| Abdominal Hysterectomy | $16,818$14k$454k | — | — |
| ACL Reconstruction (Arthroscopic) | $7,265$3.6k$23k | — | — |
| Allergy Skin Testing | $819$75$2.6k | — | — |
| Basic Metabolic Panel | $17$8$43 | $58 | $97 |
| Bone Marrow Biopsy | $1,622$671$5.3k | $506 | $843 |
| Breast Biopsy (Ultrasound-guided) | $2,008$1.6k$14k | $2,565 | $4,275 |
| Bunion Correction Surgery | $3,276$1.8k$17k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $26,940$21k$454k | — | — |
| Cardiac Catheterization (Left Heart) | $9,514$3.1k$454k | — | — |
| Carpal Tunnel Release Surgery | $1,955$873$15k | — | — |
| Cataract Surgery with Lens Implant | $3,156$2.1k$58k | — | — |
| Cervical Spinal Fusion (Anterior) | $14,170$12k$48k | — | — |
| Cesarean Delivery (Global Package) | $16,223 | — | — |
| Chemotherapy Infusion (First Hour) | $337$248$2.0k | $989 | $1,649 |
| Chest X-ray (2 Views) | $122$83$225 | $193 | $321 |
| Colonoscopy with Biopsy | $1,205$833$6.9k | $4,174 | $6,957 |
| Complete Abdominal Ultrasound | $212$100$330 | $537 | $895 |
| Complete Blood Count (CBC) with Differential | $15$8$38 | $70 | $117 |
| Comprehensive Metabolic Panel | $21$11$50 | $70 | $116 |
| Coronary Angioplasty with Stent | $17,195$11k$59k | — | — |
| Critical Care, First Hour | $1,203$788$3.8k | $2,819 | $4,699 |
| CT Abdomen and Pelvis with Contrast | $794$333$1.7k | $4,180 | $6,967 |
| CT Cardiac Calcium Scoring | $113$83$374 | $179 | $298 |
| CT Chest without Contrast | $344$100$738 | $1,165 | $1,941 |
| CT Head without Contrast | $317$100$660 | $1,165 | $1,941 |
| DEXA Bone Density Scan | $218$100$317 | $290 | $483 |
| Diagnostic Colonoscopy | $1,205$833$6.9k | $2,991 | $4,985 |
| Diagnostic Mammogram (Both Breasts) | $107$102$322 | $443 | $739 |
| Ear Tube Placement (Tympanostomy) | $2,522$1.5k$16k | — | — |
| Echocardiogram (Complete with Doppler) | $964$521$3.1k | $1,889 | $3,148 |
| Emergency Room Visit (Level 3) | $360$260$1.1k | $778 | $1,297 |
| Group Therapy Session | $156$97$677 | — | — |
| Hemoglobin A1c (Diabetes Test) | $19$10$53 | $81 | $135 |
| HIV Antibody Test | $18$9$67 | $93 | $155 |
| Home Sleep Study | $387$206$1.6k | $926 | $1,544 |
| Individual Therapy Session (45 Minutes) | $264$169$1.1k | $148 | $246 |
| Inguinal Hernia Repair (Open) | $3,585$1.9k$20k | — | — |
| Initial Psychiatric Diagnostic Evaluation | $264$169$1.1k | $308 | $513 |
| Initial Psychiatric Evaluation with Medication Management | $264$169$1.1k | $180 | $300 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,506$778$2.5k | — | — |
| IUD Insertion | $1,168$71$5.3k | $307 | $512 |
| IUD Removal | $387$291$5.3k | $262 | $437 |
| Knee Arthroscopy with Meniscectomy | $5,079$3.1k$20k | — | — |
| Laparoscopic Appendectomy | $12,588$5.8k$32k | — | — |
| Laparoscopic Gallbladder Removal | $9,680$5.8k$25k | — | — |
| Laparoscopic Tubal Ligation | $12,588$5.8k$32k | — | — |
| Lipid Panel (Cholesterol Test) | $27$13$59 | $76 | $127 |
