| Abdominal Hysterectomy | $16,818$14k$454k | — | — |
| ACL Reconstruction (Arthroscopic) | $7,397$3.6k$23k | — | — |
| Allergy Skin Testing | $838$75$2.6k | — | — |
| Basic Metabolic Panel | $16$8$43 | $58 | $97 |
| Bone Marrow Biopsy | $1,656$671$5.3k | $506 | $843 |
| Breast Biopsy (Ultrasound-guided) | $1,854$1.6k$14k | — | — |
| Bunion Correction Surgery | $3,336$1.8k$17k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $26,897$21k$454k | — | — |
| Cardiac Catheterization (Left Heart) | $8,358$3.1k$454k | — | — |
| Carpal Tunnel Release Surgery | $1,991$873$15k | — | — |
| Cataract Surgery with Lens Implant | $2,765$2.1k$58k | — | — |
| Cervical Spinal Fusion (Anterior) | $14,084$12k$48k | — | — |
| Cesarean Delivery (Global Package) | $16,223 | — | — |
| Chemotherapy Infusion (First Hour) | $337$248$2.0k | $989 | $1,649 |
| Chest X-ray (2 Views) | $110$84$225 | $193 | $321 |
| Colonoscopy with Biopsy | $1,220$833$6.9k | — | — |
| Complete Abdominal Ultrasound | $210$101$330 | $537 | $895 |
| Complete Blood Count (CBC) with Differential | $15$8$38 | $70 | $117 |
| Comprehensive Metabolic Panel | $20$11$50 | $70 | $116 |
| Coronary Angioplasty with Stent | $16,223$11k$59k | — | — |
| Critical Care, First Hour | $850$794$3.8k | $2,819 | $4,699 |
| CT Abdomen and Pelvis with Contrast | $714$336$1.7k | $4,180 | $6,967 |
| CT Cardiac Calcium Scoring | $96$84$374 | $179 | $298 |
| CT Chest without Contrast | $213$101$738 | $1,165 | $1,941 |
| CT Head without Contrast | $213$101$660 | $1,165 | $1,941 |
| DEXA Bone Density Scan | $213$101$317 | $290 | $483 |
| Diagnostic Colonoscopy | $1,081$833$6.9k | — | — |
| Diagnostic Mammogram (Both Breasts) | $107$102$322 | $443 | $739 |
| Ear Tube Placement (Tympanostomy) | $2,147$1.5k$16k | — | — |
| Echocardiogram (Complete with Doppler) | $763$525$3.1k | $1,889 | $3,148 |
| Emergency Room Visit (Level 3) | $281$263$1.1k | $778 | $1,297 |
| Group Therapy Session | $105$98$677 | — | — |
| Hemoglobin A1c (Diabetes Test) | $19$10$53 | $81 | $135 |
| HIV Antibody Test | $17$9$67 | $93 | $155 |
| Home Sleep Study | $305$208$1.6k | $926 | $1,544 |
| Individual Therapy Session (45 Minutes) | $183$171$1.1k | $148 | $246 |
| Inguinal Hernia Repair (Open) | $3,650$1.9k$20k | — | — |
| Initial Psychiatric Diagnostic Evaluation | $183$171$1.1k | $308 | $513 |
| Initial Psychiatric Evaluation with Medication Management | $183$171$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 | $350$293$5.3k | $262 | $437 |
| Knee Arthroscopy with Meniscectomy | $4,347$3.1k$20k | — | — |
| Laparoscopic Appendectomy | $11,224$5.8k$32k | — | — |
| Laparoscopic Gallbladder Removal | $8,290$5.8k$25k | — | — |
| Laparoscopic Tubal Ligation | $11,224$5.8k$32k | — | — |
| Lipid Panel (Cholesterol Test) | $26$13$59 | $76 | $127 |
| Lumbar Epidural Steroid Injection | $1,006$679$5.3k | $1,452 | $2,420 |
| Lumbar Puncture (Spinal Tap) | $859$679$5.3k | $2,297 | $3,828 |
| Lumbar Spinal Fusion (Posterior) | $17,579$10k$34k | — | — |
| Lumpectomy (Partial Mastectomy) | $4,552$3.7k$16k | — | — |
| MRI Abdomen with and without Contrast | $714$336$1.8k | $1,825 | $3,041 |
| MRI Brain with and without Contrast | $714$336$1.8k | $1,916 | $3,194 |
| MRI Brain with Contrast | $714$336$1.7k | $1,564 | $2,606 |
| MRI Brain without Contrast | $483$229$1.1k | $1,982 | $3,303 |
| MRI Cervical Spine (Neck) without Contrast | $483$229$1.1k | $1,855 | $3,091 |
| MRI Knee without Contrast | $483$229$1.1k | $1,765 | $2,942 |
| MRI Lower Back (Lumbar Spine) without Contrast | $483$229$1.1k | $1,855 | $3,091 |
| MRI Thoracic Spine (Mid-back) without Contrast | $483$229$1.1k | $2,648 | $4,414 |
| Newborn Circumcision | $4,981$2.0k$16k | — | — |
| Nuclear Cardiac Stress Test | $1,769$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) | $22,410$10k$454k | — | — |
| PET/CT Scan, Whole Body | $2,898$1.4k$6.8k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $148$101$302 | $415 | $691 |
| Prostate Biopsy | $2,929$873$6.9k | — | — |
| PSA Prostate Cancer Screening | $35$18$107 | $125 | $208 |
| Pulmonary Function Test with Bronchodilator | $377$296$960 | $439 | $732 |
| Rotator Cuff Repair (Arthroscopic) | $7,397$3.6k$25k | — | — |
| Screening Mammogram | $148$84$266 | $345 | $575 |
| Septoplasty (Deviated Septum Repair) | $3,380$1.9k$20k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,076$2.2k$25k | — | — |
| Skin Biopsy (Tangential) | $408$71$5.3k | $99 | $165 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,001$1.6k$6.9k | $247 | $411 |
| Sleep Study (In-lab Polysomnography) | $1,657$826$7.9k | $4,311 | $7,185 |
| Spinal Cord Stimulator Trial | $9,095$6.1k$29k | — | — |
| Spirometry (Breathing Test) | $220$177$575 | $116 | $193 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,380$2.2k$25k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,023$2.2k$16k | — | — |
| Total Hip Replacement | $20,611$12k$95k | — | — |
| Total Knee Replacement | $17,867$12k$76k | — | — |
| Total Mastectomy | $8,135$6.4k$23k | — | — |
| TSH Thyroid Function Test | $32$17$84 | $169 | $282 |
| TURP (Transurethral Prostate Resection) | $8,690$5.2k$25k | — | — |
| Umbilical Hernia Repair | $19,253$19k$20k | — | — |
| Upper GI Endoscopy (EGD) | $1,017$759$6.1k | — | — |
| 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 | $8,163$4.8k$25k | — | — |
| Vasectomy | $5,533$2.0k$16k | $1,151 | $1,919 |
| Vitamin D Blood Test | $57$30$108 | $151 | $251 |