| Abdominal Hysterectomy | $5,154$4.1k$5.7k | — | — |
| ACL Reconstruction (Arthroscopic) | $6,924$4.1k$15k | — | — |
| Allergy Skin Testing | $40$6$1.0k | $32 | $53 |
| Basic Metabolic Panel | $27$11$113 | $77 | $129 |
| Bone Marrow Biopsy | $1,724$116$3.3k | $1,604 | $2,673 |
| Breast Biopsy (Ultrasound-guided) | $1,651$202$4.2k | $2,594 | $4,323 |
| Bunion Correction Surgery | $4,310$3.1k$6.6k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $23,779$9.3k$45k | $30,851 | $51,419 |
| Cardiac Catheterization (Left Heart) | $6,425$3.1k$14k | $9,610 | $16,016 |
| Cardiac Stress Test (Treadmill) | $119 | — | — |
| Carpal Tunnel Release Surgery | $3,287$1.8k$5.2k | $3,037 | $5,061 |
| Cataract Surgery with Lens Implant | $3,588$2.2k$5.4k | — | — |
| Cervical Spinal Fusion (Anterior) | $12,472$4.1k$28k | — | — |
| Cesarean Delivery (Global Package) | $4,846$4.1k$5.4k | — | — |
| Chemotherapy Infusion (First Hour) | $452$211$835 | $569 | $949 |
| Chest X-ray (2 Views) | $280$38$501 | $284 | $474 |
| Colonoscopy with Biopsy | $1,619$870$2.6k | $1,491 | $2,485 |
| Complete Abdominal Ultrasound | $381$101$1.1k | $701 | $1,168 |
| Complete Blood Count (CBC) with Differential | $24$10$60 | $41 | $68 |
| Comprehensive Metabolic Panel | $65$14$1.2k | $458 | $763 |
| Coronary Angioplasty with Stent | $14,431$6.1k$24k | $13,529 | $22,549 |
| Critical Care, First Hour | $1,300$801$4.6k | $3,168 | $5,280 |
| CT Abdomen and Pelvis with Contrast | $1,243$340$3.3k | $2,218 | $3,697 |
| CT Cardiac Calcium Scoring | $120$84$1.5k | $229 | $382 |
| CT Chest without Contrast | $973$101$1.5k | $782 | $1,304 |
| CT Head without Contrast | $874$101$1.5k | $699 | $1,165 |
| DEXA Bone Density Scan | $274$48$435 | $296 | $494 |
| Diagnostic Colonoscopy | $1,518$738$2.6k | $1,265 | $2,108 |
| Diagnostic Mammogram (Both Breasts) | $276$136$443 | $301 | $501 |
| Ear Tube Placement (Tympanostomy) | $2,076$1.4k$5.4k | — | — |
| Echocardiogram (Complete with Doppler) | $2,290$209$3.2k | $2,171 | $3,619 |
| EKG (Electrocardiogram, 12-lead) | $24 | — | — |
| Emergency Room Visit (Level 3) | $1,085$263$1.5k | $1,018 | $1,696 |
| Group Therapy Session | $141$41$193 | $131 | $219 |
| Hemodialysis Treatment | $170 | — | — |
| Hemoglobin A1c (Diabetes Test) | $46$13$82 | $53 | $88 |
| HIV Antibody Test | $28$12$77 | $53 | $88 |
| Holter Monitor (24-48 Hour Heart Monitor) | $118 | — | — |
| Home Sleep Study | $383$83$1.0k | $700 | $1,167 |
| Individual Therapy Session (45 Minutes) | $180$75$244 | $166 | $277 |
| Inguinal Hernia Repair (Open) | $4,513$3.4k$7.2k | — | — |
| Initial Hospital Admission (Level 1) | $138 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $187$78$253 | $173 | $288 |
| Initial Psychiatric Evaluation with Medication Management | $205$86$287 | $190 | $316 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,434$527$3.6k | $2,458 | $4,097 |
| IUD Insertion | $488$84$1.4k | $418 | $697 |
| IUD Removal | $414$111$1.8k | $382 | $637 |
| Knee Arthroscopy with Meniscectomy | $4,310$3.1k$6.6k | — | — |
| Laparoscopic Appendectomy | $5,655$1.1k$11k | $7,318 | $12,196 |
| Laparoscopic Gallbladder Removal | $5,763$4.1k$8.0k | — | — |
