| Abdominal Hysterectomy | $4,989$2.7k$15k | — | — |
| ACL Reconstruction (Arthroscopic) | $10,253$2.6k$22k | — | — |
| Allergy Skin Testing | $1,255$8$2.6k | — | — |
| Basic Metabolic Panel | $11$7$23 | $26 | $35 |
| Bone Marrow Biopsy | $3,418$187$4.9k | $1,464 | $1,952 |
| Breast Biopsy (Ultrasound-guided) | $3,653$366$5.2k | $3,205 | $4,273 |
| Bunion Correction Surgery | $7,198$1.4k$11k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $36,934$2.7k$78k | $35,324 | $47,098 |
| Cardiac Catheterization (Left Heart) | $7,170$2.0k$15k | $11,490 | $15,320 |
| Cardiac Stress Test (Treadmill) | $207$205$209 | — | — |
| Carpal Tunnel Release Surgery | $4,318$1.1k$6.1k | — | — |
| Cataract Surgery with Lens Implant | $5,104$1.5k$13k | — | — |
| Cervical Spinal Fusion (Anterior) | $18,142$4.6k$38k | — | — |
| Cesarean Delivery (Global Package) | $5,998$5.9k$6.1k | — | — |
| Chemotherapy Infusion (First Hour) | $483$322$990 | $398 | $530 |
| Chest X-ray (2 Views) | $125$58$261 | $232 | $309 |
| Colonoscopy with Biopsy | $1,770$538$3.6k | — | — |
| Complete Abdominal Ultrasound | $199$102$313 | $1,214 | $1,619 |
| Complete Blood Count (CBC) with Differential | $10$6$21 | $24 | $32 |
| Comprehensive Metabolic Panel | $14$9$29 | $32 | $43 |
| Coronary Angioplasty with Stent | $16,875$1.6k$35k | $10,124 | $13,498 |
| Critical Care, First Hour | $1,207$457$2.5k | $3,150 | $4,200 |
| CT Abdomen and Pelvis with Contrast | $612$340$1.0k | $606 | $808 |
| CT Cardiac Calcium Scoring | $195$85$261 | $303 | $404 |
| CT Chest without Contrast | $227$102$313 | $303 | $404 |
| CT Head without Contrast | $183$102$313 | $303 | $404 |
| DEXA Bone Density Scan | $166$74$313 | $459 | $612 |
| Diagnostic Colonoscopy | $1,337$248$2.8k | — | — |
| Diagnostic Mammogram (Both Breasts) | $217$101$286 | $340 | $453 |
| Ear Tube Placement (Tympanostomy) | $3,431$406$11k | — | — |
| Echocardiogram (Complete with Doppler) | $799$355$1.6k | $1,024 | $1,366 |
| EKG (Electrocardiogram, 12-lead) | $42$41$42 | — | — |
| Emergency Room Visit (Level 3) | $399$154$818 | $1,334 | $1,779 |
| Group Therapy Session | $149$65$304 | $210 | $280 |
| Hemodialysis Treatment | $273$270$276 | — | — |
| Hemoglobin A1c (Diabetes Test) | $13$8$27 | $32 | $42 |
| HIV Antibody Test | $12$7$24 | $17 | $22 |
| Holter Monitor (24-48 Hour Heart Monitor) | $204$202$206 | — | — |
| Home Sleep Study | $316$152$647 | — | — |
| Individual Therapy Session (45 Minutes) | $259$173$532 | $275 | $366 |
| Inguinal Hernia Repair (Open) | $7,198$1.4k$15k | — | — |
| Initial Hospital Admission (Level 1) | $179$177$181 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $402$173$532 | $294 | $392 |
| Initial Psychiatric Evaluation with Medication Management | $415$173$532 | $336 | $448 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | — | $2,504 | $3,339 |
| IUD Insertion | $512$134$4.8k | $330 | $440 |
| IUD Removal | $674$178$4.8k | $276 | $368 |
| Knee Arthroscopy with Meniscectomy | $7,198$1.4k$9.8k | — | — |
| Laparoscopic Appendectomy | $8,837$1.7k$18k | — | — |
