| Abdominal Hysterectomy | $5,299$1.1k$14k | — | — |
| ACL Reconstruction (Arthroscopic) | $9,903$1.0k$19k | — | — |
| Allergy Skin Testing | $457$4$2.2k | — | — |
| Basic Metabolic Panel | $16$8$3.8k | $65 | $108 |
| Bone Marrow Biopsy | $2,056$75$4.7k | $1,705 | $2,842 |
| Breast Biopsy (Ultrasound-guided) | $3,147$164$6.8k | $3,565 | $5,941 |
| Bunion Correction Surgery | $6,509$543$8.9k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $16,132$1.2k$67k | $24,440 | $40,733 |
| Cardiac Catheterization (Left Heart) | $7,953$849$17k | $3,504 | $5,840 |
| Cardiac Stress Test (Treadmill) | $95$76$114 | — | — |
| Carpal Tunnel Release Surgery | $4,400$466$6.8k | — | — |
| Cataract Surgery with Lens Implant | $5,095$568$11k | — | — |
| Cervical Spinal Fusion (Anterior) | $12,527$1.8k$33k | — | — |
| Cesarean Delivery (Global Package) | $4,220$2.8k$15k | — | — |
| Chemotherapy Infusion (First Hour) | $810$146$1.0k | $1,060 | $1,767 |
| Chest X-ray (2 Views) | $87$25$379 | $214 | $357 |
| Colonoscopy with Biopsy | $2,378$211$6.8k | — | — |
| Complete Abdominal Ultrasound | $206$86$905 | $623 | $1,038 |
| Complete Blood Count (CBC) with Differential | $14$8$17 | $47 | $79 |
| Comprehensive Metabolic Panel | $20$11$32 | $104 | $174 |
| Coronary Angioplasty with Stent | $11,263$618$45k | — | — |
| Critical Care, First Hour | $814$228$2.1k | $5,110 | $12,775 |
| CT Abdomen and Pelvis with Contrast | $620$255$3.2k | $2,499 | $4,164 |
| CT Cardiac Calcium Scoring | $168$81$406 | $171 | $284 |
| CT Chest without Contrast | $199$94$1.5k | $1,014 | $1,689 |
| CT Head without Contrast | $185$75$1.6k | $493 | $822 |
| DEXA Bone Density Scan | $104$30$573 | $490 | $816 |
| Diagnostic Colonoscopy | $950$97$6.8k | — | — |
| Diagnostic Mammogram (Both Breasts) | $151$108$487 | $492 | $820 |
| Ear Tube Placement (Tympanostomy) | $3,147$170$8.9k | — | — |
| Echocardiogram (Complete with Doppler) | $942$141$2.4k | $1,462 | $2,437 |
| EKG (Electrocardiogram, 12-lead) | $19$15$23 | — | — |
| Emergency Room Visit (Level 3) | $269$76$705 | $932 | $1,553 |
| Group Therapy Session | $100$25$262 | — | — |
| Hemodialysis Treatment | $137$109$164 | — | — |
| Hemoglobin A1c (Diabetes Test) | $17$10$20 | $74 | $124 |
| HIV Antibody Test | $17$9$37 | $63 | $105 |
| Holter Monitor (24-48 Hour Heart Monitor) | $101$81$121 | — | — |
| Home Sleep Study | $372$51$861 | $275 | $688 |
| Individual Therapy Session (45 Minutes) | $175$95$458 | — | — |
| Inguinal Hernia Repair (Open) | $6,509$561$10.0k | — | — |
| Initial Hospital Admission (Level 1) | $131$105$158 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $210$161$458 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $230$173$458 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $2,327$1.7k$2.5k | $1,827 | $3,046 |
| IUD Insertion | $1,263$1.2k$4.7k | — | — |
| IUD Removal | $748$70$4.7k | $384 | $640 |
| Knee Arthroscopy with Meniscectomy | $6,509$579$16k | — | — |
| Laparoscopic Appendectomy | $9,352$645$21k | — | — |
| Laparoscopic Gallbladder Removal | $9,903$707$21k | — | — |
