| ACL Reconstruction (Arthroscopic) | $13,184$7.3k$20k | — | — |
| Allergy Skin Testing | $1,903$1.0k$2.8k | — | — |
| Basic Metabolic Panel | $14$9$24 | $263 | $329 |
| Bone Marrow Biopsy | $2,889$1.7k$4.4k | $2,719 | $3,399 |
| Breast Biopsy (Ultrasound-guided) | $4,304$1.7k$6.0k | $5,298 | $6,622 |
| Bunion Correction Surgery | $5,976$3.3k$8.9k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $45,469$25k$67k | $54,291 | $67,864 |
| Cardiac Catheterization (Left Heart) | $9,960$3.3k$18k | $15,624 | $19,530 |
| Cardiac Stress Test (Treadmill) | $129 | — | — |
| Carpal Tunnel Release Surgery | $3,580$2.0k$5.3k | — | — |
| Cataract Surgery with Lens Implant | $4,253$2.3k$6.2k | — | — |
| Cervical Spinal Fusion (Anterior) | $24,009$13k$35k | — | — |
| Cesarean Delivery (Global Package) | $4,871 | — | — |
| Chemotherapy Infusion (First Hour) | $678$338$911 | $810 | $1,012 |
| Chest X-ray (2 Views) | $176$45$699 | $347 | $434 |
| Colonoscopy with Biopsy | $2,175$1.2k$3.2k | — | — |
| Complete Abdominal Ultrasound | $1,077$108$1.9k | $1,689 | $2,111 |
| Complete Blood Count (CBC) with Differential | $13$8$22 | $118 | $148 |
| Comprehensive Metabolic Panel | $86$11$151 | $134 | $168 |
| Coronary Angioplasty with Stent | $25,832$12k$35k | $30,844 | $38,555 |
| Critical Care, First Hour | $1,268$301$4.5k | $2,234 | $2,793 |
| CT Abdomen and Pelvis with Contrast | $3,650$364$6.6k | $5,839 | $7,299 |
| CT Cardiac Calcium Scoring | $748$90$1.2k | $1,092 | $1,365 |
| CT Chest without Contrast | $1,806$108$3.3k | $2,890 | $3,612 |
| CT Head without Contrast | $1,749$108$3.1k | $2,798 | $3,497 |
| DEXA Bone Density Scan | $445$108$786 | $698 | $873 |
| Diagnostic Colonoscopy | $1,684$929$2.5k | — | — |
| Diagnostic Mammogram (Both Breasts) | $282$75$766 | $400 | $501 |
| Ear Tube Placement (Tympanostomy) | $2,773$1.5k$4.1k | — | — |
| Echocardiogram (Complete with Doppler) | $1,822$559$3.2k | $2,858 | $3,573 |
| EKG (Electrocardiogram, 12-lead) | $26 | — | — |
| Emergency Room Visit (Level 3) | $494$87$1.6k | $795 | $994 |
| Group Therapy Session | $167$94$253 | — | — |
| Hemoglobin A1c (Diabetes Test) | $16$10$28 | $106 | $133 |
| HIV Antibody Test | $14$10$26 | $97 | $121 |
| Holter Monitor (24-48 Hour Heart Monitor) | $128 | — | — |
| Home Sleep Study | $288$159$428 | $657 | $821 |
| Individual Therapy Session (45 Minutes) | $295$164$440 | — | — |
| Inguinal Hernia Repair (Open) | $6,442$3.6k$9.7k | — | — |
| Initial Hospital Admission (Level 1) | $128 | $186 | $233 |
| Initial Psychiatric Diagnostic Evaluation | $295$164$440 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $295$164$440 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,278$589$1.7k | $1,526 | $1,908 |
| IUD Removal | $874$310$1.5k | $1,371 | $1,714 |
| Knee Arthroscopy with Meniscectomy | $5,976$3.3k$8.9k | — | — |
| Laparoscopic Appendectomy | $10,698$5.9k$16k | — | — |
| Laparoscopic Gallbladder Removal | $10,698$5.9k$16k | — | — |
| Laparoscopic Tubal Ligation | $10,698$5.9k$16k | — | — |
