| Abdominal Hysterectomy | $2,519$1.7k$4.3k | $2,249 | $2,249 |
| ACL Reconstruction (Arthroscopic) | $6,752$1.5k$13k | $1,985 | $1,985 |
| Allergy Skin Testing | $815$337$1.5k | — | — |
| Basic Metabolic Panel | $9$8$28 | $35 | $35 |
| Bone Marrow Biopsy | $1,537$278$2.9k | $370 | $370 |
| Breast Biopsy (Ultrasound-guided) | $1,537$1.1k$2.9k | $1,418 | $1,418 |
| Bunion Correction Surgery | $3,045$888$5.8k | $1,184 | $1,184 |
| Cardiac Ablation for Atrial Fibrillation | $24,321$1.8k$46k | $2,421 | $2,421 |
| Cardiac Catheterization (Left Heart) | $3,077$557$8.7k | $696 | $696 |
| Cardiac Stress Test (Treadmill) | $132$86$1.4k | $176 | $176 |
| Carpal Tunnel Release Surgery | $1,828$722$3.5k | $962 | $962 |
| Cataract Surgery with Lens Implant | $2,196$2.1k$4.1k | — | — |
| Cervical Spinal Fusion (Anterior) | $12,185$2.8k$23k | $3,682 | $3,682 |
| Cesarean Delivery (Global Package) | $2,932$2.3k$3.8k | $4,692 | $4,692 |
| Chemotherapy Infusion (First Hour) | $316$307$1.3k | — | — |
| Chest X-ray (2 Views) | $81$26$263 | $74 | $74 |
| Colonoscopy with Biopsy | $1,113$790$2.6k | $1,053 | $1,053 |
| Complete Abdominal Ultrasound | $108$97$337 | $314 | $314 |
| Complete Blood Count (CBC) with Differential | $8$7$26 | $32 | $32 |
| Comprehensive Metabolic Panel | $12$10$36 | $45 | $45 |
| Coronary Angioplasty with Stent | $10,796$999$20k | $12,356 | $12,356 |
| Critical Care, First Hour | $769$338$2.1k | $422 | $422 |
| CT Abdomen and Pelvis with Contrast | $367$325$1.0k | — | — |
| CT Cardiac Calcium Scoring | $83$77$599 | — | — |
| CT Chest without Contrast | $108$97$1.0k | — | — |
| CT Head without Contrast | $108$97$1.0k | — | — |
| DEXA Bone Density Scan | $99$50$263 | $67 | $67 |
| Diagnostic Colonoscopy | $865$663$2.6k | $884 | $884 |
| Diagnostic Mammogram (Both Breasts) | $184$112$196 | $245 | $245 |
| Ear Tube Placement (Tympanostomy) | $1,444$284$2.7k | $378 | $378 |
| Echocardiogram (Complete with Doppler) | $508$103$966 | $273 | $273 |
| EKG (Electrocardiogram, 12-lead) | $29$19$337 | $39 | $39 |
| Emergency Room Visit (Level 3) | $259$76$1.2k | $95 | $95 |
| Group Therapy Session | $95$72$180 | — | — |
| Hemodialysis Treatment | $545 | — | — |
| Hemoglobin A1c (Diabetes Test) | $10$9$32 | $40 | $40 |
| HIV Antibody Test | $9$8$38 | $47 | $47 |
| Holter Monitor (24-48 Hour Heart Monitor) | $155$101$748 | $207 | $207 |
| Home Sleep Study | $205$153$524 | $404 | $404 |
| Individual Therapy Session (45 Minutes) | $165$138$314 | — | — |
| Inguinal Hernia Repair (Open) | $3,398$865$6.3k | $1,153 | $1,153 |
| Initial Hospital Admission (Level 1) | $118$77$1.1k | $157 | $157 |
| Initial Psychiatric Diagnostic Evaluation | $165$138$314 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $165$138$314 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $584$517$1.3k | — | — |
| IUD Insertion | $665$113$1.1k | $729 | $729 |
| IUD Removal | $297$169$1.1k | $764 | $764 |
| Knee Arthroscopy with Meniscectomy | $3,045$911$5.8k | $1,215 | $1,215 |
| Laparoscopic Appendectomy | $5,625$998$11k | $1,330 | $1,330 |
| Laparoscopic Gallbladder Removal | $5,625$1.2k$11k | $1,664 | $1,664 |
