| Abdominal Hysterectomy | $22,671 | — | — |
| ACL Reconstruction (Arthroscopic) | $15,125$8.4k$52k | — | — |
| Allergy Skin Testing | $1,735$994$7.7k | — | — |
| Basic Metabolic Panel | $14$8$79 | $72 | $138 |
| Bone Marrow Biopsy | $3,443$1.9k$12k | — | — |
| Breast Biopsy (Ultrasound-guided) | $3,443$1.9k$12k | $4,670 | $8,980 |
| Bunion Correction Surgery | $6,820$3.8k$24k | $6,876 | $13,224 |
| Cardiac Ablation for Atrial Fibrillation | $51,152$23k$174k | — | — |
| Cardiac Catheterization (Left Heart) | $6,757$3.8k$24k | — | — |
| Cardiac Stress Test (Treadmill) | $1,011 | — | — |
| Carpal Tunnel Release Surgery | $4,070$2.3k$14k | $4,152 | $7,985 |
| Cataract Surgery with Lens Implant | $4,810$2.7k$32k | — | — |
| Cervical Spinal Fusion (Anterior) | $25,125$7.6k$96k | — | — |
| Cesarean Delivery (Global Package) | $10,122 | — | — |
| Chemotherapy Infusion (First Hour) | $688$382$2.5k | $933 | $1,794 |
| Chest X-ray (2 Views) | $184$101$666 | $237 | $455 |
| Colonoscopy with Biopsy | $2,494$1.4k$9.6k | — | — |
| Complete Abdominal Ultrasound | $221$121$1.0k | $543 | $1,045 |
| Complete Blood Count (CBC) with Differential | $13$8$73 | $85 | $163 |
| Comprehensive Metabolic Panel | $17$11$99 | $94 | $181 |
| Coronary Angioplasty with Stent | $22,592$7.6k$81k | — | — |
| Critical Care, First Hour | $1,669$957$6.5k | $5,980 | $11,500 |
| CT Abdomen and Pelvis with Contrast | $737$404$3.0k | $1,322 | $2,543 |
| CT Cardiac Calcium Scoring | $184$101$958 | — | — |
| CT Chest without Contrast | $221$121$1.1k | $1,306 | $2,511 |
| CT Head without Contrast | $221$121$903 | $807 | $1,552 |
| DEXA Bone Density Scan | $221$121$806 | $397 | $764 |
| Diagnostic Colonoscopy | $1,938$1.1k$9.6k | $1,642 | $3,158 |
| Diagnostic Mammogram (Both Breasts) | $191$116$1.4k | $485 | $933 |
| Ear Tube Placement (Tympanostomy) | $3,234$1.8k$24k | — | — |
| Echocardiogram (Complete with Doppler) | $1,139$633$4.0k | $1,496 | $2,876 |
| EKG (Electrocardiogram, 12-lead) | $208 | — | — |
| Emergency Room Visit (Level 3) | $552$316$2.1k | $827 | $1,590 |
| Group Therapy Session | $205$118$654 | — | — |
| Hemodialysis Treatment | $187 | — | — |
| Hemoglobin A1c (Diabetes Test) | $16$10$91 | $80 | $153 |
| HIV Antibody Test | $15$9$84 | — | — |
| Holter Monitor (24-48 Hour Heart Monitor) | $1,170 | — | — |
| Home Sleep Study | $423$106$1.1k | — | — |
| Individual Therapy Session (45 Minutes) | $359$206$1.2k | — | — |
| Inguinal Hernia Repair (Open) | $7,463$4.1k$30k | $8,182 | $15,735 |
| Initial Hospital Admission (Level 1) | — | $78 | $150 |
| Initial Psychiatric Diagnostic Evaluation | $359$206$1.2k | — | — |
| Initial Psychiatric Evaluation with Medication Management | $359$206$1.2k | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $3,468$2.2k$4.3k | $1,942 | $3,734 |
| IUD Insertion | $7,985 | — | — |
| IUD Removal | $635$353$8.0k | $491 | $944 |
| Knee Arthroscopy with Meniscectomy | $6,820$3.8k$30k | — | — |
| Laparoscopic Appendectomy | $12,601$7.0k$42k | — | — |
