| Abdominal Hysterectomy | $2,707$2.4k$2.9k | — | — |
| ACL Reconstruction (Arthroscopic) | $3,573$1.6k$7.9k | — | — |
| Allergy Skin Testing | $925$10$939 | $47 | $79 |
| Basic Metabolic Panel | $9$7$22 | $140 | $233 |
| Bone Marrow Biopsy | $1,511$158$1.8k | $1,337 | $2,228 |
| Breast Biopsy (Ultrasound-guided) | $1,770$367$2.0k | $3,982 | $6,637 |
| Bunion Correction Surgery | $2,731$1.3k$3.6k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $6,133$2.4k$29k | — | — |
| Cardiac Catheterization (Left Heart) | $3,010$1.7k$3.5k | $14,644 | $24,406 |
| Cardiac Stress Test (Treadmill) | $185 | — | — |
| Carpal Tunnel Release Surgery | $2,093$1.1k$2.3k | — | — |
| Cataract Surgery with Lens Implant | $2,349$1.2k$2.5k | — | — |
| Cervical Spinal Fusion (Anterior) | $4,810$2.4k$14k | — | — |
| Cesarean Delivery (Global Package) | $7,465 | — | — |
| Chemotherapy Infusion (First Hour) | $356$329$361 | $707 | $1,178 |
| Chest X-ray (2 Views) | $94$56$95 | $280 | $466 |
| Colonoscopy with Biopsy | $1,305$491$2.0k | — | — |
| Complete Abdominal Ultrasound | $114$112$186 | $720 | $1,200 |
| Complete Blood Count (CBC) with Differential | $8$7$20 | $92 | $153 |
| Comprehensive Metabolic Panel | $11$9$28 | $223 | $372 |
| Coronary Angioplasty with Stent | $6,530$1.4k$13k | $18,126 | $30,210 |
| Critical Care, First Hour | $890$553$903 | $2,350 | $3,917 |
| CT Abdomen and Pelvis with Contrast | $379$374$522 | $4,147 | $6,912 |
| CT Cardiac Calcium Scoring | $95$93$177 | $117 | $195 |
| CT Chest without Contrast | $114$112$201 | $2,335 | $3,891 |
| CT Head without Contrast | $114$112$162 | $1,937 | $3,229 |
| DEXA Bone Density Scan | $113$73$114 | $461 | $769 |
| Diagnostic Colonoscopy | $1,016$457$2.0k | — | — |
| Diagnostic Mammogram (Both Breasts) | $114$112$267 | $563 | $939 |
| Ear Tube Placement (Tympanostomy) | $1,679$388$2.0k | — | — |
| Echocardiogram (Complete with Doppler) | $588$313$597 | $3,391 | $5,651 |
| EKG (Electrocardiogram, 12-lead) | $40 | — | — |
| Emergency Room Visit (Level 3) | $294$197$298 | $648 | $1,080 |
| Group Therapy Session | $109$64$111 | $125 | $209 |
| Hemodialysis Treatment | $239 | — | — |
| Hemoglobin A1c (Diabetes Test) | $10$8$25 | $70 | $116 |
| HIV Antibody Test | $9$8$23 | $83 | $139 |
| Holter Monitor (24-48 Hour Heart Monitor) | $175 | — | — |
| Home Sleep Study | $233$142$236 | $778 | $1,296 |
| Individual Therapy Session (45 Minutes) | $193$190$240 | $111 | $185 |
| Inguinal Hernia Repair (Open) | $2,731$1.5k$3.9k | — | — |
| Initial Hospital Admission (Level 1) | $208 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $193$190$358 | $219 | $365 |
| Initial Psychiatric Evaluation with Medication Management | $193$190$428 | — | — |
| IUD Insertion | $146$122$973 | — | — |
| IUD Removal | $327$146$973 | $774 | $1,290 |
| Knee Arthroscopy with Meniscectomy | $2,731$1.4k$3.6k | — | — |
| Laparoscopic Appendectomy | $3,573$1.6k$6.6k | — | — |
| Laparoscopic Gallbladder Removal | $3,573$1.8k$6.6k | — | — |
