| Abdominal Hysterectomy | $7,304$7.3k$15k | — | — |
| ACL Reconstruction (Arthroscopic) | $6,771$6.8k$8.0k | — | — |
| Allergy Skin Testing | $58$58$1.1k | — | — |
| Anesthesia for Screening Colonoscopy | $29 | — | — |
| Anesthesia for Upper Endoscopy | $29 | — | — |
| Basic Metabolic Panel | $15$8$61 | $30 | $61 |
| Bone Marrow Biopsy | $2,079$645$2.7k | $1,613 | $2,688 |
| Breast Biopsy (Ultrasound-guided) | $3,422$912$7.3k | $3,325 | $5,541 |
| Bunion Correction Surgery | $6,839$3.4k$6.8k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $21,936$22k$27k | — | — |
| Cardiac Catheterization (Left Heart) | $3,028$3.0k$3.6k | — | — |
| Cardiac Stress Test (Treadmill) | $208 | — | — |
| Carpal Tunnel Release Surgery | $1,690$1.7k$2.2k | — | — |
| Cataract Surgery with Lens Implant | $2,142$2.1k$2.5k | — | — |
| Cervical Spinal Fusion (Anterior) | $14,422$13k$14k | — | — |
| Cesarean Delivery (Global Package) | $3,247 | — | — |
| Chemotherapy Infusion (First Hour) | $370$255$1.1k | $637 | $1,062 |
| Chest X-ray (2 Views) | $419$70$529 | $299 | $498 |
| Colonoscopy with Biopsy | $1,237$1.2k$1.3k | $1,426 | $2,376 |
| Complete Abdominal Ultrasound | $275$111$1.1k | $687 | $1,145 |
| Complete Blood Count (CBC) with Differential | $48$6$57 | $30 | $57 |
| Comprehensive Metabolic Panel | $18$9$77 | $50 | $77 |
| Coronary Angioplasty with Stent | $10,292$10k$13k | — | — |
| Critical Care, First Hour | $3,143$838$3.5k | $2,095 | $3,492 |
| CT Abdomen and Pelvis with Contrast | $1,580$372$6.6k | $3,950 | $6,583 |
| CT Cardiac Calcium Scoring | $134$92$134 | — | — |
| CT Chest without Contrast | $403$17$1.7k | $1,008 | $1,680 |
| CT Head without Contrast | $403$111$1.7k | $1,008 | $1,680 |
| DEXA Bone Density Scan | $178$99$743 | $446 | $743 |
| Diagnostic Colonoscopy | $1,237$950$1.2k | $1,139 | $1,898 |
| Diagnostic Mammogram (Both Breasts) | $154$60$640 | $384 | $640 |
| Ear Tube Placement (Tympanostomy) | $1,756$1.5k$1.8k | — | — |
| Echocardiogram (Complete with Doppler) | $800$544$3.3k | $1,999 | $3,332 |
| EKG (Electrocardiogram, 12-lead) | $32$13$32 | — | — |
| Emergency Room Visit (Level 3) | $893$238$992 | $595 | $992 |
| Group Therapy Session | $151$39$296 | $99 | $166 |
| Hemodialysis Treatment | $975$98$975 | — | — |
| Hemoglobin A1c (Diabetes Test) | $19$6$81 | $35 | $81 |
| HIV Antibody Test | $12$9$12 | — | — |
| Holter Monitor (24-48 Hour Heart Monitor) | $78$64$78 | — | — |
| Home Sleep Study | $191$139$578 | $347 | $578 |
| Individual Therapy Session (45 Minutes) | $274$75$322 | $191 | $318 |
| Inguinal Hernia Repair (Open) | $4,423$3.7k$4.4k | — | — |
| Initial Hospital Admission (Level 1) | $250$48$294 | $176 | $294 |
| Initial Psychiatric Diagnostic Evaluation | $287$72$322 | $187 | $312 |
| Initial Psychiatric Evaluation with Medication Management | $312$167$312 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $593$593$646 | — | — |
| IUD Insertion | $265$49$265 | — | — |
| IUD Removal | $265$265$340 | — | — |
| Knee Arthroscopy with Meniscectomy | $2,685$2.7k$3.6k | — | — |
| Laparoscopic Appendectomy | $4,791$4.8k$6.5k | — | — |
| Laparoscopic Gallbladder Removal | $4,309$4.3k$6.5k | — | — |
