| Abdominal Hysterectomy | $8,340 | — | — |
| ACL Reconstruction (Arthroscopic) | $8,028$6.9k$13k | — | — |
| Allergy Skin Testing | $54$5$1.6k | $3 | $14 |
| Anesthesia for Screening Colonoscopy | $31 | — | — |
| Anesthesia for Upper Endoscopy | $31 | — | — |
| Basic Metabolic Panel | $19$8$277 | $32 | $141 |
| Bone Marrow Biopsy | $1,773$263$4.2k | $690 | $3,000 |
| Breast Biopsy (Ultrasound-guided) | $1,890$585$5.2k | $980 | $4,263 |
| Bunion Correction Surgery | $3,720$3.1k$9.8k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $25,573$3.4k$38k | $8,288 | $36,036 |
| Cardiac Catheterization (Left Heart) | $3,857$3.1k$12k | $3,188 | $13,861 |
| Cardiac Stress Test (Treadmill) | $243 | — | — |
| Carpal Tunnel Release Surgery | $2,036$1.2k$3.6k | $793 | $3,447 |
| Cataract Surgery with Lens Implant | $2,462$2.2k$6.6k | — | — |
| Cervical Spinal Fusion (Anterior) | $14,212$12k$20k | — | — |
| Cesarean Delivery (Global Package) | $3,778 | — | — |
| Chemotherapy Infusion (First Hour) | $411$322$1.2k | $253 | $1,099 |
| Chest X-ray (2 Views) | $101$54$593 | $129 | $563 |
| Colonoscopy with Biopsy | $1,423$745$5.2k | $1,233 | $5,362 |
| Complete Abdominal Ultrasound | $235$103$1.9k | $417 | $1,811 |
| Complete Blood Count (CBC) with Differential | $84$7$159 | $35 | $151 |
| Comprehensive Metabolic Panel | $54$11$337 | $46 | $200 |
| Coronary Angioplasty with Stent | $12,175$2.1k$25k | $4,700 | $20,436 |
| Critical Care, First Hour | $1,858$817$4.2k | $974 | $4,233 |
| CT Abdomen and Pelvis with Contrast | $519$346$5.0k | $1,333 | $5,795 |
| CT Cardiac Calcium Scoring | $155$85$2.0k | $90 | $390 |
| CT Chest without Contrast | $380$103$2.6k | $560 | $2,435 |
| CT Head without Contrast | $457$103$2.6k | $575 | $2,501 |
| DEXA Bone Density Scan | $122$64$837 | $183 | $794 |
| Diagnostic Colonoscopy | $1,641$684$5.2k | $839 | $3,646 |
| Diagnostic Mammogram (Both Breasts) | $423$67$924 | $202 | $877 |
| Ear Tube Placement (Tympanostomy) | $1,699$1.4k$5.2k | — | — |
| Echocardiogram (Complete with Doppler) | $1,129$532$3.4k | $748 | $3,254 |
| EKG (Electrocardiogram, 12-lead) | $37 | — | — |
| Emergency Room Visit (Level 3) | $945$268$3.8k | $414 | $1,800 |
| Group Therapy Session | $130$90$359 | $64 | $277 |
| Hemodialysis Treatment | $1,264 | — | — |
| Hemoglobin A1c (Diabetes Test) | $68$6$214 | $33 | $145 |
| HIV Antibody Test | $57$13$108 | $23 | $102 |
| Holter Monitor (24-48 Hour Heart Monitor) | $84 | — | — |
| Home Sleep Study | $240$152$784 | $171 | $744 |
| Individual Therapy Session (45 Minutes) | $180$156$246 | — | — |
| Inguinal Hernia Repair (Open) | $4,138$1.9k$7.8k | $2,501 | $10,873 |
| Initial Psychiatric Diagnostic Evaluation | $277$156$665 | $145 | $631 |
| Initial Psychiatric Evaluation with Medication Management | $180$156$342 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $886$561$4.1k | $1,011 | $4,395 |
| IUD Insertion | $204$124$367 | $80 | $348 |
| IUD Removal | $303$112$466 | $80 | $348 |
| Knee Arthroscopy with Meniscectomy | $3,484$3.1k$9.8k | — | — |
| Laparoscopic Appendectomy | $6,243$5.7k$8.9k | — | — |
| Laparoscopic Gallbladder Removal | $6,243$5.2k$8.9k | — | — |
