| Abdominal Hysterectomy | $6,530$5.6k$8.0k | — | — |
| ACL Reconstruction (Arthroscopic) | $6,623$2.5k$20k | — | — |
| Allergy Skin Testing | $91$32$1.7k | $94 | $125 |
| Basic Metabolic Panel | $62$3$142 | $119 | $158 |
| Bone Marrow Biopsy | $1,452$416$3.3k | $1,210 | $1,613 |
| Breast Biopsy (Ultrasound-guided) | $2,596$1.3k$4.7k | $3,893 | $5,191 |
| Bunion Correction Surgery | $3,008$2.5k$6.4k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $22,742$7.2k$41k | $28,077 | $37,436 |
| Cardiac Catheterization (Left Heart) | $10,258$3.0k$19k | $16,028 | $21,371 |
| Carpal Tunnel Release Surgery | $1,861$1.8k$4.4k | — | — |
| Cataract Surgery with Lens Implant | $2,199$2.1k$7.7k | — | — |
| Cervical Spinal Fusion (Anterior) | $11,928$5.9k$21k | — | — |
| Cesarean Delivery (Global Package) | $3,775$3.6k$4.0k | — | — |
| Chemotherapy Infusion (First Hour) | $550$284$989 | $824 | $1,099 |
| Chest X-ray (2 Views) | $216$55$422 | $352 | $469 |
| Colonoscopy with Biopsy | $1,660$840$3.6k | $2,441 | $3,254 |
| Complete Abdominal Ultrasound | $661$99$1.3k | $1,077 | $1,436 |
| Complete Blood Count (CBC) with Differential | $56$4$121 | $101 | $134 |
| Comprehensive Metabolic Panel | $100$5$229 | $191 | $254 |
| Coronary Angioplasty with Stent | $10,513$4.0k$19k | $11,572 | $15,429 |
| Critical Care, First Hour | $1,808$781$6.1k | $2,825 | $3,766 |
| CT Abdomen and Pelvis with Contrast | $1,336$331$2.9k | $2,398 | $3,197 |
| CT Cardiac Calcium Scoring | $131$34$2.5k | $1,074 | $1,433 |
| CT Chest without Contrast | $900$99$1.8k | $1,461 | $1,948 |
| CT Head without Contrast | $806$99$1.8k | $1,209 | $1,612 |
| DEXA Bone Density Scan | $285$69$557 | $464 | $619 |
| Diagnostic Colonoscopy | $1,669$845$3.6k | $2,503 | $3,337 |
| Diagnostic Mammogram (Both Breasts) | $221$99$756 | $630 | $840 |
| Ear Tube Placement (Tympanostomy) | $1,428$1.4k$4.1k | — | — |
| Echocardiogram (Complete with Doppler) | $1,308$508$2.5k | $2,045 | $2,726 |
| Emergency Room Visit (Level 3) | $523$257$2.1k | $818 | $1,090 |
| Group Therapy Session | $154$23$313 | $242 | $322 |
| Hemodialysis Treatment | $1,260$496$2.7k | $1,830 | $2,440 |
| Hemoglobin A1c (Diabetes Test) | $58$9$132 | $110 | $147 |
| HIV Antibody Test | $139$4$317 | $264 | $352 |
| Holter Monitor (24-48 Hour Heart Monitor) | $401$185$644 | $537 | $716 |
| Home Sleep Study | $366$145$686 | $572 | $762 |
| Individual Therapy Session (45 Minutes) | $171$88$308 | $257 | $342 |
| Inguinal Hernia Repair (Open) | $3,272$2.7k$6.4k | — | — |
| Initial Psychiatric Diagnostic Evaluation | $313$149$588 | $490 | $653 |
| Initial Psychiatric Evaluation with Medication Management | $253$131$455 | $380 | $506 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $536$536$983 | — | — |
| IUD Insertion | $568$239$2.5k | $696 | $928 |
| IUD Removal | $282$90$2.5k | $260 | $347 |
| Knee Arthroscopy with Meniscectomy | $3,053$2.7k$9.3k | — | — |
| Laparoscopic Appendectomy | $5,409$3.2k$9.7k | — | — |
| Laparoscopic Gallbladder Removal | $5,409$5.0k$9.7k | — | — |
| Laparoscopic Tubal Ligation | $5,409$3.7k$9.7k | — | — |
