| Abdominal Hysterectomy | $14,625$12k$18k | — | — |
| ACL Reconstruction (Arthroscopic) | $16,357$7.3k$29k | — | — |
| Allergy Skin Testing | $549$62$2.0k | — | — |
| Basic Metabolic Panel | $62$9$96 | $45 | $113 |
| Bone Marrow Biopsy | $2,817$1.7k$4.1k | $1,949 | $4,873 |
| Breast Biopsy (Ultrasound-guided) | $2,421$1.2k$7.4k | $1,181 | $2,952 |
| Bunion Correction Surgery | $8,090$3.3k$15k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $30,416$25k$45k | — | — |
| Cardiac Catheterization (Left Heart) | $4,123$3.3k$6.2k | — | — |
| Cardiac Stress Test (Treadmill) | $238$129$311 | — | — |
| Carpal Tunnel Release Surgery | $4,830$2.0k$9.2k | — | — |
| Cataract Surgery with Lens Implant | $5,210$2.3k$9.2k | — | — |
| Cervical Spinal Fusion (Anterior) | $15,590$13k$25k | — | — |
| Cesarean Delivery (Global Package) | $4,871 | — | — |
| Chemotherapy Infusion (First Hour) | $528$255$816 | $322 | $806 |
| Chest X-ray (2 Views) | $166$90$217 | $98 | $246 |
| Colonoscopy with Biopsy | $2,248$1.2k$3.4k | — | — |
| Complete Abdominal Ultrasound | $396$108$544 | $244 | $609 |
| Complete Blood Count (CBC) with Differential | $55$8$85 | $40 | $100 |
| Comprehensive Metabolic Panel | $45$11$103 | $33 | $84 |
| Coronary Angioplasty with Stent | $25,953$12k$47k | — | — |
| Critical Care, First Hour | $962$443$3.2k | $455 | $1,137 |
| CT Abdomen and Pelvis with Contrast | $2,298$364$3.6k | $1,672 | $4,179 |
| CT Cardiac Calcium Scoring | $224$20$1.3k | $124 | $311 |
| CT Chest without Contrast | $1,055$108$1.5k | $689 | $1,722 |
| CT Head without Contrast | $1,279$108$2.0k | $930 | $2,325 |
| DEXA Bone Density Scan | $236$108$332 | $156 | $390 |
| Diagnostic Colonoscopy | $1,994$929$3.4k | — | — |
| Diagnostic Mammogram (Both Breasts) | $684$282$786 | $356 | $891 |
| Ear Tube Placement (Tympanostomy) | $4,120$1.5k$8.2k | — | — |
| Echocardiogram (Complete with Doppler) | $1,398$559$2.2k | $1,016 | $2,541 |
| EKG (Electrocardiogram, 12-lead) | $149$26$195 | $92 | $229 |
| Emergency Room Visit (Level 3) | $349$160$1.1k | $182 | $455 |
| Group Therapy Session | $208$94$377 | — | — |
| Hemodialysis Treatment | $1,209$965$1.5k | — | — |
| Hemoglobin A1c (Diabetes Test) | $52$10$80 | $38 | $94 |
| HIV Antibody Test | $32$10$36 | $16 | $41 |
| Holter Monitor (24-48 Hour Heart Monitor) | $424$128$424 | — | — |
| Home Sleep Study | $393$90$607 | $286 | $714 |
| Individual Therapy Session (45 Minutes) | $165$164$304 | — | — |
| Inguinal Hernia Repair (Open) | $7,658$3.6k$13k | — | — |
| Initial Hospital Admission (Level 1) | $206$102$222 | $104 | $261 |
| Initial Psychiatric Diagnostic Evaluation | $311$164$489 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $311$164$489 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,011$589$1.5k | — | — |
| IUD Insertion | $428 | — | — |
| IUD Removal | $428$310$611 | — | — |
| Knee Arthroscopy with Meniscectomy | $7,420$3.3k$13k | — | — |
| Laparoscopic Appendectomy | $11,561$5.9k$19k | — | — |
| Laparoscopic Gallbladder Removal | $11,561$5.9k$19k | — | — |
