| Abdominal Hysterectomy | $4,804$2.7k$15k | — | — |
| ACL Reconstruction (Arthroscopic) | $11,352$2.6k$21k | — | — |
| Allergy Skin Testing | $1,532$8$2.5k | — | — |
| Basic Metabolic Panel | $11$5$54 | $13 | $18 |
| Bone Marrow Biopsy | $3,356$187$4.8k | $640 | $854 |
| Breast Biopsy (Ultrasound-guided) | $3,669$366$5.2k | $1,928 | $2,570 |
| Bunion Correction Surgery | $6,859$1.4k$11k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $37,571$2.7k$75k | $35,324 | $47,098 |
| Cardiac Catheterization (Left Heart) | $6,892$2.0k$15k | $11,490 | $15,320 |
| Cardiac Stress Test (Treadmill) | $207$205$209 | — | — |
| Carpal Tunnel Release Surgery | $4,338$1.1k$5.7k | — | — |
| Cataract Surgery with Lens Implant | $5,127$1.5k$13k | — | — |
| Cervical Spinal Fusion (Anterior) | $18,455$4.6k$37k | — | — |
| Cesarean Delivery (Global Package) | $5,998$5.9k$6.1k | — | — |
| Chemotherapy Infusion (First Hour) | $589$322$946 | $593 | $790 |
| Chest X-ray (2 Views) | $183$58$249 | $261 | $348 |
| Colonoscopy with Biopsy | $1,791$538$3.4k | $2,618 | $3,490 |
| Complete Abdominal Ultrasound | $220$102$405 | $702 | $937 |
| Complete Blood Count (CBC) with Differential | $10$4$50 | $15 | $19 |
| Comprehensive Metabolic Panel | $14$6$68 | $20 | $26 |
| Coronary Angioplasty with Stent | $25,645$1.6k$33k | $10,124 | $13,498 |
| Critical Care, First Hour | $1,473$457$2.4k | $3,300 | $4,400 |
| CT Abdomen and Pelvis with Contrast | $671$340$999 | $606 | $808 |
| CT Cardiac Calcium Scoring | $200$85$249 | $303 | $404 |
| CT Chest without Contrast | $227$102$299 | $303 | $404 |
| CT Head without Contrast | $203$102$299 | $303 | $404 |
| DEXA Bone Density Scan | $220$74$405 | $498 | $664 |
| Diagnostic Colonoscopy | $1,359$248$2.7k | $1,850 | $2,466 |
| Diagnostic Mammogram (Both Breasts) | $248$101$418 | $392 | $523 |
| Ear Tube Placement (Tympanostomy) | $3,447$406$11k | — | — |
| Echocardiogram (Complete with Doppler) | $975$355$1.6k | $1,568 | $2,090 |
| EKG (Electrocardiogram, 12-lead) | $42$41$42 | — | — |
| Emergency Room Visit (Level 3) | $487$154$782 | $1,591 | $2,122 |
| Group Therapy Session | $181$65$291 | $255 | $340 |
| Hemodialysis Treatment | $273$270$276 | — | — |
| Hemoglobin A1c (Diabetes Test) | $13$5$62 | $26 | $34 |
| HIV Antibody Test | $12$5$57 | $30 | $40 |
| Holter Monitor (24-48 Hour Heart Monitor) | $204$202$206 | — | — |
| Home Sleep Study | $385$152$618 | — | — |
| Individual Therapy Session (45 Minutes) | $317$173$508 | $275 | $366 |
| Inguinal Hernia Repair (Open) | $7,183$1.4k$15k | — | — |
| Initial Hospital Admission (Level 1) | $179$177$181 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $406$173$508 | $294 | $392 |
| Initial Psychiatric Evaluation with Medication Management | $420$173$508 | $437 | $582 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | — | $2,504 | $3,339 |
| IUD Insertion | $490$134$4.8k | $280 | $374 |
| IUD Removal | $677$178$4.8k | $276 | $368 |
| Knee Arthroscopy with Meniscectomy | $6,957$1.4k$9.4k | — | — |
