| Abdominal Hysterectomy | $5,180$1.6k$16k | — | — |
| ACL Reconstruction (Arthroscopic) | $6,764$66$12k | $6,243 | $10,406 |
| Allergy Skin Testing | $15$3$1.6k | $14 | $24 |
| Basic Metabolic Panel | $41$8$181 | $145 | $241 |
| Bone Marrow Biopsy | $1,061$66$3.5k | $1,059 | $1,765 |
| Breast Biopsy (Ultrasound-guided) | $2,031$66$5.3k | $2,553 | $4,254 |
| Bunion Correction Surgery | $3,697$66$8.4k | $4,033 | $6,721 |
| Cardiac Ablation for Atrial Fibrillation | $26,987$1.5k$71k | $36,479 | $60,798 |
| Cardiac Catheterization (Left Heart) | $7,438$2.8k$19k | $15,464 | $25,774 |
| Carpal Tunnel Release Surgery | $2,940$66$6.3k | $5,074 | $8,457 |
| Cataract Surgery with Lens Implant | $2,364$66$12k | $2,352 | $3,920 |
| Cervical Spinal Fusion (Anterior) | $8,768$66$21k | $7,024 | $11,706 |
| Cesarean Delivery (Global Package) | $3,598$66$7.0k | $4,156 | $6,927 |
| Chemotherapy Infusion (First Hour) | $488$159$3.5k | $793 | $1,322 |
| Chest X-ray (2 Views) | $251$34$432 | $316 | $527 |
| Colonoscopy with Biopsy | $1,486$429$5.0k | — | — |
| Complete Abdominal Ultrasound | $405$96$828 | $662 | $1,103 |
| Complete Blood Count (CBC) with Differential | $38$7$104 | $83 | $139 |
| Comprehensive Metabolic Panel | $52$10$186 | $149 | $248 |
| Coronary Angioplasty with Stent | $11,753$2.4k$31k | $12,159 | $20,265 |
| Critical Care, First Hour | $2,201$567$10k | $2,835 | $4,726 |
| CT Abdomen and Pelvis with Contrast | $1,506$318$4.4k | $3,525 | $5,875 |
| CT Cardiac Calcium Scoring | $236$79$1.7k | $218 | $363 |
| CT Chest without Contrast | $643$96$1.7k | $1,364 | $2,274 |
| CT Head without Contrast | $689$96$1.9k | $1,532 | $2,554 |
| DEXA Bone Density Scan | $184$38$461 | $369 | $615 |
| Diagnostic Colonoscopy | $1,131$329$5.0k | — | — |
| Diagnostic Mammogram (Both Breasts) | $329$63$462 | $315 | $525 |
| Ear Tube Placement (Tympanostomy) | $2,247$66$8.4k | $3,150 | $5,250 |
| Echocardiogram (Complete with Doppler) | $779$385$3.2k | $2,590 | $4,316 |
| EKG (Electrocardiogram, 12-lead) | $143$29$892 | $143 | $238 |
| Emergency Room Visit (Level 3) | $828$164$2.7k | $821 | $1,368 |
| Group Therapy Session | $134$29$321 | $146 | $244 |
| Hemoglobin A1c (Diabetes Test) | $47$9$100 | $80 | $133 |
| HIV Antibody Test | $43$8$146 | $117 | $195 |
| Home Sleep Study | $352$136$2.0k | $1,032 | $1,719 |
| Individual Therapy Session (45 Minutes) | $181$46$287 | $229 | $382 |
| Inguinal Hernia Repair (Open) | $4,602$66$10k | $6,211 | $10,351 |
| Initial Psychiatric Diagnostic Evaluation | $253$68$427 | $342 | $570 |
| Initial Psychiatric Evaluation with Medication Management | $276$75$466 | $373 | $621 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $2,398$512$4.6k | $3,054 | $5,090 |
| IUD Insertion | $96$21$7.0k | $105 | $175 |
| IUD Removal | $399$51$3.5k | $530 | $883 |
| Knee Arthroscopy with Meniscectomy | $4,360$66$12k | $5,896 | $9,827 |
| Laparoscopic Appendectomy | $6,625$5.0k$15k | — | — |
| Laparoscopic Gallbladder Removal | $7,154$1.9k$15k | — | — |
| Laparoscopic Tubal Ligation | $7,073$66$12k | $8,608 | $14,346 |