| Lipid Panel (Cholesterol Test) | $40$6$166 | $91 | $122 |
| Lumbar Epidural Steroid Injection | $1,159$642$2.5k | $1,868 | $2,491 |
| Lumbar Puncture (Spinal Tap) | $767$360$2.5k | $1,046 | $1,395 |
| Lumbar Spinal Fusion (Posterior) | $17,048$5.9k$31k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,550$2.9k$6.4k | — | — |
| MRI Abdomen with and without Contrast | $1,551$331$3.0k | $2,528 | $3,371 |
| MRI Brain with and without Contrast | $1,383$331$2.7k | $2,255 | $3,007 |
| MRI Brain with Contrast | $1,357$331$2.6k | $2,128 | $2,837 |
| MRI Brain without Contrast | $1,334$224$2.4k | $2,001 | $2,668 |
| MRI Cervical Spine (Neck) without Contrast | $1,351$224$2.5k | $2,110 | $2,813 |
| MRI Knee without Contrast | $1,550$224$3.0k | $2,528 | $3,370 |
| MRI Lower Back (Lumbar Spine) without Contrast | $1,357$224$2.6k | $2,179 | $2,905 |
| MRI Thoracic Spine (Mid-back) without Contrast | $1,357$224$2.6k | $2,179 | $2,905 |
| Newborn Circumcision | $1,788$513$4.0k | $1,490 | $1,987 |
| Nuclear Cardiac Stress Test | $3,195$968$6.3k | $5,209 | $6,945 |
| Office Visit, Established Patient (Level 3) | $116$27$215 | $122 | $162 |
| Pacemaker Insertion (Dual Chamber) | $9,702$3.6k$20k | $10,601 | $14,134 |
| PET/CT Scan, Whole Body | $2,988$1.4k$5.6k | $4,668 | $6,224 |
| Pregnancy Ultrasound (Second or Third Trimester) | $512$99$1.0k | $834 | $1,112 |
| Prostate Biopsy | $2,726$1.5k$5.1k | $4,259 | $5,679 |
| PSA Prostate Cancer Screening | $64$9$147 | $122 | $163 |
| Pulmonary Function Test with Bronchodilator | $431$222$776 | $647 | $862 |
| Rotator Cuff Repair (Arthroscopic) | $6,623$3.7k$12k | — | — |
| Screening Mammogram | $221$82$588 | $490 | $653 |
| Septoplasty (Deviated Septum Repair) | $3,052$2.7k$5.4k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,417$3.7k$12k | — | — |
| Skin Biopsy (Tangential) | $193$99$2.5k | $289 | $385 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,502$507$3.6k | $1,474 | $1,965 |
| Sleep Study (In-lab Polysomnography) | $3,736$943$7.0k | $5,837 | $7,783 |
| Spinal Cord Stimulator Trial | $6,084$1.8k$11k | $5,306 | $7,074 |
| Spirometry (Breathing Test) | $294$145$552 | $460 | $613 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,127$3.0k$5.8k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,484$2.5k$9.9k | — | — |
| Total Hip Replacement | $11,928$5.9k$25k | — | — |
| Total Knee Replacement | $11,928$11k$25k | — | — |
| Total Mastectomy | $6,046$3.2k$11k | — | — |
| TSH Thyroid Function Test | $69$8$158 | $131 | $175 |
| TURP (Transurethral Prostate Resection) | $4,713$2.7k$8.5k | — | — |
| Umbilical Hernia Repair | $3,818$2.7k$5.0k | — | — |
| Upper GI Endoscopy (EGD) | $1,564$832$3.3k | $2,418 | $3,224 |
| Urinalysis with Microscopy | $62$3$142 | $119 | $158 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $3,775$3.6k$4.0k | — | — |
| Vaginal Delivery (Global Package) | $3,775$3.6k$4.0k | — | — |
| Vaginal Hysterectomy | $4,576$1.9k$8.2k | $5,544 | $7,392 |
| Vasectomy | $1,928$1.9k$4.0k | — | — |
| Vitamin D Blood Test | $134$14$306 | $255 | $340 |