| Lipid Panel (Cholesterol Test) | $22$14$39 | $172 | $216 |
| Lumbar Epidural Steroid Injection | $1,702$706$2.4k | $2,094 | $2,618 |
| Lumbar Puncture (Spinal Tap) | $1,538$706$2.1k | $1,836 | $2,295 |
| Lumbar Spinal Fusion (Posterior) | $34,149$19k$50k | — | — |
| Lumpectomy (Partial Mastectomy) | $7,045$3.9k$10k | — | — |
| MRI Abdomen with and without Contrast | $3,311$364$6.0k | $5,297 | $6,621 |
| MRI Brain with and without Contrast | $3,139$364$5.6k | $5,022 | $6,277 |
| MRI Brain with Contrast | $2,300$364$4.1k | $3,679 | $4,599 |
| MRI Brain without Contrast | $2,270$246$4.1k | $3,631 | $4,539 |
| MRI Cervical Spine (Neck) without Contrast | $2,469$246$4.4k | $3,950 | $4,938 |
| MRI Knee without Contrast | $2,220$246$4.0k | $3,552 | $4,440 |
| MRI Lower Back (Lumbar Spine) without Contrast | $2,513$246$4.5k | $4,020 | $5,025 |
| MRI Thoracic Spine (Mid-back) without Contrast | $2,440$246$4.4k | $3,904 | $4,880 |
| Newborn Circumcision | $4,275$2.1k$5.7k | $5,104 | $6,380 |
| Nuclear Cardiac Stress Test | $3,574$1.3k$5.5k | $4,931 | $6,164 |
| Office Visit, Established Patient (Level 3) | $167$93$347 | $228 | $285 |
| Office Visit, New Patient (Level 3) | $194$108$364 | $248 | $310 |
| Pacemaker Insertion (Dual Chamber) | $23,942$11k$32k | $28,588 | $35,735 |
| PET/CT Scan, Whole Body | $4,344$1.5k$7.7k | $6,814 | $8,518 |
| Pregnancy Ultrasound (Second or Third Trimester) | $336$108$579 | $514 | $643 |
| Prostate Biopsy | $4,491$2.1k$6.0k | $5,362 | $6,703 |
| PSA Prostate Cancer Screening | $104$20$248 | $162 | $203 |
| Pulmonary Function Test with Bronchodilator | $683$317$917 | $815 | $1,019 |
| Rotator Cuff Repair (Arthroscopic) | $13,184$7.3k$20k | — | — |
| Screening Mammogram | $228$60$578 | $305 | $381 |
| Septoplasty (Deviated Septum Repair) | $5,959$3.3k$8.9k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $12,692$7.1k$19k | — | — |
| Skin Biopsy (Tangential) | $2,324$202$4.1k | $3,646 | $4,557 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $3,090$1.7k$4.4k | $3,646 | $4,557 |
| Sleep Study (In-lab Polysomnography) | $1,903$1.0k$2.8k | $2,895 | $3,619 |
| Spinal Cord Stimulator Trial | $13,300$6.7k$18k | $15,880 | $19,850 |
| Spirometry (Breathing Test) | $210$25$428 | $200 | $250 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $5,959$3.3k$8.9k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $10,853$6.0k$16k | — | — |
| Total Hip Replacement | $24,009$13k$35k | — | — |
| Total Knee Replacement | $24,009$13k$35k | — | — |
| Total Mastectomy | $12,027$6.6k$18k | — | — |
| TSH Thyroid Function Test | $27$18$48 | $156 | $195 |
| TURP (Transurethral Prostate Resection) | $9,462$5.2k$14k | — | — |
| Upper GI Endoscopy (EGD) | $1,699$955$2.6k | — | — |
| Urinalysis with Microscopy | $16$3$194 | $93 | $117 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $4,592 | — | — |
| Vaginal Delivery (Global Package) | $4,387 | — | — |
| Vaginal Hysterectomy | $9,140$5.0k$14k | — | — |
| Vasectomy | $3,767$2.1k$5.6k | — | — |
| Vitamin D Blood Test | $178$32$318 | $227 | $284 |