| Abdominal Hysterectomy | $984$965$5.8k | — | — |
| ACL Reconstruction (Arthroscopic) | $6,961$1.9k$7.5k | — | — |
| Allergy Skin Testing | $991$991$1.2k | — | — |
| Basic Metabolic Panel | $12$5$208 | $112 | $224 |
| Bone Marrow Biopsy | $1,579$315$5.8k | $1,076 | $2,151 |
| Breast Biopsy (Ultrasound-guided) | $2,080$1.1k$5.8k | $1,781 | $3,562 |
| Bunion Correction Surgery | $3,161$1.9k$5.1k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $25,923$2.7k$55k | $29,459 | $58,917 |
| Cardiac Catheterization (Left Heart) | $17,948$3.1k$29k | $15,452 | $30,903 |
| Cardiac Stress Test (Treadmill) | $66$66$79 | — | — |
| Carpal Tunnel Release Surgery | $1,941$1.6k$5.1k | — | — |
| Cataract Surgery with Lens Implant | $2,400$2.2k$6.9k | — | — |
| Cervical Spinal Fusion (Anterior) | $12,537$3.6k$13k | — | — |
| Cesarean Delivery (Global Package) | $2,588$2.4k$5.8k | — | — |
| Chemotherapy Infusion (First Hour) | $362$184$1.5k | $307 | $614 |
| Chest X-ray (2 Views) | $210$21$712 | $301 | $601 |
| Colonoscopy with Biopsy | $1,373$1.1k$5.1k | — | — |
| Complete Abdominal Ultrasound | $328$104$939 | $469 | $937 |
| Complete Blood Count (CBC) with Differential | $11$5$172 | $93 | $185 |
| Comprehensive Metabolic Panel | $15$6$232 | $125 | $249 |
| Coronary Angioplasty with Stent | $10,980$2.7k$14k | $7,765 | $15,530 |
| Critical Care, First Hour | $2,597$821$4.1k | $2,203 | $4,405 |
| CT Abdomen and Pelvis with Contrast | $1,422$282$6.4k | $3,464 | $6,928 |
| CT Cardiac Calcium Scoring | $103$52$1.4k | $86 | $172 |
| CT Chest without Contrast | $876$104$2.7k | $1,460 | $2,919 |
| CT Head without Contrast | $805$104$2.5k | $1,342 | $2,684 |
| DEXA Bone Density Scan | $224$44$712 | $374 | $748 |
| Diagnostic Colonoscopy | $1,241$888$5.1k | — | — |
| Diagnostic Mammogram (Both Breasts) | $317$131$688 | $370 | $740 |
| Ear Tube Placement (Tympanostomy) | $1,681$1.4k$5.1k | — | — |
| Echocardiogram (Complete with Doppler) | $2,071$522$4.2k | $2,260 | $4,519 |
| EKG (Electrocardiogram, 12-lead) | $13$13$16 | — | — |
| Emergency Room Visit (Level 3) | $1,223$270$1.9k | $1,038 | $2,075 |
| Group Therapy Session | $122$62$489 | $104 | $207 |
| Hemodialysis Treatment | $96$96$115 | — | — |
| Hemoglobin A1c (Diabetes Test) | $14$6$131 | $71 | $141 |
| HIV Antibody Test | $13$5$74 | $40 | $80 |
| Holter Monitor (24-48 Hour Heart Monitor) | $62$62$74 | — | — |
| Home Sleep Study | $152$152$183 | — | — |
| Individual Therapy Session (45 Minutes) | $242$123$489 | $206 | $411 |
| Inguinal Hernia Repair (Open) | $3,830$2.2k$6.7k | $3,618 | $7,235 |
| Initial Hospital Admission (Level 1) | $78$78$93 | $182 | $364 |
| Initial Psychiatric Diagnostic Evaluation | $136$46$1.9k | $77 | $153 |
| Initial Psychiatric Evaluation with Medication Management | $281$136$1.9k | $227 | $454 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $3,561$564$7.0k | $3,738 | $7,475 |
| IUD Insertion | $525$97$5.8k | $446 | $892 |
| IUD Removal | $296$115$5.8k | $191 | $382 |
| Knee Arthroscopy with Meniscectomy | $3,161$2.3k$5.1k | — | — |
| Laparoscopic Appendectomy | $5,685$4.4k$14k | — | — |
| Laparoscopic Gallbladder Removal | $5,685$4.4k$14k | — | — |
