| Abdominal Hysterectomy | $2,234$1.2k$11k | — | — |
| ACL Reconstruction (Arthroscopic) | $9,026$2.3k$15k | — | — |
| Allergy Skin Testing | $4,036$3.1k$4.7k | — | — |
| Basic Metabolic Panel | $40$18$42 | $52 | $123 |
| Bone Marrow Biopsy | $240$139$3.3k | $3,952 | $9,410 |
| Breast Biopsy (Ultrasound-guided) | $2,924$1.2k$6.1k | $5,232 | $12,456 |
| Bunion Correction Surgery | $5,831$2.3k$11k | $4,193 | $9,983 |
| Cardiac Ablation for Atrial Fibrillation | $43,527$8.1k$106k | $30,075 | $71,606 |
| Cardiac Catheterization (Left Heart) | $6,070$3.0k$11k | $19,600 | $46,666 |
| Cardiac Stress Test (Treadmill) | $322$247$377 | — | — |
| Carpal Tunnel Release Surgery | $3,662$1.6k$7.0k | $2,532 | $6,029 |
| Cataract Surgery with Lens Implant | $4,307$2.1k$21k | — | — |
| Cervical Spinal Fusion (Anterior) | $17,837$7.3k$29k | — | — |
| Cesarean Delivery (Global Package) | $5,143$2.8k$6.1k | — | — |
| Chemotherapy Infusion (First Hour) | $635$488$745 | $829 | $1,973 |
| Chest X-ray (2 Views) | $392$248$439 | $178 | $423 |
| Colonoscopy with Biopsy | $2,150$932$7.0k | — | — |
| Complete Abdominal Ultrasound | $550$334$616 | $459 | $1,093 |
| Complete Blood Count (CBC) with Differential | $37$17$38 | $44 | $105 |
| Comprehensive Metabolic Panel | $50$23$52 | $65 | $154 |
| Coronary Angioplasty with Stent | $16,797$7.3k$25k | $30,794 | $73,319 |
| Critical Care, First Hour | $2,960$2.3k$3.5k | $4,464 | $10,628 |
| CT Abdomen and Pelvis with Contrast | $1,806$932$2.4k | $460 | $3,694 |
| CT Cardiac Calcium Scoring | $348$101$439 | $341 | $812 |
| CT Chest without Contrast | $530$273$765 | $300 | $1,093 |
| CT Head without Contrast | $530$273$765 | $140 | $994 |
| DEXA Bone Density Scan | $150$134$334 | $383 | $913 |
| Diagnostic Colonoscopy | $1,925$932$7.0k | $1,047 | $2,493 |
| Diagnostic Mammogram (Both Breasts) | $591$375$662 | $336 | $801 |
| Ear Tube Placement (Tympanostomy) | $2,874$1.5k$11k | — | — |
| Echocardiogram (Complete with Doppler) | $602$462$706 | $939 | $2,235 |
| EKG (Electrocardiogram, 12-lead) | $84$75$85 | — | — |
| Emergency Room Visit (Level 3) | $992$762$1.2k | $856 | $2,039 |
| Group Therapy Session | — | $49 | $117 |
| Hemoglobin A1c (Diabetes Test) | $46$21$48 | $51 | $121 |
| HIV Antibody Test | $42$19$44 | $75 | $178 |
| Holter Monitor (24-48 Hour Heart Monitor) | $402$308$471 | — | — |
| Home Sleep Study | $398$306$468 | — | — |
| Individual Therapy Session (45 Minutes) | — | $86 | $205 |
| Inguinal Hernia Repair (Open) | $6,623$2.6k$16k | $4,989 | $11,879 |
| Initial Hospital Admission (Level 1) | $458$351$537 | — | — |
| Initial Psychiatric Diagnostic Evaluation | — | $86 | $205 |
| Initial Psychiatric Evaluation with Medication Management | — | $94 | $224 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $4,509$4.0k$5.1k | $5,223 | $12,436 |
| IUD Insertion | $118$62$3.3k | $118 | $280 |
| IUD Removal | $111$53$3.3k | $385 | $917 |
| Knee Arthroscopy with Meniscectomy | $5,831$2.5k$16k | — | — |
| Laparoscopic Appendectomy | $7,471$4.5k$12k | — | — |
| Laparoscopic Gallbladder Removal | $8,707$4.5k$12k | — | — |
