| Abdominal Hysterectomy | $13,513$8.3k$24k | — | — |
| ACL Reconstruction (Arthroscopic) | $7,144$6.9k$16k | — | — |
| Allergy Skin Testing | $1,017$153$1.8k | — | — |
| Anesthesia for Screening Colonoscopy | $1 | — | — |
| Anesthesia for Upper Endoscopy | $1 | — | — |
| Basic Metabolic Panel | $27$8$118 | $104 | $139 |
| Bone Marrow Biopsy | $1,620$500$3.7k | $1,398 | $1,864 |
| Breast Biopsy (Ultrasound-guided) | $1,620$613$3.7k | $1,717 | $2,289 |
| Bunion Correction Surgery | $3,245$3.1k$7.4k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $24,532$8.6k$54k | $24,020 | $32,026 |
| Cardiac Catheterization (Left Heart) | $5,359$3.1k$11k | $9,371 | $12,495 |
| Cardiac Stress Test (Treadmill) | $126 | — | — |
| Carpal Tunnel Release Surgery | $1,953$681$4.4k | $1,905 | $2,540 |
| Cataract Surgery with Lens Implant | $2,281$2.2k$5.3k | — | — |
| Cervical Spinal Fusion (Anterior) | $12,867$13k$30k | — | — |
| Cesarean Delivery (Global Package) | $5,615 | — | — |
| Chemotherapy Infusion (First Hour) | $333$208$774 | $582 | $776 |
| Chest X-ray (2 Views) | $156$88$327 | $289 | $385 |
| Colonoscopy with Biopsy | $1,314$821$2.7k | $2,298 | $3,064 |
| Complete Abdominal Ultrasound | $251$106$830 | $732 | $976 |
| Complete Blood Count (CBC) with Differential | $25$8$145 | $128 | $170 |
| Comprehensive Metabolic Panel | $34$11$217 | $191 | $255 |
| Coronary Angioplasty with Stent | $11,341$4.9k$25k | $13,603 | $18,137 |
| Critical Care, First Hour | $1,166$607$3.2k | $1,937 | $2,582 |
| CT Abdomen and Pelvis with Contrast | $879$357$3.3k | $2,930 | $3,907 |
| CT Cardiac Calcium Scoring | $88$6$208 | $16 | $21 |
| CT Chest without Contrast | $251$106$1.6k | $1,415 | $1,886 |
| CT Head without Contrast | $251$106$1.5k | $1,358 | $1,811 |
| DEXA Bone Density Scan | $166$104$330 | $291 | $388 |
| Diagnostic Colonoscopy | $1,213$758$2.4k | $2,120 | $2,827 |
| Diagnostic Mammogram (Both Breasts) | $153$111$318 | — | — |
| Ear Tube Placement (Tympanostomy) | $1,481$1.5k$3.5k | — | — |
| Echocardiogram (Complete with Doppler) | $1,174$532$1.9k | $1,671 | $2,229 |
| EKG (Electrocardiogram, 12-lead) | $25 | — | — |
| Emergency Room Visit (Level 3) | $361$214$1.2k | $600 | $800 |
| Group Therapy Session | $93$86$204 | — | — |
| Hemodialysis Treatment | $1,012 | — | — |
| Hemoglobin A1c (Diabetes Test) | $45$10$85 | $75 | $100 |
| HIV Antibody Test | $16$9$50 | $44 | $59 |
| Holter Monitor (24-48 Hour Heart Monitor) | $126 | — | — |
| Home Sleep Study | $274$151$543 | $479 | $639 |
| Individual Therapy Session (45 Minutes) | $161$154$364 | — | — |
| Inguinal Hernia Repair (Open) | $3,529$1.3k$7.9k | $3,578 | $4,771 |
| Initial Hospital Admission (Level 1) | $147 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $161$93$364 | $260 | $347 |
| Initial Psychiatric Evaluation with Medication Management | $161$154$364 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,024$568$2.5k | $2,231 | $2,975 |
| IUD Insertion | $77$32$104 | $89 | $119 |
| IUD Removal | $304$86$733 | $240 | $320 |
| Knee Arthroscopy with Meniscectomy | $3,245$3.1k$7.4k | — | — |
| Laparoscopic Appendectomy | $5,834$5.6k$13k | — | — |
