| Abdominal Hysterectomy | $5,903$5.1k$6.3k | — | — |
| ACL Reconstruction (Arthroscopic) | $7,800$3.1k$20k | — | — |
| Allergy Skin Testing | $1,093$837$2.4k | $125 | $208 |
| Basic Metabolic Panel | $11$8$24 | $59 | $99 |
| Bone Marrow Biopsy | $2,112$1.6k$4.6k | $1,234 | $2,056 |
| Breast Biopsy (Ultrasound-guided) | $2,395$1.6k$4.6k | $2,140 | $3,567 |
| Bunion Correction Surgery | $4,145$3.1k$9.1k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $27,382$5.7k$72k | $27,779 | $46,298 |
| Cardiac Catheterization (Left Heart) | $5,023$3.2k$9.0k | $15,518 | $25,863 |
| Cardiac Stress Test (Treadmill) | — | $886 | $1,476 |
| Carpal Tunnel Release Surgery | $2,664$1.9k$7.8k | $9,812 | $16,353 |
| Cataract Surgery with Lens Implant | $4,003$2.2k$7.8k | — | — |
| Cervical Spinal Fusion (Anterior) | $13,450$5.0k$36k | — | — |
| Chemotherapy Infusion (First Hour) | $420$322$914 | $1,063 | $1,771 |
| Chest X-ray (2 Views) | $93$53$241 | $299 | $498 |
| Colonoscopy with Biopsy | $2,039$1.2k$3.8k | — | — |
| Complete Abdominal Ultrasound | $143$102$289 | $1,387 | $2,312 |
| Complete Blood Count (CBC) with Differential | $10$8$22 | $52 | $86 |
| Comprehensive Metabolic Panel | $14$11$30 | $85 | $142 |
| Coronary Angioplasty with Stent | $12,094$6.3k$32k | $10,455 | $17,425 |
| Critical Care, First Hour | $1,052$805$2.3k | $4,787 | $7,978 |
| CT Abdomen and Pelvis with Contrast | $476$340$966 | $1,557 | $2,595 |
| CT Cardiac Calcium Scoring | $119$85$241 | $131 | $218 |
| CT Chest without Contrast | $143$102$289 | $779 | $1,298 |
| CT Head without Contrast | $143$102$289 | $806 | $1,344 |
| DEXA Bone Density Scan | $112$66$289 | $638 | $1,063 |
| Diagnostic Colonoscopy | $1,613$906$3.8k | $2,636 | $4,394 |
| Diagnostic Mammogram (Both Breasts) | $141$101$287 | — | — |
| Ear Tube Placement (Tympanostomy) | $2,691$1.5k$7.8k | $7,739 | $12,898 |
| Echocardiogram (Complete with Doppler) | $696$532$1.5k | $1,603 | $2,671 |
| Emergency Room Visit (Level 3) | $348$266$756 | $1,113 | $1,855 |
| Group Therapy Session | — | $121 | $202 |
| Hemoglobin A1c (Diabetes Test) | $13$10$28 | $53 | $88 |
| HIV Antibody Test | $12$9$25 | $55 | $92 |
| Home Sleep Study | $275$210$598 | $1,109 | $1,849 |
| Individual Therapy Session (45 Minutes) | $226$173$491 | $200 | $333 |
| Inguinal Hernia Repair (Open) | $4,536$3.5k$9.9k | — | — |
| Initial Psychiatric Diagnostic Evaluation | $226$173$491 | $200 | $333 |
| Initial Psychiatric Evaluation with Medication Management | $226$173$491 | $188 | $313 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | — | $2,271 | $3,785 |
| IUD Insertion | $2,144$1.9k$2.2k | $2,031 | $3,385 |
| IUD Removal | $529$297$7.8k | $722 | $1,203 |
| Knee Arthroscopy with Meniscectomy | $4,185$3.2k$9.1k | — | — |
| Laparoscopic Appendectomy | $8,312$5.9k$17k | — | — |
| Laparoscopic Gallbladder Removal | $8,248$5.9k$17k | — | — |
| Laparoscopic Tubal Ligation | $7,659$4.4k$17k | — | — |
