| Abdominal Hysterectomy | $5,169$968$5.7k | — | $34,441 |
| ACL Reconstruction (Arthroscopic) | $8,578$1.7k$12k | $8,578 | $12,344 |
| Basic Metabolic Panel | $8$5$49 | $8 | $70 |
| Bone Marrow Biopsy | $2,332$1.6k$4.1k | $1,952 | $6,878 |
| Breast Biopsy (Ultrasound-guided) | $2,685$1.6k$4.2k | $1,952 | $6,656 |
| Bunion Correction Surgery | $5,196$1.7k$8.2k | $3,868 | $30,293 |
| Cardiac Ablation for Atrial Fibrillation | $30,900$2.5k$66k | $30,900 | $97,503 |
| Cardiac Catheterization (Left Heart) | $5,172$2.5k$8.1k | $3,832 | $15,952 |
| Cardiac Stress Test (Treadmill) | $1,157 | — | $1,157 |
| Carpal Tunnel Release Surgery | $3,174$1.7k$4.9k | $2,308 | $15,390 |
| Cataract Surgery with Lens Implant | $3,751$1.7k$5.8k | $2,728 | $16,673 |
| Cervical Spinal Fusion (Anterior) | $5,536$1.7k$5.5k | $15,177 | $5,536 |
| Cesarean Delivery (Global Package) | $1,847$1.7k$2.0k | — | $4,863 |
| Chemotherapy Infusion (First Hour) | $537$167$1.4k | $390 | $1,442 |
| Chest X-ray (2 Views) | $108$55$218 | $102 | $441 |
| Colonoscopy with Biopsy | $2,030$1.1k$4.2k | $1,414 | $4,899 |
| Complete Abdominal Ultrasound | $163$99$262 | $123 | $830 |
| Complete Blood Count (CBC) with Differential | $8$5$19 | $7 | $28 |
| Comprehensive Metabolic Panel | $11$6$131 | $10 | $185 |
| Coronary Angioplasty with Stent | $13,648$2.5k$29k | $13,647 | $48,345 |
| Critical Care, First Hour | $1,318$337$3.4k | $976 | $3,700 |
| CT Abdomen and Pelvis with Contrast | $511$330$874 | $412 | $5,307 |
| CT Cardiac Calcium Scoring | $121$81$373 | $102 | $373 |
| CT Chest without Contrast | $163$99$447 | $123 | $2,120 |
| CT Head without Contrast | $163$99$356 | $123 | $2,219 |
| DEXA Bone Density Scan | $130$99$262 | $123 | $579 |
| Diagnostic Colonoscopy | $1,577$880$3.8k | $1,099 | $3,752 |
| Diagnostic Mammogram (Both Breasts) | $135$103$2.3k | $128 | $3,325 |
| Ear Tube Placement (Tympanostomy) | $2,522$1.5k$4.2k | $1,834 | $15,390 |
| Echocardiogram (Complete with Doppler) | $927$517$1.7k | $645 | $3,096 |
| Emergency Room Visit (Level 3) | $444$140$1.3k | $322 | $1,635 |
| Group Therapy Session | $120$28$255 | $120 | $435 |
| Hemoglobin A1c (Diabetes Test) | $10$6$64 | $9 | $90 |
| HIV Antibody Test | $9$5$56 | $8 | $80 |
| Holter Monitor (24-48 Hour Heart Monitor) | $1,230 | — | $1,230 |
| Individual Therapy Session (45 Minutes) | $210$79$445 | $209 | $655 |
| Inguinal Hernia Repair (Open) | $5,248$1.7k$9.0k | $4,232 | $28,702 |
| Initial Hospital Admission (Level 1) | $85 | — | $243 |
| Initial Psychiatric Diagnostic Evaluation | $336$168$655 | $209 | $655 |
| Initial Psychiatric Evaluation with Medication Management | $336$168$655 | $209 | $655 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $920$167$1.4k | $669 | $2,417 |
| IUD Insertion | $2,332$1.7k$3.2k | — | $10,260 |
| IUD Removal | $639$288$3.2k | $360 | $8,109 |
| Knee Arthroscopy with Meniscectomy | $5,196$1.7k$8.2k | $3,868 | $28,240 |
| Laparoscopic Appendectomy | $7,147$1.7k$15k | $7,147 | $19,146 |
| Laparoscopic Gallbladder Removal | $7,147$1.7k$15k | $7,147 | $26,807 |
