| Abdominal Hysterectomy | $4,817$1.7k$7.9k | — | — |
| ACL Reconstruction (Arthroscopic) | $10,580$1.7k$23k | — | — |
| Allergy Skin Testing | $1,148$7$3.6k | — | — |
| Basic Metabolic Panel | $10$8$33 | $120 | $171 |
| Bone Marrow Biopsy | $2,659$119$7.5k | $2,445 | $3,493 |
| Breast Biopsy (Ultrasound-guided) | $2,659$260$11k | $4,179 | $5,970 |
| Bunion Correction Surgery | $5,269$863$11k | $5,942 | $8,488 |
| Cardiac Ablation for Atrial Fibrillation | $34,952$1.9k$82k | $25,757 | $36,796 |
| Cardiac Catheterization (Left Heart) | $4,335$1.8k$11k | $18,243 | $26,061 |
| Cardiac Stress Test (Treadmill) | $120 | — | — |
| Carpal Tunnel Release Surgery | $3,144$744$10k | $3,805 | $5,435 |
| Cataract Surgery with Lens Implant | $3,716$903$22k | — | — |
| Cervical Spinal Fusion (Anterior) | $16,453$2.9k$44k | — | — |
| Cesarean Delivery (Global Package) | $4,504 | — | — |
| Chemotherapy Infusion (First Hour) | $442$232$1.2k | $595 | $850 |
| Chest X-ray (2 Views) | $140$57$312 | $567 | $810 |
| Colonoscopy with Biopsy | $1,927$389$10k | — | — |
| Complete Abdominal Ultrasound | $200$117$438 | $939 | $1,341 |
| Complete Blood Count (CBC) with Differential | $9$8$30 | $116 | $165 |
| Comprehensive Metabolic Panel | $12$11$41 | $132 | $188 |
| Coronary Angioplasty with Stent | $15,437$991$37k | $19,600 | $28,000 |
| Critical Care, First Hour | $1,105$360$2.6k | $4,292 | $6,132 |
| CT Abdomen and Pelvis with Contrast | $605$389$1.5k | $3,345 | $4,778 |
| CT Cardiac Calcium Scoring | $169$97$312 | $76 | $109 |
| CT Chest without Contrast | $203$117$438 | $1,357 | $1,939 |
| CT Head without Contrast | $192$117$438 | $1,336 | $1,908 |
| DEXA Bone Density Scan | $168$63$438 | $606 | $865 |
| Diagnostic Colonoscopy | $1,497$359$10k | $2,125 | $3,036 |
| Diagnostic Mammogram (Both Breasts) | $168$116$449 | $636 | $908 |
| Ear Tube Placement (Tympanostomy) | $2,498$271$11k | — | — |
| Echocardiogram (Complete with Doppler) | $731$340$1.9k | $1,824 | $2,605 |
| EKG (Electrocardiogram, 12-lead) | $24 | — | — |
| Emergency Room Visit (Level 3) | $365$120$873 | $954 | $1,363 |
| Group Therapy Session | $136$40$318 | — | — |
| Hemodialysis Treatment | $173 | — | — |
| Hemoglobin A1c (Diabetes Test) | $11$10$38 | $73 | $104 |
| HIV Antibody Test | $10$9$35 | $116 | $166 |
| Holter Monitor (24-48 Hour Heart Monitor) | $128 | — | — |
| Home Sleep Study | $289$117$676 | $80 | $114 |
| Individual Therapy Session (45 Minutes) | $237$150$556 | — | — |
| Inguinal Hernia Repair (Open) | $5,765$1.0k$16k | $7,835 | $11,193 |
| Initial Hospital Admission (Level 1) | $166 | $152 | $217 |
| Initial Psychiatric Diagnostic Evaluation | $255$198$556 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $291$198$556 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,643$622$2.1k | $2,675 | $3,821 |
| IUD Insertion | $85 | $928 | $1,326 |
| IUD Removal | $491$112$7.5k | $475 | $678 |
| Knee Arthroscopy with Meniscectomy | $5,269$925$16k | — | — |
| Laparoscopic Appendectomy | $9,735$1.2k$19k | — | — |
| Laparoscopic Gallbladder Removal | $9,735$1.3k$35k | — | — |
