| Abdominal Hysterectomy | $1,005$909$12k | — | — |
| ACL Reconstruction (Arthroscopic) | $7,593$3.3k$50k | — | — |
| Allergy Skin Testing | $907$864$976 | — | — |
| Basic Metabolic Panel | $10$7$400 | $255 | $425 |
| Bone Marrow Biopsy | $1,828$96$4.2k | $2,662 | $4,436 |
| Breast Biopsy (Ultrasound-guided) | $2,627$486$11k | $3,497 | $5,829 |
| Bunion Correction Surgery | $3,424$1.1k$23k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $20,130$2.2k$171k | $14,792 | $24,653 |
| Cardiac Catheterization (Left Heart) | $7,173$1.4k$24k | $9,316 | $15,527 |
| Cardiac Stress Test (Treadmill) | $74$71$80 | — | — |
| Carpal Tunnel Release Surgery | $2,043$660$14k | — | — |
| Cataract Surgery with Lens Implant | $2,415$850$17k | — | — |
| Cervical Spinal Fusion (Anterior) | $13,435$7.0k$99k | — | — |
| Cesarean Delivery (Global Package) | $2,517$2.4k$20k | — | — |
| Chemotherapy Infusion (First Hour) | $349$332$376 | — | — |
| Chest X-ray (2 Views) | $215$34$722 | $457 | $762 |
| Colonoscopy with Biopsy | $1,116$429$8.4k | $761 | $1,268 |
| Complete Abdominal Ultrasound | $303$105$1.2k | $786 | $1,309 |
| Complete Blood Count (CBC) with Differential | $9$7$211 | $135 | $225 |
| Comprehensive Metabolic Panel | $35$9$639 | $400 | $666 |
| Coronary Angioplasty with Stent | $12,197$1.7k$83k | $11,695 | $19,492 |
| Critical Care, First Hour | $1,512$286$46k | $1,930 | $3,216 |
| CT Abdomen and Pelvis with Contrast | $963$312$6.1k | $3,920 | $6,534 |
| CT Cardiac Calcium Scoring | $137$87$2.1k | $137 | $228 |
| CT Chest without Contrast | $417$105$3.7k | $2,384 | $3,973 |
| CT Head without Contrast | $417$105$3.2k | $2,058 | $3,430 |
| DEXA Bone Density Scan | $106$39$119 | — | — |
| Diagnostic Colonoscopy | $1,772$329$6.4k | $1,859 | $3,098 |
| Diagnostic Mammogram (Both Breasts) | $158$151$170 | — | — |
| Ear Tube Placement (Tympanostomy) | $1,624$421$11k | — | — |
| Echocardiogram (Complete with Doppler) | $610$199$2.9k | $1,859 | $3,099 |
| EKG (Electrocardiogram, 12-lead) | $16$15$17 | — | — |
| Emergency Room Visit (Level 3) | $454$86$9.7k | $579 | $965 |
| Group Therapy Session | $107$102$116 | — | — |
| Hemodialysis Treatment | $92$87$99 | — | — |
| Hemoglobin A1c (Diabetes Test) | $53$8$209 | $114 | $189 |
| HIV Antibody Test | $30$7$156 | $95 | $158 |
| Holter Monitor (24-48 Hour Heart Monitor) | $71$67$76 | — | — |
| Home Sleep Study | $228$217$2.5k | — | — |
| Individual Therapy Session (45 Minutes) | $188$179$202 | — | — |
| Inguinal Hernia Repair (Open) | $3,591$1.2k$26k | $2,864 | $4,773 |
| Initial Hospital Admission (Level 1) | $77$73$83 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $188$179$202 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $188$179$202 | — | — |
| IUD Insertion | $109$64$1.6k | — | — |
| IUD Removal | $257$51$1.6k | $220 | $366 |
| Knee Arthroscopy with Meniscectomy | $3,424$1.1k$23k | — | — |
| Laparoscopic Appendectomy | $6,539$5.6k$40k | — | — |
| Laparoscopic Gallbladder Removal | $6,326$1.9k$40k | — | — |
