| Abdominal Hysterectomy | $943$943$5.2k | — | — |
| ACL Reconstruction (Arthroscopic) | $4,086$1.8k$10k | — | — |
| Allergy Skin Testing | $390$112$954 | $136 | $678 |
| Basic Metabolic Panel | $107$8$254 | $61 | $306 |
| Bone Marrow Biopsy | $1,519$112$5.0k | — | — |
| Breast Biopsy (Ultrasound-guided) | $1,542$614$2.2k | — | — |
| Bunion Correction Surgery | $3,015$1.4k$3.0k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $22,997$3.6k$43k | $10,222 | $51,108 |
| Cardiac Catheterization (Left Heart) | $9,332$1.4k$23k | $5,418 | $27,088 |
| Cardiac Stress Test (Treadmill) | $65 | — | — |
| Carpal Tunnel Release Surgery | $1,831$823$2.2k | — | — |
| Cataract Surgery with Lens Implant | $2,347$1.1k$5.9k | — | — |
| Cervical Spinal Fusion (Anterior) | $12,062$3.6k$39k | — | — |
| Cesarean Delivery (Global Package) | $2,472 | — | — |
| Chemotherapy Infusion (First Hour) | $311$127$707 | $153 | $767 |
| Chest X-ray (2 Views) | $226$23$508 | $122 | $608 |
| Colonoscopy with Biopsy | $1,565$543$2.2k | — | — |
| Complete Abdominal Ultrasound | $732$54$1.8k | $388 | $1,942 |
| Complete Blood Count (CBC) with Differential | $90$8$213 | $51 | $257 |
| Comprehensive Metabolic Panel | $139$11$320 | $77 | $385 |
| Coronary Angioplasty with Stent | $10,639$4.7k$24k | $5,724 | $28,621 |
| Critical Care, First Hour | $1,509$669$3.7k | $811 | $4,056 |
| CT Abdomen and Pelvis with Contrast | $547$185$4.7k | $1,128 | $5,641 |
| CT Cardiac Calcium Scoring | $508$17$2.7k | $335 | $1,676 |
| CT Chest without Contrast | $530$54$2.4k | $582 | $2,912 |
| CT Head without Contrast | $539$54$2.7k | $653 | $3,264 |
| DEXA Bone Density Scan | $222$28$500 | $120 | $598 |
| Diagnostic Colonoscopy | $1,565$417$2.2k | — | — |
| Diagnostic Mammogram (Both Breasts) | $310$139$835 | $181 | $906 |
| Ear Tube Placement (Tympanostomy) | $1,599$569$3.0k | — | — |
| Echocardiogram (Complete with Doppler) | $1,890$514$5.7k | $1,003 | $5,014 |
| EKG (Electrocardiogram, 12-lead) | $13 | — | — |
| Emergency Room Visit (Level 3) | $767$248$1.7k | $324 | $1,620 |
| Group Therapy Session | $87 | — | — |
| Hemodialysis Treatment | $95 | — | — |
| Hemoglobin A1c (Diabetes Test) | $106$10$250 | $60 | $301 |
| HIV Antibody Test | $145$9$467 | $79 | $397 |
| Holter Monitor (24-48 Hour Heart Monitor) | $61 | — | — |
| Home Sleep Study | $319$140$785 | $170 | $851 |
| Individual Therapy Session (45 Minutes) | $151 | — | — |
| Inguinal Hernia Repair (Open) | $3,308$1.6k$3.5k | — | — |
| Initial Hospital Admission (Level 1) | $76 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $181$80$403 | $96 | $482 |
| Initial Psychiatric Evaluation with Medication Management | $151 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,140$287$2.8k | $603 | $3,013 |
| IUD Insertion | $803$96$1.8k | $426 | $2,131 |
| IUD Removal | $728$60$1.7k | — | — |
| Knee Arthroscopy with Meniscectomy | $3,042$1.4k$10k | — | — |
| Laparoscopic Appendectomy | $4,594$1.8k$15k | — | — |
| Laparoscopic Gallbladder Removal | $5,469$2.4k$6.8k | — | — |
