| Abdominal Hysterectomy | $5,759 | — | — |
| ACL Reconstruction (Arthroscopic) | $7,670$5.5k$9.3k | — | — |
| Allergy Skin Testing | $492$4$1.3k | $3 | $14 |
| Anesthesia for Screening Colonoscopy | $21 | — | — |
| Anesthesia for Upper Endoscopy | $21 | — | — |
| Basic Metabolic Panel | $14$7$220 | $27 | $141 |
| Bone Marrow Biopsy | $1,740$263$2.3k | $570 | $3,000 |
| Breast Biopsy (Ultrasound-guided) | $1,792$585$3.7k | $810 | $4,263 |
| Bunion Correction Surgery | $3,551$3.1k$5.7k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $22,252$3.4k$32k | $6,847 | $36,036 |
| Cardiac Catheterization (Left Heart) | $3,668$2.4k$10k | $2,634 | $13,861 |
| Cardiac Stress Test (Treadmill) | $168 | — | — |
| Carpal Tunnel Release Surgery | $2,059$934$3.3k | $655 | $3,447 |
| Cataract Surgery with Lens Implant | $2,496$1.7k$6.6k | — | — |
| Cervical Spinal Fusion (Anterior) | $13,815$9.9k$17k | — | — |
| Cesarean Delivery (Global Package) | $2,609 | — | — |
| Chemotherapy Infusion (First Hour) | $391$279$802 | $209 | $1,099 |
| Chest X-ray (2 Views) | $99$54$2.5k | $107 | $563 |
| Colonoscopy with Biopsy | $1,389$745$3.9k | $1,019 | $5,362 |
| Complete Abdominal Ultrasound | $163$103$2.5k | $344 | $1,811 |
| Complete Blood Count (CBC) with Differential | $66$5$127 | $29 | $151 |
| Comprehensive Metabolic Panel | $55$7$268 | $38 | $200 |
| Coronary Angioplasty with Stent | $11,372$2.1k$15k | $3,883 | $20,436 |
| Critical Care, First Hour | $1,061$817$4.2k | $804 | $4,233 |
| CT Abdomen and Pelvis with Contrast | $449$316$4.2k | $1,101 | $5,795 |
| CT Cardiac Calcium Scoring | $129$78$2.5k | $74 | $390 |
| CT Chest without Contrast | $205$103$2.5k | $463 | $2,435 |
| CT Head without Contrast | $316$103$2.5k | $475 | $2,501 |
| DEXA Bone Density Scan | $119$64$2.5k | $151 | $794 |
| Diagnostic Colonoscopy | $1,517$684$3.4k | $693 | $3,646 |
| Diagnostic Mammogram (Both Breasts) | $389$46$2.5k | $167 | $877 |
| Ear Tube Placement (Tympanostomy) | $1,590$1.4k$1.9k | — | — |
| Echocardiogram (Complete with Doppler) | $979$462$2.4k | $618 | $3,254 |
| EKG (Electrocardiogram, 12-lead) | $26 | — | — |
| Emergency Room Visit (Level 3) | $614$268$2.2k | $342 | $1,800 |
| Group Therapy Session | $115$83$248 | $53 | $277 |
| Hemodialysis Treatment | $873 | — | — |
| Hemoglobin A1c (Diabetes Test) | $61$4$170 | $28 | $145 |
| HIV Antibody Test | $45$9$85 | $19 | $102 |
| Holter Monitor (24-48 Hour Heart Monitor) | $58 | — | — |
| Home Sleep Study | $197$151$543 | $141 | $744 |
| Individual Therapy Session (45 Minutes) | $173$144$209 | — | — |
| Inguinal Hernia Repair (Open) | $3,955$1.9k$7.9k | $2,066 | $10,873 |
| Initial Psychiatric Diagnostic Evaluation | $223$156$613 | $120 | $631 |
| Initial Psychiatric Evaluation with Medication Management | $176$156$236 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $727$468$3.7k | $835 | $4,395 |
| IUD Insertion | $215$94$2.3k | $66 | $348 |
| IUD Removal | $251$84$2.3k | $66 | $348 |
| Knee Arthroscopy with Meniscectomy | $3,551$2.1k$5.5k | — | — |
| Laparoscopic Appendectomy | $6,325$4.0k$11k | — | — |
| Laparoscopic Gallbladder Removal | $6,386$3.6k$11k | — | — |
