| Abdominal Hysterectomy | $2,176$1.2k$10k | — | — |
| ACL Reconstruction (Arthroscopic) | $7,621$2.3k$13k | — | — |
| Allergy Skin Testing | $910$28$4.7k | — | — |
| Basic Metabolic Panel | $37$8$56 | $52 | $123 |
| Bone Marrow Biopsy | $1,553$141$3.0k | $3,952 | $9,410 |
| Breast Biopsy (Ultrasound-guided) | $2,786$1.3k$6.4k | $5,232 | $12,456 |
| Bunion Correction Surgery | $4,972$2.3k$10k | $4,193 | $9,983 |
| Cardiac Ablation for Atrial Fibrillation | $27,701$5.1k$106k | $30,075 | $71,606 |
| Cardiac Catheterization (Left Heart) | $5,044$3.3k$12k | $19,600 | $46,666 |
| Cardiac Stress Test (Treadmill) | $351$247$431 | — | — |
| Carpal Tunnel Release Surgery | $2,959$1.7k$7.2k | $2,532 | $6,029 |
| Cataract Surgery with Lens Implant | $3,933$2.1k$19k | — | — |
| Cervical Spinal Fusion (Anterior) | $13,542$4.7k$29k | — | — |
| Cesarean Delivery (Global Package) | $4,521$2.9k$12k | — | — |
| Chemotherapy Infusion (First Hour) | $528$332$745 | $829 | $1,973 |
| Chest X-ray (2 Views) | $287$87$439 | $178 | $423 |
| Colonoscopy with Biopsy | $2,139$948$6.3k | — | — |
| Complete Abdominal Ultrasound | $440$105$643 | $459 | $1,093 |
| Complete Blood Count (CBC) with Differential | $34$8$52 | $44 | $105 |
| Comprehensive Metabolic Panel | $46$11$70 | $65 | $154 |
| Coronary Angioplasty with Stent | $12,555$2.9k$22k | $30,794 | $73,319 |
| Critical Care, First Hour | $1,774$830$3.5k | $4,888 | $11,638 |
| CT Abdomen and Pelvis with Contrast | $972$350$1.9k | $460 | $3,694 |
| CT Cardiac Calcium Scoring | $144$47$439 | $110 | $812 |
| CT Chest without Contrast | $299$105$850 | $459 | $1,093 |
| CT Head without Contrast | $299$105$850 | $140 | $994 |
| DEXA Bone Density Scan | $150$105$304 | $383 | $913 |
| Diagnostic Colonoscopy | $1,885$934$6.3k | $1,047 | $2,493 |
| Diagnostic Mammogram (Both Breasts) | $433$105$662 | $336 | $801 |
| Ear Tube Placement (Tympanostomy) | $2,629$925$10k | — | — |
| Echocardiogram (Complete with Doppler) | $579$462$1.0k | $939 | $2,235 |
| EKG (Electrocardiogram, 12-lead) | $84$75$92 | — | — |
| Emergency Room Visit (Level 3) | $527$274$1.2k | $938 | $2,233 |
| Group Therapy Session | $107$102$125 | $49 | $117 |
| Hemodialysis Treatment | $494 | — | — |
| Hemoglobin A1c (Diabetes Test) | $42$10$65 | $51 | $121 |
| HIV Antibody Test | $39$9$59 | $75 | $178 |
| Holter Monitor (24-48 Hour Heart Monitor) | $428$308$489 | — | — |
| Home Sleep Study | $356$217$782 | — | — |
| Individual Therapy Session (45 Minutes) | $188$178$408 | $86 | $205 |
| Inguinal Hernia Repair (Open) | $5,411$2.6k$14k | $4,989 | $11,879 |
| Initial Hospital Admission (Level 1) | $476$351$537 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $188$178$634 | $86 | $205 |
| Initial Psychiatric Evaluation with Medication Management | $188$178$683 | $94 | $224 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $4,509$4.0k$5.1k | $5,223 | $12,436 |
| IUD Insertion | $115$63$2.7k | $118 | $280 |
| IUD Removal | $321$54$3.0k | $385 | $917 |
| Knee Arthroscopy with Meniscectomy | $4,561$2.6k$14k | — | — |
| Laparoscopic Appendectomy | $6,407$3.3k$13k | — | — |
| Laparoscopic Gallbladder Removal | $6,795$3.8k$17k | — | — |
