| Abdominal Hysterectomy | $1,423$233$2.0k | — | $3,328 |
| ACL Reconstruction (Arthroscopic) | $1,234$193$15k | — | $26,028 |
| Allergy Skin Testing | $7$3$2.1k | — | $400 |
| Anesthesia for Screening Colonoscopy | $109$80$123 | — | — |
| Anesthesia for Upper Endoscopy | $136$100$154 | — | — |
| Basic Metabolic Panel | $13$8$16 | — | $200 |
| Bone Marrow Biopsy | $419$281$3.4k | — | $2,564 |
| Breast Biopsy (Ultrasound-guided) | $1,312$881$3.4k | — | $2,809 |
| Bunion Correction Surgery | $733$115$6.9k | — | $10,457 |
| Cardiac Ablation for Atrial Fibrillation | $1,882$1.3k$52k | — | $52,461 |
| Cardiac Catheterization (Left Heart) | $2,030$1.4k$6.8k | — | $10,348 |
| Cardiac Stress Test (Treadmill) | $186$138$210 | — | $487 |
| Carpal Tunnel Release Surgery | $579$91$4.1k | — | $5,536 |
| Cataract Surgery with Lens Implant | $1,838$288$4.8k | — | $7,065 |
| Cervical Spinal Fusion (Anterior) | $2,602$408$27k | — | $16,014 |
| Cesarean Delivery (Global Package) | $3,174$2.0k$5.0k | — | $7,639 |
| Chemotherapy Infusion (First Hour) | $61$41$701 | — | $1,199 |
| Chest X-ray (2 Views) | $59$39$186 | — | — |
| Colonoscopy with Biopsy | $706$474$2.5k | — | $2,948 |
| Complete Abdominal Ultrasound | $146$119$225 | — | $650 |
| Complete Blood Count (CBC) with Differential | $12$8$15 | — | $43 |
| Comprehensive Metabolic Panel | $16$11$20 | — | $350 |
| Coronary Angioplasty with Stent | $1,032$693$24k | — | $25,455 |
| Critical Care, First Hour | $260$174$1.8k | — | $2,500 |
| CT Abdomen and Pelvis with Contrast | $494$404$754 | — | $2,070 |
| CT Cardiac Calcium Scoring | $136$103$186 | — | $216 |
| CT Chest without Contrast | $211$125$279 | — | $1,490 |
| CT Head without Contrast | $169$125$225 | — | $2,000 |
| DEXA Bone Density Scan | $73$49$225 | — | $403 |
| Diagnostic Colonoscopy | $631$423$1.9k | — | $2,948 |
| Diagnostic Mammogram (Both Breasts) | $287$212$325 | — | — |
| Ear Tube Placement (Tympanostomy) | $258$173$3.1k | — | $4,872 |
| Echocardiogram (Complete with Doppler) | $512$344$1.2k | — | $1,710 |
| EKG (Electrocardiogram, 12-lead) | $56$41$63 | — | $125 |
| Emergency Room Visit (Level 3) | $86$50$585 | — | $1,426 |
| Group Therapy Session | — | — | $695 |
| Hemodialysis Treatment | $297$220$337 | — | $778 |
| Hemoglobin A1c (Diabetes Test) | $15$10$19 | — | $60 |
| HIV Antibody Test | $14$9$17 | — | $109 |
| Holter Monitor (24-48 Hour Heart Monitor) | $215$159$243 | — | $444 |
| Home Sleep Study | $177$119$331 | — | $727 |
| Individual Therapy Session (45 Minutes) | $164$96$339 | — | $460 |
| Inguinal Hernia Repair (Open) | $629$99$7.5k | — | $10,399 |
| Initial Hospital Admission (Level 1) | $66$49$75 | — | $328 |
| Initial Psychiatric Diagnostic Evaluation | — | — | $1,840 |
| Initial Psychiatric Evaluation with Medication Management | — | — | $1,840 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $679$679$1.2k | — | — |
| IUD Insertion | $326$241$369 | — | $469 |
| IUD Removal | $104$70$643 | — | $758 |
| Knee Arthroscopy with Meniscectomy | $1,178$790$6.9k | — | $8,623 |
| Laparoscopic Appendectomy | $500$79$12k | — | $14,594 |