| Laparoscopic Tubal Ligation | $3,719$2.4k$5.5k | — | — |
| Lipid Panel (Cholesterol Test) | $192$13$439 | $106 | $529 |
| Lumbar Epidural Steroid Injection | $1,348$323$3.1k | $745 | $3,726 |
| Lumbar Puncture (Spinal Tap) | $1,102$233$1.7k | $283 | $1,413 |
| Lumbar Spinal Fusion (Posterior) | $17,239$3.6k$17k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,015$1.3k$3.6k | — | — |
| MRI Abdomen with and without Contrast | $859$185$5.1k | $1,220 | $6,099 |
| MRI Brain with and without Contrast | $859$185$5.2k | $1,261 | $6,304 |
| MRI Brain with Contrast | $859$185$5.0k | $1,205 | $6,025 |
| MRI Brain without Contrast | $999$117$4.5k | $910 | $4,548 |
| MRI Cervical Spine (Neck) without Contrast | $859$117$5.0k | $1,205 | $6,025 |
| MRI Knee without Contrast | $852$117$3.4k | $809 | $4,043 |
| MRI Lower Back (Lumbar Spine) without Contrast | $859$117$4.9k | $1,190 | $5,948 |
| MRI Thoracic Spine (Mid-back) without Contrast | $859$117$4.9k | $1,174 | $5,872 |
| Newborn Circumcision | $1,676$817$1.9k | — | — |
| Nuclear Cardiac Stress Test | $2,615$666$6.5k | $1,406 | $7,030 |
| Office Visit, Established Patient (Level 3) | $76$25$146 | $34 | $171 |
| Office Visit, New Patient (Level 3) | $187$82$417 | $100 | $499 |
| Pacemaker Insertion (Dual Chamber) | $9,810$3.6k$9.8k | — | — |
| PET/CT Scan, Whole Body | $3,960$747$9.8k | $2,129 | $10,645 |
| Pregnancy Ultrasound (Second or Third Trimester) | $484$54$1.2k | $257 | $1,285 |
| Prostate Biopsy | $1,920$817$2.2k | — | — |
| PSA Prostate Cancer Screening | $119$18$281 | $68 | $339 |
| Pulmonary Function Test with Bronchodilator | $351$153$857 | $186 | $930 |
| Rotator Cuff Repair (Arthroscopic) | $6,697$2.9k$13k | — | — |
| Screening Mammogram | $216$76$439 | $94 | $469 |
| Septoplasty (Deviated Septum Repair) | $3,040$1.1k$3.5k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $3,719$2.1k$6.5k | — | — |
| Skin Biopsy (Tangential) | $186$76$1.7k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,519$88$3.5k | — | — |
| Sleep Study (In-lab Polysomnography) | $1,358$320$3.6k | $581 | $2,905 |
| Spinal Cord Stimulator Trial | $5,951$1.6k$6.2k | — | — |
| Spirometry (Breathing Test) | $189$38$716 | $101 | $505 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,040$1.1k$3.7k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $3,015$1.8k$5.5k | — | — |
| Total Hip Replacement | $12,062$3.6k$12k | — | — |
| Total Knee Replacement | $12,062$3.6k$12k | — | — |
| Total Mastectomy | $3,537$2.3k$6.1k | — | — |
| TSH Thyroid Function Test | $25$6$349 | $46 | $228 |
| TURP (Transurethral Prostate Resection) | $3,537$2.2k$4.8k | — | — |
| Umbilical Hernia Repair | $3,537 | — | — |
| Upper GI Endoscopy (EGD) | $1,025$414$1.7k | — | — |
| Urinalysis with Microscopy | $65$3$153 | $37 | $184 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,332 | — | — |
| Vaginal Delivery (Global Package) | $2,225 | — | — |
| Vaginal Hysterectomy | $4,628$1.9k$7.1k | — | — |
| Vasectomy | $1,920$817$2.2k | — | — |
| Vitamin D Blood Test | $144$30$339 | $75 | $374 |