| Abdominal Hysterectomy | $975$909$1.1k | — | — |
| ACL Reconstruction (Arthroscopic) | $7,776$939$17k | — | — |
| Allergy Skin Testing | $920$3$2.4k | — | — |
| Basic Metabolic Panel | $75$8$169 | $252 | $252 |
| Bone Marrow Biopsy | $1,770$64$5.3k | $3,402 | $3,402 |
| Breast Biopsy (Ultrasound-guided) | $1,911$134$5.3k | $5,513 | $5,513 |
| Bunion Correction Surgery | $3,506$484$7.7k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $28,010$1.1k$84k | $55,041 | $55,041 |
| Cardiac Catheterization (Left Heart) | $5,039$1.1k$13k | $18,323 | $18,323 |
| Cardiac Stress Test (Treadmill) | $70$70$81 | — | — |
| Carpal Tunnel Release Surgery | $2,093$385$4.6k | — | — |
| Cataract Surgery with Lens Implant | $2,473$555$5.4k | — | — |
| Cervical Spinal Fusion (Anterior) | $13,758$1.7k$31k | — | — |
| Cesarean Delivery (Global Package) | $2,660$2.1k$3.1k | — | — |
| Chemotherapy Infusion (First Hour) | $354$133$1.1k | $693 | $693 |
| Chest X-ray (2 Views) | $101$29$366 | $546 | $546 |
| Colonoscopy with Biopsy | $1,282$200$2.8k | — | — |
| Complete Abdominal Ultrasound | $558$102$1.5k | $2,232 | $2,232 |
| Complete Blood Count (CBC) with Differential | $15$6$109 | $152 | $152 |
| Comprehensive Metabolic Panel | $102$9$239 | $349 | $349 |
| Coronary Angioplasty with Stent | $13,151$605$37k | $35,721 | $35,721 |
| Critical Care, First Hour | $1,242$156$3.1k | $4,515 | $4,515 |
| CT Abdomen and Pelvis with Contrast | $954$332$4.1k | $8,285 | $8,285 |
| CT Cardiac Calcium Scoring | $93$55$2.7k | $221 | $221 |
| CT Chest without Contrast | $294$112$2.7k | $5,208 | $5,208 |
| CT Head without Contrast | $191$105$2.7k | $4,557 | $4,557 |
| DEXA Bone Density Scan | $121$33$570 | $851 | $851 |
| Diagnostic Colonoscopy | $997$184$2.2k | — | — |
| Diagnostic Mammogram (Both Breasts) | $159$109$584 | $872 | $872 |
| Ear Tube Placement (Tympanostomy) | $1,663$143$3.5k | — | — |
| Echocardiogram (Complete with Doppler) | $1,773$207$3.3k | $4,720 | $4,720 |
| EKG (Electrocardiogram, 12-lead) | $15$15$17 | — | — |
| Emergency Room Visit (Level 3) | $359$53$1.0k | $1,185 | $1,185 |
| Group Therapy Session | $126$24$1.9k | $1,507 | $1,507 |
| Hemodialysis Treatment | $362$90$1.2k | $1,817 | $1,817 |
| Hemoglobin A1c (Diabetes Test) | $14$9$145 | $216 | $216 |
| HIV Antibody Test | $13$8$113 | $168 | $168 |
| Holter Monitor (24-48 Hour Heart Monitor) | $66$66$77 | — | — |
| Home Sleep Study | $231$90$371 | — | — |
| Individual Therapy Session (45 Minutes) | $190$90$382 | — | — |
| Inguinal Hernia Repair (Open) | $3,837$539$8.4k | — | — |
| Initial Hospital Admission (Level 1) | $77$33$2.7k | $131 | $131 |
| Initial Psychiatric Diagnostic Evaluation | $214$155$571 | $693 | $693 |
| Initial Psychiatric Evaluation with Medication Management | $204$139$571 | $557 | $557 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,782$306$3.1k | $4,568 | $4,568 |
| IUD Insertion | $102$45$118 | — | — |
| IUD Removal | $350$60$980 | $956 | $956 |
| Knee Arthroscopy with Meniscectomy | $3,506$520$7.7k | — | — |
| Laparoscopic Appendectomy | $6,479$621$14k | — | — |