| Laparoscopic Tubal Ligation | $9,500$696$21k | — | — |
| Lipid Panel (Cholesterol Test) | $25$13$34 | $76 | $126 |
| Lumbar Epidural Steroid Injection | $1,777$105$4.7k | $552 | $1,379 |
| Lumbar Puncture (Spinal Tap) | $1,732$65$4.7k | $849 | $1,414 |
| Lumbar Spinal Fusion (Posterior) | $10,695$1.7k$45k | — | — |
| Lumpectomy (Partial Mastectomy) | $5,095$707$10k | — | — |
| MRI Abdomen with and without Contrast | $635$275$3.0k | $2,806 | $4,677 |
| MRI Brain with and without Contrast | $613$245$3.6k | $2,440 | $4,067 |
| MRI Brain with Contrast | $602$216$2.9k | $1,084 | $1,807 |
| MRI Brain without Contrast | $411$146$2.3k | $941 | $1,568 |
| MRI Cervical Spine (Neck) without Contrast | $411$141$2.5k | $1,326 | $2,210 |
| MRI Knee without Contrast | $412$159$2.2k | $1,961 | $3,269 |
| MRI Lower Back (Lumbar Spine) without Contrast | $411$141$2.3k | $1,994 | $3,324 |
| MRI Thoracic Spine (Mid-back) without Contrast | $411$141$2.3k | $2,033 | $3,388 |
| Newborn Circumcision | $3,900$102$5.5k | $3,330 | $5,549 |
| Nuclear Cardiac Stress Test | $2,232$404$4.2k | $2,512 | $4,187 |
| Office Visit, Established Patient (Level 3) | $168$70$247 | — | — |
| Office Visit, New Patient (Level 3) | $110$88$132 | — | — |
| Pacemaker Insertion (Dual Chamber) | $13,650$550$27k | $14,671 | $24,452 |
| PET/CT Scan, Whole Body | $2,465$121$6.3k | $3,839 | $6,399 |
| Pregnancy Ultrasound (Second or Third Trimester) | $228$96$573 | $657 | $1,095 |
| Prostate Biopsy | $3,147$136$6.8k | — | — |
| PSA Prostate Cancer Screening | $34$18$63 | $113 | $188 |
| Pulmonary Function Test with Bronchodilator | $419$31$964 | $408 | $680 |
| Rotator Cuff Repair (Arthroscopic) | $9,903$1.1k$19k | — | — |
| Screening Mammogram | $125$90$436 | $279 | $542 |
| Septoplasty (Deviated Septum Repair) | $5,095$732$10.0k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,024$343$18k | — | — |
| Skin Biopsy (Tangential) | $997$40$4.7k | $240 | $399 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,850$87$6.8k | $1,940 | $3,233 |
| Sleep Study (In-lab Polysomnography) | $1,481$523$2.9k | $2,488 | $4,147 |
| Spinal Cord Stimulator Trial | $9,011$438$16k | — | — |
| Spirometry (Breathing Test) | $259$20$558 | $203 | $339 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $5,095$324$11k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,776$310$15k | — | — |
| Total Hip Replacement | $13,109$1.4k$33k | — | — |
| Total Knee Replacement | $13,109$1.4k$33k | — | — |
| Total Mastectomy | $6,608$1.0k$17k | — | — |
| TSH Thyroid Function Test | $31$17$39 | $144 | $240 |
| TURP (Transurethral Prostate Resection) | $7,860$767$14k | — | — |
| Umbilical Hernia Repair | $723$480$3.3k | — | — |
| Upper GI Endoscopy (EGD) | $2,225$129$4.7k | $1,745 | $2,908 |
| Urinalysis with Microscopy | $6$3$34 | $43 | $71 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $3,996$2.7k$15k | — | — |
| Vaginal Delivery (Global Package) | $3,827$2.5k$15k | — | — |
| Vaginal Hysterectomy | $6,509$898$16k | — | — |
| Vasectomy | $4,400$241$6.8k | — | — |
| Vitamin D Blood Test | $55$30$76 | $176 | $293 |