| Laparoscopic Tubal Ligation | $7,147$1.7k$15k | $7,147 | $21,506 |
| Lipid Panel (Cholesterol Test) | $13$8$186 | $13 | $263 |
| Lumbar Epidural Steroid Injection | $1,335$668$3.3k | $834 | $9,268 |
| Lumbar Puncture (Spinal Tap) | $1,281$668$2.8k | $834 | $2,839 |
| Lumbar Spinal Fusion (Posterior) | $4,967$1.7k$5.0k | $20,728 | $4,967 |
| Lumpectomy (Partial Mastectomy) | $4,629$1.7k$9.8k | $4,628 | $28,400 |
| MRI Abdomen with and without Contrast | $552$330$1.2k | $412 | $6,120 |
| MRI Brain with and without Contrast | $552$330$1.2k | $412 | $5,117 |
| MRI Brain with Contrast | $552$330$887 | $412 | $4,291 |
| MRI Brain without Contrast | $345$226$766 | $282 | $3,242 |
| MRI Cervical Spine (Neck) without Contrast | $345$226$766 | $282 | $3,604 |
| MRI Knee without Contrast | $345$226$766 | $282 | $5,166 |
| MRI Lower Back (Lumbar Spine) without Contrast | $345$226$766 | $282 | $3,572 |
| MRI Thoracic Spine (Mid-back) without Contrast | $345$226$766 | $282 | $3,544 |
| Newborn Circumcision | $4,279$4.0k$4.7k | — | $8,965 |
| Nuclear Cardiac Stress Test | $1,607$822$3.2k | $1,530 | $6,530 |
| Office Visit, Established Patient (Level 3) | $68 | — | $543 |
| Office Visit, New Patient (Level 3) | $85 | — | $831 |
| Pacemaker Insertion (Dual Chamber) | $12,356$2.5k$26k | $12,356 | $43,838 |
| PET/CT Scan, Whole Body | $2,221$1.4k$3.6k | $1,690 | $10,635 |
| Pregnancy Ultrasound (Second or Third Trimester) | $161$99$262 | $123 | $940 |
| Prostate Biopsy | $2,844$1.7k$5.0k | $2,370 | $12,684 |
| PSA Prostate Cancer Screening | $18$11$120 | $18 | $170 |
| Pulmonary Function Test with Bronchodilator | $633$353$1.2k | $441 | $1,289 |
| Rotator Cuff Repair (Arthroscopic) | $8,578$1.7k$18k | $8,578 | $53,559 |
| Screening Mammogram | $111$85$897 | $105 | $1,270 |
| Septoplasty (Deviated Septum Repair) | $4,129$1.7k$8.3k | $3,919 | $12,953 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $4,688$1.7k$4.7k | $8,343 | $4,688 |
| Skin Biopsy (Tangential) | $738$384$993 | $480 | $993 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,823$1.6k$4.1k | $1,952 | $9,107 |
| Sleep Study (In-lab Polysomnography) | $1,457$812$4.8k | $1,015 | $4,778 |
| Spinal Cord Stimulator Trial | $7,534$1.7k$15k | $7,534 | $15,390 |
| Spirometry (Breathing Test) | $366$204$641 | $255 | $641 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,950$1.7k$6.0k | $6,998 | $5,950 |
| Total Hip Replacement | $15,178$1.7k$32k | $15,177 | $63,740 |
| Total Knee Replacement | $15,178$1.7k$32k | $15,177 | $63,297 |
| Total Mastectomy | $7,850$1.7k$17k | $7,850 | $28,309 |
| TSH Thyroid Function Test | $17$10$162 | $16 | $229 |
| TURP (Transurethral Prostate Resection) | $6,339$1.7k$13k | $6,338 | $40,155 |
| Upper GI Endoscopy (EGD) | $1,538$858$3.8k | $1,072 | $3,808 |
| Urinalysis with Microscopy | $3$2$42 | $3 | $59 |
| Vaginal Delivery (Global Package) | $1,847$1.7k$2.0k | — | $3,641 |
| Vaginal Hysterectomy | $5,914$1.7k$11k | $5,913 | $11,385 |
| Vitamin D Blood Test | $30$18$242 | $29 | $343 |