| Abdominal Hysterectomy | $15,341 | — | — |
| ACL Reconstruction (Arthroscopic) | $7,830$7.2k$11k | — | — |
| Allergy Skin Testing | $893$98$1.2k | — | — |
| Basic Metabolic Panel | $9$8$148 | $101 | $144 |
| Bone Marrow Biopsy | $1,717$1.6k$2.3k | $2,157 | $3,081 |
| Breast Biopsy (Ultrasound-guided) | $1,782$1.6k$5.7k | $1,895 | $2,707 |
| Bunion Correction Surgery | $3,531$3.2k$10k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $27,169$24k$36k | $40,562 | $57,946 |
| Cardiac Catheterization (Left Heart) | $3,498$3.2k$5.8k | $10,275 | $14,679 |
| Cardiac Stress Test (Treadmill) | $501 | — | — |
| Carpal Tunnel Release Surgery | $2,107$1.9k$12k | — | — |
| Cataract Surgery with Lens Implant | $2,490$2.3k$14k | — | — |
| Cervical Spinal Fusion (Anterior) | $13,345$5.5k$18k | — | — |
| Cesarean Delivery (Global Package) | $10,073 | — | — |
| Chemotherapy Infusion (First Hour) | $356$327$1.0k | $680 | $971 |
| Chest X-ray (2 Views) | $94$86$335 | $228 | $325 |
| Colonoscopy with Biopsy | $1,291$1.2k$4.0k | $2,734 | $3,906 |
| Complete Abdominal Ultrasound | $113$104$583 | $508 | $726 |
| Complete Blood Count (CBC) with Differential | $8$8$97 | $76 | $108 |
| Comprehensive Metabolic Panel | $12$11$157 | $139 | $198 |
| Coronary Angioplasty with Stent | $12,457$11k$33k | — | — |
| Critical Care, First Hour | $875$818$1.1k | $1,002 | $1,432 |
| CT Abdomen and Pelvis with Contrast | $376$345$2.7k | $5,149 | $7,355 |
| CT Cardiac Calcium Scoring | $94$86$125 | $83 | $119 |
| CT Chest without Contrast | $113$104$794 | $1,541 | $2,202 |
| CT Head without Contrast | $113$104$695 | $798 | $1,140 |
| DEXA Bone Density Scan | $113$104$465 | $340 | $486 |
| Diagnostic Colonoscopy | $985$306$4.1k | $2,547 | $3,638 |
| Diagnostic Mammogram (Both Breasts) | $111$102$284 | $580 | $829 |
| Ear Tube Placement (Tympanostomy) | $1,674$1.5k$5.0k | — | — |
| Echocardiogram (Complete with Doppler) | $590$541$949 | $1,373 | $1,962 |
| EKG (Electrocardiogram, 12-lead) | $105 | — | — |
| Emergency Room Visit (Level 3) | $289$270$378 | $353 | $504 |
| Group Therapy Session | $110$101$351 | — | — |
| Hemodialysis Treatment | $568 | — | — |
| Hemoglobin A1c (Diabetes Test) | $11$10$60 | $78 | $112 |
| HIV Antibody Test | $10$9$70 | — | — |
| Holter Monitor (24-48 Hour Heart Monitor) | $591 | — | — |
| Home Sleep Study | $233$214$626 | — | — |
| Individual Therapy Session (45 Minutes) | $192$176$592 | — | — |
| Inguinal Hernia Repair (Open) | $3,863$3.5k$9.9k | — | — |
| Initial Hospital Admission (Level 1) | $472 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $192$176$592 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $192$176$592 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $4,224 | $3,047 | $4,353 |
| IUD Insertion | $4,774 | — | — |
| IUD Removal | $329$302$5.6k | $200 | $285 |
| Knee Arthroscopy with Meniscectomy | $3,531$3.2k$13k | — | — |
| Laparoscopic Appendectomy | $6,524$6.0k$13k | — | — |
| Laparoscopic Gallbladder Removal | $6,524$6.0k$20k | — | — |
