| Abdominal Hysterectomy | $8,014$3.8k$8.9k | — | — |
| ACL Reconstruction (Arthroscopic) | $3,692$954$8.9k | $1,336 | $3,840 |
| Allergy Skin Testing | $8$2$2.5k | — | — |
| Basic Metabolic Panel | $10$6$25 | $10 | $40 |
| Bone Marrow Biopsy | $434$86$3.4k | $1,864 | $1,995 |
| Breast Biopsy (Ultrasound-guided) | $982$171$6.9k | $1,864 | $6,510 |
| Bunion Correction Surgery | $3,938$1.1k$6.9k | $600 | $1,243 |
| Cardiac Ablation for Atrial Fibrillation | $7,927$2.6k$23k | $29,497 | $35,222 |
| Cardiac Catheterization (Left Heart) | $3,446$954$8.4k | $3,659 | $19,238 |
| Cardiac Stress Test (Treadmill) | $168$117$1.2k | $88 | $75 |
| Carpal Tunnel Release Surgery | $2,770$369$4.2k | — | — |
| Cataract Surgery with Lens Implant | $8,014$3.2k$13k | — | — |
| Cervical Spinal Fusion (Anterior) | $7,110$954$19k | $1,106 | $3,188 |
| Cesarean Delivery (Global Package) | $2,339$1.8k$4.2k | $3,001 | $6,600 |
| Chemotherapy Infusion (First Hour) | $258$114$819 | $373 | $499 |
| Chest X-ray (2 Views) | $22$10$47 | $98 | $349 |
| Colonoscopy with Biopsy | $1,729$277$3.5k | $1,350 | $3,102 |
| Complete Abdominal Ultrasound | $86$42$190 | $118 | $998 |
| Complete Blood Count (CBC) with Differential | $8$5$32 | $9 | $31 |
| Comprehensive Metabolic Panel | $13$7$43 | $12 | $40 |
| Coronary Angioplasty with Stent | $8,766$5.9k$9.7k | $13,028 | $23,566 |
| Critical Care, First Hour | $878$187$7.6k | $932 | $5,400 |
| CT Abdomen and Pelvis with Contrast | $324$237$1.3k | $394 | $4,877 |
| CT Cardiac Calcium Scoring | $80$25$313 | $98 | $274 |
| CT Chest without Contrast | $97$88$412 | $100 | $630 |
| CT Head without Contrast | $97$88$379 | $118 | $2,206 |
| DEXA Bone Density Scan | $96$39$379 | $118 | $251 |
| Diagnostic Colonoscopy | $576$99$3.5k | $1,049 | $2,683 |
| Diagnostic Mammogram (Both Breasts) | $156$101$422 | $132 | $688 |
| Ear Tube Placement (Tympanostomy) | $2,493$341$6.9k | — | — |
| Echocardiogram (Complete with Doppler) | $649$277$2.1k | $617 | $1,247 |
| EKG (Electrocardiogram, 12-lead) | $35$25$235 | $18 | $70 |
| Emergency Room Visit (Level 3) | $878$96$2.4k | $308 | $2,435 |
| Group Therapy Session | $32 | — | — |
| Hemodialysis Treatment | $240$157$704 | $105 | $650 |
| Hemoglobin A1c (Diabetes Test) | $11$7$40 | $11 | $42 |
| HIV Antibody Test | $10$6$36 | $10 | $212 |
| Holter Monitor (24-48 Hour Heart Monitor) | $316$176$941 | — | $78 |
| Home Sleep Study | $163$154$171 | — | — |
| Individual Therapy Session (45 Minutes) | $69$43$186 | — | — |
| Inguinal Hernia Repair (Open) | $5,797$3.8k$8.3k | — | — |
| Initial Hospital Admission (Level 1) | $85 | $89 | $175 |
| Initial Psychiatric Diagnostic Evaluation | $135$132$237 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $152$149$265 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $2,059$298$2.1k | — | $1,160 |
| IUD Insertion | $92$21$2.7k | — | $54 |
| IUD Removal | $2,481$1.2k$3.4k | $344 | $438 |
| Knee Arthroscopy with Meniscectomy | $1,212$669$8.3k | $84 | $495 |
| Laparoscopic Appendectomy | $3,938$954$8.3k | — | — |
| Laparoscopic Gallbladder Removal | $6,768$954$13k | — | — |
