| Abdominal Hysterectomy | $8,121$3.5k$13k | — | — |
| ACL Reconstruction (Arthroscopic) | $13,728$5.9k$33k | — | — |
| Allergy Skin Testing | $1,802$839$5.1k | — | — |
| Basic Metabolic Panel | $12$7$47 | $72 | $138 |
| Bone Marrow Biopsy | $3,315$1.6k$7.4k | $3,591 | $6,906 |
| Breast Biopsy (Ultrasound-guided) | $3,467$1.6k$7.4k | $4,670 | $8,980 |
| Bunion Correction Surgery | $6,567$3.2k$15k | $6,876 | $13,224 |
| Cardiac Ablation for Atrial Fibrillation | $50,803$13k$117k | $16,129 | $31,018 |
| Cardiac Catheterization (Left Heart) | $6,898$3.2k$15k | $4,212 | $8,100 |
| Cardiac Stress Test (Treadmill) | $1,011 | — | — |
| Carpal Tunnel Release Surgery | $4,099$1.9k$8.8k | $4,152 | $7,985 |
| Cataract Surgery with Lens Implant | $4,844$2.3k$13k | — | — |
| Cervical Spinal Fusion (Anterior) | $24,289$3.5k$58k | — | — |
| Cesarean Delivery (Global Package) | $27,982 | — | — |
| Chemotherapy Infusion (First Hour) | $703$323$1.7k | $933 | $1,794 |
| Chest X-ray (2 Views) | $183$85$447 | $237 | $455 |
| Colonoscopy with Biopsy | $2,402$1.2k$6.3k | — | — |
| Complete Abdominal Ultrasound | $255$102$628 | $543 | $1,045 |
| Complete Blood Count (CBC) with Differential | $11$7$44 | $85 | $163 |
| Comprehensive Metabolic Panel | $15$9$59 | $94 | $181 |
| Coronary Angioplasty with Stent | $22,438$8.7k$52k | $14,873 | $28,601 |
| Critical Care, First Hour | $1,734$808$3.7k | $6,256 | $12,032 |
| CT Abdomen and Pelvis with Contrast | $874$341$2.1k | $1,322 | $2,543 |
| CT Cardiac Calcium Scoring | $211$85$553 | $188 | $361 |
| CT Chest without Contrast | $255$102$651 | $1,306 | $2,511 |
| CT Head without Contrast | $255$102$628 | $807 | $1,552 |
| DEXA Bone Density Scan | $219$102$628 | — | — |
| Diagnostic Colonoscopy | $1,866$909$6.3k | $1,642 | $3,158 |
| Diagnostic Mammogram (Both Breasts) | $163$93$821 | — | — |
| Ear Tube Placement (Tympanostomy) | $3,257$1.5k$9.1k | — | — |
| Echocardiogram (Complete with Doppler) | $1,163$534$2.7k | $1,496 | $2,876 |
| EKG (Electrocardiogram, 12-lead) | $208 | — | — |
| Emergency Room Visit (Level 3) | $573$267$1.3k | $827 | $1,590 |
| Group Therapy Session | $204$99$456 | $157 | $302 |
| Hemodialysis Treatment | $233 | — | — |
| Hemoglobin A1c (Diabetes Test) | $14$8$54 | $80 | $153 |
| HIV Antibody Test | $12$8$50 | — | — |
| Holter Monitor (24-48 Hour Heart Monitor) | $1,170 | — | — |
| Home Sleep Study | $447$211$970 | — | — |
| Individual Therapy Session (45 Minutes) | $361$174$798 | $310 | $597 |
| Inguinal Hernia Repair (Open) | $7,359$3.5k$16k | $8,182 | $15,735 |
| Initial Hospital Admission (Level 1) | — | $78 | $150 |
| Initial Psychiatric Diagnostic Evaluation | $361$174$798 | $293 | $564 |
| Initial Psychiatric Evaluation with Medication Management | $361$174$798 | $294 | $566 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $2,080$1.5k$3.0k | — | — |
| IUD Insertion | $2,770 | — | — |
| IUD Removal | $612$298$3.9k | $491 | $944 |
| Knee Arthroscopy with Meniscectomy | $6,868$3.2k$15k | — | — |
| Laparoscopic Appendectomy | $11,437$5.9k$27k | — | — |
| Laparoscopic Gallbladder Removal | $12,567$5.9k$27k | — | — |
