| Abdominal Hysterectomy | $879 | — | — |
| ACL Reconstruction (Arthroscopic) | $3,465$840$4.2k | — | — |
| Allergy Skin Testing | $58$3$83 | $65 | $86 |
| Basic Metabolic Panel | $242$7$345 | $267 | $356 |
| Bone Marrow Biopsy | $1,059$100$1.6k | $1,204 | $1,605 |
| Breast Biopsy (Ultrasound-guided) | $3,703$398$5.3k | $4,084 | $5,445 |
| Bunion Correction Surgery | $1,143$735$1.4k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $70,064$795$100k | $77,276 | $103,035 |
| Cardiac Catheterization (Left Heart) | $25,110$819$36k | $27,695 | $36,926 |
| Cardiac Stress Test (Treadmill) | $61 | — | — |
| Carpal Tunnel Release Surgery | $693$384$831 | — | — |
| Cataract Surgery with Lens Implant | $892$458$1.1k | — | — |
| Cervical Spinal Fusion (Anterior) | $1,459$1.5k$7.3k | — | — |
| Cesarean Delivery (Global Package) | $2,289 | — | — |
| Chemotherapy Infusion (First Hour) | $673$100$960 | $743 | $990 |
| Chest X-ray (2 Views) | $469$28$668 | $517 | $689 |
| Colonoscopy with Biopsy | $3,525$357$5.6k | $4,346 | $5,794 |
| Complete Abdominal Ultrasound | $839$96$1.7k | $1,285 | $1,713 |
| Complete Blood Count (CBC) with Differential | $128$7$229 | $156 | $208 |
| Comprehensive Metabolic Panel | $345$9$492 | $380 | $507 |
| Coronary Angioplasty with Stent | $16,274$495$23k | $17,949 | $23,932 |
| Critical Care, First Hour | $3,811$235$5.4k | $4,204 | $5,605 |
| CT Abdomen and Pelvis with Contrast | $2,821$254$5.6k | $4,319 | $5,758 |
| CT Cardiac Calcium Scoring | $84$84$91 | — | — |
| CT Chest without Contrast | $1,486$110$2.9k | $2,274 | $3,032 |
| CT Head without Contrast | $1,949$90$3.9k | $2,983 | $3,977 |
| DEXA Bone Density Scan | $626$32$892 | $690 | $920 |
| Diagnostic Colonoscopy | $2,380$283$3.5k | $2,678 | $3,570 |
| Diagnostic Mammogram (Both Breasts) | $131 | — | — |
| Ear Tube Placement (Tympanostomy) | $590$137$3.0k | — | — |
| Echocardiogram (Complete with Doppler) | $3,117$161$4.4k | $3,438 | $4,584 |
| EKG (Electrocardiogram, 12-lead) | $12 | — | — |
| Emergency Room Visit (Level 3) | $1,112$62$1.6k | $1,226 | $1,635 |
| Group Therapy Session | $503$26$1.0k | $603 | $805 |
| Hemodialysis Treatment | $4,112$89$5.9k | $4,535 | $6,047 |
| Hemoglobin A1c (Diabetes Test) | $169$8$242 | $187 | $249 |
| HIV Antibody Test | $137$8$196 | $152 | $202 |
| Holter Monitor (24-48 Hour Heart Monitor) | $58 | — | — |
| Home Sleep Study | $81$81$1.6k | — | — |
| Individual Therapy Session (45 Minutes) | $431$95$713 | $505 | $674 |
| Inguinal Hernia Repair (Open) | $1,209$452$1.5k | — | — |
| Initial Hospital Admission (Level 1) | $71 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $426$125$607 | $470 | $626 |
| Initial Psychiatric Evaluation with Medication Management | $170 | — | — |
| IUD Insertion | $309$91$441 | $341 | $455 |
| IUD Removal | $300$52$441 | $341 | $455 |
| Knee Arthroscopy with Meniscectomy | $1,143$469$1.4k | — | — |
| Laparoscopic Appendectomy | $5,360$519$13k | — | — |
| Laparoscopic Gallbladder Removal | $1,983$570$2.6k | — | — |