| Laparoscopic Tubal Ligation | $6,264$4.3k$7.6k | — | — |
| Lipid Panel (Cholesterol Test) | $113$7$215 | $49 | $256 |
| Lumbar Epidural Steroid Injection | $815$375$2.3k | $355 | $1,867 |
| Lumbar Puncture (Spinal Tap) | $798$238$2.3k | $356 | $1,874 |
| Lumbar Spinal Fusion (Posterior) | $19,745$9.9k$24k | — | — |
| Lumpectomy (Partial Mastectomy) | $4,111$3.2k$5.0k | — | — |
| MRI Abdomen with and without Contrast | $449$346$4.0k | $1,048 | $5,517 |
| MRI Brain with and without Contrast | $449$346$3.8k | $995 | $5,236 |
| MRI Brain with Contrast | $449$346$3.1k | $795 | $4,184 |
| MRI Brain without Contrast | $304$234$2.9k | $753 | $3,962 |
| MRI Cervical Spine (Neck) without Contrast | $304$234$2.9k | $754 | $3,971 |
| MRI Knee without Contrast | $807$234$4.7k | $1,028 | $5,410 |
| MRI Lower Back (Lumbar Spine) without Contrast | $304$234$3.0k | $783 | $4,123 |
| MRI Thoracic Spine (Mid-back) without Contrast | $304$234$2.9k | $744 | $3,916 |
| Newborn Circumcision | $2,199$366$5.0k | $802 | $4,220 |
| Nuclear Cardiac Stress Test | $1,463$895$4.9k | $1,263 | $6,649 |
| Office Visit, Established Patient (Level 3) | $61$12$254 | $19 | $101 |
| Office Visit, New Patient (Level 3) | $90$56$313 | $25 | $132 |
| Pacemaker Insertion (Dual Chamber) | $11,035$1.9k$19k | $5,005 | $26,343 |
| PET/CT Scan, Whole Body | $1,832$1.4k$9.7k | $2,206 | $11,610 |
| Pregnancy Ultrasound (Second or Third Trimester) | $134$98$2.5k | $224 | $1,177 |
| Prostate Biopsy | $2,199$491$3.3k | $823 | $4,334 |
| PSA Prostate Cancer Screening | $107$10$194 | $42 | $222 |
| Pulmonary Function Test with Bronchodilator | $349$104$668 | $174 | $915 |
| Rotator Cuff Repair (Arthroscopic) | $7,745$5.5k$11k | — | — |
| Screening Mammogram | $369$46$2.5k | $136 | $715 |
| Septoplasty (Deviated Septum Repair) | $3,482$2.6k$4.2k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,433$4.4k$9.0k | — | — |
| Skin Biopsy (Tangential) | $290$141$2.3k | $129 | $681 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,726$305$3.3k | $570 | $3,000 |
| Sleep Study (In-lab Polysomnography) | $1,278$755$4.1k | $1,059 | $5,572 |
| Spinal Cord Stimulator Trial | $6,841$1.6k$8.6k | $2,236 | $11,771 |
| Spirometry (Breathing Test) | $184$57$509 | $132 | $697 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,482$2.1k$4.2k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,352$2.1k$7.7k | — | — |
| Total Hip Replacement | $13,815$9.3k$17k | — | — |
| Total Knee Replacement | $13,768$9.3k$17k | — | — |
| Total Mastectomy | $7,002$3.2k$8.5k | — | — |
| TSH Thyroid Function Test | $130$11$247 | $56 | $295 |
| TURP (Transurethral Prostate Resection) | $5,440$2.7k$7.8k | $2,036 | $10,716 |
| Umbilical Hernia Repair | $3,603 | — | — |
| Upper GI Endoscopy (EGD) | $1,265$453$2.4k | $608 | $3,199 |
| Urinalysis with Microscopy | $124$2$235 | $53 | $281 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,359 | — | — |
| Vaginal Delivery (Global Package) | $2,359 | — | — |
| Vaginal Hysterectomy | $5,300$4.1k$6.4k | — | — |
| Vasectomy | $2,242$2.0k$2.8k | — | — |
| Vitamin D Blood Test | $59$23$249 | $24 | $128 |