| Abdominal Hysterectomy | $975$965$6.6k | — | — |
| ACL Reconstruction (Arthroscopic) | $6,961$2.2k$11k | — | — |
| Allergy Skin Testing | $991$991$1.0k | — | — |
| Basic Metabolic Panel | $53$8$90 | $53 | $106 |
| Bone Marrow Biopsy | $1,022$164$5.5k | $274 | $547 |
| Breast Biopsy (Ultrasound-guided) | $1,770$759$5.5k | $1,265 | $2,529 |
| Bunion Correction Surgery | $3,209$3.2k$7.7k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $23,904$6.6k$24k | — | — |
| Cardiac Catheterization (Left Heart) | $3,165$3.1k$11k | — | — |
| Cardiac Stress Test (Treadmill) | $66$66$67 | — | — |
| Carpal Tunnel Release Surgery | $1,931$1.9k$6.6k | — | — |
| Cataract Surgery with Lens Implant | $2,256$2.2k$6.6k | — | — |
| Cervical Spinal Fusion (Anterior) | $12,537$2.2k$13k | — | — |
| Cesarean Delivery (Global Package) | $2,588$2.6k$4.4k | — | — |
| Chemotherapy Infusion (First Hour) | $431$227$643 | $379 | $757 |
| Chest X-ray (2 Views) | $121$65$275 | $162 | $324 |
| Colonoscopy with Biopsy | $1,166$1.1k$5.5k | — | — |
| Complete Abdominal Ultrasound | $338$104$844 | $391 | $781 |
| Complete Blood Count (CBC) with Differential | $29$8$76 | $29 | $57 |
| Comprehensive Metabolic Panel | $49$11$83 | $49 | $98 |
| Coronary Angioplasty with Stent | $11,050$2.2k$11k | — | — |
| Critical Care, First Hour | $1,007$530$1.5k | $883 | $1,766 |
| CT Abdomen and Pelvis with Contrast | $1,187$348$2.9k | $1,698 | $3,396 |
| CT Cardiac Calcium Scoring | $86$86$88 | — | — |
| CT Chest without Contrast | $833$104$2.2k | $739 | $1,477 |
| CT Head without Contrast | $736$104$2.2k | $698 | $1,395 |
| DEXA Bone Density Scan | $188$104$492 | $290 | $579 |
| Diagnostic Colonoscopy | $902$888$5.5k | — | — |
| Diagnostic Mammogram (Both Breasts) | $220$116$396 | $193 | $386 |
| Ear Tube Placement (Tympanostomy) | $1,465$1.4k$5.5k | — | — |
| Echocardiogram (Complete with Doppler) | $1,268$534$1.9k | $1,112 | $2,224 |
| EKG (Electrocardiogram, 12-lead) | $13$13$13 | — | — |
| Emergency Room Visit (Level 3) | $454$208$1.3k | $347 | $693 |
| Group Therapy Session | $90$90$92 | — | — |
| Hemodialysis Treatment | $96$96$98 | — | — |
| Hemoglobin A1c (Diabetes Test) | $57$10$96 | $57 | $113 |
| HIV Antibody Test | $40$9$76 | $40 | $79 |
| Holter Monitor (24-48 Hour Heart Monitor) | $62$62$63 | — | — |
| Home Sleep Study | $541$152$2.2k | $382 | $764 |
| Individual Therapy Session (45 Minutes) | $157$157$160 | — | — |
| Inguinal Hernia Repair (Open) | $3,826$1.3k$7.7k | $3,561 | $7,121 |
| Initial Hospital Admission (Level 1) | $78$78$79 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $157$157$160 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $157$157$160 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,558$564$2.3k | $1,367 | $2,733 |
| IUD Insertion | $99$97$5.5k | — | — |
| IUD Removal | $301$113$5.5k | $188 | $376 |
| Knee Arthroscopy with Meniscectomy | $3,209$3.2k$7.7k | — | — |
| Laparoscopic Appendectomy | $5,713$2.2k$11k | — | — |
| Laparoscopic Gallbladder Removal | $5,713$2.2k$11k | — | — |
| Laparoscopic Tubal Ligation | $5,713$2.2k$11k | — | — |
