| Abdominal Hysterectomy | $26,181$861$30k | — | — |
| ACL Reconstruction (Arthroscopic) | $7,193$1.8k$19k | — | — |
| Basic Metabolic Panel | $88$8$173 | $109 | $184 |
| Bone Marrow Biopsy | $1,554$134$6.8k | $1,011 | $1,713 |
| Breast Biopsy (Ultrasound-guided) | $2,636$289$7.3k | $2,073 | $3,513 |
| Bunion Correction Surgery | $3,267$994$19k | — | — |
| Cardiac Catheterization (Left Heart) | $13,514$1.4k$30k | $13,514 | $22,905 |
| Carpal Tunnel Release Surgery | $1,966$829$7.3k | — | — |
| Cataract Surgery with Lens Implant | $2,296$1.0k$25k | — | — |
| Cervical Spinal Fusion (Anterior) | $12,955$3.0k$27k | — | — |
| Cesarean Delivery (Global Package) | $2,143$1.9k$2.5k | — | — |
| Chemotherapy Infusion (First Hour) | $1,131$220$1.8k | $1,131 | $1,917 |
| Chest X-ray (2 Views) | $125$44$505 | $317 | $537 |
| Colonoscopy with Biopsy | $1,187$375$7.3k | — | — |
| Complete Abdominal Ultrasound | $580$87$1.3k | $792 | $1,343 |
| Complete Blood Count (CBC) with Differential | $49$8$120 | $76 | $128 |
| Comprehensive Metabolic Panel | $110$10$220 | $138 | $234 |
| Coronary Angioplasty with Stent | $15,343$1.0k$33k | $13,575 | $23,008 |
| Critical Care, First Hour | $2,116$406$5.5k | $1,804 | $3,058 |
| CT Abdomen and Pelvis with Contrast | $1,536$291$5.7k | $3,559 | $6,032 |
| CT Cardiac Calcium Scoring | $204$67$274 | $172 | $291 |
| CT Chest without Contrast | $836$87$1.9k | $1,172 | $1,987 |
| CT Head without Contrast | $587$87$2.5k | $1,564 | $2,651 |
| DEXA Bone Density Scan | $222$56$586 | $368 | $623 |
| Diagnostic Colonoscopy | $918$345$7.3k | — | — |
| Diagnostic Mammogram (Both Breasts) | $296$82$465 | $251 | $426 |
| Ear Tube Placement (Tympanostomy) | $1,491$304$19k | — | — |
| Echocardiogram (Complete with Doppler) | $1,722$243$2.7k | $1,722 | $2,919 |
| Emergency Room Visit (Level 3) | $694$135$3.2k | $569 | $964 |
| Hemoglobin A1c (Diabetes Test) | $58$9$98 | $58 | $98 |
| HIV Antibody Test | $70$9$148 | $93 | $157 |
| Home Sleep Study | $361$96$869 | $361 | $612 |
| Inguinal Hernia Repair (Open) | $3,553$958$22k | — | — |
| Initial Psychiatric Diagnostic Evaluation | $233$85$348 | $218 | $370 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $992$471$4.0k | $2,520 | $4,271 |
| IUD Insertion | $5,909$74$6.8k | — | — |
| IUD Removal | $306$123$6.8k | — | — |
| Knee Arthroscopy with Meniscectomy | $3,267$1.0k$22k | — | — |
| Laparoscopic Appendectomy | $5,874$1.1k$19k | — | — |
| Laparoscopic Gallbladder Removal | $5,874$1.2k$25k | — | — |
| Laparoscopic Tubal Ligation | $5,874$1.2k$25k | — | — |
| Lipid Panel (Cholesterol Test) | $13$1$144 | $44 | $75 |
| Lumbar Epidural Steroid Injection | $1,217$189$6.8k | $881 | $1,493 |
| Lumbar Puncture (Spinal Tap) | $1,112$115$6.8k | $805 | $1,365 |
| Lumbar Spinal Fusion (Posterior) | $18,163$2.9k$39k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,855$1.2k$19k | — | — |
| MRI Abdomen with and without Contrast | $2,751$291$5.0k | $3,134 | $5,312 |
| MRI Brain with and without Contrast | $1,833$291$5.2k | $3,257 | $5,520 |
| MRI Brain with Contrast | $1,607$291$4.3k | $2,703 | $4,582 |
| MRI Brain without Contrast | $1,087$197$3.7k | $2,312 | $3,919 |
| MRI Cervical Spine (Neck) without Contrast | $1,039$197$3.8k | $2,413 | $4,090 |
| MRI Knee without Contrast | $1,167$197$4.1k | $2,576 | $4,366 |
| MRI Lower Back (Lumbar Spine) without Contrast | $1,029$197$3.8k | $2,413 | $4,090 |
| MRI Thoracic Spine (Mid-back) without Contrast | $1,039$197$3.9k | $2,419 | $4,100 |
| Newborn Circumcision | $1,685$69$6.8k | $176 | $299 |
| Nuclear Cardiac Stress Test | $3,299$676$6.2k | $3,218 | $5,454 |
| Office Visit, Established Patient (Level 3) | $297$95$387 | $243 | $412 |
| Office Visit, New Patient (Level 3) | $388$124$507 | $318 | $539 |
| Pacemaker Insertion (Dual Chamber) | $15,384$929$36k | $11,137 | $18,876 |
| PET/CT Scan, Whole Body | $5,556$1.2k$9.1k | $5,568 | $9,437 |
| Pregnancy Ultrasound (Second or Third Trimester) | $645$87$1.4k | $850 | $1,440 |
| Prostate Biopsy | $1,964$245$7.3k | $1,257 | $2,130 |
| PSA Prostate Cancer Screening | $92$18$156 | $92 | $156 |
| Pulmonary Function Test with Bronchodilator | $314$54$877 | $550 | $933 |
| Rotator Cuff Repair (Arthroscopic) | $7,193$2.0k$25k | — | — |
| Screening Mammogram | $269$75$438 | $198 | $335 |
| Septoplasty (Deviated Septum Repair) | $3,265$1.3k$22k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,970$605$25k | — | — |
| Skin Biopsy (Tangential) | $200$71$6.8k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,631$158$7.3k | — | — |
| Sleep Study (In-lab Polysomnography) | $3,157$829$5.0k | $3,157 | $5,350 |
| Spinal Cord Stimulator Trial | $6,325$789$16k | — | — |
| Spirometry (Breathing Test) | $158$36$414 | $260 | $440 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,265$581$25k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,956$556$19k | — | — |
| Total Hip Replacement | $12,955$2.4k$27k | — | — |
| Total Knee Replacement | $12,955$2.4k$27k | — | — |
| Total Mastectomy | $6,566$1.7k$22k | — | — |
| TSH Thyroid Function Test | $93$16$158 | $93 | $158 |
| TURP (Transurethral Prostate Resection) | $5,118$1.4k$22k | — | — |
| Umbilical Hernia Repair | $6,944$5.5k$8.2k | — | — |
| Upper GI Endoscopy (EGD) | $944$230$6.8k | — | — |
| Urinalysis with Microscopy | $33$3$80 | $36 | $62 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,143$1.9k$2.5k | — | — |
| Vaginal Delivery (Global Package) | $2,143$1.9k$2.5k | — | — |
| Vaginal Hysterectomy | $4,970$1.6k$25k | — | — |
| Vasectomy | $2,063$439$7.3k | — | — |
| Vitamin D Blood Test | $125$29$174 | $96 | $163 |