| Abdominal Hysterectomy | $9,062 | — | — |
| ACL Reconstruction (Arthroscopic) | $13,918$7.0k$17k | — | — |
| Allergy Skin Testing | $1,780$826$2.0k | — | — |
| Basic Metabolic Panel | $10$8$20 | $32 | $80 |
| Bone Marrow Biopsy | $2,522$1.6k$3.8k | $777 | $1,942 |
| Breast Biopsy (Ultrasound-guided) | $3,117$1.6k$3.8k | $1,799 | $4,498 |
| Bunion Correction Surgery | $6,539$3.1k$9.1k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $38,914$25k$60k | $13,505 | $33,762 |
| Cardiac Catheterization (Left Heart) | $6,480$3.1k$11k | $5,506 | $13,765 |
| Cardiac Stress Test (Treadmill) | $117 | $62 | $155 |
| Carpal Tunnel Release Surgery | $3,917$1.9k$6.9k | — | — |
| Cataract Surgery with Lens Implant | $4,605$2.2k$6.9k | — | — |
| Cervical Spinal Fusion (Anterior) | $19,069$12k$30k | — | — |
| Cesarean Delivery (Global Package) | $4,317 | — | — |
| Chemotherapy Infusion (First Hour) | $580$318$762 | $517 | $1,292 |
| Chest X-ray (2 Views) | $176$84$201 | $328 | $821 |
| Colonoscopy with Biopsy | $2,385$1.2k$3.3k | — | — |
| Complete Abdominal Ultrasound | $213$101$241 | $582 | $1,454 |
| Complete Blood Count (CBC) with Differential | $9$7$19 | $46 | $114 |
| Comprehensive Metabolic Panel | $12$10$25 | $41 | $103 |
| Coronary Angioplasty with Stent | $22,975$11k$45k | $6,957 | $17,393 |
| Critical Care, First Hour | $1,053$794$1.9k | $2,312 | $5,779 |
| CT Abdomen and Pelvis with Contrast | $714$336$805 | $1,611 | $4,027 |
| CT Cardiac Calcium Scoring | $139$84$201 | $74 | $186 |
| CT Chest without Contrast | $231$101$266 | $928 | $2,319 |
| CT Head without Contrast | $231$101$266 | $924 | $2,310 |
| DEXA Bone Density Scan | $213$101$241 | $69 | $172 |
| Diagnostic Colonoscopy | $1,849$894$3.3k | — | — |
| Diagnostic Mammogram (Both Breasts) | $227$99$250 | $261 | $652 |
| Ear Tube Placement (Tympanostomy) | $2,992$1.5k$3.6k | — | — |
| Echocardiogram (Complete with Doppler) | $987$526$1.3k | $1,087 | $2,718 |
| EKG (Electrocardiogram, 12-lead) | $23 | $21 | $52 |
| Emergency Room Visit (Level 3) | $346$263$630 | $794 | $1,984 |
| Group Therapy Session | $162$98$234 | $143 | $358 |
| Hemoglobin A1c (Diabetes Test) | $11$9$23 | $56 | $140 |
| HIV Antibody Test | $10$8$21 | $34 | $84 |
| Holter Monitor (24-48 Hour Heart Monitor) | $111 | — | — |
| Home Sleep Study | $274$208$498 | $378 | $946 |
| Individual Therapy Session (45 Minutes) | $281$171$410 | — | — |
| Inguinal Hernia Repair (Open) | $7,136$3.4k$9.1k | — | — |
| Initial Hospital Admission (Level 1) | $115 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $281$171$410 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $281$171$410 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,157 | $1,732 | $4,331 |
| IUD Insertion | $774 | — | — |
| IUD Removal | $611$293$774 | $108 | $270 |
| Knee Arthroscopy with Meniscectomy | $6,539$3.1k$9.1k | — | — |
| Laparoscopic Appendectomy | $11,937$5.8k$15k | $1,503 | $3,758 |
| Laparoscopic Gallbladder Removal | $11,937$5.8k$15k | — | — |