| Lumbar Epidural Steroid Injection | $1,217$673$5.3k | $1,452 | $2,420 |
| Lumbar Puncture (Spinal Tap) | $992$673$5.3k | $2,297 | $3,828 |
| Lumbar Spinal Fusion (Posterior) | $17,388$10k$34k | — | — |
| Lumpectomy (Partial Mastectomy) | $5,074$3.7k$16k | — | — |
| MRI Abdomen with and without Contrast | $876$333$1.8k | $1,825 | $3,041 |
| MRI Brain with and without Contrast | $923$333$1.8k | $1,916 | $3,194 |
| MRI Brain with Contrast | $810$333$1.7k | $1,564 | $2,606 |
| MRI Brain without Contrast | $553$228$1.1k | $1,982 | $3,303 |
| MRI Cervical Spine (Neck) without Contrast | $553$228$1.1k | $1,855 | $3,091 |
| MRI Knee without Contrast | $553$228$1.1k | $1,765 | $2,942 |
| MRI Lower Back (Lumbar Spine) without Contrast | $572$228$1.1k | $1,855 | $3,091 |
| MRI Thoracic Spine (Mid-back) without Contrast | $581$228$1.1k | $2,648 | $4,414 |
| Newborn Circumcision | $5,102$2.0k$16k | — | — |
| Nuclear Cardiac Stress Test | $1,967$1.2k$3.6k | $4,073 | $6,788 |
| Office Visit, Established Patient (Level 3) | $405$109$721 | $115 | $192 |
| Office Visit, New Patient (Level 3) | $528$136$938 | $163 | $272 |
| Pacemaker Insertion (Dual Chamber) | $30,650$10.0k$454k | — | — |
| PET/CT Scan, Whole Body | $2,907$1.4k$6.8k | $6,027 | $10,045 |
| Pregnancy Ultrasound (Second or Third Trimester) | $180$100$302 | $415 | $691 |
| Prostate Biopsy | $2,473$873$6.9k | — | — |
| PSA Prostate Cancer Screening | $36$18$107 | $125 | $208 |
| Pulmonary Function Test with Bronchodilator | $378$296$960 | $439 | $732 |
| Rotator Cuff Repair (Arthroscopic) | $7,265$3.6k$25k | — | — |
| Screening Mammogram | $164$84$266 | $345 | $575 |
| Septoplasty (Deviated Septum Repair) | $3,320$1.9k$20k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,932$2.2k$25k | — | — |
| Skin Biopsy (Tangential) | $403$71$5.3k | $99 | $165 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,244$1.6k$6.9k | $247 | $411 |
| Sleep Study (In-lab Polysomnography) | $2,430$819$7.9k | $4,311 | $7,185 |
| Spinal Cord Stimulator Trial | $11,272$6.1k$29k | — | — |
| Spirometry (Breathing Test) | $220$177$575 | $116 | $193 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,320$2.2k$25k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,927$2.2k$16k | — | — |
| Total Hip Replacement | $27,052$12k$95k | — | — |
| Total Knee Replacement | $21,564$12k$76k | — | — |
| Total Mastectomy | $9,123$6.3k$23k | — | — |
| TSH Thyroid Function Test | $33$17$84 | $169 | $282 |
| TURP (Transurethral Prostate Resection) | $9,746$5.1k$25k | — | — |
| Umbilical Hernia Repair | $19,253$19k$20k | — | — |
| Upper GI Endoscopy (EGD) | $1,100$759$6.1k | $2,449 | $4,081 |
| Urinalysis with Microscopy | $6$3$18 | $38 | $64 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $16,223 | — | — |
| Vaginal Delivery (Global Package) | $16,223 | — | — |
| Vaginal Hysterectomy | $9,156$4.8k$25k | — | — |
| Vasectomy | $6,206$2.0k$16k | $1,151 | $1,919 |
| Vitamin D Blood Test | $59$30$108 | $151 | $251 |