| Lipid Panel (Cholesterol Test) | $60$13$106 | $63 | $125 |
| Lumbar Epidural Steroid Injection | $685$675$5.5k | — | — |
| Lumbar Puncture (Spinal Tap) | $675$224$5.5k | $374 | $747 |
| Lumbar Spinal Fusion (Posterior) | $17,919$2.2k$18k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,787$3.7k$6.6k | — | — |
| MRI Abdomen with and without Contrast | $1,676$348$3.3k | $1,860 | $3,719 |
| MRI Brain with and without Contrast | $1,573$348$3.3k | $1,669 | $3,338 |
| MRI Brain with Contrast | $1,255$348$3.3k | $1,391 | $2,781 |
| MRI Brain without Contrast | $1,120$236$3.3k | $1,209 | $2,418 |
| MRI Cervical Spine (Neck) without Contrast | $994$236$3.3k | $1,085 | $2,169 |
| MRI Knee without Contrast | $1,063$236$3.3k | $1,109 | $2,217 |
| MRI Lower Back (Lumbar Spine) without Contrast | $1,022$236$3.3k | $1,124 | $2,247 |
| MRI Thoracic Spine (Mid-back) without Contrast | $1,063$236$3.3k | $1,241 | $2,481 |
| Newborn Circumcision | $1,996$745$6.6k | $1,241 | $2,482 |
| Nuclear Cardiac Stress Test | $1,529$961$3.1k | $1,796 | $3,592 |
| Office Visit, Established Patient (Level 3) | $84$84$86 | — | — |
| Office Visit, New Patient (Level 3) | $104$104$106 | — | — |
| Pacemaker Insertion (Dual Chamber) | $10,197$2.2k$10k | — | — |
| PET/CT Scan, Whole Body | $4,021$1.4k$6.4k | $3,737 | $7,473 |
| Pregnancy Ultrasound (Second or Third Trimester) | $275$104$844 | $262 | $524 |
| Prostate Biopsy | $2,026$2.0k$5.5k | — | — |
| PSA Prostate Cancer Screening | $62$18$118 | $70 | $139 |
| Pulmonary Function Test with Bronchodilator | $288$103$309 | $172 | $343 |
| Rotator Cuff Repair (Arthroscopic) | $6,961$2.2k$11k | — | — |
| Screening Mammogram | $210$110$327 | $184 | $368 |
| Septoplasty (Deviated Septum Repair) | $3,176$2.4k$6.6k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,745$2.3k$7.7k | — | — |
| Skin Biopsy (Tangential) | $330$152$4.4k | $254 | $507 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,610$668$5.5k | $1,113 | $2,226 |
| Sleep Study (In-lab Polysomnography) | $1,817$956$2.7k | $1,594 | $3,187 |
| Spinal Cord Stimulator Trial | $6,523$2.2k$12k | $6,924 | $13,848 |
| Spirometry (Breathing Test) | $178$92$261 | $154 | $307 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,176$2.4k$6.6k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,764$4.0k$6.6k | — | — |
| Total Hip Replacement | $12,537$3.4k$13k | — | — |
| Total Knee Replacement | $12,537$2.2k$13k | — | — |
| Total Mastectomy | $6,354$2.3k$7.7k | — | — |
| TSH Thyroid Function Test | $45$17$76 | $45 | $89 |
| TURP (Transurethral Prostate Resection) | $4,978$4.6k$11k | — | — |
| Umbilical Hernia Repair | $811$665$811 | — | — |
| Upper GI Endoscopy (EGD) | $927$914$5.5k | — | — |
| Urinalysis with Microscopy | $30$3$76 | $30 | $59 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,441$2.4k$4.4k | — | — |
| Vaginal Delivery (Global Package) | $2,322$2.3k$4.4k | — | — |
| Vaginal Hysterectomy | $4,810$4.4k$7.7k | — | — |
| Vasectomy | $2,026$2.0k$6.6k | — | — |
| Vitamin D Blood Test | $82$30$214 | $126 | $252 |