| Lipid Panel (Cholesterol Test) | $27$5$170 | $28 | $47 |
| Lumbar Epidural Steroid Injection | $1,420$66$3.5k | $1,967 | $3,279 |
| Lumbar Puncture (Spinal Tap) | $805$66$3.1k | $1,051 | $1,751 |
| Lumbar Spinal Fusion (Posterior) | $6,786$66$28k | $5,429 | $9,048 |
| Lumpectomy (Partial Mastectomy) | $3,988$66$8.4k | $3,988 | $6,646 |
| MRI Abdomen with and without Contrast | $1,643$334$3.5k | $2,835 | $4,725 |
| MRI Brain with and without Contrast | $1,688$333$4.0k | $3,223 | $5,371 |
| MRI Brain with Contrast | $1,643$283$2.6k | $2,003 | $3,339 |
| MRI Brain without Contrast | $1,133$204$2.6k | $2,093 | $3,488 |
| MRI Cervical Spine (Neck) without Contrast | $1,147$198$2.7k | $2,147 | $3,578 |
| MRI Knee without Contrast | $1,107$211$2.6k | $1,999 | $3,332 |
| MRI Lower Back (Lumbar Spine) without Contrast | $1,140$199$2.6k | $2,119 | $3,531 |
| MRI Thoracic Spine (Mid-back) without Contrast | $1,103$198$2.6k | $1,984 | $3,307 |
| Newborn Circumcision | $2,045$66$4.9k | $2,045 | $3,408 |
| Nuclear Cardiac Stress Test | $2,176$438$5.0k | $4,016 | $6,694 |
| Pacemaker Insertion (Dual Chamber) | $14,813$1.5k$24k | $19,321 | $32,201 |
| PET/CT Scan, Whole Body | $4,909$1.4k$6.7k | $5,355 | $8,925 |
| Pregnancy Ultrasound (Second or Third Trimester) | $343$96$755 | $604 | $1,007 |
| Prostate Biopsy | $2,572$66$4.0k | $2,806 | $4,677 |
| PSA Prostate Cancer Screening | $89$17$160 | $128 | $213 |
| Pulmonary Function Test with Bronchodilator | $351$124$775 | $620 | $1,033 |
| Rotator Cuff Repair (Arthroscopic) | $6,218$66$12k | $4,670 | $7,783 |
| Screening Mammogram | $239$44$382 | $221 | $368 |
| Septoplasty (Deviated Septum Repair) | $3,347$66$10k | $3,330 | $5,550 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $5,180$66$12k | $3,306 | $5,509 |
| Skin Biopsy (Tangential) | $271$64$7.0k | $375 | $626 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,554$66$3.7k | $1,808 | $3,014 |
| Sleep Study (In-lab Polysomnography) | $1,441$863$5.4k | $4,314 | $7,190 |
| Spinal Cord Stimulator Trial | $7,508$66$11k | $8,481 | $14,135 |
| Spirometry (Breathing Test) | $303$100$625 | $500 | $833 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,654$66$12k | $3,780 | $6,300 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,250$66$8.8k | $4,784 | $7,973 |
| Total Hip Replacement | $13,847$5.4k$21k | — | — |
| Total Knee Replacement | $13,847$5.4k$21k | — | — |
| Total Mastectomy | $5,966$66$10k | $5,872 | $9,787 |
| TSH Thyroid Function Test | $39$7$167 | $85 | $141 |
| TURP (Transurethral Prostate Resection) | $6,038$66$10k | $7,666 | $12,777 |
| Umbilical Hernia Repair | $4,615$66$7.6k | $5,387 | $8,979 |
| Upper GI Endoscopy (EGD) | $1,163$335$3.7k | — | — |
| Urinalysis with Microscopy | $15$3$90 | $72 | $120 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $7,006$66$10.0k | $7,971 | $13,284 |
| Vaginal Delivery (Global Package) | $2,457$66$7.0k | $2,680 | $4,467 |
| Vaginal Hysterectomy | $5,566$66$15k | $6,072 | $10,121 |
| Vasectomy | $2,786$66$5.7k | $4,575 | $7,626 |
| Vitamin D Blood Test | $140$28$241 | $192 | $321 |