| Abdominal Hysterectomy | $8,087$240$13k | $4,708 | $9,416 |
| ACL Reconstruction (Arthroscopic) | $7,784$3.3k$16k | — | — |
| Allergy Skin Testing | $1,051$11$2.3k | — | — |
| Anesthesia for Screening Colonoscopy | $30$30$32 | — | — |
| Anesthesia for Upper Endoscopy | $30$30$32 | — | — |
| Basic Metabolic Panel | $11$8$270 | $39 | $78 |
| Bone Marrow Biopsy | $2,596$240$4.5k | $802 | $1,603 |
| Breast Biopsy (Ultrasound-guided) | $1,833$240$5.9k | $1,142 | $2,283 |
| Bunion Correction Surgery | $6,384$3.1k$11k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $23,501$319$51k | $15,576 | $31,152 |
| Cardiac Catheterization (Left Heart) | $3,420$320$14k | $7,084 | $14,167 |
| Cardiac Stress Test (Treadmill) | $236$236$312 | — | — |
| Carpal Tunnel Release Surgery | $2,291$1.8k$8.3k | — | — |
| Cataract Surgery with Lens Implant | $2,555$2.2k$13k | — | — |
| Cervical Spinal Fusion (Anterior) | $13,905$6.5k$28k | — | — |
| Cesarean Delivery (Global Package) | $3,663$3.7k$3.9k | — | — |
| Chemotherapy Infusion (First Hour) | $392$223$839 | $690 | $1,380 |
| Chest X-ray (2 Views) | $93$77$292 | $106 | $212 |
| Colonoscopy with Biopsy | $1,435$499$5.9k | $1,387 | $2,773 |
| Complete Abdominal Ultrasound | $236$105$464 | $476 | $952 |
| Complete Blood Count (CBC) with Differential | $9$7$270 | $37 | $73 |
| Comprehensive Metabolic Panel | $14$10$270 | $56 | $112 |
| Coronary Angioplasty with Stent | $11,061$320$24k | $8,568 | $17,135 |
| Critical Care, First Hour | $1,157$299$5.3k | $1,241 | $2,481 |
| CT Abdomen and Pelvis with Contrast | $443$234$2.9k | $1,422 | $2,843 |
| CT Cardiac Calcium Scoring | $147$87$2.6k | $199 | $398 |
| CT Chest without Contrast | $177$105$2.6k | $566 | $1,131 |
| CT Head without Contrast | $443$105$2.6k | $943 | $1,885 |
| DEXA Bone Density Scan | $174$104$326 | $359 | $717 |
| Diagnostic Colonoscopy | $1,435$499$5.9k | $1,387 | $2,773 |
| Diagnostic Mammogram (Both Breasts) | $108$65$321 | — | — |
| Ear Tube Placement (Tympanostomy) | $2,291$1.5k$6.7k | — | — |
| Echocardiogram (Complete with Doppler) | $649$321$2.0k | $1,194 | $2,387 |
| EKG (Electrocardiogram, 12-lead) | $36$36$78 | — | — |
| Emergency Room Visit (Level 3) | $507$272$2.6k | $378 | $756 |
| Group Therapy Session | $348$85$824 | $200 | $400 |
| Hemoglobin A1c (Diabetes Test) | $11$6$270 | $39 | $77 |
| HIV Antibody Test | $13$9$270 | $48 | $96 |
| Holter Monitor (24-48 Hour Heart Monitor) | $81$81$488 | — | — |
| Home Sleep Study | $246$149$666 | $277 | $554 |
| Individual Therapy Session (45 Minutes) | $213$152$823 | $200 | $400 |
| Inguinal Hernia Repair (Open) | $5,059$3.3k$11k | — | — |
| Initial Psychiatric Diagnostic Evaluation | $331$152$823 | $200 | $400 |
| Initial Psychiatric Evaluation with Medication Management | $331$152$823 | $200 | $400 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $657$221$2.1k | $908 | $1,815 |
| IUD Insertion | $588$302$4.5k | $191 | $381 |
| IUD Removal | $401$299$4.5k | $274 | $547 |
| Knee Arthroscopy with Meniscectomy | $3,579$3.0k$11k | — | — |
