| Abdominal Hysterectomy | $999$999$6.6k | — | — |
| ACL Reconstruction (Arthroscopic) | $967$967$6.4k | — | — |
| Allergy Skin Testing | $4$4$24 | — | — |
| Basic Metabolic Panel | $11$8$229 | $102 | $254 |
| Bone Marrow Biopsy | $1,286$68$5.6k | $2,081 | $5,203 |
| Breast Biopsy (Ultrasound-guided) | $1,543$148$8.5k | $3,144 | $7,861 |
| Bunion Correction Surgery | $517$517$3.4k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $4,998$892$75k | $25,767 | $64,418 |
| Cardiac Catheterization (Left Heart) | $3,133$721$23k | $10,388 | $25,971 |
| Cardiac Stress Test (Treadmill) | $73$73$482 | — | — |
| Carpal Tunnel Release Surgery | $445$445$2.9k | — | — |
| Cataract Surgery with Lens Implant | $535$535$3.5k | — | — |
| Cervical Spinal Fusion (Anterior) | $1,666$1.7k$11k | — | — |
| Cesarean Delivery (Global Package) | $2,606$2.6k$17k | — | — |
| Chemotherapy Infusion (First Hour) | $413$125$4.9k | $517 | $1,292 |
| Chest X-ray (2 Views) | $100$24$884 | $393 | $981 |
| Colonoscopy with Biopsy | $194$194$1.3k | — | — |
| Complete Abdominal Ultrasound | $205$79$1.6k | $693 | $1,731 |
| Complete Blood Count (CBC) with Differential | $10$8$264 | $118 | $294 |
| Comprehensive Metabolic Panel | $14$10$252 | $112 | $280 |
| Coronary Angioplasty with Stent | $3,133$552$70k | $10,182 | $25,456 |
| Critical Care, First Hour | $3,558$150$18k | $7,116 | $17,789 |
| CT Abdomen and Pelvis with Contrast | $461$225$12k | $5,357 | $13,391 |
| CT Cardiac Calcium Scoring | $182$76$4.6k | $2,043 | $5,108 |
| CT Chest without Contrast | $245$86$4.7k | $2,099 | $5,247 |
| CT Head without Contrast | $245$70$5.3k | $2,353 | $5,882 |
| DEXA Bone Density Scan | $91$31$880 | $391 | $978 |
| Diagnostic Colonoscopy | $179$179$1.2k | — | — |
| Diagnostic Mammogram (Both Breasts) | $170$114$851 | $378 | $946 |
| Ear Tube Placement (Tympanostomy) | $160$160$1.1k | — | — |
| Echocardiogram (Complete with Doppler) | $759$129$4.2k | $1,876 | $4,689 |
| EKG (Electrocardiogram, 12-lead) | $14$14$94 | — | — |
| Emergency Room Visit (Level 3) | $779$68$4.4k | $1,558 | $3,894 |
| Group Therapy Session | $153$24$418 | $186 | $465 |
| Hemodialysis Treatment | $100$100$656 | — | — |
| Hemoglobin A1c (Diabetes Test) | $13$10$126 | $56 | $140 |
| HIV Antibody Test | $12$9$193 | $86 | $214 |
| Holter Monitor (24-48 Hour Heart Monitor) | $71$71$468 | — | — |
| Home Sleep Study | $322$54$677 | $217 | $544 |
| Individual Therapy Session (45 Minutes) | $92$59$343 | $101 | $252 |
| Inguinal Hernia Repair (Open) | $517$517$3.4k | — | — |
| Initial Hospital Admission (Level 1) | $80$80$528 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $177$60$630 | $191 | $478 |
| Initial Psychiatric Evaluation with Medication Management | $165$165$1.1k | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $3,510$1.1k$17k | $4,094 | $10,234 |
| IUD Insertion | $336$107$2.9k | $569 | $1,423 |
| IUD Removal | $64$64$422 | — | — |
| Knee Arthroscopy with Meniscectomy | $546$546$3.6k | — | — |
| Laparoscopic Appendectomy | $592$592$3.9k | — | — |
| Laparoscopic Gallbladder Removal | $649$649$4.3k | — | — |