| Laparoscopic Tubal Ligation | $6,259$4.1k$12k | — | — |
| Lipid Panel (Cholesterol Test) | $45$18$122 | $77 | $128 |
| Lumbar Epidural Steroid Injection | $1,293$166$2.0k | $1,218 | $2,030 |
| Lumbar Puncture (Spinal Tap) | $1,017$107$2.0k | $997 | $1,661 |
| Lumbar Spinal Fusion (Posterior) | $17,825$4.1k$28k | — | — |
| Lumpectomy (Partial Mastectomy) | $4,560$1.0k$9.0k | $4,332 | $7,220 |
| MRI Abdomen with and without Contrast | $1,590$340$4.4k | $2,972 | $4,953 |
| MRI Brain with and without Contrast | $1,544$340$3.9k | $2,646 | $4,410 |
| MRI Brain with Contrast | $1,387$340$3.2k | $2,166 | $3,610 |
| MRI Brain without Contrast | $1,318$230$1.8k | $1,241 | $2,068 |
| MRI Cervical Spine (Neck) without Contrast | $1,387$230$2.1k | $1,438 | $2,396 |
| MRI Knee without Contrast | $1,387$230$2.1k | $1,438 | $2,396 |
| MRI Lower Back (Lumbar Spine) without Contrast | $1,387$230$2.1k | $1,464 | $2,440 |
| MRI Thoracic Spine (Mid-back) without Contrast | $1,387$230$2.1k | $1,464 | $2,440 |
| Newborn Circumcision | $3,537$160$5.2k | $3,332 | $5,553 |
| Nuclear Cardiac Stress Test | $2,086$582$5.6k | $3,840 | $6,400 |
| Office Visit, Established Patient (Level 3) | $110 | — | — |
| Office Visit, New Patient (Level 3) | $137 | — | — |
| Pacemaker Insertion (Dual Chamber) | $10,337$854$17k | $11,720 | $19,533 |
| PET/CT Scan, Whole Body | $4,629$1.1k$6.7k | $4,592 | $7,654 |
| Pregnancy Ultrasound (Second or Third Trimester) | $407$101$837 | $571 | $951 |
| Prostate Biopsy | $1,986$217$2.8k | $1,790 | $2,984 |
| PSA Prostate Cancer Screening | $60$25$155 | $96 | $160 |
| Pulmonary Function Test with Bronchodilator | $532$47$721 | $491 | $819 |
| Rotator Cuff Repair (Arthroscopic) | $6,990$4.1k$15k | — | — |
| Screening Mammogram | $210$104$366 | $229 | $382 |
| Septoplasty (Deviated Septum Repair) | $4,052$3.1k$5.4k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,710$4.1k$14k | — | — |
| Skin Biopsy (Tangential) | $274$63$1.8k | $219 | $365 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,613$137$3.1k | $1,775 | $2,959 |
| Sleep Study (In-lab Polysomnography) | $2,888$320$4.6k | $3,151 | $5,251 |
| Spinal Cord Stimulator Trial | $7,353$1.4k$24k | $6,100 | $10,166 |
| Spirometry (Breathing Test) | $315$31$660 | $291 | $485 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $4,052$3.1k$5.4k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,625$3.1k$8.1k | — | — |
| Total Hip Replacement | $14,581$4.1k$27k | — | — |
| Total Knee Replacement | $14,581$4.1k$27k | — | — |
| Total Mastectomy | $6,321$4.1k$13k | — | — |
| TSH Thyroid Function Test | $55$23$142 | $92 | $153 |
| TURP (Transurethral Prostate Resection) | $5,242$4.1k$7.0k | — | — |
| Umbilical Hernia Repair | $5,154$4.1k$5.4k | — | — |
| Upper GI Endoscopy (EGD) | $1,619$868$2.6k | $1,637 | $2,729 |
| Urinalysis with Microscopy | $10$4$28 | $19 | $32 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $4,581$3.9k$5.4k | — | — |
| Vaginal Delivery (Global Package) | $4,581$3.9k$5.4k | — | — |
| Vaginal Hysterectomy | $4,785$4.1k$6.7k | — | — |
| Vasectomy | $2,458$385$5.2k | $2,269 | $3,782 |
| Vitamin D Blood Test | $130$40$269 | $175 | $291 |