| Abdominal Hysterectomy | $16,996$5.2k$19k | — | — |
| ACL Reconstruction (Arthroscopic) | $16,586$5.2k$29k | — | — |
| Allergy Skin Testing | $880$855$3.4k | — | — |
| Basic Metabolic Panel | $9$8$62 | $122 | $243 |
| Bone Marrow Biopsy | $3,435$1.6k$6.5k | $1,253 | $2,505 |
| Breast Biopsy (Ultrasound-guided) | $5,195$1.6k$6.5k | $3,120 | $6,240 |
| Bunion Correction Surgery | $8,413$3.3k$19k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $26,714$16k$103k | $16,896 | $33,791 |
| Cardiac Catheterization (Left Heart) | $8,359$3.2k$24k | $12,858 | $25,716 |
| Carpal Tunnel Release Surgery | $5,745$1.9k$14k | — | — |
| Cataract Surgery with Lens Implant | $8,470$2.3k$14k | — | — |
| Cervical Spinal Fusion (Anterior) | $19,698$5.2k$51k | — | — |
| Cesarean Delivery (Global Package) | $5,220 | — | — |
| Chemotherapy Infusion (First Hour) | $340$329$1.3k | $738 | $1,475 |
| Chest X-ray (2 Views) | $277$40$344 | $282 | $563 |
| Colonoscopy with Biopsy | $4,392$1.2k$5.8k | — | — |
| Complete Abdominal Ultrasound | $371$104$537 | $869 | $1,737 |
| Complete Blood Count (CBC) with Differential | $8$8$57 | $53 | $106 |
| Comprehensive Metabolic Panel | $11$11$78 | $247 | $493 |
| Coronary Angioplasty with Stent | $33,527$11k$46k | $7,925 | $15,849 |
| Critical Care, First Hour | $846$822$3.3k | $2,661 | $5,322 |
| CT Abdomen and Pelvis with Contrast | $1,280$347$7.7k | $3,334 | $6,668 |
| CT Cardiac Calcium Scoring | $135$87$788 | $169 | $338 |
| CT Chest without Contrast | $384$104$2.8k | $1,373 | $2,745 |
| CT Head without Contrast | $384$104$2.8k | $1,328 | $2,656 |
| DEXA Bone Density Scan | $371$59$416 | $588 | $1,176 |
| Diagnostic Colonoscopy | $3,413$925$5.8k | $1,165 | $2,329 |
| Diagnostic Mammogram (Both Breasts) | $173$111$509 | $488 | $975 |
| Ear Tube Placement (Tympanostomy) | $5,195$1.5k$6.1k | — | — |
| Echocardiogram (Complete with Doppler) | $1,211$544$2.2k | $2,101 | $4,203 |
| Emergency Room Visit (Level 3) | $280$272$1.1k | $491 | $982 |
| Hemoglobin A1c (Diabetes Test) | $10$10$72 | $110 | $219 |
| HIV Antibody Test | $9$9$66 | $54 | $107 |
| Home Sleep Study | $766$204$1.2k | $507 | $1,014 |
| Individual Therapy Session (45 Minutes) | — | $207 | $414 |
| Inguinal Hernia Repair (Open) | $9,574$3.6k$19k | — | — |
| Initial Psychiatric Diagnostic Evaluation | — | $312 | $624 |
| Initial Psychiatric Evaluation with Medication Management | — | $334 | $667 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $3,856$700$3.9k | $2,503 | $5,006 |
| IUD Insertion | $2,633$2.4k$5.2k | $207 | $413 |
| IUD Removal | $1,118$303$3.4k | $312 | $625 |
| Knee Arthroscopy with Meniscectomy | $9,027$3.3k$19k | — | — |
| Laparoscopic Appendectomy | $13,946$6.0k$29k | — | — |
| Laparoscopic Gallbladder Removal | $13,818$5.2k$29k | — | — |
| Laparoscopic Tubal Ligation | $14,390$6.0k$29k | — | — |
| Lipid Panel (Cholesterol Test) | $14$13$98 | $45 | $89 |
| Lumbar Epidural Steroid Injection | $2,591$702$5.2k | $1,685 | $3,370 |
