| Abdominal Hysterectomy | $983$955$1.2k | — | — |
| ACL Reconstruction (Arthroscopic) | $7,037$6.8k$8.4k | — | — |
| Allergy Skin Testing | $1,002$974$1.2k | — | — |
| Anesthesia for Screening Colonoscopy | $169 | — | — |
| Anesthesia for Upper Endoscopy | $169 | — | — |
| Basic Metabolic Panel | $144$9$336 | $177 | $354 |
| Bone Marrow Biopsy | $1,132$251$2.1k | $1,113 | $2,225 |
| Breast Biopsy (Ultrasound-guided) | $1,605$439$3.7k | $1,944 | $3,888 |
| Bunion Correction Surgery | $3,196$3.1k$3.8k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $49,386$14k$115k | $60,522 | $121,044 |
| Cardiac Catheterization (Left Heart) | $11,957$3.1k$28k | $14,653 | $29,307 |
| Cardiac Stress Test (Treadmill) | $70$68$84 | — | — |
| Carpal Tunnel Release Surgery | $2,859$790$6.7k | $3,504 | $7,008 |
| Cataract Surgery with Lens Implant | $2,247$2.2k$2.7k | — | — |
| Cervical Spinal Fusion (Anterior) | $12,674$12k$15k | — | — |
| Cesarean Delivery (Global Package) | $2,538$2.5k$3.0k | — | — |
| Chemotherapy Infusion (First Hour) | $669$185$1.6k | $820 | $1,639 |
| Chest X-ray (2 Views) | $190$52$441 | $232 | $465 |
| Colonoscopy with Biopsy | $1,161$1.1k$1.4k | — | — |
| Complete Abdominal Ultrasound | $543$102$1.3k | $665 | $1,331 |
| Complete Blood Count (CBC) with Differential | $111$8$257 | $135 | $271 |
| Comprehensive Metabolic Panel | $200$11$465 | $245 | $489 |
| Coronary Angioplasty with Stent | $11,011$2.6k$22k | $11,354 | $22,707 |
| Critical Care, First Hour | $2,292$634$5.3k | $2,809 | $5,618 |
| CT Abdomen and Pelvis with Contrast | $2,394$342$6.1k | $3,217 | $6,434 |
| CT Cardiac Calcium Scoring | $87$22$1.0k | $100 | $199 |
| CT Chest without Contrast | $1,020$102$2.6k | $1,350 | $2,700 |
| CT Head without Contrast | $981$102$2.4k | $1,269 | $2,538 |
| DEXA Bone Density Scan | $337$93$786 | $413 | $827 |
| Diagnostic Colonoscopy | $898$872$1.1k | — | — |
| Diagnostic Mammogram (Both Breasts) | $361$100$841 | $443 | $885 |
| Ear Tube Placement (Tympanostomy) | $2,453$678$5.7k | $3,007 | $6,013 |
| Echocardiogram (Complete with Doppler) | $1,453$402$3.4k | $1,780 | $3,560 |
| EKG (Electrocardiogram, 12-lead) | $14$13$16 | — | — |
| Emergency Room Visit (Level 3) | $1,254$265$2.9k | $1,519 | $3,038 |
| Group Therapy Session | $90$23$191 | $101 | $202 |
| Hemodialysis Treatment | $100$97$119 | — | — |
| Hemoglobin A1c (Diabetes Test) | $112$10$260 | $137 | $273 |
| HIV Antibody Test | $65$9$152 | $80 | $160 |
| Holter Monitor (24-48 Hour Heart Monitor) | $67$65$80 | — | — |
| Home Sleep Study | $293$81$682 | $359 | $718 |
| Individual Therapy Session (45 Minutes) | $96$21$188 | $94 | $188 |
| Inguinal Hernia Repair (Open) | $3,476$3.4k$4.1k | — | — |
| Initial Hospital Admission (Level 1) | $80$78$95 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $71$16$188 | $70 | $139 |
| Initial Psychiatric Evaluation with Medication Management | $71$16$188 | $70 | $139 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $2,999$554$7.0k | $3,675 | $7,351 |
| IUD Insertion | $299$83$697 | $367 | $733 |
| IUD Removal | $303$83$698 | $367 | $735 |
| Knee Arthroscopy with Meniscectomy | $3,196$3.1k$3.8k | — | — |