| Laparoscopic Tubal Ligation | $11,561$5.9k$19k | — | — |
| Lipid Panel (Cholesterol Test) | $29$13$58 | $15 | $36 |
| Lumbar Epidural Steroid Injection | $1,239$122$2.7k | $698 | $1,746 |
| Lumbar Puncture (Spinal Tap) | $713$150$3.0k | $383 | $958 |
| Lumbar Spinal Fusion (Posterior) | $18,922$11k$36k | $10,986 | $27,466 |
| Lumpectomy (Partial Mastectomy) | $9,236$3.9k$17k | — | — |
| MRI Abdomen with and without Contrast | $2,436$364$3.2k | $1,499 | $3,748 |
| MRI Brain with and without Contrast | $2,074$364$3.2k | $1,508 | $3,770 |
| MRI Brain with Contrast | $1,762$364$2.3k | $1,084 | $2,710 |
| MRI Brain without Contrast | $1,471$246$2.0k | $905 | $2,263 |
| MRI Cervical Spine (Neck) without Contrast | $1,266$246$2.0k | $920 | $2,301 |
| MRI Knee without Contrast | $1,723$246$2.6k | $1,057 | $2,642 |
| MRI Lower Back (Lumbar Spine) without Contrast | $1,380$246$2.1k | $1,004 | $2,509 |
| MRI Thoracic Spine (Mid-back) without Contrast | $1,380$246$2.1k | $1,004 | $2,509 |
| Newborn Circumcision | $4,547$2.1k$8.0k | — | — |
| Nuclear Cardiac Stress Test | $3,624$1.3k$5.6k | $2,636 | $6,589 |
| Office Visit, Established Patient (Level 3) | $126$61$140 | $62 | $156 |
| Office Visit, New Patient (Level 3) | $190$94$204 | $96 | $240 |
| Pacemaker Insertion (Dual Chamber) | $25,268$11k$46k | — | — |
| PET/CT Scan, Whole Body | $4,365$1.5k$8.2k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $339$108$518 | $244 | $609 |
| Prostate Biopsy | $4,236$2.1k$7.0k | — | — |
| PSA Prostate Cancer Screening | $42$19$88 | $36 | $91 |
| Pulmonary Function Test with Bronchodilator | $376$197$598 | $273 | $683 |
| Rotator Cuff Repair (Arthroscopic) | $16,357$7.3k$29k | — | — |
| Screening Mammogram | $566$228$786 | $284 | $710 |
| Septoplasty (Deviated Septum Repair) | $8,259$3.3k$16k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $12,349$7.1k$18k | — | — |
| Skin Biopsy (Tangential) | $1,682$202$4.6k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,531$67$4.6k | $469 | $1,172 |
| Sleep Study (In-lab Polysomnography) | $2,376$1.0k$4.1k | $1,203 | $3,008 |
| Spinal Cord Stimulator Trial | $10,349$4.9k$21k | $5,048 | $12,621 |
| Spirometry (Breathing Test) | $224$159$347 | $163 | $408 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $6,308$3.3k$9.9k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,785$6.0k$11k | — | — |
| Total Hip Replacement | $27,064$13k$45k | — | — |
| Total Knee Replacement | $27,064$13k$45k | — | — |
| Total Mastectomy | $11,736$6.6k$17k | — | — |
| TSH Thyroid Function Test | $68$18$74 | $35 | $87 |
| TURP (Transurethral Prostate Resection) | $10,733$5.2k$18k | — | — |
| Upper GI Endoscopy (EGD) | $1,942$955$3.3k | — | — |
| Urinalysis with Microscopy | $25$3$39 | $18 | $46 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $5,083$4.3k$6.6k | — | — |
| Vaginal Delivery (Global Package) | $4,387 | — | — |
| Vaginal Hysterectomy | $10,572$5.0k$18k | — | — |
| Vasectomy | $5,331$2.1k$10k | — | — |
| Vitamin D Blood Test | $82$14$287 | $41 | $103 |