| Laparoscopic Appendectomy | $9,915$1.7k$17k | — | — |
| Laparoscopic Gallbladder Removal | $10,784$1.8k$17k | — | — |
| Laparoscopic Tubal Ligation | $10,784$1.8k$17k | — | — |
| Lipid Panel (Cholesterol Test) | $19$7$86 | $25 | $33 |
| Lumbar Epidural Steroid Injection | $1,568$242$4.8k | $902 | $1,203 |
| Lumbar Puncture (Spinal Tap) | $1,568$158$4.8k | $553 | $738 |
| Lumbar Spinal Fusion (Posterior) | $25,203$4.3k$50k | $3,539 | $4,718 |
| Lumpectomy (Partial Mastectomy) | $7,019$1.6k$11k | — | — |
| MRI Abdomen with and without Contrast | $705$340$999 | $495 | $660 |
| MRI Brain with and without Contrast | $671$340$999 | $495 | $660 |
| MRI Brain with Contrast | $636$340$999 | $495 | $660 |
| MRI Brain without Contrast | $434$233$683 | $495 | $660 |
| MRI Cervical Spine (Neck) without Contrast | $426$233$683 | $495 | $660 |
| MRI Knee without Contrast | $451$233$683 | $495 | $660 |
| MRI Lower Back (Lumbar Spine) without Contrast | $426$233$683 | $495 | $660 |
| MRI Thoracic Spine (Mid-back) without Contrast | $426$233$683 | $495 | $660 |
| Newborn Circumcision | $4,583$271$6.0k | — | — |
| Nuclear Cardiac Stress Test | $2,309$898$3.7k | $5,170 | $6,893 |
| Office Visit, Established Patient (Level 3) | $142$141$144 | — | — |
| Office Visit, New Patient (Level 3) | $177$176$179 | — | — |
| Pacemaker Insertion (Dual Chamber) | $23,219$1.6k$30k | $12,375 | $16,500 |
| PET/CT Scan, Whole Body | $3,321$1.4k$4.1k | $5,850 | $7,800 |
| Pregnancy Ultrasound (Second or Third Trimester) | $227$102$405 | $644 | $858 |
| PSA Prostate Cancer Screening | $27$10$118 | $33 | $43 |
| Pulmonary Function Test with Bronchodilator | $666$73$1.1k | $470 | $627 |
| Rotator Cuff Repair (Arthroscopic) | $12,847$2.9k$21k | — | — |
| Screening Mammogram | $205$83$345 | $271 | $362 |
| Septoplasty (Deviated Septum Repair) | $6,387$1.8k$14k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $11,601$876$20k | — | — |
| Skin Biopsy (Tangential) | $849$90$4.8k | $179 | $238 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $3,356$195$5.2k | $1,800 | $2,400 |
| Sleep Study (In-lab Polysomnography) | $1,670$837$2.5k | $2,983 | $3,977 |
| Spinal Cord Stimulator Trial | $11,368$1.0k$28k | $8,396 | $11,195 |
| Spirometry (Breathing Test) | $385$48$618 | $240 | $320 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $6,387$829$13k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $9,823$795$17k | — | — |
| Total Hip Replacement | $18,973$3.4k$37k | — | — |
| Total Knee Replacement | $23,107$3.4k$37k | — | — |
| Total Mastectomy | $14,751$2.3k$32k | — | — |
| TSH Thyroid Function Test | $23$9$108 | $32 | $42 |
| TURP (Transurethral Prostate Resection) | $9,564$2.0k$15k | — | — |
| Upper GI Endoscopy (EGD) | $1,910$329$4.1k | $1,815 | $2,420 |
| Urinalysis with Microscopy | $4$2$20 | $6 | $8 |
| 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 | $8,923$2.3k$14k | — | — |
| Vasectomy | $4,644$646$6.0k | — | — |
| Vitamin D Blood Test | $40$16$190 | $56 | $74 |