| Lipid Panel (Cholesterol Test) | $18$13$38 | $103 | $171 |
| Lumbar Epidural Steroid Injection | $1,094$688$3.3k | $3,875 | $6,459 |
| Lumbar Puncture (Spinal Tap) | $1,224$688$7.8k | $2,005 | $3,341 |
| Lumbar Spinal Fusion (Posterior) | $18,369$5.0k$49k | $22,794 | $37,990 |
| Lumpectomy (Partial Mastectomy) | $4,616$3.1k$11k | — | — |
| MRI Abdomen with and without Contrast | $476$340$966 | $2,886 | $4,810 |
| MRI Brain with and without Contrast | $476$340$966 | $1,980 | $3,300 |
| MRI Brain with Contrast | $476$340$966 | $1,750 | $2,916 |
| MRI Brain without Contrast | $326$233$660 | $1,440 | $2,400 |
| MRI Cervical Spine (Neck) without Contrast | $326$233$660 | $1,523 | $2,538 |
| MRI Knee without Contrast | $326$233$660 | $1,845 | $3,075 |
| MRI Lower Back (Lumbar Spine) without Contrast | $326$233$660 | $1,631 | $2,718 |
| MRI Thoracic Spine (Mid-back) without Contrast | $326$233$660 | $1,668 | $2,780 |
| Newborn Circumcision | $2,648$1.9k$7.8k | $2,408 | $4,014 |
| Nuclear Cardiac Stress Test | $1,388$925$3.6k | $4,283 | $7,138 |
| Pacemaker Insertion (Dual Chamber) | $11,987$5.7k$29k | $8,617 | $14,361 |
| PET/CT Scan, Whole Body | $1,951$1.4k$4.0k | $3,377 | $5,629 |
| Pregnancy Ultrasound (Second or Third Trimester) | $143$102$289 | $1,108 | $1,846 |
| Prostate Biopsy | $2,841$2.5k$7.8k | $5,156 | $8,593 |
| PSA Prostate Cancer Screening | $25$18$52 | $101 | $169 |
| Pulmonary Function Test with Bronchodilator | $475$364$1.0k | $467 | $779 |
| Rotator Cuff Repair (Arthroscopic) | $7,800$4.4k$20k | — | — |
| Screening Mammogram | $117$83$237 | — | — |
| Septoplasty (Deviated Septum Repair) | $4,241$3.2k$9.2k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,565$4.4k$20k | $6,676 | $11,127 |
| Skin Biopsy (Tangential) | $630$396$2.2k | $564 | $940 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,537$1.6k$7.8k | $3,720 | $6,201 |
| Sleep Study (In-lab Polysomnography) | $1,093$837$2.4k | $3,598 | $5,997 |
| Spinal Cord Stimulator Trial | $7,800$2.5k$18k | $6,936 | $11,560 |
| Spirometry (Breathing Test) | $275$210$598 | $339 | $565 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $4,523$3.2k$9.2k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,346$3.1k$16k | — | — |
| Total Hip Replacement | $13,450$5.0k$36k | — | — |
| Total Knee Replacement | $13,450$5.0k$36k | — | — |
| Total Mastectomy | $7,118$3.8k$18k | — | — |
| TSH Thyroid Function Test | $23$17$48 | $92 | $153 |
| TURP (Transurethral Prostate Resection) | $6,793$3.8k$15k | — | — |
| Umbilical Hernia Repair | $4,964$4.5k$7.8k | — | — |
| Upper GI Endoscopy (EGD) | $1,573$884$3.8k | $2,357 | $3,929 |
| Urinalysis with Microscopy | $4$3$9 | $27 | $45 |
| Vaginal Delivery (Global Package) | — | $4,210 | $7,016 |
| Vaginal Hysterectomy | $5,241$4.4k$14k | — | — |
| Vasectomy | $2,757$2.0k$7.8k | $3,316 | $5,526 |
| Vitamin D Blood Test | $40$30$84 | $162 | $271 |