| Laparoscopic Tubal Ligation | $6,789$2.8k$13k | — | — |
| Lipid Panel (Cholesterol Test) | $58$13$89 | $82 | $195 |
| Lumbar Epidural Steroid Injection | $1,188$608$3.0k | $908 | $2,161 |
| Lumbar Puncture (Spinal Tap) | $1,188$447$4.1k | $1,593 | $3,793 |
| Lumbar Spinal Fusion (Posterior) | $17,614$4.7k$29k | — | — |
| Lumpectomy (Partial Mastectomy) | $4,472$2.3k$7.2k | — | — |
| MRI Abdomen with and without Contrast | $1,119$350$2.3k | $441 | $2,954 |
| MRI Brain with and without Contrast | $1,119$350$2.3k | $2,292 | $5,456 |
| MRI Brain with Contrast | $1,042$350$1.9k | $2,733 | $6,507 |
| MRI Brain without Contrast | $670$240$1.5k | $1,383 | $6,300 |
| MRI Cervical Spine (Neck) without Contrast | $670$240$1.5k | $707 | $1,684 |
| MRI Knee without Contrast | $670$240$1.5k | $749 | $1,784 |
| MRI Lower Back (Lumbar Spine) without Contrast | $670$240$1.5k | $422 | $1,561 |
| MRI Thoracic Spine (Mid-back) without Contrast | $670$240$1.5k | $707 | $1,684 |
| Newborn Circumcision | $2,551$913$7.2k | — | — |
| Nuclear Cardiac Stress Test | $1,369$657$2.3k | $5,769 | $13,736 |
| Office Visit, Established Patient (Level 3) | $255$177$336 | — | — |
| Office Visit, New Patient (Level 3) | $380$264$497 | — | — |
| Pacemaker Insertion (Dual Chamber) | $11,392$3.2k$22k | $21,342 | $50,814 |
| PET/CT Scan, Whole Body | $2,436$201$8.6k | $8,123 | $19,340 |
| Pregnancy Ultrasound (Second or Third Trimester) | $385$105$668 | $861 | $2,049 |
| Prostate Biopsy | $3,218$1.3k$6.3k | — | — |
| PSA Prostate Cancer Screening | $80$18$122 | $97 | $230 |
| Pulmonary Function Test with Bronchodilator | $246$161$395 | $388 | $924 |
| Rotator Cuff Repair (Arthroscopic) | $7,516$2.8k$13k | — | — |
| Screening Mammogram | $358$83$547 | $337 | $802 |
| Septoplasty (Deviated Septum Repair) | $4,338$2.3k$14k | $4,007 | $9,541 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,412$2.4k$16k | — | — |
| Skin Biopsy (Tangential) | $429$116$2.7k | $255 | $606 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,330$100$4.6k | $457 | $1,089 |
| Sleep Study (In-lab Polysomnography) | $1,989$863$2.8k | $1,685 | $6,752 |
| Spinal Cord Stimulator Trial | $7,217$2.1k$17k | — | — |
| Spirometry (Breathing Test) | $266$162$721 | $352 | $839 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $4,454$1.8k$16k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,858$1.7k$10k | — | — |
| Total Hip Replacement | $12,897$1.7k$29k | — | — |
| Total Knee Replacement | $12,897$1.7k$29k | — | — |
| Total Mastectomy | $6,823$2.6k$11k | — | — |
| TSH Thyroid Function Test | $73$17$112 | $88 | $210 |
| TURP (Transurethral Prostate Resection) | $6,420$2.6k$14k | — | — |
| Umbilical Hernia Repair | $5,319$2.5k$14k | — | — |
| Upper GI Endoscopy (EGD) | $1,574$895$4.6k | $1,040 | $2,477 |
| Urinalysis with Microscopy | $14$3$21 | $24 | $57 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $4,284$2.7k$12k | — | — |
| Vaginal Delivery (Global Package) | $4,086$2.6k$12k | — | — |
| Vaginal Hysterectomy | $6,782$4.3k$17k | — | — |
| Vasectomy | $3,005$2.1k$7.2k | — | — |
| Vitamin D Blood Test | $129$30$181 | $155 | $370 |