| Abdominal Hysterectomy | $4,915$4.2k$5.6k | — | — |
| ACL Reconstruction (Arthroscopic) | $7,483$4.2k$21k | — | — |
| Allergy Skin Testing | $1,625$812$2.4k | — | — |
| Basic Metabolic Panel | $9$5$17 | $47 | $104 |
| Bone Marrow Biopsy | $2,595$1.6k$4.7k | $1,152 | $2,559 |
| Breast Biopsy (Ultrasound-guided) | $3,125$1.6k$4.7k | $1,477 | $3,282 |
| Bunion Correction Surgery | $4,218$3.1k$9.3k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $38,205$5.6k$74k | $33,300 | $73,999 |
| Cardiac Catheterization (Left Heart) | $6,134$3.1k$11k | $6,187 | $13,749 |
| Carpal Tunnel Release Surgery | $3,498$1.8k$5.5k | — | — |
| Cataract Surgery with Lens Implant | $4,367$2.2k$6.6k | — | — |
| Cervical Spinal Fusion (Anterior) | $13,240$4.2k$36k | — | — |
| Cesarean Delivery (Global Package) | — | $4,827 | $10,726 |
| Chemotherapy Infusion (First Hour) | $625$312$938 | $782 | $1,738 |
| Chest X-ray (2 Views) | $130$82$247 | $219 | $486 |
| Colonoscopy with Biopsy | $2,264$1.1k$3.5k | — | — |
| Complete Abdominal Ultrasound | $185$99$297 | $456 | $1,013 |
| Complete Blood Count (CBC) with Differential | $8$5$16 | $44 | $97 |
| Comprehensive Metabolic Panel | $12$6$21 | $72 | $160 |
| Coronary Angioplasty with Stent | $16,874$3.5k$33k | $9,694 | $21,542 |
| Critical Care, First Hour | $1,563$781$2.3k | $2,249 | $4,998 |
| CT Abdomen and Pelvis with Contrast | $660$330$991 | $1,434 | $3,186 |
| CT Cardiac Calcium Scoring | $165$82$247 | $42 | $94 |
| CT Chest without Contrast | $198$99$297 | $566 | $1,257 |
| CT Head without Contrast | $198$99$297 | $512 | $1,138 |
| DEXA Bone Density Scan | $185$99$297 | $256 | $568 |
| Diagnostic Colonoscopy | $1,760$880$3.5k | — | — |
| Diagnostic Mammogram (Both Breasts) | $110$101$202 | $563 | $1,252 |
| Ear Tube Placement (Tympanostomy) | $2,936$1.5k$4.4k | — | — |
| Echocardiogram (Complete with Doppler) | $1,034$517$1.6k | $1,396 | $3,102 |
| EKG (Electrocardiogram, 12-lead) | — | $185 | $412 |
| Emergency Room Visit (Level 3) | $517$258$775 | $836 | $1,858 |
| Group Therapy Session | $192$96$288 | — | — |
| Hemoglobin A1c (Diabetes Test) | $11$6$19 | $45 | $100 |
| HIV Antibody Test | $10$5$18 | $56 | $125 |
| Home Sleep Study | $325$204$613 | — | — |
| Individual Therapy Session (45 Minutes) | $336$168$504 | $243 | $540 |
| Inguinal Hernia Repair (Open) | $5,137$3.4k$10k | — | — |
| Initial Hospital Admission (Level 1) | — | $609 | $1,354 |
| Initial Psychiatric Diagnostic Evaluation | $336$168$504 | $225 | $499 |
| Initial Psychiatric Evaluation with Medication Management | $336$168$504 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,531 | $1,796 | $3,990 |
| IUD Insertion | $1,406$226$2.6k | $1,521 | $3,381 |
| IUD Removal | $577$288$2.6k | $151 | $335 |
| Knee Arthroscopy with Meniscectomy | $5,137$3.1k$9.3k | — | — |
| Laparoscopic Appendectomy | $6,234$4.2k$17k | — | — |
| Laparoscopic Gallbladder Removal | $8,837$5.7k$17k | — | — |
