| CT Chest without Contrast | $109$105$203 | $775 | $1,292 |
| CT Head without Contrast | $109$105$194 | $830 | $1,384 |
| DEXA Bone Density Scan | $108$60$194 | $234 | $390 |
| Diagnostic Colonoscopy | $961$214$1.7k | $875 | $1,458 |
| Diagnostic Mammogram (Both Breasts) | $109$104$419 | $237 | $395 |
| Ear Tube Placement (Tympanostomy) | $1,604$346$2.9k | — | — |
| Echocardiogram (Complete with Doppler) | $564$273$1.0k | $2,600 | $4,333 |
| EKG (Electrocardiogram, 12-lead) | $37 | — | — |
| Emergency Room Visit (Level 3) | $282$148$506 | $699 | $1,164 |
| Group Therapy Session | $105$57$188 | — | — |
| Hemodialysis Treatment | $237 | — | — |
| Hemoglobin A1c (Diabetes Test) | $10$10$37 | $44 | $74 |
| HIV Antibody Test | $10$9$34 | $53 | $88 |
| Holter Monitor (24-48 Hour Heart Monitor) | $186 | $122 | $203 |
| Home Sleep Study | $223$146$400 | $587 | $978 |
| Individual Therapy Session (45 Minutes) | $185$178$329 | — | — |
| Inguinal Hernia Repair (Open) | $3,701$1.2k$6.6k | $1,171 | $1,952 |
| Initial Hospital Admission (Level 1) | $229 | $117 | $195 |
| Initial Psychiatric Diagnostic Evaluation | $185$178$329 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $185$178$329 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,746 | $958 | $1,597 |
| IUD Insertion | $6,897 | — | — |
| IUD Removal | $315$155$6.9k | $131 | $219 |
| Knee Arthroscopy with Meniscectomy | $3,382$1.2k$8.4k | — | — |
| Laparoscopic Appendectomy | $6,249$1.4k$11k | $879 | $1,465 |
| Laparoscopic Gallbladder Removal | $6,237$1.5k$11k | $1,454 | $2,423 |
| Laparoscopic Tubal Ligation | $6,249$1.5k$11k | $1,324 | $2,206 |
| Lipid Panel (Cholesterol Test) | $14$13$51 | $44 | $74 |
| Lumbar Epidural Steroid Injection | $730$226$6.9k | $352 | $587 |
| Lumbar Puncture (Spinal Tap) | $730$143$6.9k | $809 | $1,349 |
| Lumbar Spinal Fusion (Posterior) | $18,124$3.6k$32k | $2,401 | $4,002 |
| Lumpectomy (Partial Mastectomy) | $4,047$1.5k$10k | $947 | $1,578 |
| MRI Abdomen with and without Contrast | $364$349$646 | $1,165 | $1,942 |
| MRI Brain with and without Contrast | $364$349$646 | $1,217 | $2,028 |
| MRI Brain with Contrast | $364$349$646 | $815 | $1,358 |
| MRI Brain without Contrast | $249$239$442 | $589 | $982 |
| MRI Cervical Spine (Neck) without Contrast | $249$239$442 | $663 | $1,105 |
| MRI Knee without Contrast | $249$239$442 | $1,309 | $2,181 |
| MRI Lower Back (Lumbar Spine) without Contrast | $249$239$442 | $657 | $1,095 |
| MRI Thoracic Spine (Mid-back) without Contrast | $249$239$442 | $595 | $992 |
| Newborn Circumcision | $2,161$226$6.9k | $2,872 | $4,786 |
| Nuclear Cardiac Stress Test | $1,338$810$2.4k | $2,052 | $3,420 |
| Office Visit, Established Patient (Level 3) | $115 | $134 | $223 |
| Office Visit, New Patient (Level 3) | $170 | $141 | $235 |
| Pacemaker Insertion (Dual Chamber) | $10,804$1.2k$38k | $8,346 | $13,910 |
| PET/CT Scan, Whole Body | $1,478$269$3.1k | $2,191 | $3,651 |
| Pregnancy Ultrasound (Second or Third Trimester) | $110$105$322 | $604 | $1,007 |
| Prostate Biopsy | $3,598$299$6.9k | $2,365 | $3,942 |
| PSA Prostate Cancer Screening | $20$18$70 | $66 | $109 |
| Pulmonary Function Test with Bronchodilator | $385$94$691 | $753 | $1,255 |
| Rotator Cuff Repair (Arthroscopic) | $7,501$2.4k$13k | — | — |
| Screening Mammogram | $90$86$346 | $148 | $247 |
| Septoplasty (Deviated Septum Repair) | $3,427$1.4k$6.9k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,295$735$13k | — | — |
| Skin Biopsy (Tangential) | $420$88$6.9k | $134 | $224 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,707$180$6.9k | — | — |
| Sleep Study (In-lab Polysomnography) | $895$860$1.6k | $1,313 | $2,188 |
| Spinal Cord Stimulator Trial | $6,588$939$42k | $3,030 | $5,051 |
| Spirometry (Breathing Test) | $223$55$400 | $320 | $533 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,427$670$6.1k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,107$643$11k | — | — |
| Total Hip Replacement | $13,245$3.1k$24k | — | — |
| Total Knee Replacement | $13,245$3.1k$24k | — | — |
| Total Mastectomy | $6,864$2.2k$12k | $2,792 | $4,653 |
| TSH Thyroid Function Test | $18$17$64 | $39 | $65 |
| TURP (Transurethral Prostate Resection) | $5,542$1.7k$9.9k | — | — |
| Umbilical Hernia Repair | $3,054$1.0k$5.1k | — | — |
| Upper GI Endoscopy (EGD) | $938$278$1.7k | $835 | $1,392 |
| Urinalysis with Microscopy | $3$3$12 | $20 | $34 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $5,066 | — | — |
| Vaginal Delivery (Global Package) | $4,812 | — | — |
| Vaginal Hysterectomy | $5,171$1.9k$9.3k | — | — |
| Vasectomy | $2,161$510$6.9k | — | — |
| Vitamin D Blood Test | $32$30$113 | $60 | $100 |