| Abdominal Hysterectomy | $18,246$16k$22k | — | — |
| ACL Reconstruction (Arthroscopic) | $6,943$6.8k$23k | — | — |
| Allergy Skin Testing | $969$969$2.7k | — | — |
| Basic Metabolic Panel | $22$8$62 | $20 | $40 |
| Bone Marrow Biopsy | $3,970$1.5k$8.0k | $2,835 | $5,671 |
| Breast Biopsy (Ultrasound-guided) | $4,535$1.5k$8.0k | $3,336 | $6,672 |
| Bunion Correction Surgery | $3,154$3.1k$15k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $26,586$14k$67k | $18,990 | $37,979 |
| Cardiac Catheterization (Left Heart) | $12,564$3.1k$23k | $11,927 | $23,854 |
| Carpal Tunnel Release Surgery | $1,898$1.9k$8.0k | — | — |
| Cataract Surgery with Lens Implant | $2,217$2.2k$8.0k | — | — |
| Cervical Spinal Fusion (Anterior) | $12,506$12k$34k | — | — |
| Cesarean Delivery (Global Package) | $12,564$11k$15k | — | — |
| Chemotherapy Infusion (First Hour) | $685$316$1.1k | $580 | $1,161 |
| Chest X-ray (2 Views) | $218$84$404 | $173 | $347 |
| Colonoscopy with Biopsy | $4,320$1.1k$8.0k | $3,178 | $6,355 |
| Complete Abdominal Ultrasound | $477$101$777 | $409 | $818 |
| Complete Blood Count (CBC) with Differential | $21$8$57 | $21 | $43 |
| Comprehensive Metabolic Panel | $28$11$77 | $29 | $58 |
| Coronary Angioplasty with Stent | $28,444$11k$57k | $29,937 | $59,875 |
| Critical Care, First Hour | $1,740$803$2.8k | $1,475 | $2,949 |
| CT Abdomen and Pelvis with Contrast | $1,444$340$3.8k | $2,016 | $4,032 |
| CT Cardiac Calcium Scoring | $249$84$2.1k | $178 | $356 |
| CT Chest without Contrast | $1,039$101$2.1k | $764 | $1,529 |
| CT Head without Contrast | $1,039$101$2.1k | $764 | $1,529 |
| DEXA Bone Density Scan | $345$101$555 | $292 | $584 |
| Diagnostic Colonoscopy | $3,522$869$5.4k | $2,848 | $5,696 |
| Diagnostic Mammogram (Both Breasts) | $307$99$712 | $375 | $750 |
| Ear Tube Placement (Tympanostomy) | $1,440$1.4k$8.0k | — | — |
| Echocardiogram (Complete with Doppler) | $2,215$522$4.5k | $2,105 | $4,210 |
| Emergency Room Visit (Level 3) | $743$264$1.1k | $544 | $1,087 |
| Group Therapy Session | $225$88$362 | $191 | $381 |
| Hemoglobin A1c (Diabetes Test) | $25$10$71 | $23 | $46 |
| HIV Antibody Test | $23$9$65 | $21 | $42 |
| Home Sleep Study | $1,474$149$2.7k | $1,426 | $2,852 |
| Individual Therapy Session (45 Minutes) | $332$153$534 | $281 | $562 |
| Inguinal Hernia Repair (Open) | $3,430$3.4k$15k | — | — |
| Initial Psychiatric Diagnostic Evaluation | $153$153$421 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $153$153$421 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $2,556$551$4.2k | $2,194 | $4,388 |
| IUD Insertion | $3,706$3.4k$4.4k | — | — |
| IUD Removal | $669$290$4.4k | $532 | $1,065 |
| Knee Arthroscopy with Meniscectomy | $3,154$3.1k$15k | — | — |
| Laparoscopic Appendectomy | $5,671$5.6k$22k | — | — |
| Laparoscopic Gallbladder Removal | $5,671$5.6k$22k | — | — |
| Laparoscopic Tubal Ligation | $5,671$5.6k$22k | — | — |
| Lipid Panel (Cholesterol Test) | $35$13$97 | $35 | $70 |
