| Abdominal Hysterectomy | $2,228$931$20k | $3,000 | $8,570 |
| ACL Reconstruction (Arthroscopic) | $7,654$4.2k$23k | — | — |
| Allergy Skin Testing | $593$5$1.5k | $5 | $14 |
| Basic Metabolic Panel | $12$8$87 | $55 | $156 |
| Bone Marrow Biopsy | $2,837$1.2k$4.5k | $1,241 | $3,547 |
| Breast Biopsy (Ultrasound-guided) | $2,837$1.2k$5.5k | $1,208 | $3,451 |
| Bunion Correction Surgery | $4,910$3.5k$12k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $27,572$7.7k$53k | $17,692 | $50,549 |
| Cardiac Catheterization (Left Heart) | $5,568$3.4k$9.8k | $5,666 | $16,189 |
| Cardiac Stress Test (Treadmill) | $101$77$4.9k | — | — |
| Carpal Tunnel Release Surgery | $3,200$1.4k$6.1k | $1,467 | $4,190 |
| Cataract Surgery with Lens Implant | $4,244$2.4k$15k | — | — |
| Cervical Spinal Fusion (Anterior) | $13,543$11k$30k | — | — |
| Cesarean Delivery (Global Package) | $3,270$2.4k$12k | — | — |
| Chemotherapy Infusion (First Hour) | $348$248$872 | $253 | $722 |
| Chest X-ray (2 Views) | $92$55$1.7k | $57 | $162 |
| Colonoscopy with Biopsy | $2,055$781$5.5k | $797 | $2,276 |
| Complete Abdominal Ultrasound | $274$110$597 | $280 | $799 |
| Complete Blood Count (CBC) with Differential | $11$8$43 | $27 | $76 |
| Comprehensive Metabolic Panel | $15$11$103 | $64 | $184 |
| Coronary Angioplasty with Stent | $12,178$7.7k$30k | $8,195 | $23,414 |
| Critical Care, First Hour | $1,419$617$18k | $2,878 | $8,223 |
| CT Abdomen and Pelvis with Contrast | $599$368$2.4k | $2,424 | $6,926 |
| CT Cardiac Calcium Scoring | $149$92$1.8k | $104 | $296 |
| CT Chest without Contrast | $836$110$1.8k | $1,054 | $3,012 |
| CT Head without Contrast | $836$110$1.8k | $1,077 | $3,077 |
| DEXA Bone Density Scan | $180$110$2.0k | $179 | $511 |
| Diagnostic Colonoscopy | $1,597$610$5.5k | $622 | $1,778 |
| Diagnostic Mammogram (Both Breasts) | $165$70$2.0k | $71 | $204 |
| Ear Tube Placement (Tympanostomy) | $3,450$1.6k$5.6k | — | — |
| Echocardiogram (Complete with Doppler) | $756$259$9.2k | $955 | $2,728 |
| EKG (Electrocardiogram, 12-lead) | $21$16$996 | — | — |
| Emergency Room Visit (Level 3) | $898$288$2.2k | $916 | $2,617 |
| Group Therapy Session | $174$107$412 | $194 | $553 |
| Hemodialysis Treatment | $167$89$6.9k | $650 | $1,857 |
| Hemoglobin A1c (Diabetes Test) | $14$10$35 | $22 | $62 |
| HIV Antibody Test | $31$9$212 | $66 | $189 |
| Holter Monitor (24-48 Hour Heart Monitor) | $97$74$5.1k | — | — |
| Home Sleep Study | $264$114$3.4k | $307 | $876 |
| Individual Therapy Session (45 Minutes) | $199$187$432 | $203 | $581 |
| Inguinal Hernia Repair (Open) | $5,516$3.8k$12k | — | — |
| Initial Hospital Admission (Level 1) | $98$75$5.6k | — | — |
| Initial Psychiatric Diagnostic Evaluation | $187$175$412 | $178 | $509 |
| Initial Psychiatric Evaluation with Medication Management | $187$181$412 | $184 | $527 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,087$669$1.5k | — | — |
| IUD Insertion | $146$110$3.5k | $116 | $332 |
| IUD Removal | $523$208$3.5k | $213 | $607 |
| Knee Arthroscopy with Meniscectomy | $5,251$3.5k$12k | — | — |
| Laparoscopic Appendectomy | $6,377$4.9k$20k | — | — |
| Laparoscopic Gallbladder Removal | $9,997$6.4k$22k | — | — |
