| Abdominal Hysterectomy | $3,271$1.5k$7.7k | — | — |
| ACL Reconstruction (Arthroscopic) | $4,675$905$22k | — | — |
| Allergy Skin Testing | $910$7$1.7k | — | — |
| Basic Metabolic Panel | $14$8$28 | $168 | $168 |
| Bone Marrow Biopsy | $1,188$123$3.5k | $9,351 | $9,351 |
| Breast Biopsy (Ultrasound-guided) | $1,646$267$3.5k | $6,985 | $6,985 |
| Bunion Correction Surgery | $2,560$905$6.4k | $8,676 | $8,676 |
| Cardiac Ablation for Atrial Fibrillation | $30,218$1.5k$76k | $57,603 | $57,603 |
| Cardiac Catheterization (Left Heart) | $3,750$1.3k$15k | $23,223 | $23,223 |
| Cardiac Stress Test (Treadmill) | $132 | — | — |
| Carpal Tunnel Release Surgery | $1,813$777$12k | $5,239 | $5,239 |
| Cataract Surgery with Lens Implant | $2,455$966$4.8k | $6,294 | $6,294 |
| Cervical Spinal Fusion (Anterior) | $22,333$1.4k$34k | — | — |
| Cesarean Delivery (Global Package) | $3,281$1.8k$5.4k | — | — |
| Chemotherapy Infusion (First Hour) | $350$225$645 | $2,021 | $2,021 |
| Chest X-ray (2 Views) | $132$43$182 | $265 | $265 |
| Colonoscopy with Biopsy | $1,326$351$3.5k | — | — |
| Complete Abdominal Ultrasound | $204$108$256 | $1,178 | $1,178 |
| Complete Blood Count (CBC) with Differential | $13$8$26 | $316 | $316 |
| Comprehensive Metabolic Panel | $18$10$35 | $190 | $190 |
| Coronary Angioplasty with Stent | $22,972$997$70k | $22,762 | $22,762 |
| Critical Care, First Hour | $876$374$1.6k | $17,343 | $17,343 |
| CT Abdomen and Pelvis with Contrast | $406$361$828 | $7,204 | $7,204 |
| CT Cardiac Calcium Scoring | $170$90$361 | $3,010 | $3,010 |
| CT Chest without Contrast | $204$108$361 | $3,120 | $3,120 |
| CT Head without Contrast | $204$108$361 | $3,071 | $3,071 |
| DEXA Bone Density Scan | $158$55$245 | $1,086 | $1,086 |
| Diagnostic Colonoscopy | $1,296$162$2.4k | — | — |
| Diagnostic Mammogram (Both Breasts) | $212$115$263 | $742 | $742 |
| Ear Tube Placement (Tympanostomy) | $1,645$289$3.5k | — | — |
| Echocardiogram (Complete with Doppler) | $579$233$1.1k | $4,221 | $4,221 |
| EKG (Electrocardiogram, 12-lead) | $26 | — | — |
| Emergency Room Visit (Level 3) | $289$123$533 | $4,036 | $4,036 |
| Group Therapy Session | $108$44$198 | $213 | $213 |
| Hemodialysis Treatment | $180 | $4,238 | $4,238 |
| Hemoglobin A1c (Diabetes Test) | $17$10$33 | $118 | $118 |
| HIV Antibody Test | $15$9$29 | $238 | $238 |
| Holter Monitor (24-48 Hour Heart Monitor) | $128 | — | — |
| Home Sleep Study | $229$98$421 | $567 | $567 |
| Individual Therapy Session (45 Minutes) | $188$166$346 | $280 | $280 |
| Inguinal Hernia Repair (Open) | $2,991$933$7.0k | $10,323 | $10,323 |
| Initial Hospital Admission (Level 1) | $145 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $190$183$346 | $778 | $778 |
| Initial Psychiatric Evaluation with Medication Management | $190$183$346 | $778 | $778 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | — | $10,115 | $10,115 |
| IUD Insertion | $977$197$2.4k | $1,218 | $1,218 |
| IUD Removal | $907$116$2.4k | $1,182 | $1,182 |
| Knee Arthroscopy with Meniscectomy | $3,047$987$16k | — | — |
| Laparoscopic Appendectomy | $4,480$905$18k | — | — |
| Laparoscopic Gallbladder Removal | $5,928$1.2k$18k | $15,191 | $15,191 |