| Laparoscopic Tubal Ligation | $5,685$2.8k$14k | — | — |
| Lipid Panel (Cholesterol Test) | $23$8$163 | $88 | $175 |
| Lumbar Epidural Steroid Injection | $1,510$675$5.8k | $1,218 | $2,435 |
| Lumbar Puncture (Spinal Tap) | $675$252$5.1k | $420 | $840 |
| Lumbar Spinal Fusion (Posterior) | $17,919$3.6k$18k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,731$1.9k$4.5k | — | — |
| MRI Abdomen with and without Contrast | $1,732$348$5.4k | $2,887 | $5,774 |
| MRI Brain with and without Contrast | $1,811$348$5.6k | $3,019 | $6,038 |
| MRI Brain with Contrast | $1,508$348$4.7k | $2,513 | $5,026 |
| MRI Brain without Contrast | $1,376$236$4.3k | $2,294 | $4,588 |
| MRI Cervical Spine (Neck) without Contrast | $1,216$236$3.8k | $2,027 | $4,054 |
| MRI Knee without Contrast | $1,081$232$3.3k | $1,791 | $3,581 |
| MRI Lower Back (Lumbar Spine) without Contrast | $1,261$236$3.9k | $2,102 | $4,203 |
| MRI Thoracic Spine (Mid-back) without Contrast | $1,327$236$4.1k | $2,211 | $4,422 |
| Newborn Circumcision | $1,681$220$5.1k | $1,261 | $2,522 |
| Nuclear Cardiac Stress Test | $1,917$459$5.9k | $3,196 | $6,391 |
| Office Visit, Established Patient (Level 3) | $198$84$387 | $208 | $416 |
| Office Visit, New Patient (Level 3) | $198$104$387 | $208 | $416 |
| Pacemaker Insertion (Dual Chamber) | $10,197$4.4k$18k | $7,285 | $14,569 |
| PET/CT Scan, Whole Body | $4,531$1.1k$7.2k | $3,846 | $7,692 |
| Pregnancy Ultrasound (Second or Third Trimester) | $290$104$939 | $414 | $828 |
| Prostate Biopsy | $2,036$777$5.1k | $1,296 | $2,591 |
| PSA Prostate Cancer Screening | $27$11$136 | $73 | $146 |
| Pulmonary Function Test with Bronchodilator | $239$90$1.2k | $150 | $299 |
| Rotator Cuff Repair (Arthroscopic) | $6,631$2.8k$7.1k | — | — |
| Screening Mammogram | $262$108$639 | $344 | $687 |
| Septoplasty (Deviated Septum Repair) | $3,160$2.3k$5.1k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $5,912$2.8k$6.9k | — | — |
| Skin Biopsy (Tangential) | $295$150$5.8k | $250 | $500 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,579$315$5.8k | $1,099 | $2,197 |
| Sleep Study (In-lab Polysomnography) | $2,246$991$3.9k | $2,109 | $4,217 |
| Spinal Cord Stimulator Trial | $6,395$1.6k$9.2k | $4,937 | $9,873 |
| Spirometry (Breathing Test) | $166$85$1.2k | $141 | $282 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,160$2.5k$5.1k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,422$1.9k$5.9k | — | — |
| Total Hip Replacement | $12,537$2.0k$13k | — | — |
| Total Knee Replacement | $12,537$2.0k$13k | — | — |
| Total Mastectomy | $5,717$2.3k$6.5k | — | — |
| TSH Thyroid Function Test | $24$10$219 | $118 | $235 |
| TURP (Transurethral Prostate Resection) | $4,953$2.3k$5.1k | — | — |
| Umbilical Hernia Repair | $811$665$891 | — | — |
| Upper GI Endoscopy (EGD) | $1,123$914$5.1k | — | — |
| Urinalysis with Microscopy | $5$2$68 | $37 | $73 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,441$2.4k$5.8k | — | — |
| Vaginal Delivery (Global Package) | $2,345$2.3k$5.8k | — | — |
| Vaginal Hysterectomy | $4,810$2.4k$6.8k | — | — |
| Vasectomy | $2,036$1.6k$5.1k | — | — |
| Vitamin D Blood Test | $43$17$133 | $72 | $143 |