| Laparoscopic Tubal Ligation | $3,573$1.7k$6.6k | — | — |
| Lipid Panel (Cholesterol Test) | $13$11$35 | $161 | $268 |
| Lumbar Epidural Steroid Injection | $772$243$1.5k | $3,070 | $5,117 |
| Lumbar Puncture (Spinal Tap) | $772$177$1.5k | $1,472 | $2,453 |
| Lumbar Spinal Fusion (Posterior) | $4,315$2.4k$19k | — | — |
| Lumpectomy (Partial Mastectomy) | $2,349$1.6k$4.3k | — | — |
| MRI Abdomen with and without Contrast | $379$374$566 | $3,682 | $6,137 |
| MRI Brain with and without Contrast | $379$374$511 | $4,188 | $6,980 |
| MRI Brain with Contrast | $379$374$452 | $3,478 | $5,796 |
| MRI Brain without Contrast | $260$256$308 | $3,137 | $5,229 |
| MRI Cervical Spine (Neck) without Contrast | $260$256$296 | $3,291 | $5,485 |
| MRI Knee without Contrast | $260$256$342 | $3,923 | $6,539 |
| MRI Lower Back (Lumbar Spine) without Contrast | $260$256$298 | $3,336 | $5,560 |
| MRI Thoracic Spine (Mid-back) without Contrast | $260$256$295 | $3,355 | $5,591 |
| Newborn Circumcision | $2,240$238$2.3k | $2,304 | $3,840 |
| Nuclear Cardiac Stress Test | $1,394$855$1.4k | $6,490 | $10,817 |
| Office Visit, Established Patient (Level 3) | $156 | $177 | $295 |
| Office Visit, New Patient (Level 3) | $198 | $205 | $342 |
| Pacemaker Insertion (Dual Chamber) | $4,491$1.3k$11k | $6,856 | $11,426 |
| PET/CT Scan, Whole Body | $1,548$1.5k$1.6k | $5,686 | $9,476 |
| Pregnancy Ultrasound (Second or Third Trimester) | $114$112$215 | $596 | $994 |
| Prostate Biopsy | $1,849$1.7k$2.0k | — | — |
| PSA Prostate Cancer Screening | $18$16$48 | $101 | $168 |
| Pulmonary Function Test with Bronchodilator | $402$80$408 | $733 | $1,222 |
| Rotator Cuff Repair (Arthroscopic) | $3,573$2.1k$7.9k | — | — |
| Screening Mammogram | $93$92$220 | $413 | $689 |
| Septoplasty (Deviated Septum Repair) | $2,349$1.6k$3.6k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $2,731$773$7.7k | — | — |
| Skin Biopsy (Tangential) | $436$82$973 | $311 | $519 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,511$200$1.8k | — | — |
| Sleep Study (In-lab Polysomnography) | $934$920$1.3k | $5,098 | $8,496 |
| Spinal Cord Stimulator Trial | $3,573$1.0k$7.0k | — | — |
| Spirometry (Breathing Test) | $233$52$236 | $254 | $423 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $2,349$741$3.6k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $2,349$711$6.5k | — | — |
| Total Hip Replacement | $4,140$2.4k$14k | — | — |
| Total Knee Replacement | $4,140$2.4k$14k | — | — |
| Total Mastectomy | $2,731$1.8k$7.3k | — | — |
| TSH Thyroid Function Test | $17$14$44 | $144 | $240 |
| TURP (Transurethral Prostate Resection) | $3,010$1.5k$5.9k | — | — |
| Upper GI Endoscopy (EGD) | $982$303$2.0k | $916 | $1,527 |
| Urinalysis with Microscopy | $3$3$8 | $62 | $103 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $7,053 | — | — |
| Vaginal Delivery (Global Package) | $6,581 | — | — |
| Vaginal Hysterectomy | $2,731$2.1k$5.5k | — | — |
| Vasectomy | $2,240$587$2.3k | — | — |
| Vitamin D Blood Test | $30$25$77 | $128 | $213 |