| Laparoscopic Tubal Ligation | $639$639$4.2k | — | — |
| Lipid Panel (Cholesterol Test) | $17$13$442 | $196 | $491 |
| Lumbar Epidural Steroid Injection | $652$97$4.8k | $1,087 | $2,717 |
| Lumbar Puncture (Spinal Tap) | $455$62$4.8k | $759 | $1,898 |
| Lumbar Spinal Fusion (Posterior) | $1,553$1.6k$10k | — | — |
| Lumpectomy (Partial Mastectomy) | $648$648$4.3k | — | — |
| MRI Abdomen with and without Contrast | $489$244$7.1k | $3,158 | $7,895 |
| MRI Brain with and without Contrast | $489$220$8.9k | $3,938 | $9,845 |
| MRI Brain with Contrast | $489$195$6.7k | $2,981 | $7,453 |
| MRI Brain without Contrast | $489$133$6.5k | $2,888 | $7,220 |
| MRI Cervical Spine (Neck) without Contrast | $489$126$5.8k | $2,562 | $6,406 |
| MRI Knee without Contrast | $489$146$11k | $3,621 | $9,051 |
| MRI Lower Back (Lumbar Spine) without Contrast | $489$127$6.0k | $2,677 | $6,692 |
| MRI Thoracic Spine (Mid-back) without Contrast | $489$127$5.5k | $2,446 | $6,115 |
| Newborn Circumcision | $93$93$614 | — | — |
| Nuclear Cardiac Stress Test | $1,406$354$12k | $5,321 | $13,303 |
| Office Visit, Established Patient (Level 3) | $64$64$425 | — | — |
| Office Visit, New Patient (Level 3) | $80$80$527 | — | — |
| Pacemaker Insertion (Dual Chamber) | $4,750$495$75k | $9,385 | $23,463 |
| PET/CT Scan, Whole Body | $2,061$1.4k$12k | $5,111 | $12,778 |
| Pregnancy Ultrasound (Second or Third Trimester) | $205$89$1.6k | $693 | $1,731 |
| Prostate Biopsy | $718$126$4.8k | $1,197 | $2,993 |
| PSA Prostate Cancer Screening | $24$18$239 | $106 | $265 |
| Pulmonary Function Test with Bronchodilator | $278$30$2.0k | $901 | $2,254 |
| Rotator Cuff Repair (Arthroscopic) | $1,061$1.1k$7.0k | — | — |
| Screening Mammogram | $134$87$333 | $148 | $370 |
| Septoplasty (Deviated Septum Repair) | $671$671$4.4k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $315$315$2.1k | — | — |
| Skin Biopsy (Tangential) | $158$37$4.8k | $263 | $657 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $610$83$3.4k | $763 | $1,906 |
| Sleep Study (In-lab Polysomnography) | $1,016$521$10k | $4,482 | $11,205 |
| Spinal Cord Stimulator Trial | $3,133$409$30k | $9,180 | $22,949 |
| Spirometry (Breathing Test) | $278$20$1.9k | $471 | $1,177 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $305$305$2.0k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $292$292$1.9k | — | — |
| Total Hip Replacement | $1,268$1.3k$20k | — | — |
| Total Knee Replacement | $1,267$1.3k$20k | — | — |
| Total Mastectomy | $941$941$6.2k | — | — |
| TSH Thyroid Function Test | $21$10$218 | $57 | $142 |
| TURP (Transurethral Prostate Resection) | $3,091$714$15k | $5,916 | $14,790 |
| Upper GI Endoscopy (EGD) | $119$119$786 | — | — |
| Urinalysis with Microscopy | $4$3$181 | $80 | $201 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,456$2.5k$16k | — | — |
| Vaginal Delivery (Global Package) | $2,353$2.4k$16k | — | — |
| Vaginal Hysterectomy | $823$823$5.4k | — | — |
| Vasectomy | $230$230$1.5k | — | — |
| Vitamin D Blood Test | $38$29$356 | $158 | $395 |