| Laparoscopic Tubal Ligation | $8,271$2.8k$12k | — | — |
| Lipid Panel (Cholesterol Test) | $64$29$66 | $82 | $195 |
| Lumbar Epidural Steroid Injection | $1,331$598$3.3k | $908 | $2,161 |
| Lumbar Puncture (Spinal Tap) | $1,331$440$4.6k | $1,593 | $3,793 |
| Lumbar Spinal Fusion (Posterior) | $17,837$7.3k$29k | — | — |
| Lumpectomy (Partial Mastectomy) | $6,453$2.3k$7.6k | — | — |
| MRI Abdomen with and without Contrast | $1,875$932$3.1k | $1,241 | $2,954 |
| MRI Brain with and without Contrast | $1,875$932$3.1k | $495 | $5,456 |
| MRI Brain with Contrast | $1,806$932$2.7k | $2,733 | $6,507 |
| MRI Brain without Contrast | $1,144$569$1.8k | $690 | $6,300 |
| MRI Cervical Spine (Neck) without Contrast | $1,144$569$1.8k | $707 | $1,684 |
| MRI Knee without Contrast | $1,144$569$1.8k | $749 | $1,784 |
| MRI Lower Back (Lumbar Spine) without Contrast | $1,144$569$1.8k | $656 | $1,561 |
| MRI Thoracic Spine (Mid-back) without Contrast | $1,144$569$1.8k | $707 | $1,684 |
| Newborn Circumcision | $3,322$1.0k$4.5k | — | — |
| Nuclear Cardiac Stress Test | $2,010$1.4k$2.6k | $5,769 | $13,736 |
| Office Visit, Established Patient (Level 3) | $230$177$270 | — | — |
| Office Visit, New Patient (Level 3) | $344$264$404 | — | — |
| Pacemaker Insertion (Dual Chamber) | $16,562$8.1k$26k | $21,342 | $50,814 |
| PET/CT Scan, Whole Body | $3,356$433$6.8k | $8,123 | $19,340 |
| Pregnancy Ultrasound (Second or Third Trimester) | $449$334$503 | $861 | $2,049 |
| Prostate Biopsy | $3,773$1.7k$7.0k | — | — |
| PSA Prostate Cancer Screening | $88$40$90 | $97 | $230 |
| Pulmonary Function Test with Bronchodilator | $210$161$246 | $388 | $924 |
| Rotator Cuff Repair (Arthroscopic) | $8,959$2.8k$15k | — | — |
| Screening Mammogram | $488$310$547 | $163 | $802 |
| Septoplasty (Deviated Septum Repair) | $5,579$2.3k$16k | $4,007 | $9,541 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $8,271$2.8k$18k | — | — |
| Skin Biopsy (Tangential) | $191$161$3.3k | $255 | $606 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $189$98$6.1k | $457 | $1,089 |
| Sleep Study (In-lab Polysomnography) | $2,224$1.7k$2.6k | $1,685 | $6,752 |
| Spinal Cord Stimulator Trial | $7,034$2.1k$16k | — | — |
| Spirometry (Breathing Test) | $614$472$721 | $352 | $839 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $5,579$2.3k$18k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,469$2.3k$12k | — | — |
| Total Hip Replacement | $9,496$1.7k$29k | — | — |
| Total Knee Replacement | $9,496$1.7k$29k | — | — |
| Total Mastectomy | $7,816$2.6k$13k | — | — |
| TSH Thyroid Function Test | $80$37$82 | $88 | $210 |
| TURP (Transurethral Prostate Resection) | $7,816$2.6k$16k | — | — |
| Umbilical Hernia Repair | $6,623$2.6k$16k | — | — |
| Upper GI Endoscopy (EGD) | $1,674$880$4.6k | $1,040 | $2,477 |
| Urinalysis with Microscopy | $15$7$16 | $24 | $57 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $4,868$2.7k$5.8k | — | — |
| Vaginal Delivery (Global Package) | $4,639$2.6k$5.5k | — | — |
| Vaginal Hysterectomy | $8,685$4.7k$11k | — | — |
| Vasectomy | $3,773$2.1k$6.1k | — | — |
| Vitamin D Blood Test | $141$65$145 | $155 | $370 |