| Laparoscopic Gallbladder Removal | $852$134$12k | — | $14,594 |
| Laparoscopic Tubal Ligation | $894$140$12k | — | $14,594 |
| Lipid Panel (Cholesterol Test) | $21$13$25 | — | $90 |
| Lumbar Epidural Steroid Injection | $470$316$1.5k | — | — |
| Lumbar Puncture (Spinal Tap) | $223$117$1.5k | — | $1,416 |
| Lumbar Spinal Fusion (Posterior) | $2,181$342$39k | — | $16,014 |
| Lumpectomy (Partial Mastectomy) | $610$96$8.1k | — | $7,898 |
| MRI Abdomen with and without Contrast | $557$419$754 | — | $6,150 |
| MRI Brain with and without Contrast | $520$419$754 | — | $6,270 |
| MRI Brain with Contrast | $478$379$754 | — | $3,390 |
| MRI Brain without Contrast | $334$273$511 | — | $2,830 |
| MRI Cervical Spine (Neck) without Contrast | $330$266$511 | — | $3,080 |
| MRI Knee without Contrast | $403$282$857 | — | $5,600 |
| MRI Lower Back (Lumbar Spine) without Contrast | $330$267$511 | — | $2,683 |
| MRI Thoracic Spine (Mid-back) without Contrast | $329$266$511 | — | $3,140 |
| Newborn Circumcision | $2,404$2.4k$4.3k | — | $6,942 |
| Nuclear Cardiac Stress Test | $744$499$2.8k | — | $4,615 |
| Office Visit, Established Patient (Level 3) | $85$34$180 | — | $1,426 |
| Office Visit, New Patient (Level 3) | $135$82$222 | — | $1,426 |
| Pacemaker Insertion (Dual Chamber) | $1,591$1.1k$22k | — | $42,354 |
| PET/CT Scan, Whole Body | $3,188$1.7k$4.7k | — | $8,508 |
| Pregnancy Ultrasound (Second or Third Trimester) | $189$125$281 | — | $1,036 |
| Prostate Biopsy | $187$126$4.3k | — | $4,248 |
| PSA Prostate Cancer Screening | $29$18$36 | — | $101 |
| Pulmonary Function Test with Bronchodilator | $96$65$658 | — | $572 |
| Rotator Cuff Repair (Arthroscopic) | $1,056$709$15k | — | $17,037 |
| Screening Mammogram | $231$171$262 | — | — |
| Septoplasty (Deviated Septum Repair) | $681$107$6.9k | — | $7,438 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $766$514$15k | — | $12,208 |
| Skin Biopsy (Tangential) | $189$128$420 | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $218$76$3.4k | — | $2,564 |
| Sleep Study (In-lab Polysomnography) | $744$499$2.1k | — | $4,838 |
| Spinal Cord Stimulator Trial | $798$125$14k | — | $18,506 |
| Spirometry (Breathing Test) | $50$35$331 | — | $355 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $433$291$6.9k | — | $7,438 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $360$242$12k | — | $7,438 |
| Total Hip Replacement | $2,724$427$27k | — | $7,512 |
| Total Knee Replacement | $2,724$427$27k | — | $7,512 |
| Total Mastectomy | $1,395$219$14k | — | $10,623 |
| TSH Thyroid Function Test | $26$17$32 | — | $165 |
| TURP (Transurethral Prostate Resection) | $1,591$1.1k$11k | — | $11,621 |
| Umbilical Hernia Repair | — | — | $10,399 |
| Upper GI Endoscopy (EGD) | $479$321$2.0k | — | $2,682 |
| Urinalysis with Microscopy | $5$3$6 | — | $60 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $3,084$2.0k$4.8k | — | $7,238 |
| Vaginal Delivery (Global Package) | $3,025$2.0k$4.6k | — | $6,918 |
| Vaginal Hysterectomy | $1,483$233$10k | — | $10,091 |
| Vasectomy | $557$374$4.3k | — | $6,942 |
| Vitamin D Blood Test | $37$30$53 | — | $190 |