| Laparoscopic Gallbladder Removal | $5,834$5.6k$13k | — | — |
| Laparoscopic Tubal Ligation | $5,834$5.6k$13k | — | — |
| Lipid Panel (Cholesterol Test) | $39$13$125 | $110 | $147 |
| Lumbar Epidural Steroid Injection | $811$507$1.6k | $1,418 | $1,891 |
| Lumbar Puncture (Spinal Tap) | $693$310$1.6k | $867 | $1,156 |
| Lumbar Spinal Fusion (Posterior) | $18,390$18k$43k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,829$3.7k$8.7k | — | — |
| MRI Abdomen with and without Contrast | $879$357$3.4k | $3,006 | $4,008 |
| MRI Brain with and without Contrast | $879$357$3.5k | $3,113 | $4,150 |
| MRI Brain with Contrast | $831$357$2.6k | $2,325 | $3,100 |
| MRI Brain without Contrast | $560$236$2.5k | $2,223 | $2,964 |
| MRI Cervical Spine (Neck) without Contrast | $560$236$2.5k | $2,205 | $2,940 |
| MRI Knee without Contrast | $560$236$2.6k | $2,257 | $3,009 |
| MRI Lower Back (Lumbar Spine) without Contrast | $560$236$2.5k | $2,165 | $2,886 |
| MRI Thoracic Spine (Mid-back) without Contrast | $560$236$2.5k | $2,208 | $2,944 |
| Newborn Circumcision | $2,049$2.0k$4.7k | $255 | $340 |
| Nuclear Cardiac Stress Test | $1,665$1.0k$3.3k | $2,912 | $3,882 |
| Office Visit, Established Patient (Level 3) | $83$28$156 | $108 | $144 |
| Office Visit, New Patient (Level 3) | $90$38$146 | $105 | $140 |
| Pacemaker Insertion (Dual Chamber) | $10,465$6.4k$24k | $17,981 | $23,975 |
| PET/CT Scan, Whole Body | $2,525$1.5k$5.0k | $4,415 | $5,886 |
| Pregnancy Ultrasound (Second or Third Trimester) | $205$106$651 | $575 | $766 |
| Prostate Biopsy | $2,049$704$4.7k | $1,969 | $2,625 |
| PSA Prostate Cancer Screening | $52$12$138 | $81 | $109 |
| Pulmonary Function Test with Bronchodilator | $257$45$717 | $209 | $279 |
| Rotator Cuff Repair (Arthroscopic) | $7,144$6.9k$16k | — | — |
| Screening Mammogram | $124$92$258 | — | — |
| Septoplasty (Deviated Septum Repair) | $3,243$3.1k$7.4k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,922$6.6k$16k | — | — |
| Skin Biopsy (Tangential) | $199$71$457 | $200 | $266 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,620$613$3.7k | $1,715 | $2,286 |
| Sleep Study (In-lab Polysomnography) | $1,682$1.0k$3.3k | $2,942 | $3,922 |
| Spinal Cord Stimulator Trial | $6,563$2.3k$16k | $6,545 | $8,726 |
| Spirometry (Breathing Test) | $156$68$357 | $189 | $252 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,243$3.1k$7.4k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,916$5.6k$13k | — | — |
| Total Hip Replacement | $12,867$13k$30k | — | — |
| Total Knee Replacement | $12,867$13k$30k | — | — |
| Total Mastectomy | $6,521$6.3k$15k | — | — |
| TSH Thyroid Function Test | $69$17$182 | $127 | $170 |
| TURP (Transurethral Prostate Resection) | $5,084$1.4k$12k | $4,022 | $5,363 |
| Upper GI Endoscopy (EGD) | $1,007$630$2.1k | $1,762 | $2,349 |
| Urinalysis with Microscopy | $10$3$45 | $40 | $53 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $7,143 | — | — |
| Vaginal Delivery (Global Package) | $7,143 | — | — |
| Vaginal Hysterectomy | $4,936$4.8k$11k | — | — |
| Vasectomy | $2,049$670$4.7k | $1,874 | $2,499 |
| Vitamin D Blood Test | $112$30$221 | $173 | $231 |