| Laparoscopic Tubal Ligation | $4,702$1.2k$18k | $15,191 | $15,191 |
| Lipid Panel (Cholesterol Test) | $23$13$45 | $288 | $288 |
| Lumbar Epidural Steroid Injection | $1,102$176$2.4k | $3,018 | $3,018 |
| Lumbar Puncture (Spinal Tap) | $1,102$112$2.4k | $2,108 | $2,108 |
| Lumbar Spinal Fusion (Posterior) | $21,122$1.4k$34k | — | — |
| Lumpectomy (Partial Mastectomy) | $2,151$905$7.6k | — | — |
| MRI Abdomen with and without Contrast | $604$361$828 | $4,180 | $4,180 |
| MRI Brain with and without Contrast | $604$361$828 | $5,079 | $5,079 |
| MRI Brain with Contrast | $604$352$828 | $3,860 | $3,860 |
| MRI Brain without Contrast | $466$240$604 | $3,667 | $3,667 |
| MRI Cervical Spine (Neck) without Contrast | $466$228$604 | $3,356 | $3,356 |
| MRI Knee without Contrast | $466$247$604 | $3,201 | $3,201 |
| MRI Lower Back (Lumbar Spine) without Contrast | $466$229$604 | $3,483 | $3,483 |
| MRI Thoracic Spine (Mid-back) without Contrast | $466$229$604 | $3,210 | $3,210 |
| Newborn Circumcision | $1,683$168$4.1k | $406 | $406 |
| Nuclear Cardiac Stress Test | $1,960$639$2.9k | $11,896 | $11,896 |
| Office Visit, Established Patient (Level 3) | $116 | $471 | $471 |
| Office Visit, New Patient (Level 3) | $144 | $471 | $471 |
| Pacemaker Insertion (Dual Chamber) | $15,822$894$76k | $20,980 | $20,980 |
| PET/CT Scan, Whole Body | $2,165$199$3.3k | $11,426 | $11,426 |
| Pregnancy Ultrasound (Second or Third Trimester) | $204$108$256 | $1,178 | $1,178 |
| Prostate Biopsy | $1,425$227$3.5k | $3,324 | $3,324 |
| PSA Prostate Cancer Screening | $31$18$63 | $195 | $195 |
| Pulmonary Function Test with Bronchodilator | $396$53$728 | $3,211 | $3,211 |
| Rotator Cuff Repair (Arthroscopic) | $5,328$1.2k$19k | — | — |
| Screening Mammogram | $175$95$217 | $371 | $371 |
| Septoplasty (Deviated Septum Repair) | $2,616$1.1k$6.5k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $3,213$568$19k | — | — |
| Skin Biopsy (Tangential) | $793$66$2.4k | $730 | $730 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,397$150$3.5k | $1,942 | $1,942 |
| Sleep Study (In-lab Polysomnography) | $919$888$1.7k | $6,155 | $6,155 |
| Spinal Cord Stimulator Trial | $6,098$738$23k | $25,489 | $25,489 |
| Spirometry (Breathing Test) | $229$36$421 | $1,686 | $1,686 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $2,901$550$6.5k | $8,292 | $8,292 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $2,151$528$12k | $15,563 | $15,563 |
| Total Hip Replacement | $29,045$1.4k$44k | — | — |
| Total Knee Replacement | $29,045$1.4k$44k | — | — |
| Total Mastectomy | $2,991$1.1k$19k | — | — |
| TSH Thyroid Function Test | $29$16$57 | $253 | $253 |
| TURP (Transurethral Prostate Resection) | $4,127$1.1k$15k | — | — |
| Umbilical Hernia Repair | $3,281$1.8k$4.3k | — | — |
| Upper GI Endoscopy (EGD) | $1,102$215$2.4k | $1,937 | $1,937 |
| Urinalysis with Microscopy | $5$3$11 | $223 | $223 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $3,281$1.8k$5.4k | — | — |
| Vaginal Delivery (Global Package) | $3,281$1.8k$5.4k | — | — |
| Vaginal Hysterectomy | $4,036$1.2k$9.8k | — | — |
| Vasectomy | $1,885$416$4.1k | $5,406 | $5,406 |
| Vitamin D Blood Test | $51$29$100 | $307 | $307 |