| Laparoscopic Tubal Ligation | $5,317$5.3k$6.5k | — | — |
| Lipid Panel (Cholesterol Test) | $14$4$111 | $15 | $64 |
| Lumbar Epidural Steroid Injection | $959$456$1.9k | $1,139 | $1,898 |
| Lumbar Puncture (Spinal Tap) | $959$290$1.2k | $726 | $1,210 |
| Lumbar Spinal Fusion (Posterior) | $14,422$14k$21k | — | — |
| Lumpectomy (Partial Mastectomy) | $4,083$4.0k$4.3k | — | — |
| MRI Abdomen with and without Contrast | $1,580$372$6.6k | $3,950 | $6,583 |
| MRI Brain with and without Contrast | $1,580$372$6.6k | $3,950 | $6,583 |
| MRI Brain with Contrast | $1,580$372$6.6k | $3,950 | $6,583 |
| MRI Brain without Contrast | $3,414$252$4.0k | $2,410 | $4,017 |
| MRI Cervical Spine (Neck) without Contrast | $938$252$3.9k | $2,346 | $3,910 |
| MRI Knee without Contrast | $3,414$252$4.0k | $2,410 | $4,017 |
| MRI Lower Back (Lumbar Spine) without Contrast | $938$252$3.9k | $2,346 | $3,910 |
| MRI Thoracic Spine (Mid-back) without Contrast | $938$252$3.9k | $2,346 | $3,910 |
| Newborn Circumcision | $2,258$542$2.5k | $1,355 | $2,258 |
| Nuclear Cardiac Stress Test | $1,620$1.1k$6.7k | $4,049 | $6,748 |
| Office Visit, Established Patient (Level 3) | $140$24$300 | $93 | $155 |
| Office Visit, New Patient (Level 3) | $243$48$286 | $172 | $286 |
| Pacemaker Insertion (Dual Chamber) | $9,876$9.9k$12k | — | — |
| PET/CT Scan, Whole Body | $5,658$1.5k$6.7k | $3,994 | $6,656 |
| Pregnancy Ultrasound (Second or Third Trimester) | $973$111$1.1k | $687 | $1,145 |
| Prostate Biopsy | $2,137$2.1k$2.3k | — | — |
| PSA Prostate Cancer Screening | $114$12$134 | $65 | $134 |
| Pulmonary Function Test with Bronchodilator | $348$130$1.0k | $604 | $1,006 |
| Rotator Cuff Repair (Arthroscopic) | $6,771$6.8k$8.0k | — | — |
| Screening Mammogram | $462$60$519 | $311 | $519 |
| Septoplasty (Deviated Septum Repair) | $3,281$3.3k$3.6k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $5,512$5.5k$7.7k | — | — |
| Skin Biopsy (Tangential) | $528$207$528 | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,579$421$1.8k | $1,052 | $1,754 |
| Sleep Study (In-lab Polysomnography) | $1,446$992$6.0k | $3,616 | $6,026 |
| Spinal Cord Stimulator Trial | $7,674$4.1k$17k | $10,201 | $17,001 |
| Spirometry (Breathing Test) | $175$67$281 | $169 | $281 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $2,491$2.5k$3.6k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $2,491$2.5k$6.6k | — | — |
| Total Hip Replacement | $11,908$12k$14k | — | — |
| Total Knee Replacement | $11,908$12k$14k | — | — |
| Total Mastectomy | $4,083$4.1k$7.3k | — | — |
| TSH Thyroid Function Test | $34$13$140 | $56 | $140 |
| TURP (Transurethral Prostate Resection) | $5,523$5.3k$5.7k | — | — |
| Umbilical Hernia Repair | $4,423 | — | — |
| Upper GI Endoscopy (EGD) | $1,210$977$1.2k | $956 | $1,594 |
| Urinalysis with Microscopy | $7$3$29 | $20 | $29 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,703 | — | — |
| Vaginal Delivery (Global Package) | $2,703 | — | — |
| Vaginal Hysterectomy | $5,166$5.1k$5.5k | — | — |
| Vasectomy | $2,970$2.1k$3.0k | — | — |
| Vitamin D Blood Test | $209$29$246 | $148 | $246 |