| Lumbar Epidural Steroid Injection | $3,024$660$4.4k | $2,225 | $4,450 |
| Lumbar Puncture (Spinal Tap) | $1,697$660$4.4k | $1,212 | $2,424 |
| Lumbar Spinal Fusion (Posterior) | $17,874$18k$48k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,722$3.6k$15k | — | — |
| MRI Abdomen with and without Contrast | $1,681$340$3.0k | $1,576 | $3,151 |
| MRI Brain with and without Contrast | $1,681$340$2.8k | $1,495 | $2,990 |
| MRI Brain with Contrast | $1,625$340$2.4k | $1,259 | $2,517 |
| MRI Brain without Contrast | $1,437$230$2.2k | $1,160 | $2,320 |
| MRI Cervical Spine (Neck) without Contrast | $1,431$230$2.2k | $1,151 | $2,302 |
| MRI Knee without Contrast | $1,686$230$4.0k | $2,116 | $4,232 |
| MRI Lower Back (Lumbar Spine) without Contrast | $1,427$230$2.2k | $1,144 | $2,289 |
| MRI Thoracic Spine (Mid-back) without Contrast | $1,434$230$2.2k | $1,156 | $2,311 |
| Newborn Circumcision | $4,644$2.0k$8.0k | $3,585 | $7,170 |
| Nuclear Cardiac Stress Test | $3,794$1.2k$6.2k | $3,216 | $6,431 |
| Office Visit, Established Patient (Level 3) | $123$47$338 | $66 | $131 |
| Office Visit, New Patient (Level 3) | $126$65$338 | $90 | $181 |
| Pacemaker Insertion (Dual Chamber) | $23,237$10.0k$34k | $17,805 | $35,610 |
| PET/CT Scan, Whole Body | $4,007$1.4k$6.9k | $3,375 | $6,750 |
| Pregnancy Ultrasound (Second or Third Trimester) | $477$101$777 | $409 | $818 |
| Prostate Biopsy | $1,991$2.0k$8.0k | — | — |
| PSA Prostate Cancer Screening | $47$18$134 | $44 | $88 |
| Pulmonary Function Test with Bronchodilator | $643$297$1.0k | $545 | $1,090 |
| Rotator Cuff Repair (Arthroscopic) | $6,943$6.8k$23k | — | — |
| Screening Mammogram | $201$82$450 | $144 | $288 |
| Septoplasty (Deviated Septum Repair) | $3,152$3.1k$8.5k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,728$6.6k$18k | — | — |
| Skin Biopsy (Tangential) | $461$189$4.4k | $367 | $734 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,575$1.5k$8.0k | — | — |
| Sleep Study (In-lab Polysomnography) | $2,769$969$4.9k | $2,569 | $5,139 |
| Spinal Cord Stimulator Trial | $16,079$6.3k$30k | $11,485 | $22,970 |
| Spirometry (Breathing Test) | $400$149$661 | $348 | $696 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,152$3.1k$8.5k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,750$5.6k$17k | — | — |
| Total Hip Replacement | $12,506$12k$34k | — | — |
| Total Knee Replacement | $12,506$12k$34k | — | — |
| Total Mastectomy | $6,339$6.2k$17k | — | — |
| TSH Thyroid Function Test | $43$17$122 | $40 | $80 |
| TURP (Transurethral Prostate Resection) | $4,941$4.8k$17k | — | — |
| Upper GI Endoscopy (EGD) | $3,325$893$4.7k | $2,471 | $4,943 |
| Urinalysis with Microscopy | $8$3$23 | $9 | $17 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $12,564$11k$15k | — | — |
| Vaginal Delivery (Global Package) | $12,564$11k$15k | — | — |
| Vaginal Hysterectomy | $4,798$4.7k$17k | — | — |
| Vasectomy | $1,991$2.0k$8.0k | — | — |
| Vitamin D Blood Test | $76$30$215 | $71 | $141 |