| Abdominal Hysterectomy | $2,989$2.8k$3.0k | — | — |
| ACL Reconstruction (Arthroscopic) | $10,934$3.5k$17k | — | — |
| Allergy Skin Testing | $1,911$955$3.2k | — | — |
| Basic Metabolic Panel | $20$8$320 | $180 | $360 |
| Bone Marrow Biopsy | $2,480$101$3.8k | $1,952 | $3,903 |
| Breast Biopsy (Ultrasound-guided) | $3,495$511$8.1k | $4,566 | $9,132 |
| Bunion Correction Surgery | $4,966$1.1k$7.8k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $47,655$10k$64k | $36,103 | $72,205 |
| Cardiac Catheterization (Left Heart) | $7,550$2.6k$17k | $9,345 | $18,690 |
| Cardiac Stress Test (Treadmill) | $254$242$254 | — | — |
| Carpal Tunnel Release Surgery | $2,989$693$4.9k | — | — |
| Cataract Surgery with Lens Implant | $3,491$892$5.8k | — | — |
| Cervical Spinal Fusion (Anterior) | $19,693$7.3k$34k | — | — |
| Cesarean Delivery (Global Package) | $6,882$6.5k$6.9k | — | — |
| Chemotherapy Infusion (First Hour) | $608$117$1.1k | $508 | $1,015 |
| Chest X-ray (2 Views) | $172$35$659 | $370 | $740 |
| Colonoscopy with Biopsy | $1,805$451$2.9k | — | — |
| Complete Abdominal Ultrasound | $250$100$1.8k | $993 | $1,985 |
| Complete Blood Count (CBC) with Differential | $18$8$283 | $159 | $318 |
| Comprehensive Metabolic Panel | $25$11$860 | $483 | $966 |
| Coronary Angioplasty with Stent | $21,297$4.4k$30k | $15,709 | $31,417 |
| Critical Care, First Hour | $1,261$218$3.1k | $786 | $1,571 |
| CT Abdomen and Pelvis with Contrast | $812$334$5.0k | $2,829 | $5,657 |
| CT Cardiac Calcium Scoring | $172$45$286 | $161 | $321 |
| CT Chest without Contrast | $250$100$4.6k | $2,565 | $5,129 |
| CT Head without Contrast | $232$100$3.5k | $1,966 | $3,931 |
| DEXA Bone Density Scan | $187$40$1.0k | $569 | $1,137 |
| Diagnostic Colonoscopy | $1,395$345$2.2k | — | — |
| Diagnostic Mammogram (Both Breasts) | $256$102$842 | $473 | $946 |
| Ear Tube Placement (Tympanostomy) | $2,267$442$3.8k | — | — |
| Echocardiogram (Complete with Doppler) | $1,030$453$4.4k | $2,460 | $4,920 |
| EKG (Electrocardiogram, 12-lead) | $58$56$58 | — | — |
| Emergency Room Visit (Level 3) | $650$215$1.4k | $775 | $1,550 |
| Group Therapy Session | $148$28$534 | $101 | $201 |
| Hemoglobin A1c (Diabetes Test) | $23$10$244 | $137 | $274 |
| HIV Antibody Test | $21$9$381 | $214 | $428 |
| Holter Monitor (24-48 Hour Heart Monitor) | $318$302$318 | — | — |
| Home Sleep Study | $367$136$1.1k | $549 | $1,099 |
| Individual Therapy Session (45 Minutes) | $246$151$377 | — | — |
| Inguinal Hernia Repair (Open) | $5,401$1.2k$8.9k | — | — |
| Initial Hospital Admission (Level 1) | $362$344$362 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $302$63$405 | $228 | $455 |
| Initial Psychiatric Evaluation with Medication Management | $302$63$405 | $228 | $455 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,358$443$3.1k | $1,593 | $3,185 |
| IUD Insertion | $158$150$158 | — | — |
| IUD Removal | $447$54$714 | $332 | $663 |
| Knee Arthroscopy with Meniscectomy | $4,966$1.1k$7.8k | — | — |
| Laparoscopic Appendectomy | $10,957$5.5k$14k | — | — |
| Laparoscopic Gallbladder Removal | $8,930$2.0k$14k | — | — |
