| Abdominal Hysterectomy | $5,267$3.1k$9.6k | — | — |
| ACL Reconstruction (Arthroscopic) | $7,979$4.3k$14k | — | — |
| Allergy Skin Testing | $566$11$1.7k | — | — |
| Basic Metabolic Panel | $15$8$62 | $652 | $652 |
| Bone Marrow Biopsy | $2,315$394$4.4k | — | — |
| Breast Biopsy (Ultrasound-guided) | $2,942$874$5.1k | $7,063 | $7,063 |
| Bunion Correction Surgery | $5,008$3.4k$7.9k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $23,664$5.3k$52k | $75,733 | $75,733 |
| Cardiac Catheterization (Left Heart) | $7,482$4.2k$11k | $17,824 | $17,824 |
| Cardiac Stress Test (Treadmill) | $405$220$869 | — | — |
| Carpal Tunnel Release Surgery | $3,813$2.5k$6.0k | — | — |
| Cataract Surgery with Lens Implant | $5,281$3.0k$11k | — | — |
| Cervical Spinal Fusion (Anterior) | $10,695$4.3k$25k | — | — |
| Cesarean Delivery (Global Package) | $5,881$4.8k$16k | — | — |
| Chemotherapy Infusion (First Hour) | $501$389$1.0k | — | — |
| Chest X-ray (2 Views) | $134$58$271 | $719 | $719 |
| Colonoscopy with Biopsy | $2,492$1.2k$5.1k | — | — |
| Complete Abdominal Ultrasound | $219$134$849 | $2,946 | $2,946 |
| Complete Blood Count (CBC) with Differential | $14$8$57 | $142 | $142 |
| Comprehensive Metabolic Panel | $19$11$78 | $644 | $644 |
| Coronary Angioplasty with Stent | $10,712$3.0k$23k | $36,979 | $36,979 |
| Critical Care, First Hour | $1,275$1.1k$1.6k | $9,511 | $9,511 |
| CT Abdomen and Pelvis with Contrast | $782$449$2.2k | $8,135 | $8,135 |
| CT Cardiac Calcium Scoring | $261$112$743 | — | — |
| CT Chest without Contrast | $328$134$1.2k | $3,504 | $3,504 |
| CT Head without Contrast | $328$134$985 | $3,968 | $3,968 |
| DEXA Bone Density Scan | $161$92$600 | — | — |
| Diagnostic Colonoscopy | $2,227$1.1k$5.1k | — | — |
| Diagnostic Mammogram (Both Breasts) | $186$112$1.2k | $1,015 | $1,015 |
| Ear Tube Placement (Tympanostomy) | $2,843$1.0k$6.6k | — | — |
| Echocardiogram (Complete with Doppler) | $963$703$1.8k | $6,767 | $6,767 |
| EKG (Electrocardiogram, 12-lead) | $90$57$211 | — | — |
| Emergency Room Visit (Level 3) | $421$351$541 | $2,176 | $2,176 |
| Group Therapy Session | $154$22$201 | $460 | $460 |
| Hemodialysis Treatment | $134$109$603 | — | — |
| Hemoglobin A1c (Diabetes Test) | $18$10$71 | $85 | $85 |
| HIV Antibody Test | $16$9$65 | $98 | $98 |
| Holter Monitor (24-48 Hour Heart Monitor) | $514$404$1.3k | — | — |
| Home Sleep Study | $401$278$1.2k | — | — |
| Individual Therapy Session (45 Minutes) | $274$228$626 | $382 | $382 |
| Inguinal Hernia Repair (Open) | $5,716$3.4k$7.9k | — | — |
| Initial Hospital Admission (Level 1) | $502 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $274$228$936 | $881 | $881 |
| Initial Psychiatric Evaluation with Medication Management | $274$228$1.1k | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $2,679$1.8k$3.6k | — | — |
| IUD Insertion | $964$250$4.4k | — | — |
| IUD Removal | $577$383$4.4k | — | — |
| Knee Arthroscopy with Meniscectomy | $5,575$3.6k$7.9k | — | — |
| Laparoscopic Appendectomy | $8,475$3.9k$12k | — | — |