| Laparoscopic Tubal Ligation | $6,234$5.7k$17k | — | — |
| Lipid Panel (Cholesterol Test) | $15$8$27 | $50 | $111 |
| Lumbar Epidural Steroid Injection | $1,336$668$2.6k | $1,769 | $3,931 |
| Lumbar Puncture (Spinal Tap) | $1,336$668$2.6k | $944 | $2,098 |
| Lumbar Spinal Fusion (Posterior) | $18,081$4.2k$50k | — | — |
| Lumpectomy (Partial Mastectomy) | $4,218$3.7k$11k | — | — |
| MRI Abdomen with and without Contrast | $660$330$991 | $1,338 | $2,974 |
| MRI Brain with and without Contrast | $660$330$991 | $1,231 | $2,735 |
| MRI Brain with Contrast | $660$330$991 | $928 | $2,062 |
| MRI Brain without Contrast | $451$226$678 | $677 | $1,505 |
| MRI Cervical Spine (Neck) without Contrast | $451$226$678 | $691 | $1,535 |
| MRI Knee without Contrast | $451$226$678 | $737 | $1,637 |
| MRI Lower Back (Lumbar Spine) without Contrast | $451$226$678 | $869 | $1,932 |
| MRI Thoracic Spine (Mid-back) without Contrast | $451$226$678 | $869 | $1,932 |
| Newborn Circumcision | $2,595$2.0k$5.9k | $769 | $1,709 |
| Nuclear Cardiac Stress Test | $2,450$1.2k$3.7k | $2,760 | $6,133 |
| Office Visit, Established Patient (Level 3) | — | $164 | $364 |
| Office Visit, New Patient (Level 3) | — | $183 | $406 |
| Pacemaker Insertion (Dual Chamber) | $10,778$4.2k$30k | $7,067 | $15,704 |
| PET/CT Scan, Whole Body | $2,706$1.4k$4.1k | $3,706 | $8,235 |
| Pregnancy Ultrasound (Second or Third Trimester) | $185$99$297 | $473 | $1,051 |
| Prostate Biopsy | $3,487$3.5k$3.5k | $2,177 | $4,838 |
| PSA Prostate Cancer Screening | $20$11$37 | $58 | $128 |
| Pulmonary Function Test with Bronchodilator | $706$353$1.1k | $267 | $594 |
| Rotator Cuff Repair (Arthroscopic) | $7,483$5.7k$21k | — | — |
| Screening Mammogram | $91$83$167 | $414 | $920 |
| Septoplasty (Deviated Septum Repair) | $5,137$3.1k$9.4k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,278$5.7k$20k | — | — |
| Skin Biopsy (Tangential) | $769$226$2.6k | $237 | $526 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $3,125$1.6k$4.7k | $1,113 | $2,473 |
| Sleep Study (In-lab Polysomnography) | $1,625$812$2.4k | $896 | $1,990 |
| Spinal Cord Stimulator Trial | $6,572$3.5k$18k | $7,908 | $17,573 |
| Spirometry (Breathing Test) | $409$204$613 | $219 | $487 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $5,742$3.1k$9.4k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,105$4.2k$17k | — | — |
| Total Hip Replacement | $13,240$4.2k$36k | — | — |
| Total Knee Replacement | $13,240$4.2k$36k | — | — |
| Total Mastectomy | $6,848$5.1k$19k | — | — |
| TSH Thyroid Function Test | $18$10$34 | $65 | $145 |
| TURP (Transurethral Prostate Resection) | $5,529$5.1k$15k | — | — |
| Umbilical Hernia Repair | $5,137 | — | — |
| Upper GI Endoscopy (EGD) | $1,716$858$2.6k | $676 | $1,503 |
| Urinalysis with Microscopy | $3$2$6 | $28 | $62 |
| Vaginal Hysterectomy | $6,092$4.7k$14k | — | — |
| Vasectomy | $3,498$2.0k$5.9k | $2,709 | $6,020 |
| Vitamin D Blood Test | $32$18$59 | $65 | $145 |