| Laparoscopic Tubal Ligation | $6,264$5.7k$13k | — | — |
| Lipid Panel (Cholesterol Test) | $143$11$270 | $59 | $256 |
| Lumbar Epidural Steroid Injection | $922$375$4.2k | $429 | $1,867 |
| Lumbar Puncture (Spinal Tap) | $937$238$4.2k | $431 | $1,874 |
| Lumbar Spinal Fusion (Posterior) | $19,678$14k$28k | — | — |
| Lumpectomy (Partial Mastectomy) | $4,291$3.7k$5.9k | — | — |
| MRI Abdomen with and without Contrast | $574$346$4.1k | $1,269 | $5,517 |
| MRI Brain with and without Contrast | $574$346$4.5k | $1,204 | $5,236 |
| MRI Brain with Contrast | $574$346$4.1k | $962 | $4,184 |
| MRI Brain without Contrast | $370$234$4.1k | $911 | $3,962 |
| MRI Cervical Spine (Neck) without Contrast | $370$234$4.1k | $913 | $3,971 |
| MRI Knee without Contrast | $807$234$5.6k | $1,244 | $5,410 |
| MRI Lower Back (Lumbar Spine) without Contrast | $370$234$4.1k | $948 | $4,123 |
| MRI Thoracic Spine (Mid-back) without Contrast | $370$234$4.1k | $901 | $3,916 |
| Newborn Circumcision | $2,242$366$6.6k | $971 | $4,220 |
| Nuclear Cardiac Stress Test | $1,551$1.3k$5.7k | $1,529 | $6,649 |
| Office Visit, Established Patient (Level 3) | $71$13$254 | $23 | $101 |
| Office Visit, New Patient (Level 3) | $132$58$313 | $30 | $132 |
| Pacemaker Insertion (Dual Chamber) | $11,276$1.9k$32k | $6,059 | $26,343 |
| PET/CT Scan, Whole Body | $2,235$1.4k$8.3k | $2,670 | $11,610 |
| Pregnancy Ultrasound (Second or Third Trimester) | $163$103$1.2k | $271 | $1,177 |
| Prostate Biopsy | $2,275$491$5.2k | $997 | $4,334 |
| PSA Prostate Cancer Screening | $147$14$245 | $51 | $222 |
| Pulmonary Function Test with Bronchodilator | $357$151$964 | $210 | $915 |
| Rotator Cuff Repair (Arthroscopic) | $8,028$6.9k$13k | — | — |
| Screening Mammogram | $429$67$773 | $164 | $715 |
| Septoplasty (Deviated Septum Repair) | $3,719$3.1k$6.6k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,407$6.4k$11k | — | — |
| Skin Biopsy (Tangential) | $340$141$1.3k | $157 | $681 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,767$305$3.2k | $690 | $3,000 |
| Sleep Study (In-lab Polysomnography) | $1,209$986$4.8k | $1,282 | $5,572 |
| Spinal Cord Stimulator Trial | $6,999$1.6k$10k | $2,707 | $11,771 |
| Spirometry (Breathing Test) | $186$83$735 | $160 | $697 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,470$3.1k$5.0k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,352$3.1k$9.1k | — | — |
| Total Hip Replacement | $13,815$12k$20k | — | — |
| Total Knee Replacement | $13,815$12k$20k | — | — |
| Total Mastectomy | $7,002$4.7k$10.0k | — | — |
| TSH Thyroid Function Test | $165$16$311 | $68 | $295 |
| TURP (Transurethral Prostate Resection) | $5,564$2.7k$7.8k | $2,465 | $10,716 |
| Umbilical Hernia Repair | $5,217 | — | — |
| Upper GI Endoscopy (EGD) | $1,434$453$5.2k | $736 | $3,199 |
| Urinalysis with Microscopy | $157$3$296 | $65 | $281 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $3,416 | — | — |
| Vaginal Delivery (Global Package) | $3,416 | — | — |
| Vaginal Hysterectomy | $5,532$4.8k$7.6k | — | — |
| Vasectomy | $2,296$2.0k$4.1k | — | — |
| Vitamin D Blood Test | $67$26$313 | $29 | $128 |