| Laparoscopic Tubal Ligation | $7,994$6.2k$20k | — | — |
| Lipid Panel (Cholesterol Test) | $23$13$78 | $31 | $89 |
| Lumbar Epidural Steroid Injection | $1,389$745$3.6k | $1,417 | $4,048 |
| Lumbar Puncture (Spinal Tap) | $1,212$505$3.6k | $515 | $1,472 |
| Lumbar Spinal Fusion (Posterior) | $18,496$11k$30k | — | — |
| Lumpectomy (Partial Mastectomy) | $4,910$4.1k$12k | — | — |
| MRI Abdomen with and without Contrast | $836$368$2.4k | $1,070 | $3,057 |
| MRI Brain with and without Contrast | $836$368$2.4k | $1,863 | $5,323 |
| MRI Brain with Contrast | $836$368$2.4k | $957 | $2,733 |
| MRI Brain without Contrast | $836$252$2.4k | $1,488 | $4,250 |
| MRI Cervical Spine (Neck) without Contrast | $836$252$2.4k | $1,460 | $4,170 |
| MRI Knee without Contrast | $836$252$2.4k | $1,286 | $3,675 |
| MRI Lower Back (Lumbar Spine) without Contrast | $836$252$2.4k | $1,466 | $4,189 |
| MRI Thoracic Spine (Mid-back) without Contrast | $836$252$2.4k | $990 | $2,829 |
| Newborn Circumcision | $2,983$1.5k$6.1k | $1,544 | $4,412 |
| Nuclear Cardiac Stress Test | $1,366$597$26k | $1,918 | $5,480 |
| Office Visit, Established Patient (Level 3) | $98$58$160 | $59 | $169 |
| Office Visit, New Patient (Level 3) | $121$81$197 | $82 | $235 |
| Pacemaker Insertion (Dual Chamber) | $11,135$8.5k$31k | $8,636 | $24,673 |
| PET/CT Scan, Whole Body | $1,845$597$4.0k | $1,882 | $5,378 |
| Pregnancy Ultrasound (Second or Third Trimester) | $194$110$597 | $198 | $566 |
| Prostate Biopsy | $3,478$1.5k$5.5k | $1,517 | $4,335 |
| PSA Prostate Cancer Screening | $36$18$67 | $37 | $105 |
| Pulmonary Function Test with Bronchodilator | $394$55$2.0k | $234 | $668 |
| Rotator Cuff Repair (Arthroscopic) | $8,633$6.2k$23k | — | — |
| Screening Mammogram | $133$56$1.6k | $58 | $165 |
| Septoplasty (Deviated Septum Repair) | $4,524$3.2k$6.5k | $3,311 | $9,460 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,445$6.2k$22k | — | — |
| Skin Biopsy (Tangential) | $564$156$3.5k | $159 | $455 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,837$1.2k$4.5k | $1,228 | $3,507 |
| Sleep Study (In-lab Polysomnography) | $1,029$906$35k | — | — |
| Spinal Cord Stimulator Trial | $8,834$3.2k$30k | — | — |
| Spirometry (Breathing Test) | $228$36$1.3k | $116 | $332 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $5,109$3.5k$9.6k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,245$4.2k$18k | — | — |
| Total Hip Replacement | $13,543$11k$23k | — | — |
| Total Knee Replacement | $13,543$11k$30k | — | — |
| Total Mastectomy | $7,005$4.9k$22k | — | — |
| TSH Thyroid Function Test | $27$17$81 | $29 | $83 |
| TURP (Transurethral Prostate Resection) | $6,068$4.9k$18k | — | — |
| Umbilical Hernia Repair | $17,356$4.3k$30k | — | — |
| Upper GI Endoscopy (EGD) | $1,558$554$5.5k | $565 | $1,616 |
| Urinalysis with Microscopy | $5$3$37 | $23 | $67 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $3,270$2.3k$12k | — | — |
| Vaginal Delivery (Global Package) | $3,270$2.2k$12k | — | — |
| Vaginal Hysterectomy | $7,790$5.3k$22k | — | — |
| Vasectomy | $3,200$2.2k$6.1k | $2,276 | $6,503 |
| Vitamin D Blood Test | $42$30$104 | $45 | $129 |