| Abdominal Hysterectomy | $4,187$3.8k$4.6k | — | — |
| ACL Reconstruction (Arthroscopic) | $4,305$3.6k$17k | — | — |
| Allergy Skin Testing | $32$5$2.4k | — | — |
| Anesthesia for Screening Colonoscopy | $16$15$18 | — | — |
| Anesthesia for Upper Endoscopy | $16$15$18 | — | — |
| Basic Metabolic Panel | $67$5$183 | $116 | $187 |
| Bone Marrow Biopsy | $1,498$1.2k$3.9k | — | — |
| Breast Biopsy (Ultrasound-guided) | $3,062$860$20k | $4,315 | $6,959 |
| Bunion Correction Surgery | $3,804$2.3k$7.8k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $41,377$1.3k$89k | $61,081 | $98,517 |
| Cardiac Catheterization (Left Heart) | $1,903$805$7.7k | — | — |
| Cardiac Stress Test (Treadmill) | $119$75$130 | — | — |
| Carpal Tunnel Release Surgery | $1,056$880$4.7k | — | — |
| Cataract Surgery with Lens Implant | $1,335$1.1k$5.5k | — | — |
| Cervical Spinal Fusion (Anterior) | $7,758$6.5k$31k | — | — |
| Cesarean Delivery (Global Package) | $1,849$1.7k$2.0k | — | — |
| Chemotherapy Infusion (First Hour) | $210$148$796 | — | — |
| Chest X-ray (2 Views) | $355$23$8.8k | $512 | $825 |
| Colonoscopy with Biopsy | $764$637$3.3k | — | — |
| Complete Abdominal Ultrasound | $1,069$85$13k | $1,541 | $2,485 |
| Complete Blood Count (CBC) with Differential | $44$3$119 | $75 | $121 |
| Comprehensive Metabolic Panel | $5$5$25 | — | — |
| Coronary Angioplasty with Stent | $11,567$696$53k | $15,991 | $25,792 |
| Critical Care, First Hour | $847$248$2.0k | — | — |
| CT Abdomen and Pelvis with Contrast | $615$207$4.2k | $2,682 | $4,325 |
| CT Cardiac Calcium Scoring | $88$29$2.6k | $80 | $129 |
| CT Chest without Contrast | $590$67$2.6k | $1,246 | $2,009 |
| CT Head without Contrast | $590$75$2.6k | $968 | $1,562 |
| DEXA Bone Density Scan | $682$30$24k | $983 | $1,586 |
| Diagnostic Colonoscopy | $764$637$2.2k | — | — |
| Diagnostic Mammogram (Both Breasts) | $569$29$8.8k | $821 | $1,324 |
| Ear Tube Placement (Tympanostomy) | $1,061$884$3.6k | — | — |
| Echocardiogram (Complete with Doppler) | $2,322$139$17k | $3,348 | $5,400 |
| EKG (Electrocardiogram, 12-lead) | $19$17$20 | — | — |
| Emergency Room Visit (Level 3) | $1,341$73$19k | $1,631 | $2,630 |
| Group Therapy Session | $160$27$978 | $210 | $339 |
| Hemodialysis Treatment | $655$116$715 | — | — |
| Hemoglobin A1c (Diabetes Test) | $27$3$73 | $46 | $74 |
| HIV Antibody Test | $13$6$34 | $22 | $35 |
| Holter Monitor (24-48 Hour Heart Monitor) | $39$36$93 | — | — |
| Home Sleep Study | $114$74$376 | — | — |
| Individual Therapy Session (45 Minutes) | $122$56$978 | $172 | $278 |
| Inguinal Hernia Repair (Open) | $3,002$2.5k$13k | — | — |
| Initial Hospital Admission (Level 1) | $114 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $167$138$386 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $167$155$386 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $3,085$296$104k | $4,347 | $7,011 |
| IUD Insertion | $153$139$167 | — | — |
| IUD Removal | $304$136$38k | $366 | $590 |
| Knee Arthroscopy with Meniscectomy | $1,656$1.4k$7.8k | — | — |
| Laparoscopic Appendectomy | $3,134$2.6k$14k | — | — |
