| Abdominal Hysterectomy | $14,321$14k$21k | — | — |
| ACL Reconstruction (Arthroscopic) | $23,426$7.3k$35k | $14,565 | — |
| Allergy Skin Testing | $58$58$2.6k | $2,074 | — |
| Basic Metabolic Panel | $76$5$110 | $18 | $118 |
| Bone Marrow Biopsy | $3,070$1.6k$4.2k | $3,303 | $3,837 |
| Breast Biopsy (Ultrasound-guided) | $7,365$1.7k$8.8k | $3,303 | $9,206 |
| Bunion Correction Surgery | $12,292$3.3k$18k | $6,615 | — |
| Cardiac Ablation for Atrial Fibrillation | $25,945$25k$64k | $50,016 | — |
| Cardiac Catheterization (Left Heart) | $10,006$3.3k$14k | $6,558 | $15,394 |
| Cardiac Stress Test (Treadmill) | $249$236$371 | — | — |
| Carpal Tunnel Release Surgery | $7,343$2.0k$11k | $3,981 | — |
| Cataract Surgery with Lens Implant | $7,341$2.3k$11k | $4,650 | — |
| Cervical Spinal Fusion (Anterior) | $18,279$13k$33k | $26,233 | — |
| Chemotherapy Infusion (First Hour) | $387$191$862 | $676 | $455 |
| Chest X-ray (2 Views) | $386$85$504 | $180 | $509 |
| Colonoscopy with Biopsy | $2,758$1.2k$4.1k | $2,404 | — |
| Complete Abdominal Ultrasound | $930$108$1.3k | $217 | $1,430 |
| Complete Blood Count (CBC) with Differential | $59$5$85 | $17 | $91 |
| Comprehensive Metabolic Panel | $43$6$148 | $23 | $103 |
| Coronary Angioplasty with Stent | $22,882$11k$57k | $23,121 | $25,424 |
| Critical Care, First Hour | $331$125$2.7k | $1,718 | $378 |
| CT Abdomen and Pelvis with Contrast | $3,509$364$5.1k | $728 | $5,398 |
| CT Cardiac Calcium Scoring | $1,029$90$1.5k | $180 | — |
| CT Chest without Contrast | $2,422$108$3.5k | $217 | $3,726 |
| CT Head without Contrast | $2,299$108$3.3k | $217 | $3,537 |
| DEXA Bone Density Scan | $275$108$323 | $217 | $344 |
| Diagnostic Colonoscopy | $2,758$929$4.1k | $1,859 | — |
| Diagnostic Mammogram (Both Breasts) | $646$328$938 | — | $780 |
| Ear Tube Placement (Tympanostomy) | $6,548$1.5k$9.8k | $3,020 | — |
| Echocardiogram (Complete with Doppler) | $2,542$559$3.7k | $1,118 | $3,910 |
| EKG (Electrocardiogram, 12-lead) | $37 | — | — |
| Emergency Room Visit (Level 3) | $997$282$1.1k | $565 | $1,208 |
| Group Therapy Session | $391$94$507 | $189 | $539 |
| Hemodialysis Treatment | $1,184$1.1k$1.8k | — | — |
| Hemoglobin A1c (Diabetes Test) | $149$6$216 | $21 | $230 |
| HIV Antibody Test | $117$5$197 | $19 | $172 |
| Holter Monitor (24-48 Hour Heart Monitor) | $396 | — | — |
| Home Sleep Study | $84$84$407 | $319 | — |
| Individual Therapy Session (45 Minutes) | $268$132$418 | $328 | $315 |
| Inguinal Hernia Repair (Open) | $10,711$3.6k$16k | $7,195 | — |
| Initial Hospital Admission (Level 1) | $98$48$108 | — | $115 |
| Initial Psychiatric Diagnostic Evaluation | $212$99$584 | $328 | $236 |
| Initial Psychiatric Evaluation with Medication Management | $392$164$584 | $328 | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,185$590$1.8k | $1,179 | — |
| IUD Insertion | $400 | — | — |
| IUD Removal | $400$310$791 | $620 | — |
| Knee Arthroscopy with Meniscectomy | $10,646$3.3k$16k | $6,615 | — |
| Laparoscopic Appendectomy | $14,887$5.9k$22k | $11,895 | — |
| Laparoscopic Gallbladder Removal | $14,887$5.9k$22k | $11,895 | — |
