| Abdominal Hysterectomy | $7,942$608$17k | — | — |
| ACL Reconstruction (Arthroscopic) | $7,417$2.5k$15k | — | — |
| Allergy Skin Testing | $936$863$2.8k | — | — |
| Basic Metabolic Panel | $9$8$35 | $562 | $1,124 |
| Bone Marrow Biopsy | $2,052$65$7.5k | $1,940 | $3,880 |
| Breast Biopsy (Ultrasound-guided) | $1,825$796$7.5k | $7,744 | $15,488 |
| Bunion Correction Surgery | $3,616$1.6k$8.3k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $28,095$12k$64k | $29,643 | $59,285 |
| Cardiac Catheterization (Left Heart) | $5,308$3.3k$17k | $5,951 | $11,901 |
| Cardiac Stress Test (Treadmill) | $176$126$226 | — | — |
| Carpal Tunnel Release Surgery | $3,081$997$5.9k | — | — |
| Cataract Surgery with Lens Implant | $4,521$1.2k$12k | — | — |
| Cervical Spinal Fusion (Anterior) | $13,284$6.9k$26k | — | — |
| Cesarean Delivery (Global Package) | $6,543$1.4k$7.5k | — | — |
| Chemotherapy Infusion (First Hour) | $352$249$664 | $838 | $1,675 |
| Chest X-ray (2 Views) | $93$87$316 | $998 | $1,996 |
| Colonoscopy with Biopsy | $2,214$582$5.5k | $896 | $1,791 |
| Complete Abdominal Ultrasound | $205$105$707 | $2,662 | $5,323 |
| Complete Blood Count (CBC) with Differential | $13$8$96 | $139 | $279 |
| Comprehensive Metabolic Panel | $11$11$44 | $573 | $1,145 |
| Coronary Angioplasty with Stent | $12,409$7.0k$31k | $13,590 | $27,180 |
| Critical Care, First Hour | $880$830$1.7k | $4,149 | $8,298 |
| CT Abdomen and Pelvis with Contrast | $478$350$2.8k | $2,362 | $4,724 |
| CT Cardiac Calcium Scoring | $119$87$316 | $190 | $379 |
| CT Chest without Contrast | $143$105$814 | $1,089 | $2,177 |
| CT Head without Contrast | $143$105$814 | $1,120 | $2,240 |
| DEXA Bone Density Scan | $114$75$210 | $638 | $1,276 |
| Diagnostic Colonoscopy | $1,822$443$5.5k | $866 | $1,732 |
| Diagnostic Mammogram (Both Breasts) | $143$105$477 | $1,763 | $3,526 |
| Ear Tube Placement (Tympanostomy) | $2,753$783$6.3k | — | — |
| Echocardiogram (Complete with Doppler) | $571$236$1.1k | $3,340 | $6,680 |
| EKG (Electrocardiogram, 12-lead) | $50$28$72 | — | — |
| Emergency Room Visit (Level 3) | $291$274$548 | $1,218 | $2,435 |
| Group Therapy Session | — | $594 | $1,188 |
| Hemoglobin A1c (Diabetes Test) | $16$10$120 | $248 | $496 |
| HIV Antibody Test | $14$9$110 | $224 | $447 |
| Holter Monitor (24-48 Hour Heart Monitor) | $220$157$282 | — | — |
| Home Sleep Study | $230$156$434 | $1,511 | $3,022 |
| Individual Therapy Session (45 Minutes) | $189$178$357 | — | — |
| Inguinal Hernia Repair (Open) | $4,055$1.8k$8.3k | $7,802 | $15,604 |
| Initial Hospital Admission (Level 1) | $250$179$322 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $189$178$357 | $1,120 | $2,239 |
| Initial Psychiatric Evaluation with Medication Management | $189$178$357 | $969 | $1,937 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $3,309$1.9k$4.8k | $5,019 | $10,038 |
| IUD Insertion | $222$32$7.5k | — | — |
| IUD Removal | $499$30$7.5k | $640 | $1,279 |
| Knee Arthroscopy with Meniscectomy | $4,055$1.6k$8.1k | — | — |
| Laparoscopic Appendectomy | $6,437$2.8k$12k | $13,547 | $27,093 |
| Laparoscopic Gallbladder Removal | $7,391$2.8k$12k | — | — |