| Laparoscopic Gallbladder Removal | $8,837$1.8k$18k | — | — |
| Laparoscopic Tubal Ligation | $8,837$1.8k$18k | — | — |
| Lipid Panel (Cholesterol Test) | $19$11$37 | $41 | $55 |
| Lumbar Epidural Steroid Injection | $1,561$242$4.8k | $1,587 | $2,116 |
| Lumbar Puncture (Spinal Tap) | $1,561$158$4.8k | $712 | $949 |
| Lumbar Spinal Fusion (Posterior) | $24,776$4.3k$53k | — | — |
| Lumpectomy (Partial Mastectomy) | $6,109$1.6k$12k | — | — |
| MRI Abdomen with and without Contrast | $669$340$1.0k | $495 | $660 |
| MRI Brain with and without Contrast | $612$340$1.0k | $495 | $660 |
| MRI Brain with Contrast | $577$340$1.0k | $495 | $660 |
| MRI Brain without Contrast | $367$233$715 | $495 | $660 |
| MRI Cervical Spine (Neck) without Contrast | $359$233$715 | $495 | $660 |
| MRI Knee without Contrast | $395$233$715 | $495 | $660 |
| MRI Lower Back (Lumbar Spine) without Contrast | $360$233$715 | $495 | $660 |
| MRI Thoracic Spine (Mid-back) without Contrast | $359$233$715 | $495 | $660 |
| Newborn Circumcision | $4,623$271$6.3k | — | — |
| Nuclear Cardiac Stress Test | $1,930$898$3.9k | $4,136 | $5,515 |
| Office Visit, Established Patient (Level 3) | $142$141$144 | — | — |
| Office Visit, New Patient (Level 3) | $177$176$179 | — | — |
| Pacemaker Insertion (Dual Chamber) | $15,279$1.6k$31k | $12,375 | $16,500 |
| PET/CT Scan, Whole Body | $3,231$1.4k$4.3k | $6,236 | $8,315 |
| Pregnancy Ultrasound (Second or Third Trimester) | $225$102$313 | $1,139 | $1,518 |
| PSA Prostate Cancer Screening | $27$15$50 | $57 | $75 |
| Pulmonary Function Test with Bronchodilator | $545$73$1.1k | $459 | $611 |
| Rotator Cuff Repair (Arthroscopic) | $12,885$2.9k$22k | — | — |
| Screening Mammogram | $179$83$236 | $216 | $288 |
| Septoplasty (Deviated Septum Repair) | $6,109$1.8k$14k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $10,316$876$21k | — | — |
| Skin Biopsy (Tangential) | $886$90$4.8k | $179 | $238 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $3,418$195$5.2k | $1,800 | $2,400 |
| Sleep Study (In-lab Polysomnography) | $1,532$837$2.6k | $4,609 | $6,145 |
| Spinal Cord Stimulator Trial | $9,316$1.0k$28k | $17,711 | $23,615 |
| Spirometry (Breathing Test) | $316$48$647 | $274 | $365 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $6,109$829$13k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $8,653$795$18k | — | — |
| Total Hip Replacement | $18,767$3.4k$38k | — | — |
| Total Knee Replacement | $19,178$3.4k$38k | — | — |
| Total Mastectomy | $14,685$2.3k$36k | — | — |
| TSH Thyroid Function Test | $23$14$46 | $52 | $69 |
| TURP (Transurethral Prostate Resection) | $7,838$2.0k$16k | — | — |
| Upper GI Endoscopy (EGD) | $1,666$329$4.2k | — | — |
| Urinalysis with Microscopy | $4$3$9 | $10 | $13 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $5,656$5.6k$5.7k | — | — |
| Vaginal Delivery (Global Package) | $5,385$5.3k$5.4k | — | — |
| Vaginal Hysterectomy | $7,312$2.3k$15k | — | — |
| Vasectomy | $4,623$646$6.3k | — | — |
| Vitamin D Blood Test | $40$24$81 | $91 | $121 |