| Laparoscopic Gallbladder Removal | $9,326$4.3k$12k | — | — |
| Laparoscopic Tubal Ligation | $8,722$3.9k$12k | — | — |
| Lipid Panel (Cholesterol Test) | $24$13$98 | $239 | $239 |
| Lumbar Epidural Steroid Injection | $1,531$613$4.4k | $3,776 | $3,776 |
| Lumbar Puncture (Spinal Tap) | $1,531$383$4.4k | $1,829 | $1,829 |
| Lumbar Spinal Fusion (Posterior) | $11,096$4.3k$35k | — | — |
| Lumpectomy (Partial Mastectomy) | $5,912$4.3k$7.8k | — | — |
| MRI Abdomen with and without Contrast | $1,148$449$5.3k | $10,890 | $10,890 |
| MRI Brain with and without Contrast | $1,148$449$4.6k | $6,870 | $6,870 |
| MRI Brain with Contrast | $1,148$449$2.8k | $5,002 | $5,002 |
| MRI Brain without Contrast | $731$307$2.3k | $3,836 | $3,836 |
| MRI Cervical Spine (Neck) without Contrast | $731$307$2.3k | $3,836 | $3,836 |
| MRI Knee without Contrast | $731$307$2.3k | $5,469 | $5,469 |
| MRI Lower Back (Lumbar Spine) without Contrast | $731$307$2.6k | $5,343 | $5,343 |
| MRI Thoracic Spine (Mid-back) without Contrast | $731$307$2.6k | $5,530 | $5,530 |
| Newborn Circumcision | $3,199$564$6.0k | $4,762 | $4,762 |
| Nuclear Cardiac Stress Test | $1,998$880$4.2k | $7,756 | $7,756 |
| Office Visit, Established Patient (Level 3) | $392 | — | — |
| Office Visit, New Patient (Level 3) | $483 | — | — |
| Pacemaker Insertion (Dual Chamber) | $14,447$3.0k$24k | $28,868 | $28,868 |
| PET/CT Scan, Whole Body | $2,832$757$5.3k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $233$134$1.0k | $2,710 | $2,710 |
| Prostate Biopsy | $3,969$2.6k$5.1k | — | — |
| PSA Prostate Cancer Screening | $33$18$135 | $145 | $145 |
| Pulmonary Function Test with Bronchodilator | $403$113$739 | $898 | $898 |
| Rotator Cuff Repair (Arthroscopic) | $9,304$6.1k$14k | — | — |
| Screening Mammogram | $168$101$944 | $771 | $771 |
| Septoplasty (Deviated Septum Repair) | $5,575$4.3k$7.4k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $8,673$1.8k$14k | — | — |
| Skin Biopsy (Tangential) | $622$205$5.1k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,761$543$4.6k | — | — |
| Sleep Study (In-lab Polysomnography) | $1,578$1.1k$5.1k | — | — |
| Spinal Cord Stimulator Trial | $8,934$2.6k$13k | — | — |
| Spirometry (Breathing Test) | $250$67$428 | $1,145 | $1,145 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $6,029$1.9k$9.3k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,308$1.8k$12k | — | — |
| Total Hip Replacement | $13,034$4.3k$25k | — | — |
| Total Knee Replacement | $13,034$4.3k$25k | — | — |
| Total Mastectomy | $7,681$5.2k$13k | — | — |
| TSH Thyroid Function Test | $30$17$123 | $265 | $265 |
| TURP (Transurethral Prostate Resection) | $7,359$3.6k$11k | — | — |
| Upper GI Endoscopy (EGD) | $2,205$761$4.4k | — | — |
| Urinalysis with Microscopy | $6$3$22 | $185 | $185 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $5,146$4.2k$15k | — | — |
| Vaginal Delivery (Global Package) | $5,146$4.2k$15k | — | — |
| Vaginal Hysterectomy | $7,656$3.1k$11k | — | — |
| Vasectomy | $3,949$1.5k$6.0k | — | — |
| Vitamin D Blood Test | $54$30$217 | $26 | $26 |