| Laparoscopic Tubal Ligation | $6,524$6.0k$8.8k | — | — |
| Lipid Panel (Cholesterol Test) | $15$13$143 | $140 | $200 |
| Lumbar Epidural Steroid Injection | $762$699$2.0k | — | — |
| Lumbar Puncture (Spinal Tap) | $762$699$978 | $465 | $664 |
| Lumbar Spinal Fusion (Posterior) | $18,226$17k$24k | — | — |
| Lumpectomy (Partial Mastectomy) | $4,225$3.9k$8.0k | — | — |
| MRI Abdomen with and without Contrast | $376$345$1.2k | $1,992 | $2,846 |
| MRI Brain with and without Contrast | $376$345$1.6k | $2,134 | $3,049 |
| MRI Brain with Contrast | $376$345$1.3k | $1,641 | $2,344 |
| MRI Brain without Contrast | $257$236$1.2k | $1,440 | $2,057 |
| MRI Cervical Spine (Neck) without Contrast | $257$236$1.0k | $1,541 | $2,201 |
| MRI Knee without Contrast | $257$236$926 | $1,739 | $2,484 |
| MRI Lower Back (Lumbar Spine) without Contrast | $257$236$1.0k | $1,569 | $2,241 |
| MRI Thoracic Spine (Mid-back) without Contrast | $257$236$1.1k | $1,544 | $2,206 |
| Newborn Circumcision | $2,256$2.1k$9.5k | $1,314 | $1,877 |
| Nuclear Cardiac Stress Test | $1,357$1.3k$1.8k | $1,439 | $2,055 |
| Office Visit, Established Patient (Level 3) | — | $124 | $177 |
| Office Visit, New Patient (Level 3) | — | $69 | $98 |
| Pacemaker Insertion (Dual Chamber) | $11,278$10k$26k | $36,895 | $52,707 |
| PET/CT Scan, Whole Body | $1,543$1.4k$3.4k | $4,476 | $6,394 |
| Pregnancy Ultrasound (Second or Third Trimester) | $113$104$442 | $454 | $649 |
| Prostate Biopsy | $2,924 | — | — |
| PSA Prostate Cancer Screening | $20$18$121 | $145 | $207 |
| Pulmonary Function Test with Bronchodilator | $388$209$517 | $422 | $603 |
| Rotator Cuff Repair (Arthroscopic) | $7,543$6.8k$10k | — | — |
| Screening Mammogram | $91$84$235 | $467 | $667 |
| Septoplasty (Deviated Septum Repair) | $3,578$3.3k$5.4k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,336$3.5k$9.8k | — | — |
| Skin Biopsy (Tangential) | $439$402$948 | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,782$1.6k$9.5k | — | — |
| Sleep Study (In-lab Polysomnography) | $927$850$2.9k | $3,115 | $4,450 |
| Spinal Cord Stimulator Trial | $6,877$6.3k$13k | — | — |
| Spirometry (Breathing Test) | $224$118$299 | $200 | $285 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,578$3.3k$11k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,388$5.9k$13k | — | — |
| Total Hip Replacement | $13,854$13k$66k | — | — |
| Total Knee Replacement | $13,854$13k$18k | — | — |
| Total Mastectomy | $7,165$6.6k$9.2k | — | — |
| TSH Thyroid Function Test | $18$17$119 | $141 | $201 |
| TURP (Transurethral Prostate Resection) | $5,786$5.3k$11k | — | — |
| Upper GI Endoscopy (EGD) | $979$898$3.6k | $1,939 | $2,770 |
| Urinalysis with Microscopy | $3$3$85 | $46 | $66 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $9,373 | — | — |
| Vaginal Delivery (Global Package) | $8,894 | — | — |
| Vaginal Hysterectomy | $5,398$5.0k$11k | — | — |
| Vasectomy | $2,256$2.1k$4.3k | — | — |
| Vitamin D Blood Test | $32$30$122 | $67 | $96 |