| Laparoscopic Tubal Ligation | $8,930$2.0k$14k | — | — |
| Lipid Panel (Cholesterol Test) | $31$13$448 | $252 | $503 |
| Lumbar Epidural Steroid Injection | $1,398$276$2.9k | $1,318 | $2,636 |
| Lumbar Puncture (Spinal Tap) | $1,219$245$1.8k | $881 | $1,762 |
| Lumbar Spinal Fusion (Posterior) | $28,147$7.4k$43k | — | — |
| Lumpectomy (Partial Mastectomy) | $5,861$1.0k$9.0k | — | — |
| MRI Abdomen with and without Contrast | $838$335$7.8k | $4,406 | $8,811 |
| MRI Brain with and without Contrast | $1,585$335$8.5k | $3,437 | $6,874 |
| MRI Brain with Contrast | $838$297$6.1k | $3,408 | $6,816 |
| MRI Brain without Contrast | $567$214$5.0k | $2,782 | $5,564 |
| MRI Cervical Spine (Neck) without Contrast | $567$208$4.9k | $2,734 | $5,467 |
| MRI Knee without Contrast | $967$221$5.3k | $2,975 | $5,949 |
| MRI Lower Back (Lumbar Spine) without Contrast | $967$209$5.7k | $2,615 | $5,229 |
| MRI Thoracic Spine (Mid-back) without Contrast | $967$208$5.0k | $2,367 | $4,733 |
| Newborn Circumcision | $3,135$685$5.0k | — | — |
| Nuclear Cardiac Stress Test | $2,225$489$6.0k | $3,397 | $6,794 |
| Office Visit, Established Patient (Level 3) | $263$49$688 | $281 | $562 |
| Office Visit, New Patient (Level 3) | $535$113$721 | $405 | $810 |
| Pacemaker Insertion (Dual Chamber) | $20,390$5.5k$35k | $19,931 | $39,862 |
| PET/CT Scan, Whole Body | $3,295$599$6.3k | $3,249 | $6,498 |
| Pregnancy Ultrasound (Second or Third Trimester) | $250$100$2.4k | $1,328 | $2,655 |
| Prostate Biopsy | $3,991$685$5.6k | $3,150 | $6,300 |
| PSA Prostate Cancer Screening | $43$18$381 | $214 | $428 |
| Pulmonary Function Test with Bronchodilator | $585$158$1.2k | $674 | $1,348 |
| Rotator Cuff Repair (Arthroscopic) | $10,934$2.5k$17k | — | — |
| Screening Mammogram | $212$85$671 | $377 | $754 |
| Septoplasty (Deviated Septum Repair) | $4,964$931$7.6k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $10,595$1.7k$16k | — | — |
| Skin Biopsy (Tangential) | $252$67$466 | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,054$78$3.8k | — | — |
| Sleep Study (In-lab Polysomnography) | $2,388$767$5.4k | $2,905 | $5,809 |
| Spinal Cord Stimulator Trial | $10,045$3.8k$18k | — | — |
| Spirometry (Breathing Test) | $367$147$959 | $539 | $1,078 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $4,964$931$7.6k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $9,054$2.1k$14k | — | — |
| Total Hip Replacement | $24,163$12k$34k | — | — |
| Total Knee Replacement | $24,163$12k$34k | — | — |
| Total Mastectomy | $9,981$1.9k$15k | — | — |
| TSH Thyroid Function Test | $39$17$523 | $294 | $588 |
| TURP (Transurethral Prostate Resection) | $7,781$1.8k$12k | — | — |
| Umbilical Hernia Repair | $8,862$8.4k$8.9k | — | — |
| Upper GI Endoscopy (EGD) | $1,435$352$2.2k | — | — |
| Urinalysis with Microscopy | $7$3$205 | $115 | $230 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $6,513$6.2k$6.5k | — | — |
| Vaginal Delivery (Global Package) | $6,207$5.9k$6.2k | — | — |
| Vaginal Hysterectomy | $7,555$1.6k$12k | — | — |
| Vasectomy | $3,135$685$5.0k | — | — |
| Vitamin D Blood Test | $61$30$325 | $183 | $365 |