| Laparoscopic Tubal Ligation | $6,498$2.8k$12k | — | — |
| Lipid Panel (Cholesterol Test) | $22$13$165 | $251 | $503 |
| Lumbar Epidural Steroid Injection | $780$363$7.5k | $1,676 | $3,351 |
| Lumbar Puncture (Spinal Tap) | $1,383$363$4.1k | $1,361 | $2,721 |
| Lumbar Spinal Fusion (Posterior) | $17,922$6.9k$35k | — | — |
| Lumpectomy (Partial Mastectomy) | $4,169$1.8k$7.9k | — | — |
| MRI Abdomen with and without Contrast | $478$350$2.8k | $1,225 | $2,450 |
| MRI Brain with and without Contrast | $478$350$2.8k | $1,616 | $3,231 |
| MRI Brain with Contrast | $478$350$2.8k | $1,470 | $2,939 |
| MRI Brain without Contrast | $327$240$1.7k | $1,336 | $2,671 |
| MRI Cervical Spine (Neck) without Contrast | $327$240$1.7k | $1,408 | $2,815 |
| MRI Knee without Contrast | $327$240$1.7k | $1,244 | $2,487 |
| MRI Lower Back (Lumbar Spine) without Contrast | $327$240$1.7k | $1,056 | $2,112 |
| MRI Thoracic Spine (Mid-back) without Contrast | $327$240$1.7k | $947 | $1,893 |
| Newborn Circumcision | $2,221$1.0k$5.9k | $314 | $628 |
| Nuclear Cardiac Stress Test | $1,370$999$2.6k | $8,153 | $16,306 |
| Office Visit, Established Patient (Level 3) | $126$90$162 | $205 | $409 |
| Office Visit, New Patient (Level 3) | $188$135$242 | $272 | $544 |
| Pacemaker Insertion (Dual Chamber) | $11,392$5.9k$21k | $11,095 | $22,189 |
| PET/CT Scan, Whole Body | $1,559$1.4k$10.0k | $4,707 | $9,414 |
| Pregnancy Ultrasound (Second or Third Trimester) | $205$105$753 | $2,317 | $4,633 |
| Prostate Biopsy | $3,695$1.0k$5.5k | $3,040 | $6,079 |
| PSA Prostate Cancer Screening | $30$18$227 | $195 | $390 |
| Pulmonary Function Test with Bronchodilator | $390$82$750 | $844 | $1,687 |
| Rotator Cuff Repair (Arthroscopic) | $7,472$3.5k$15k | — | — |
| Screening Mammogram | $113$83$394 | $716 | $1,431 |
| Septoplasty (Deviated Septum Repair) | $4,055$1.5k$7.8k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,231$3.2k$14k | — | — |
| Skin Biopsy (Tangential) | $437$44$7.5k | $2,326 | $4,652 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,052$51$7.5k | $2,146 | $4,292 |
| Sleep Study (In-lab Polysomnography) | $914$863$1.7k | $6,192 | $12,384 |
| Spinal Cord Stimulator Trial | $6,850$2.2k$13k | $12,240 | $24,479 |
| Spirometry (Breathing Test) | $235$217$434 | $964 | $1,927 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $4,256$1.5k$8.9k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,036$2.5k$12k | — | — |
| Total Hip Replacement | $13,899$6.9k$26k | — | — |
| Total Knee Replacement | $13,899$6.9k$26k | — | — |
| Total Mastectomy | $6,837$3.0k$13k | — | — |
| TSH Thyroid Function Test | $27$17$207 | $186 | $373 |
| TURP (Transurethral Prostate Resection) | $5,494$2.5k$11k | — | — |
| Umbilical Hernia Repair | $4,292$3.1k$7.8k | — | — |
| Upper GI Endoscopy (EGD) | $1,650$456$4.1k | $658 | $1,316 |
| Urinalysis with Microscopy | $5$3$39 | $273 | $546 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $6,389$1.3k$7.5k | — | — |
| Vaginal Delivery (Global Package) | $6,261$1.3k$7.5k | — | — |
| Vaginal Hysterectomy | $7,429$2.5k$14k | — | — |
| Vasectomy | $3,081$1.0k$5.9k | — | — |
| Vitamin D Blood Test | $48$30$335 | $164 | $328 |