| Laparoscopic Tubal Ligation | $6,326$1.9k$40k | — | — |
| Lipid Panel (Cholesterol Test) | $45$11$614 | $375 | $625 |
| Lumbar Epidural Steroid Injection | $788$263$5.2k | $1,001 | $1,669 |
| Lumbar Puncture (Spinal Tap) | $865$263$5.2k | $1,046 | $1,743 |
| Lumbar Spinal Fusion (Posterior) | $17,996$7.1k$99k | — | — |
| Lumpectomy (Partial Mastectomy) | $4,097$964$25k | — | — |
| MRI Abdomen with and without Contrast | $1,200$349$5.1k | $3,265 | $5,442 |
| MRI Brain with and without Contrast | $1,200$328$4.4k | $2,830 | $4,717 |
| MRI Brain with Contrast | $1,200$279$3.9k | $2,504 | $4,174 |
| MRI Brain without Contrast | $867$202$3.9k | $2,504 | $4,174 |
| MRI Cervical Spine (Neck) without Contrast | $867$196$3.8k | $2,394 | $3,990 |
| MRI Knee without Contrast | $867$209$5.1k | $3,265 | $5,442 |
| MRI Lower Back (Lumbar Spine) without Contrast | $867$197$3.8k | $2,394 | $3,990 |
| MRI Thoracic Spine (Mid-back) without Contrast | $867$196$3.8k | $2,394 | $3,990 |
| Newborn Circumcision | $2,188$653$15k | — | — |
| Nuclear Cardiac Stress Test | $1,368$438$6.5k | $4,139 | $6,898 |
| Office Visit, Established Patient (Level 3) | $168$23$1.1k | $246 | $410 |
| Office Visit, New Patient (Level 3) | $224$36$1.5k | $605 | $1,008 |
| Pacemaker Insertion (Dual Chamber) | $13,182$6.5k$86k | $18,986 | $31,643 |
| PET/CT Scan, Whole Body | $1,504$1.4k$1.6k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $247$105$722 | $382 | $636 |
| Prostate Biopsy | $2,966$653$15k | $3,009 | $5,016 |
| PSA Prostate Cancer Screening | $37$15$236 | $127 | $212 |
| Pulmonary Function Test with Bronchodilator | $394$67$1.0k | $455 | $758 |
| Rotator Cuff Repair (Arthroscopic) | $7,593$2.4k$50k | — | — |
| Screening Mammogram | $127$121$137 | — | — |
| Septoplasty (Deviated Septum Repair) | $3,470$887$22k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,385$1.6k$45k | — | — |
| Skin Biopsy (Tangential) | $417$64$1.6k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,745$74$3.1k | $1,897 | $3,161 |
| Sleep Study (In-lab Polysomnography) | $907$864$5.6k | — | — |
| Spinal Cord Stimulator Trial | $6,733$3.7k$52k | — | — |
| Spirometry (Breathing Test) | $246$53$1.1k | $357 | $595 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,470$887$22k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,076$2.0k$41k | — | — |
| Total Hip Replacement | $13,948$13k$99k | — | — |
| Total Knee Replacement | $13,948$13k$99k | — | — |
| Total Mastectomy | $6,949$1.8k$44k | — | — |
| TSH Thyroid Function Test | $102$14$508 | $162 | $270 |
| TURP (Transurethral Prostate Resection) | $5,611$1.7k$35k | — | — |
| Upper GI Endoscopy (EGD) | $1,255$335$6.6k | $1,825 | $3,041 |
| Urinalysis with Microscopy | $4$3$169 | $108 | $180 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,372$2.3k$19k | — | — |
| Vaginal Delivery (Global Package) | $2,256$2.1k$18k | — | — |
| Vaginal Hysterectomy | $5,235$1.5k$36k | — | — |
| Vasectomy | $2,188$653$15k | — | — |
| Vitamin D Blood Test | $65$25$419 | $123 | $205 |