| Laparoscopic Tubal Ligation | $3,610$954$11k | $704 | $2,635 |
| Lipid Panel (Cholesterol Test) | $16$9$55 | $15 | $294 |
| Lumbar Epidural Steroid Injection | $1,717$100$3.4k | $797 | $1,028 |
| Lumbar Puncture (Spinal Tap) | $484$52$3.4k | $797 | $825 |
| Lumbar Spinal Fusion (Posterior) | $7,200$1.0k$19k | $1,008 | $2,593 |
| Lumpectomy (Partial Mastectomy) | $4,341$1.3k$6.9k | — | — |
| MRI Abdomen with and without Contrast | $324$293$1.3k | $394 | $2,334 |
| MRI Brain with and without Contrast | $324$293$1.3k | $316 | $1,215 |
| MRI Brain with Contrast | $324$240$1.3k | $394 | $5,037 |
| MRI Brain without Contrast | $221$186$1.1k | $269 | $3,930 |
| MRI Cervical Spine (Neck) without Contrast | $223$186$1.1k | $269 | $1,385 |
| MRI Knee without Contrast | $223$200$1.1k | $269 | $1,945 |
| MRI Lower Back (Lumbar Spine) without Contrast | $221$186$1.1k | $269 | $3,194 |
| MRI Thoracic Spine (Mid-back) without Contrast | $223$186$1.1k | $269 | $4,155 |
| Newborn Circumcision | $716$97$3.4k | $2,359 | $2,011 |
| Nuclear Cardiac Stress Test | $1,189$342$4.7k | $1,461 | $1,796 |
| Office Visit, Established Patient (Level 3) | $74$40$107 | — | $229 |
| Office Visit, New Patient (Level 3) | $76$52$107 | — | $307 |
| Pacemaker Insertion (Dual Chamber) | $5,327$570$8.7k | $11,795 | $34,064 |
| PET/CT Scan, Whole Body | $1,326$570$5.2k | $130 | $2,395 |
| Pregnancy Ultrasound (Second or Third Trimester) | $96$53$379 | $118 | $191 |
| Prostate Biopsy | $1,771$110$4.2k | — | $5,180 |
| PSA Prostate Cancer Screening | $30$13$56 | $21 | $176 |
| Pulmonary Function Test with Bronchodilator | $20$14$94 | $421 | $310 |
| Rotator Cuff Repair (Arthroscopic) | $6,698$5.9k$11k | — | — |
| Screening Mammogram | $255$232$279 | $109 | $225 |
| Septoplasty (Deviated Septum Repair) | $5,425$3.2k$8.3k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,430$683$11k | — | — |
| Skin Biopsy (Tangential) | $989$637$2.7k | $459 | $198 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $704$49$3.4k | $1,864 | $1,926 |
| Sleep Study (In-lab Polysomnography) | $898$332$2.3k | $969 | $9,177 |
| Spinal Cord Stimulator Trial | $1,889$459$13k | — | — |
| Spirometry (Breathing Test) | $60$28$64 | $244 | $471 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $6,497$3.2k$11k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,438$3.2k$6.9k | — | — |
| Total Hip Replacement | $7,655$954$20k | $866 | $3,000 |
| Total Knee Replacement | $7,347$954$20k | $865 | $3,360 |
| Total Mastectomy | $3,274$954$8.3k | $150 | $625 |
| TSH Thyroid Function Test | $18$12$68 | $19 | $248 |
| TURP (Transurethral Prostate Resection) | $5,043$4.6k$8.3k | — | — |
| Upper GI Endoscopy (EGD) | $2,561$1.6k$3.4k | $1,024 | $2,419 |
| Urinalysis with Microscopy | $3$3$13 | $4 | $25 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,699$1.6k$4.6k | — | — |
| Vaginal Delivery (Global Package) | $2,508$1.7k$4.6k | $2,679 | $5,600 |
| Vaginal Hysterectomy | $8,014$6.1k$13k | — | — |
| Vasectomy | $3,016$716$4.2k | $2,359 | $2,011 |
| Vitamin D Blood Test | $45$36$96 | $34 | $124 |