| Laparoscopic Tubal Ligation | $11,937$5.8k$15k | — | — |
| Lipid Panel (Cholesterol Test) | $15$13$32 | $65 | $163 |
| Lumbar Epidural Steroid Injection | $1,404$679$2.1k | $443 | $1,108 |
| Lumbar Puncture (Spinal Tap) | $1,404$679$2.1k | $676 | $1,691 |
| Lumbar Spinal Fusion (Posterior) | $25,236$15k$40k | — | — |
| Lumpectomy (Partial Mastectomy) | $6,889$3.8k$9.0k | — | — |
| MRI Abdomen with and without Contrast | $714$336$805 | $2,877 | $7,192 |
| MRI Brain with and without Contrast | $772$336$893 | $1,327 | $3,318 |
| MRI Brain with Contrast | $772$336$893 | $1,128 | $2,821 |
| MRI Brain without Contrast | $528$229$604 | $711 | $1,778 |
| MRI Cervical Spine (Neck) without Contrast | $528$229$604 | $1,018 | $2,545 |
| MRI Knee without Contrast | $483$229$551 | $2,009 | $5,024 |
| MRI Lower Back (Lumbar Spine) without Contrast | $528$229$604 | $1,030 | $2,575 |
| MRI Thoracic Spine (Mid-back) without Contrast | $483$229$551 | $1,017 | $2,543 |
| Newborn Circumcision | $4,156$2.0k$6.9k | — | — |
| Nuclear Cardiac Stress Test | $2,611$1.2k$3.0k | $2,673 | $6,681 |
| Office Visit, Established Patient (Level 3) | $127 | $63 | $157 |
| Office Visit, New Patient (Level 3) | $156 | $83 | $208 |
| Pacemaker Insertion (Dual Chamber) | $20,979$10k$40k | $9,123 | $22,808 |
| PET/CT Scan, Whole Body | $2,917$1.4k$3.3k | $3,982 | $9,954 |
| Pregnancy Ultrasound (Second or Third Trimester) | $213$101$241 | $325 | $812 |
| Prostate Biopsy | $3,502$3.3k$3.7k | — | — |
| PSA Prostate Cancer Screening | $21$17$44 | $75 | $188 |
| Pulmonary Function Test with Bronchodilator | $545$359$861 | $393 | $983 |
| Rotator Cuff Repair (Arthroscopic) | $13,918$7.0k$17k | — | — |
| Screening Mammogram | $187$81$203 | $211 | $528 |
| Septoplasty (Deviated Septum Repair) | $6,362$3.2k$7.7k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $10,761$6.8k$16k | — | — |
| Skin Biopsy (Tangential) | $588$358$938 | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,522$1.6k$3.8k | $105 | $263 |
| Sleep Study (In-lab Polysomnography) | $1,780$826$2.0k | $2,763 | $6,908 |
| Spinal Cord Stimulator Trial | $10,370$6.1k$15k | $2,936 | $7,339 |
| Spirometry (Breathing Test) | $274$208$498 | $216 | $539 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $6,362$3.2k$7.7k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $8,767$5.7k$14k | — | — |
| Total Hip Replacement | $23,613$12k$30k | — | — |
| Total Knee Replacement | $23,613$12k$30k | — | — |
| Total Mastectomy | $10,400$6.4k$15k | — | — |
| TSH Thyroid Function Test | $19$16$40 | $110 | $276 |
| TURP (Transurethral Prostate Resection) | $10,100$5.2k$12k | $3,702 | $9,256 |
| Upper GI Endoscopy (EGD) | $1,847$872$3.3k | — | — |
| Urinalysis with Microscopy | $4$3$8 | $38 | $95 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $4,071 | — | — |
| Vaginal Delivery (Global Package) | $3,891 | — | — |
| Vaginal Hysterectomy | $8,974$4.8k$12k | — | — |
| Vasectomy | $4,156$2.0k$6.9k | — | — |
| Vitamin D Blood Test | $34$28$71 | $160 | $401 |