| Lumbar Puncture (Spinal Tap) | $2,591$702$3.9k | $1,485 | $2,970 |
| Lumbar Spinal Fusion (Posterior) | $22,103$5.2k$69k | — | — |
| Lumpectomy (Partial Mastectomy) | $8,910$3.9k$15k | — | — |
| MRI Abdomen with and without Contrast | $1,280$347$8.7k | $2,854 | $5,707 |
| MRI Brain with and without Contrast | $1,280$347$8.7k | $2,706 | $5,411 |
| MRI Brain with Contrast | $1,280$347$7.2k | $2,549 | $5,097 |
| MRI Brain without Contrast | $876$237$5.4k | $1,933 | $3,865 |
| MRI Cervical Spine (Neck) without Contrast | $876$237$5.4k | $2,000 | $4,000 |
| MRI Knee without Contrast | $876$237$5.4k | $1,933 | $3,865 |
| MRI Lower Back (Lumbar Spine) without Contrast | $876$237$5.4k | $2,000 | $4,000 |
| MRI Thoracic Spine (Mid-back) without Contrast | $876$237$5.4k | $2,000 | $4,000 |
| Newborn Circumcision | $5,411$2.1k$14k | $1,511 | $3,021 |
| Nuclear Cardiac Stress Test | $3,665$790$5.1k | $3,168 | $6,336 |
| Office Visit, Established Patient (Level 3) | $66 | — | — |
| Office Visit, New Patient (Level 3) | $99 | — | — |
| Pacemaker Insertion (Dual Chamber) | $23,890$5.2k$45k | $11,685 | $23,369 |
| PET/CT Scan, Whole Body | $4,256$1.4k$5.7k | $4,409 | $8,818 |
| Pregnancy Ultrasound (Second or Third Trimester) | $371$104$588 | $605 | $1,209 |
| Prostate Biopsy | $5,169$4.6k$5.8k | $2,419 | $4,838 |
| PSA Prostate Cancer Screening | $19$18$137 | $86 | $172 |
| Pulmonary Function Test with Bronchodilator | $665$371$1.5k | $475 | $950 |
| Rotator Cuff Repair (Arthroscopic) | $16,586$7.2k$29k | — | — |
| Screening Mammogram | $143$91$260 | $233 | $466 |
| Septoplasty (Deviated Septum Repair) | $9,104$3.3k$14k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $12,167$7.0k$28k | — | — |
| Skin Biopsy (Tangential) | $1,492$405$5.2k | $357 | $714 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $3,435$1.6k$6.5k | $1,852 | $3,703 |
| Sleep Study (In-lab Polysomnography) | $1,850$855$3.4k | $2,188 | $4,376 |
| Spinal Cord Stimulator Trial | $18,152$6.3k$29k | $6,933 | $13,865 |
| Spirometry (Breathing Test) | $336$215$853 | $326 | $652 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $9,548$3.3k$14k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $9,332$5.2k$23k | — | — |
| Total Hip Replacement | $22,325$5.2k$51k | — | — |
| Total Knee Replacement | $22,325$5.2k$51k | — | — |
| Total Mastectomy | $11,899$6.4k$26k | — | — |
| TSH Thyroid Function Test | $18$17$126 | $31 | $61 |
| TURP (Transurethral Prostate Resection) | $12,733$5.3k$24k | — | — |
| Umbilical Hernia Repair | $6,448 | — | — |
| Upper GI Endoscopy (EGD) | $3,313$903$5.8k | — | — |
| Urinalysis with Microscopy | $3$3$24 | $90 | $179 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $5,220 | — | — |
| Vaginal Delivery (Global Package) | $5,220 | — | — |
| Vaginal Hysterectomy | $15,348$5.0k$20k | — | — |
| Vasectomy | $5,989$2.1k$14k | — | — |
| Vitamin D Blood Test | $31$30$220 | $65 | $131 |