| Abdominal Hysterectomy | $2,228$596$5.0k | — | — |
| ACL Reconstruction (Arthroscopic) | $6,811$829$13k | — | — |
| Basic Metabolic Panel | $16$8$69 | $51 | $85 |
| Bone Marrow Biopsy | $1,495$77$2.9k | $2,081 | $3,468 |
| Breast Biopsy (Ultrasound-guided) | $1,328$153$2.6k | $2,087 | $3,479 |
| Bunion Correction Surgery | $3,093$829$5.8k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $23,389$892$44k | $30,975 | $51,625 |
| Cardiac Catheterization (Left Heart) | $3,131$892$5.8k | $4,206 | $7,011 |
| Cardiac Stress Test (Treadmill) | $274$96$518 | $414 | $690 |
| Carpal Tunnel Release Surgery | $1,862$330$3.5k | — | — |
| Cataract Surgery with Lens Implant | $2,174$663$6.6k | — | — |
| Cervical Spinal Fusion (Anterior) | $12,267$892$23k | — | — |
| Cesarean Delivery (Global Package) | $6,586$50$13k | $10,034 | $16,724 |
| Chemotherapy Infusion (First Hour) | $316$137$761 | $608 | $1,014 |
| Chest X-ray (2 Views) | $86$12$236 | $153 | $255 |
| Colonoscopy with Biopsy | $1,124$248$2.9k | — | — |
| Complete Abdominal Ultrasound | $190$66$493 | $298 | $497 |
| Complete Blood Count (CBC) with Differential | $15$6$56 | $42 | $71 |
| Comprehensive Metabolic Panel | $20$10$86 | $56 | $94 |
| Coronary Angioplasty with Stent | $10,812$860$20k | $15,411 | $25,685 |
| Critical Care, First Hour | $819$167$2.9k | $2,045 | $3,409 |
| CT Abdomen and Pelvis with Contrast | $366$222$4.0k | $1,662 | $2,770 |
| CT Cardiac Calcium Scoring | $84$39$330 | $93 | $156 |
| CT Chest without Contrast | $186$96$1.1k | $575 | $958 |
| CT Head without Contrast | $523$89$1.4k | $951 | $1,585 |
| DEXA Bone Density Scan | $119$22$329 | $202 | $336 |
| Diagnostic Colonoscopy | $869$199$2.9k | $887 | $1,479 |
| Diagnostic Mammogram (Both Breasts) | $207$73$675 | $310 | $517 |
| Ear Tube Placement (Tympanostomy) | $1,412$108$3.4k | — | — |
| Echocardiogram (Complete with Doppler) | $775$113$2.9k | $1,505 | $2,508 |
| EKG (Electrocardiogram, 12-lead) | $38$19$310 | $147 | $245 |
| Emergency Room Visit (Level 3) | $267$36$1.1k | $887 | $1,479 |
| Hemodialysis Treatment | $262$172$1.5k | $262 | $437 |
| Hemoglobin A1c (Diabetes Test) | $18$7$68 | $48 | $80 |
| HIV Antibody Test | $17$9$62 | $44 | $73 |
| Holter Monitor (24-48 Hour Heart Monitor) | $458$103$1.5k | $1,236 | $2,060 |
| Inguinal Hernia Repair (Open) | $3,331$349$6.3k | $1,697 | $2,828 |
| Initial Hospital Admission (Level 1) | $187$58$347 | $278 | $463 |
| Initial Psychiatric Diagnostic Evaluation | $285$30$836 | $514 | $856 |
| Initial Psychiatric Evaluation with Medication Management | $215$83$440 | $340 | $566 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $579$278$2.2k | $1,765 | $2,942 |
| IUD Insertion | $170$19$318 | $254 | $424 |
| IUD Removal | $290$19$892 | $411 | $685 |
| Knee Arthroscopy with Meniscectomy | $3,093$598$5.8k | — | — |
| Laparoscopic Appendectomy | $5,562$892$10k | $1,580 | $2,634 |
| Laparoscopic Gallbladder Removal | $5,507$892$10k | $5,280 | $8,800 |
| Laparoscopic Tubal Ligation | $5,562$892$10k | — | — |
| Lipid Panel (Cholesterol Test) | $25$13$110 | $83 | $138 |
| Lumbar Epidural Steroid Injection | $713$89$2.6k | $2,048 | $3,414 |
| Lumbar Puncture (Spinal Tap) | $1,026$46$2.5k | $2,030 | $3,384 |
| Lumbar Spinal Fusion (Posterior) | $17,533$892$33k | — | — |
| MRI Abdomen with and without Contrast | $639$337$3.4k | $1,617 | $2,695 |
| MRI Brain with and without Contrast | $505$309$3.8k | $2,855 | $4,758 |
| MRI Brain with Contrast | $505$309$3.6k | $2,855 | $4,758 |
| MRI Brain without Contrast | $371$115$2.2k | $959 | $1,598 |
| MRI Cervical Spine (Neck) without Contrast | $435$228$2.2k | $1,742 | $2,903 |
| MRI Knee without Contrast | $1,095$309$2.1k | $1,656 | $2,760 |
| MRI Lower Back (Lumbar Spine) without Contrast | $356$215$2.1k | $1,656 | $2,760 |
| MRI Thoracic Spine (Mid-back) without Contrast | $363$215$2.1k | $1,656 | $2,760 |
| Nuclear Cardiac Stress Test | $1,270$238$5.3k | $2,485 | $4,142 |
| Office Visit, Established Patient (Level 3) | $67$17$301 | $151 | $252 |
| Office Visit, New Patient (Level 3) | $127$25$551 | $279 | $466 |
| Pacemaker Insertion (Dual Chamber) | $6,585$509$32k | $25,402 | $42,336 |
| PET/CT Scan, Whole Body | $2,101$185$7.0k | $4,392 | $7,320 |
| Pregnancy Ultrasound (Second or Third Trimester) | $150$53$493 | $394 | $657 |
| Prostate Biopsy | $1,378$98$4.1k | $1,263 | $2,105 |
| PSA Prostate Cancer Screening | $35$18$144 | $113 | $188 |
| Pulmonary Function Test with Bronchodilator | $297$13$813 | $509 | $848 |
| Rotator Cuff Repair (Arthroscopic) | $6,811$892$13k | — | — |
| Screening Mammogram | $172$60$551 | $257 | $429 |
| Septoplasty (Deviated Septum Repair) | $3,092$946$5.8k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,529$44$2.9k | $2,081 | $3,468 |
| Spinal Cord Stimulator Trial | $6,257$410$16k | $12,737 | $21,228 |
| Spirometry (Breathing Test) | $149$10$433 | $272 | $454 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,092$765$5.8k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,640$635$11k | — | — |
| Total Hip Replacement | $12,267$892$23k | — | — |
| Total Knee Replacement | $12,267$892$23k | — | — |
| TSH Thyroid Function Test | $32$17$107 | $78 | $130 |
| TURP (Transurethral Prostate Resection) | $4,847$892$9.1k | — | — |
| Umbilical Hernia Repair | — | $1,411 | $2,352 |
| Upper GI Endoscopy (EGD) | $912$138$2.2k | $1,509 | $2,515 |
| Urinalysis with Microscopy | $6$3$29 | $22 | $36 |
| Vaginal Hysterectomy | $4,706$892$8.8k | — | — |
| Vasectomy | $1,953$163$3.7k | — | — |
| Vitamin D Blood Test | $57$29$187 | $140 | $233 |