| Laparoscopic Gallbladder Removal | $2,880$1.3k$14k | — | — |
| Laparoscopic Tubal Ligation | $3,429$2.9k$14k | — | — |
| Lipid Panel (Cholesterol Test) | $141$5$385 | $244 | $393 |
| Lumbar Epidural Steroid Injection | $1,874$483$27k | $2,640 | $4,258 |
| Lumbar Puncture (Spinal Tap) | $580$483$1.7k | — | — |
| Lumbar Spinal Fusion (Posterior) | $7,758$6.5k$44k | — | — |
| Lumpectomy (Partial Mastectomy) | $2,694$2.2k$9.2k | — | — |
| MRI Abdomen with and without Contrast | $1,040$255$5.9k | $2,562 | $4,132 |
| MRI Brain with and without Contrast | $1,040$255$5.9k | $2,815 | $4,540 |
| MRI Brain with Contrast | $1,040$227$5.9k | $2,493 | $4,021 |
| MRI Brain without Contrast | $1,007$153$5.9k | $2,153 | $3,473 |
| MRI Cervical Spine (Neck) without Contrast | $1,004$147$5.9k | $1,929 | $3,112 |
| MRI Knee without Contrast | $1,004$153$5.9k | $1,849 | $2,983 |
| MRI Lower Back (Lumbar Spine) without Contrast | $1,004$148$5.9k | $1,853 | $2,989 |
| MRI Thoracic Spine (Mid-back) without Contrast | $1,004$147$5.9k | $1,969 | $3,176 |
| Newborn Circumcision | $738$189$33k | $508 | $820 |
| Nuclear Cardiac Stress Test | $2,856$414$40k | $4,024 | $6,491 |
| Office Visit, Established Patient (Level 3) | $57 | — | — |
| Office Visit, New Patient (Level 3) | $84 | — | — |
| Pacemaker Insertion (Dual Chamber) | $10,675$5.0k$58k | $14,320 | $23,097 |
| PET/CT Scan, Whole Body | $3,844$905$11k | $5,542 | $8,939 |
| Pregnancy Ultrasound (Second or Third Trimester) | $485$63$13k | $700 | $1,129 |
| Prostate Biopsy | $1,318$1.1k$4.9k | — | — |
| PSA Prostate Cancer Screening | $7$6$44 | — | — |
| Pulmonary Function Test with Bronchodilator | $683$48$8.8k | $963 | $1,553 |
| Rotator Cuff Repair (Arthroscopic) | $4,305$3.6k$17k | — | — |
| Screening Mammogram | $385$29$8.8k | $543 | $876 |
| Septoplasty (Deviated Septum Repair) | $2,103$556$7.8k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $3,435$461$17k | — | — |
| Skin Biopsy (Tangential) | $287$110$38k | $296 | $478 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $935$779$3.9k | — | — |
| Sleep Study (In-lab Polysomnography) | $4,073$478$9.1k | $5,732 | $9,245 |
| Spinal Cord Stimulator Trial | $4,672$2.2k$16k | — | — |
| Spirometry (Breathing Test) | $167$28$8.8k | $236 | $380 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $1,632$1.4k$7.8k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $1,632$1.4k$14k | — | — |
| Total Hip Replacement | $7,150$1.1k$31k | — | — |
| Total Knee Replacement | $7,150$6.0k$31k | — | — |
| Total Mastectomy | $2,694$2.2k$16k | — | — |
| TSH Thyroid Function Test | $135$7$368 | $233 | $375 |
| TURP (Transurethral Prostate Resection) | $3,649$3.0k$12k | — | — |
| Umbilical Hernia Repair | $2,752$2.5k$6.8k | — | — |
| Upper GI Endoscopy (EGD) | $779$649$2.3k | — | — |
| Urinalysis with Microscopy | $2$2$8 | — | — |
| Vaginal Birth After Cesarean (VBAC) Global Package | $1,672$1.5k$1.8k | — | — |
| Vaginal Delivery (Global Package) | $1,672$1.5k$1.8k | — | — |
| Vaginal Hysterectomy | $3,253$2.7k$12k | — | — |
| Vasectomy | $2,947$1.5k$33k | $4,152 | $6,697 |
| Vitamin D Blood Test | $17$14$71 | — | — |