| Laparoscopic Tubal Ligation | $1,983$563$2.6k | — | — |
| Lipid Panel (Cholesterol Test) | $305$12$443 | $335 | $446 |
| Lumbar Epidural Steroid Injection | $2,183$211$3.2k | $2,481 | $3,308 |
| Lumbar Puncture (Spinal Tap) | $499$122$1.0k | $796 | $1,061 |
| Lumbar Spinal Fusion (Posterior) | $1,358$1.4k$7.4k | — | — |
| Lumpectomy (Partial Mastectomy) | $1,012$567$1.4k | — | — |
| MRI Abdomen with and without Contrast | $2,802$284$5.5k | $4,289 | $5,718 |
| MRI Brain with and without Contrast | $2,802$269$5.5k | $4,289 | $5,718 |
| MRI Brain with Contrast | $3,447$228$4.9k | $3,802 | $5,069 |
| MRI Brain without Contrast | $2,050$166$4.0k | $3,055 | $4,073 |
| MRI Cervical Spine (Neck) without Contrast | $2,211$161$4.4k | $3,384 | $4,512 |
| MRI Knee without Contrast | $2,499$171$4.9k | $3,825 | $5,100 |
| MRI Lower Back (Lumbar Spine) without Contrast | $2,025$162$3.9k | $3,015 | $4,020 |
| MRI Thoracic Spine (Mid-back) without Contrast | $2,243$161$4.4k | $3,434 | $4,578 |
| Newborn Circumcision | $1,746$126$3.3k | $2,567 | $3,423 |
| Nuclear Cardiac Stress Test | $3,279$346$4.7k | $3,617 | $4,822 |
| Office Visit, Established Patient (Level 3) | $210$50$300 | $232 | $309 |
| Office Visit, New Patient (Level 3) | $486$96$694 | $536 | $715 |
| Pacemaker Insertion (Dual Chamber) | $11,204$436$18k | $13,670 | $18,226 |
| PET/CT Scan, Whole Body | $5,649$1.3k$8.1k | $6,230 | $8,307 |
| Pregnancy Ultrasound (Second or Third Trimester) | $112$110$112 | — | — |
| Prostate Biopsy | $685$202$862 | — | — |
| PSA Prostate Cancer Screening | $214$16$305 | $236 | $314 |
| Pulmonary Function Test with Bronchodilator | $672$32$958 | $741 | $988 |
| Rotator Cuff Repair (Arthroscopic) | $2,518$921$3.2k | — | — |
| Screening Mammogram | $106 | — | — |
| Septoplasty (Deviated Septum Repair) | $931$566$1.3k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $1,712$278$2.2k | — | — |
| Skin Biopsy (Tangential) | $404$82$576 | $446 | $594 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,470$77$2.2k | $1,670 | $2,227 |
| Sleep Study (In-lab Polysomnography) | $3,468$515$6.9k | $5,309 | $7,078 |
| Spinal Cord Stimulator Trial | $3,839$1.8k$4.6k | — | — |
| Spirometry (Breathing Test) | $403$23$574 | $444 | $592 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $931$263$1.3k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $2,620$252$5.8k | — | — |
| Total Hip Replacement | $1,106 | — | — |
| Total Knee Replacement | $1,104 | — | — |
| Total Mastectomy | $1,937$825$2.4k | — | — |
| TSH Thyroid Function Test | $364$14$520 | $402 | $536 |
| TURP (Transurethral Prostate Resection) | $1,774$630$2.3k | — | — |
| Upper GI Endoscopy (EGD) | $2,848$237$4.5k | $3,474 | $4,632 |
| Urinalysis with Microscopy | $137$3$196 | $152 | $202 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,158 | — | — |
| Vaginal Delivery (Global Package) | $2,063 | — | — |
| Vaginal Hysterectomy | $723$723$1.6k | — | — |
| Vasectomy | $685$280$862 | — | — |
| Vitamin D Blood Test | $184$25$410 | $251 | $334 |