| Laparoscopic Appendectomy | $5,747$5.6k$6.8k | — | — |
| Laparoscopic Gallbladder Removal | $5,747$5.6k$6.8k | — | — |
| Laparoscopic Tubal Ligation | $5,747$5.6k$6.8k | — | — |
| Lipid Panel (Cholesterol Test) | $153$14$357 | $188 | $375 |
| Lumbar Epidural Steroid Injection | $1,802$498$4.2k | $2,208 | $4,416 |
| Lumbar Puncture (Spinal Tap) | $697$190$1.6k | $844 | $1,688 |
| Lumbar Spinal Fusion (Posterior) | $18,115$18k$22k | — | — |
| Lumpectomy (Partial Mastectomy) | $4,807$1.3k$11k | $5,891 | $11,781 |
| MRI Abdomen with and without Contrast | $1,874$342$4.8k | $2,518 | $5,037 |
| MRI Brain with and without Contrast | $1,978$342$5.1k | $2,659 | $5,318 |
| MRI Brain with Contrast | $1,687$342$4.3k | $2,267 | $4,534 |
| MRI Brain without Contrast | $1,313$231$3.4k | $1,765 | $3,531 |
| MRI Cervical Spine (Neck) without Contrast | $1,449$231$3.7k | $1,948 | $3,895 |
| MRI Knee without Contrast | $1,430$231$3.7k | $1,922 | $3,845 |
| MRI Lower Back (Lumbar Spine) without Contrast | $1,498$231$3.8k | $2,013 | $4,026 |
| MRI Thoracic Spine (Mid-back) without Contrast | $1,498$231$3.8k | $2,013 | $4,026 |
| Newborn Circumcision | $377$84$2.4k | $370 | $741 |
| Nuclear Cardiac Stress Test | $2,727$754$6.3k | $3,342 | $6,684 |
| Office Visit, Established Patient (Level 3) | $89$86$106 | — | — |
| Office Visit, New Patient (Level 3) | $109$105$129 | — | — |
| Pacemaker Insertion (Dual Chamber) | $7,706$1.7k$14k | $7,575 | $15,149 |
| PET/CT Scan, Whole Body | $3,244$897$7.6k | $3,976 | $7,951 |
| Pregnancy Ultrasound (Second or Third Trimester) | $391$102$911 | $479 | $959 |
| Prostate Biopsy | $914$203$2.4k | $898 | $1,796 |
| PSA Prostate Cancer Screening | $85$19$197 | $104 | $208 |
| Pulmonary Function Test with Bronchodilator | $449$124$1.0k | $550 | $1,100 |
| Rotator Cuff Repair (Arthroscopic) | $7,037$6.8k$8.4k | — | — |
| Screening Mammogram | $261$72$608 | $320 | $640 |
| Septoplasty (Deviated Septum Repair) | $3,195$3.1k$3.8k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,819$6.6k$8.1k | — | — |
| Skin Biopsy (Tangential) | $193$47$392 | $207 | $413 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,075$238$2.0k | $1,056 | $2,112 |
| Sleep Study (In-lab Polysomnography) | $2,597$718$6.0k | $3,183 | $6,366 |
| Spinal Cord Stimulator Trial | $6,372$1.6k$14k | $7,192 | $14,383 |
| Spirometry (Breathing Test) | $192$53$447 | $235 | $471 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,195$3.1k$3.8k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,827$5.7k$6.9k | — | — |
| Total Hip Replacement | $12,674$12k$15k | — | — |
| Total Knee Replacement | $12,674$12k$15k | — | — |
| Total Mastectomy | $6,424$6.2k$7.6k | — | — |
| TSH Thyroid Function Test | $153$17$355 | $187 | $374 |
| TURP (Transurethral Prostate Resection) | $5,008$4.9k$6.0k | — | — |
| Upper GI Endoscopy (EGD) | $924$897$1.1k | — | — |
| Urinalysis with Microscopy | $33$3$77 | $40 | $81 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,392$2.3k$2.8k | — | — |
| Vaginal Delivery (Global Package) | $2,294$2.2k$2.7k | — | — |
| Vaginal Hysterectomy | $4,863$4.7k$5.8k | — | — |
| Vasectomy | $2,018$2.0k$2.4k | — | — |
| Vitamin D Blood Test | $183$30$427 | $225 | $449 |