| Laparoscopic Gallbladder Removal | $12,601$7.0k$42k | — | — |
| Laparoscopic Tubal Ligation | $12,601$7.0k$42k | — | — |
| Lipid Panel (Cholesterol Test) | $22$13$126 | $139 | $268 |
| Lumbar Epidural Steroid Injection | $1,471$817$8.0k | $1,661 | $3,195 |
| Lumbar Puncture (Spinal Tap) | $1,471$817$8.0k | $1,661 | $3,195 |
| Lumbar Spinal Fusion (Posterior) | $34,314$7.6k$137k | — | — |
| Lumpectomy (Partial Mastectomy) | $8,161$4.5k$28k | — | — |
| MRI Abdomen with and without Contrast | $737$404$3.4k | $2,017 | $3,878 |
| MRI Brain with and without Contrast | $737$404$3.0k | $1,512 | $2,908 |
| MRI Brain with Contrast | $737$404$2.8k | $838 | $1,611 |
| MRI Brain without Contrast | $504$276$1.8k | $813 | $1,563 |
| MRI Cervical Spine (Neck) without Contrast | $504$276$1.8k | $813 | $1,563 |
| MRI Knee without Contrast | $504$276$2.0k | $1,084 | $2,084 |
| MRI Lower Back (Lumbar Spine) without Contrast | $504$276$1.8k | $1,084 | $2,084 |
| MRI Thoracic Spine (Mid-back) without Contrast | $504$276$1.8k | $1,084 | $2,084 |
| Newborn Circumcision | $4,357$2.4k$15k | — | — |
| Nuclear Cardiac Stress Test | $2,736$1.5k$10k | $3,788 | $7,284 |
| Pacemaker Insertion (Dual Chamber) | $21,786$12k$78k | — | — |
| PET/CT Scan, Whole Body | $3,022$1.7k$18k | $4,473 | $8,601 |
| Pregnancy Ultrasound (Second or Third Trimester) | $221$121$1.1k | $543 | $1,045 |
| Prostate Biopsy | $11,182$7.1k$15k | — | — |
| PSA Prostate Cancer Screening | $30$18$173 | $111 | $213 |
| Pulmonary Function Test with Bronchodilator | $754$432$2.3k | $790 | $1,520 |
| Rotator Cuff Repair (Arthroscopic) | $15,125$8.4k$52k | — | — |
| Screening Mammogram | $158$96$1.2k | $453 | $871 |
| Septoplasty (Deviated Septum Repair) | $6,911$3.8k$30k | $6,572 | $12,639 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $14,710$8.2k$50k | — | — |
| Skin Biopsy (Tangential) | $796$471$8.0k | $539 | $1,037 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $3,443$1.9k$12k | $4,123 | $7,928 |
| Sleep Study (In-lab Polysomnography) | $1,681$943$7.7k | — | — |
| Spinal Cord Stimulator Trial | $12,472$7.4k$50k | — | — |
| Spirometry (Breathing Test) | $436$250$1.1k | $433 | $833 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $6,911$3.8k$32k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $12,339$6.9k$43k | — | — |
| Total Hip Replacement | $25,125$7.6k$96k | — | — |
| Total Knee Replacement | $25,125$7.6k$96k | — | — |
| Total Mastectomy | $13,841$7.7k$48k | — | — |
| TSH Thyroid Function Test | $28$17$158 | $126 | $242 |
| TURP (Transurethral Prostate Resection) | $11,176$6.2k$38k | — | — |
| Umbilical Hernia Repair | $14,156$10k$18k | — | — |
| Upper GI Endoscopy (EGD) | $1,891$1.1k$8.0k | $1,631 | $3,137 |
| Urinalysis with Microscopy | $5$3$30 | $52 | $100 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $10,122 | — | — |
| Vaginal Delivery (Global Package) | $10,122 | — | — |
| Vaginal Hysterectomy | $10,427$5.8k$36k | — | — |
| Vasectomy | $4,357$2.4k$15k | — | — |
| Vitamin D Blood Test | $49$30$278 | $79 | $152 |