| Laparoscopic Tubal Ligation | $5,625$1.1k$11k | $1,520 | $1,520 |
| Lipid Panel (Cholesterol Test) | $15$12$43 | $53 | $53 |
| Lumbar Epidural Steroid Injection | $657$108$1.3k | $239 | $239 |
| Lumbar Puncture (Spinal Tap) | $657$168$1.3k | $292 | $292 |
| Lumbar Spinal Fusion (Posterior) | $16,642$2.7k$31k | $3,552 | $3,552 |
| Lumpectomy (Partial Mastectomy) | $3,643$1.1k$6.9k | $1,436 | $1,436 |
| MRI Abdomen with and without Contrast | $367$325$1.6k | — | — |
| MRI Brain with and without Contrast | $367$325$1.6k | — | — |
| MRI Brain with Contrast | $367$325$1.6k | — | — |
| MRI Brain without Contrast | $226$222$1.6k | — | — |
| MRI Cervical Spine (Neck) without Contrast | $226$222$1.6k | — | — |
| MRI Knee without Contrast | $226$222$1.6k | — | — |
| MRI Lower Back (Lumbar Spine) without Contrast | $226$222$1.6k | — | — |
| MRI Thoracic Spine (Mid-back) without Contrast | $226$222$1.6k | — | — |
| Newborn Circumcision | $1,945$182$3.7k | $243 | $243 |
| Nuclear Cardiac Stress Test | $1,221$135$2.3k | $169 | $169 |
| Office Visit, Established Patient (Level 3) | $84$56$154 | $152 | $152 |
| Office Visit, New Patient (Level 3) | $125$74$219 | $220 | $220 |
| Pacemaker Insertion (Dual Chamber) | $9,920$857$18k | $1,142 | $1,142 |
| PET/CT Scan, Whole Body | $1,385$1.3k$3.5k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $146$97$377 | $435 | $435 |
| Prostate Biopsy | $1,886$162$3.3k | $2,211 | $2,211 |
| PSA Prostate Cancer Screening | $19$17$40 | $50 | $50 |
| Pulmonary Function Test with Bronchodilator | $347$107$660 | $142 | $142 |
| Rotator Cuff Repair (Arthroscopic) | $6,752$1.7k$13k | $2,213 | $2,213 |
| Screening Mammogram | $93$93$188 | — | — |
| Septoplasty (Deviated Septum Repair) | $3,085$1.1k$5.9k | $1,418 | $1,418 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,567$578$12k | $770 | $770 |
| Skin Biopsy (Tangential) | $378$65$719 | $86 | $86 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,537$203$2.9k | $271 | $271 |
| Sleep Study (In-lab Polysomnography) | $887$799$1.5k | $1,424 | $1,424 |
| Spinal Cord Stimulator Trial | $6,049$726$11k | $968 | $968 |
| Spirometry (Breathing Test) | $201$62$382 | $83 | $83 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,085$545$5.9k | $726 | $726 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,508$524$10k | $698 | $698 |
| Total Hip Replacement | $11,946$2.1k$23k | $3,159 | $3,159 |
| Total Knee Replacement | $11,946$2.2k$23k | $3,374 | $3,374 |
| Total Mastectomy | $6,179$1.7k$12k | $2,225 | $2,225 |
| TSH Thyroid Function Test | $17$15$57 | $71 | $71 |
| TURP (Transurethral Prostate Resection) | $4,989$1.3k$9.5k | $1,752 | $1,752 |
| Umbilical Hernia Repair | — | $986 | $986 |
| Upper GI Endoscopy (EGD) | $844$501$2.6k | $668 | $668 |
| Urinalysis with Microscopy | $4$3$14 | $15 | $15 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $3,160$2.5k$4.0k | $5,056 | $5,056 |
| Vaginal Delivery (Global Package) | $2,640$2.1k$3.4k | $4,223 | $4,223 |
| Vaginal Hysterectomy | $4,714$1.4k$8.8k | $1,879 | $1,879 |
| Vasectomy | $1,945$663$3.7k | $884 | $884 |
| Vitamin D Blood Test | $30$19$56 | $25 | $25 |