| Laparoscopic Tubal Ligation | $12,133$5.9k$27k | — | — |
| Lipid Panel (Cholesterol Test) | $19$11$69 | $139 | $268 |
| Lumbar Epidural Steroid Injection | $1,417$690$3.9k | $1,661 | $3,195 |
| Lumbar Puncture (Spinal Tap) | $1,417$690$3.9k | $1,661 | $3,195 |
| Lumbar Spinal Fusion (Posterior) | $33,172$3.5k$79k | — | — |
| Lumpectomy (Partial Mastectomy) | $7,858$3.8k$18k | — | — |
| MRI Abdomen with and without Contrast | $874$341$2.1k | $2,017 | $3,878 |
| MRI Brain with and without Contrast | $874$341$2.1k | $1,512 | $2,908 |
| MRI Brain with Contrast | $874$341$2.1k | $838 | $1,611 |
| MRI Brain without Contrast | $574$233$1.3k | $813 | $1,563 |
| MRI Cervical Spine (Neck) without Contrast | $574$233$1.3k | $813 | $1,563 |
| MRI Knee without Contrast | $574$233$1.3k | $1,084 | $2,084 |
| MRI Lower Back (Lumbar Spine) without Contrast | $574$233$1.3k | $1,084 | $2,084 |
| MRI Thoracic Spine (Mid-back) without Contrast | $574$233$1.3k | $1,084 | $2,084 |
| Newborn Circumcision | $3,966$2.0k$9.4k | — | — |
| Nuclear Cardiac Stress Test | $2,810$1.3k$7.1k | $3,788 | $7,284 |
| Office Visit, Established Patient (Level 3) | — | $146 | $281 |
| Office Visit, New Patient (Level 3) | — | $179 | $344 |
| Pacemaker Insertion (Dual Chamber) | $19,774$3.5k$48k | $14,871 | $28,598 |
| PET/CT Scan, Whole Body | $3,568$1.4k$10k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $255$102$661 | $543 | $1,045 |
| Prostate Biopsy | $6,260$5.2k$8.3k | — | — |
| PSA Prostate Cancer Screening | $26$16$103 | $108 | $208 |
| Pulmonary Function Test with Bronchodilator | $749$365$1.7k | $952 | $1,830 |
| Rotator Cuff Repair (Arthroscopic) | $13,728$7.1k$33k | — | — |
| Screening Mammogram | $134$77$678 | — | — |
| Septoplasty (Deviated Septum Repair) | $6,959$3.2k$15k | $6,572 | $12,639 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $13,352$6.9k$32k | — | — |
| Skin Biopsy (Tangential) | $790$397$2.8k | $539 | $1,037 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $3,467$1.6k$7.4k | $4,123 | $7,928 |
| Sleep Study (In-lab Polysomnography) | $1,827$839$5.1k | $2,052 | $3,946 |
| Spinal Cord Stimulator Trial | $12,790$6.2k$29k | — | — |
| Spirometry (Breathing Test) | $433$211$970 | $522 | $1,003 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $6,959$3.2k$15k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $11,200$5.8k$27k | — | — |
| Total Hip Replacement | $24,289$3.5k$58k | — | — |
| Total Knee Replacement | $24,289$3.5k$58k | — | — |
| Total Mastectomy | $12,562$6.5k$30k | — | — |
| TSH Thyroid Function Test | $24$14$94 | $126 | $242 |
| TURP (Transurethral Prostate Resection) | $10,144$5.2k$24k | — | — |
| Umbilical Hernia Repair | $21,298$15k$28k | — | — |
| Upper GI Endoscopy (EGD) | $1,820$887$4.1k | $1,631 | $3,137 |
| Urinalysis with Microscopy | $4$3$18 | $52 | $100 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $27,982 | — | — |
| Vaginal Delivery (Global Package) | $27,982 | — | — |
| Vaginal Hysterectomy | $10,500$4.9k$22k | — | — |
| Vasectomy | $4,388$2.0k$9.4k | — | — |
| Vitamin D Blood Test | $41$25$166 | $79 | $152 |