| Laparoscopic Tubal Ligation | $9,735$1.1k$19k | — | — |
| Lipid Panel (Cholesterol Test) | $15$13$38 | $108 | $155 |
| Lumbar Epidural Steroid Injection | $1,137$167$7.5k | $3,299 | $4,713 |
| Lumbar Puncture (Spinal Tap) | $1,137$104$7.5k | $1,852 | $2,645 |
| Lumbar Spinal Fusion (Posterior) | $22,470$2.7k$55k | — | — |
| Lumpectomy (Partial Mastectomy) | $6,305$1.1k$12k | — | — |
| MRI Abdomen with and without Contrast | $635$389$1.5k | $3,896 | $5,565 |
| MRI Brain with and without Contrast | $616$389$1.5k | $3,362 | $4,803 |
| MRI Brain with Contrast | $572$389$1.5k | $2,934 | $4,192 |
| MRI Brain without Contrast | $401$266$911 | $2,930 | $4,185 |
| MRI Cervical Spine (Neck) without Contrast | $397$266$911 | $2,791 | $3,987 |
| MRI Knee without Contrast | $406$266$911 | $2,615 | $3,736 |
| MRI Lower Back (Lumbar Spine) without Contrast | $397$266$911 | $2,495 | $3,564 |
| MRI Thoracic Spine (Mid-back) without Contrast | $396$266$911 | $2,943 | $4,204 |
| Newborn Circumcision | $3,366$163$7.5k | $217 | $310 |
| Nuclear Cardiac Stress Test | $2,085$770$5.0k | $3,630 | $5,186 |
| Office Visit, Established Patient (Level 3) | $111 | — | — |
| Office Visit, New Patient (Level 3) | $139 | — | — |
| Pacemaker Insertion (Dual Chamber) | $13,394$882$38k | $23,841 | $34,058 |
| PET/CT Scan, Whole Body | $2,303$1.6k$5.6k | $3,926 | $5,609 |
| Pregnancy Ultrasound (Second or Third Trimester) | $203$117$438 | $968 | $1,383 |
| Prostate Biopsy | $5,683$217$10k | $2,400 | $3,429 |
| PSA Prostate Cancer Screening | $21$18$72 | $85 | $122 |
| Pulmonary Function Test with Bronchodilator | $499$66$1.2k | $340 | $486 |
| Rotator Cuff Repair (Arthroscopic) | $11,684$1.8k$23k | — | — |
| Screening Mammogram | $139$96$371 | $317 | $453 |
| Septoplasty (Deviated Septum Repair) | $5,339$1.2k$16k | $3,725 | $5,322 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $11,364$547$22k | — | — |
| Skin Biopsy (Tangential) | $543$63$1.3k | $236 | $337 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,659$138$7.5k | $1,159 | $1,656 |
| Sleep Study (In-lab Polysomnography) | $1,148$781$3.6k | — | — |
| Spinal Cord Stimulator Trial | $10,262$698$30k | — | — |
| Spirometry (Breathing Test) | $289$45$676 | $192 | $275 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $5,339$597$16k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $9,532$572$19k | — | — |
| Total Hip Replacement | $16,453$2.2k$44k | — | — |
| Total Knee Replacement | $16,453$2.2k$44k | — | — |
| Total Mastectomy | $10,692$1.6k$21k | — | — |
| TSH Thyroid Function Test | $19$17$66 | $110 | $157 |
| TURP (Transurethral Prostate Resection) | $8,634$1.2k$17k | — | — |
| Umbilical Hernia Repair | $11,536 | — | — |
| Upper GI Endoscopy (EGD) | $1,460$239$7.5k | $1,984 | $2,834 |
| Urinalysis with Microscopy | $4$3$12 | $83 | $118 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $4,265 | — | — |
| Vaginal Delivery (Global Package) | $4,079 | — | — |
| Vaginal Hysterectomy | $8,055$1.4k$30k | — | — |
| Vasectomy | $3,366$384$10k | — | — |
| Vitamin D Blood Test | $34$30$116 | $178 | $254 |