| Laparoscopic Appendectomy | $5,658$4.0k$12k | — | — |
| Laparoscopic Gallbladder Removal | $5,657$5.0k$12k | — | — |
| Laparoscopic Tubal Ligation | $6,034$4.6k$12k | — | — |
| Lipid Panel (Cholesterol Test) | $14$10$270 | $62 | $123 |
| Lumbar Epidural Steroid Injection | $1,054$240$4.5k | $909 | $1,817 |
| Lumbar Puncture (Spinal Tap) | $1,073$240$4.5k | $477 | $953 |
| Lumbar Spinal Fusion (Posterior) | $13,905$6.5k$40k | — | — |
| Lumpectomy (Partial Mastectomy) | $4,555$3.3k$8.3k | — | — |
| MRI Abdomen with and without Contrast | $557$366$3.3k | $1,886 | $3,772 |
| MRI Brain with and without Contrast | $557$366$3.4k | $1,832 | $3,664 |
| MRI Brain with Contrast | $557$366$1.9k | $1,172 | $2,344 |
| MRI Brain without Contrast | $378$234$1.6k | $1,215 | $2,429 |
| MRI Cervical Spine (Neck) without Contrast | $378$234$1.6k | $1,499 | $2,998 |
| MRI Knee without Contrast | $378$234$1.5k | $2,022 | $4,044 |
| MRI Lower Back (Lumbar Spine) without Contrast | $378$234$1.7k | $1,845 | $3,689 |
| MRI Thoracic Spine (Mid-back) without Contrast | $378$234$1.8k | $1,845 | $3,689 |
| Newborn Circumcision | $2,727$240$8.3k | $3,800 | $3,708 |
| Nuclear Cardiac Stress Test | $1,326$227$3.1k | $2,161 | $4,322 |
| Pacemaker Insertion (Dual Chamber) | $10,933$319$23k | $8,567 | $17,133 |
| PET/CT Scan, Whole Body | $2,034$1.5k$7.2k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $199$105$518 | $455 | $909 |
| Prostate Biopsy | $2,371$239$5.9k | $3,095 | $6,189 |
| PSA Prostate Cancer Screening | $19$14$270 | $55 | $110 |
| Pulmonary Function Test with Bronchodilator | $230$146$677 | $612 | $1,224 |
| Rotator Cuff Repair (Arthroscopic) | $7,784$4.6k$15k | — | — |
| Screening Mammogram | $89$65$242 | — | — |
| Septoplasty (Deviated Septum Repair) | $3,918$3.1k$8.3k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,161$4.6k$15k | — | — |
| Skin Biopsy (Tangential) | $596$191$4.5k | $296 | $592 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,979$1.5k$5.9k | — | — |
| Sleep Study (In-lab Polysomnography) | $1,060$492$2.8k | $2,443 | $4,885 |
| Spinal Cord Stimulator Trial | $8,613$240$15k | $9,775 | $19,549 |
| Spirometry (Breathing Test) | $123$80$414 | $164 | $328 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,283$2.9k$9.4k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $4,066$3.0k$13k | — | — |
| Total Hip Replacement | $13,232$8.7k$28k | — | — |
| Total Knee Replacement | $13,232$8.7k$28k | — | — |
| Total Mastectomy | $5,027$4.0k$14k | — | — |
| TSH Thyroid Function Test | $18$15$270 | $79 | $157 |
| TURP (Transurethral Prostate Resection) | $6,250$4.0k$12k | — | — |
| Upper GI Endoscopy (EGD) | $1,430$499$4.8k | $1,373 | $2,745 |
| Urinalysis with Microscopy | $4$3$270 | $20 | $40 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $3,312$3.3k$3.5k | — | — |
| Vaginal Delivery (Global Package) | $3,312$3.3k$3.5k | — | — |
| Vaginal Hysterectomy | $5,863$4.7k$11k | — | — |
| Vasectomy | $3,976$1.9k$8.3k | — | — |
| Vitamin D Blood Test | $34$30$270 | $91 | $181 |