| Laparoscopic Tubal Ligation | $14,887$5.9k$22k | $11,895 | — |
| Lipid Panel (Cholesterol Test) | $80$8$102 | $29 | $103 |
| Lumbar Epidural Steroid Injection | $2,173$706$3.2k | $1,412 | $2,685 |
| Lumbar Puncture (Spinal Tap) | $1,877$706$3.5k | $1,412 | $2,725 |
| Lumbar Spinal Fusion (Posterior) | $18,747$17k$48k | $37,494 | — |
| Lumpectomy (Partial Mastectomy) | $13,760$3.9k$21k | $7,807 | — |
| MRI Abdomen with and without Contrast | $3,678$364$5.3k | $728 | $5,658 |
| MRI Brain with and without Contrast | $3,683$364$5.3k | $728 | $5,666 |
| MRI Brain with Contrast | $3,664$364$5.3k | $728 | $5,637 |
| MRI Brain without Contrast | $3,001$246$4.3k | $493 | $4,617 |
| MRI Cervical Spine (Neck) without Contrast | $3,007$246$4.3k | $493 | $4,626 |
| MRI Knee without Contrast | $2,995$246$4.3k | $493 | $4,608 |
| MRI Lower Back (Lumbar Spine) without Contrast | $3,001$246$4.3k | $493 | $4,617 |
| MRI Thoracic Spine (Mid-back) without Contrast | $3,007$246$4.3k | $493 | $4,626 |
| Newborn Circumcision | $6,400$2.1k$9.5k | $4,177 | — |
| Nuclear Cardiac Stress Test | $3,394$1.3k$4.2k | $2,662 | $4,514 |
| Office Visit, Established Patient (Level 3) | $243$113$478 | — | $286 |
| Office Visit, New Patient (Level 3) | $243$120$293 | — | $286 |
| Pacemaker Insertion (Dual Chamber) | $31,373$11k$55k | $21,337 | $34,859 |
| PET/CT Scan, Whole Body | $7,033$1.5k$9.8k | $2,974 | $8,791 |
| Pregnancy Ultrasound (Second or Third Trimester) | $555$108$803 | $217 | $854 |
| Prostate Biopsy | $5,637$2.1k$8.4k | $4,177 | — |
| PSA Prostate Cancer Screening | $72$11$104 | $39 | $111 |
| Pulmonary Function Test with Bronchodilator | $283$149$809 | $635 | $671 |
| Rotator Cuff Repair (Arthroscopic) | $23,426$7.3k$35k | $14,565 | — |
| Screening Mammogram | — | — | $462 |
| Septoplasty (Deviated Septum Repair) | $12,746$3.3k$19k | $6,612 | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $14,480$7.1k$22k | $14,114 | — |
| Skin Biopsy (Tangential) | $2,513$203$5.5k | $405 | $2,905 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $3,661$1.7k$5.5k | $3,303 | — |
| Sleep Study (In-lab Polysomnography) | $3,313$1.0k$4.9k | $2,074 | $5,203 |
| Spinal Cord Stimulator Trial | $15,793$6.7k$25k | $13,380 | $17,548 |
| Spirometry (Breathing Test) | $184$160$407 | $319 | $482 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $7,956$3.3k$12k | $6,612 | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $7,956$6.0k$15k | $12,061 | — |
| Total Hip Replacement | $35,662$13k$53k | $26,233 | — |
| Total Knee Replacement | $35,662$13k$53k | $26,233 | — |
| Total Mastectomy | $13,760$6.6k$21k | $13,296 | — |
| TSH Thyroid Function Test | $63$10$162 | $36 | $113 |
| TURP (Transurethral Prostate Resection) | $14,249$5.2k$21k | $10,364 | — |
| Upper GI Endoscopy (EGD) | $2,329$956$3.9k | $1,912 | $2,588 |
| Urinalysis with Microscopy | $49$2$71 | $7 | $76 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $5,318$5.1k$7.9k | — | — |
| Vaginal Hysterectomy | $14,321$5.0k$21k | $10,064 | — |
| Vasectomy | $8,323$2.1k$12k | $4,177 | — |
| Vitamin D Blood Test | $285$18$412 | $63 | $438 |