| Laparoscopic Gallbladder Removal | $6,479$680$14k | — | — |
| Laparoscopic Tubal Ligation | $6,479$587$14k | — | — |
| Lipid Panel (Cholesterol Test) | $87$12$195 | $290 | $290 |
| Lumbar Epidural Steroid Injection | $756$87$1.6k | — | — |
| Lumbar Puncture (Spinal Tap) | $825$57$2.3k | $2,573 | $2,573 |
| Lumbar Spinal Fusion (Posterior) | $18,790$1.6k$44k | — | — |
| Lumpectomy (Partial Mastectomy) | $4,196$589$9.1k | — | — |
| MRI Abdomen with and without Contrast | $986$374$4.1k | $8,285 | $8,285 |
| MRI Brain with and without Contrast | $986$374$4.3k | $8,516 | $8,516 |
| MRI Brain with Contrast | $986$343$3.9k | $7,833 | $7,833 |
| MRI Brain without Contrast | $671$248$3.6k | $7,151 | $7,151 |
| MRI Cervical Spine (Neck) without Contrast | $671$242$3.6k | $7,151 | $7,151 |
| MRI Knee without Contrast | $671$256$3.6k | $7,151 | $7,151 |
| MRI Lower Back (Lumbar Spine) without Contrast | $671$242$3.6k | $7,151 | $7,151 |
| MRI Thoracic Spine (Mid-back) without Contrast | $671$242$3.6k | $7,172 | $7,172 |
| Newborn Circumcision | $2,240$100$4.9k | — | — |
| Nuclear Cardiac Stress Test | $1,441$377$4.2k | $5,975 | $5,975 |
| Office Visit, Established Patient (Level 3) | $93$48$107 | — | — |
| Office Visit, New Patient (Level 3) | $115$60$134 | — | — |
| Pacemaker Insertion (Dual Chamber) | $14,044$587$35k | $50,316 | $50,316 |
| PET/CT Scan, Whole Body | $2,449$1.3k$8.1k | $12,411 | $12,411 |
| Pregnancy Ultrasound (Second or Third Trimester) | $130$112$1.1k | $1,617 | $1,617 |
| Prostate Biopsy | $2,501$133$4.9k | — | — |
| PSA Prostate Cancer Screening | $80$16$180 | $267 | $267 |
| Pulmonary Function Test with Bronchodilator | $400$37$1.2k | $872 | $872 |
| Rotator Cuff Repair (Arthroscopic) | $7,776$1.0k$17k | — | — |
| Screening Mammogram | $128$90$373 | $557 | $557 |
| Septoplasty (Deviated Septum Repair) | $3,553$617$7.7k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,563$301$16k | — | — |
| Skin Biopsy (Tangential) | $436$33$505 | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,770$70$3.9k | — | — |
| Sleep Study (In-lab Polysomnography) | $2,304$583$5.9k | $8,757 | $8,757 |
| Spinal Cord Stimulator Trial | $6,829$364$16k | — | — |
| Spirometry (Breathing Test) | $231$26$694 | $431 | $431 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,553$308$7.7k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,344$293$14k | — | — |
| Total Hip Replacement | $13,758$1.2k$31k | — | — |
| Total Knee Replacement | $13,758$1.2k$31k | — | — |
| Total Mastectomy | $7,116$855$16k | — | — |
| TSH Thyroid Function Test | $42$15$169 | $236 | $236 |
| TURP (Transurethral Prostate Resection) | $5,746$766$12k | — | — |
| Upper GI Endoscopy (EGD) | $972$122$2.2k | — | — |
| Urinalysis with Microscopy | $5$3$59 | $88 | $88 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,511$1.9k$2.9k | — | — |
| Vaginal Delivery (Global Package) | $2,358$1.8k$2.7k | — | — |
| Vaginal Hysterectomy | $5,361$753$12k | — | — |
| Vasectomy | $2,240$232$4.9k | — | — |
| Vitamin D Blood Test | $46$26$208 | $214 | $214 |