| Abdominal Hysterectomy | $2,569$1.3k$11k | — | — |
| ACL Reconstruction (Arthroscopic) | $3,528$1.3k$9.9k | — | — |
| Allergy Skin Testing | $5$4$8 | — | — |
| Basic Metabolic Panel | $10$4$819 | $931 | $931 |
| Bone Marrow Biopsy | $2,351$393$3.5k | — | — |
| Breast Biopsy (Ultrasound-guided) | $2,560$592$5.0k | — | — |
| Bunion Correction Surgery | $3,514$1.3k$6.4k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $9,379$2.7k$39k | — | — |
| Cardiac Catheterization (Left Heart) | $7,922$1.5k$18k | — | — |
| Cardiac Stress Test (Treadmill) | $291$156$4.7k | — | — |
| Carpal Tunnel Release Surgery | $2,614$870$5.0k | — | — |
| Cataract Surgery with Lens Implant | $4,274$1.2k$7.9k | — | — |
| Cervical Spinal Fusion (Anterior) | $6,095$2.0k$36k | — | — |
| Cesarean Delivery (Global Package) | $3,724$1.3k$4.4k | — | — |
| Chemotherapy Infusion (First Hour) | $223$206$384 | — | — |
| Chest X-ray (2 Views) | $126$17$1.3k | $1,435 | $1,435 |
| Colonoscopy with Biopsy | $2,550$592$4.0k | — | — |
| Complete Abdominal Ultrasound | $445$80$3.3k | $3,698 | $3,698 |
| Complete Blood Count (CBC) with Differential | $8$4$44 | — | — |
| Comprehensive Metabolic Panel | $12$5$1.0k | $1,142 | $1,142 |
| Coronary Angioplasty with Stent | $11,194$2.0k$32k | — | — |
| Critical Care, First Hour | $3,253$178$6.0k | $6,781 | $6,781 |
| CT Abdomen and Pelvis with Contrast | $1,210$276$15k | $17,166 | $17,166 |
| CT Cardiac Calcium Scoring | $155$47$459 | $271 | $271 |
| CT Chest without Contrast | $520$155$7.6k | $8,614 | $8,614 |
| CT Head without Contrast | $459$155$7.4k | $8,399 | $8,399 |
| DEXA Bone Density Scan | $155$34$1.1k | $1,238 | $1,238 |
| Diagnostic Colonoscopy | $2,550$592$4.0k | — | — |
| Diagnostic Mammogram (Both Breasts) | $166$90$747 | $849 | $849 |
| Ear Tube Placement (Tympanostomy) | $2,788$592$8.9k | — | — |
| Echocardiogram (Complete with Doppler) | $2,257$231$6.9k | $7,893 | $7,893 |
| EKG (Electrocardiogram, 12-lead) | $69$37$4.7k | — | — |
| Emergency Room Visit (Level 3) | $1,373$115$2.9k | $2,113 | $2,113 |
| Group Therapy Session | $38$35$66 | — | — |
| Hemodialysis Treatment | $270$249$464 | — | — |
| Hemoglobin A1c (Diabetes Test) | $12$4$167 | $190 | $190 |
| HIV Antibody Test | $11$4$85 | $97 | $97 |
| Holter Monitor (24-48 Hour Heart Monitor) | $433$232$4.7k | — | — |
| Home Sleep Study | $254$97$2.7k | $568 | $568 |
| Inguinal Hernia Repair (Open) | $4,013$1.3k$6.4k | — | — |
| Initial Hospital Admission (Level 1) | $97$90$168 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,336$352$1.3k | — | — |
| IUD Insertion | $2,117$46$5.0k | — | — |
| IUD Removal | $2,281$224$5.0k | — | — |
| Knee Arthroscopy with Meniscectomy | $4,013$1.3k$9.9k | — | — |
| Laparoscopic Appendectomy | $5,769$1.3k$9.9k | — | — |
| Laparoscopic Gallbladder Removal | $5,769$1.8k$14k | — | — |
| Laparoscopic Tubal Ligation | $4,953$1.8k$9.9k | — | — |
| Lipid Panel (Cholesterol Test) | $17$6$1.1k | $1,224 | $1,224 |
| Lumbar Epidural Steroid Injection | $2,475$393$3.5k | — | — |
| Lumbar Puncture (Spinal Tap) | $2,284$393$3.5k | — | — |
| Lumbar Spinal Fusion (Posterior) | $5,123$2.0k$55k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,514$1.3k$6.4k | — | — |
| MRI Abdomen with and without Contrast | $1,346$408$18k | $19,973 | $19,973 |
| MRI Brain with and without Contrast | $1,262$426$17k | $19,493 | $19,493 |
| MRI Brain with Contrast | $1,068$332$12k | $13,716 | $13,716 |
| MRI Brain without Contrast | $773$276$9.4k | $10,643 | $10,643 |
| MRI Cervical Spine (Neck) without Contrast | $756$277$11k | $12,709 | $12,709 |
| MRI Knee without Contrast | $2,220$254$10k | $11,682 | $11,682 |
| MRI Lower Back (Lumbar Spine) without Contrast | $757$277$8.9k | $10,093 | $10,093 |
| MRI Thoracic Spine (Mid-back) without Contrast | $755$276$10k | $11,582 | $11,582 |
| Newborn Circumcision | $2,475$607$5.0k | — | — |
| Nuclear Cardiac Stress Test | $1,673$298$9.6k | $10,874 | $10,874 |
| Office Visit, Established Patient (Level 3) | $292$59$746 | $778 | $778 |
| Office Visit, New Patient (Level 3) | $292$87$746 | $778 | $778 |
| Pacemaker Insertion (Dual Chamber) | $7,258$2.3k$29k | — | — |
| PET/CT Scan, Whole Body | $2,895$443$6.2k | $7,028 | $7,028 |
| Pregnancy Ultrasound (Second or Third Trimester) | $655$85$3.0k | $3,367 | $3,367 |
| Prostate Biopsy | $1,986$592$3.9k | — | — |
| PSA Prostate Cancer Screening | $22$8$535 | $608 | $608 |
| Pulmonary Function Test with Bronchodilator | $534$44$1.7k | $1,906 | $1,906 |
| Rotator Cuff Repair (Arthroscopic) | $4,953$1.8k$9.9k | — | — |
| Screening Mammogram | $137$74$617 | $701 | $701 |
| Septoplasty (Deviated Septum Repair) | $3,928$1.3k$6.4k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $4,934$1.3k$9.9k | — | — |
| Skin Biopsy (Tangential) | $2,281$224$3.4k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,351$393$3.5k | — | — |
| Sleep Study (In-lab Polysomnography) | $2,902$243$10k | $11,847 | $11,847 |
| Spinal Cord Stimulator Trial | $2,614$870$36k | — | — |
| Spirometry (Breathing Test) | $288$20$906 | $1,030 | $1,030 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,438$1.3k$6.4k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $2,992$1.3k$6.4k | — | — |
| Total Hip Replacement | $14,698$2.2k$37k | — | — |
| Total Knee Replacement | $14,698$2.2k$37k | — | — |
| Total Mastectomy | $4,013$1.3k$6.4k | — | — |
| TSH Thyroid Function Test | $21$8$649 | $737 | $737 |
| TURP (Transurethral Prostate Resection) | $4,013$1.5k$9.9k | — | — |
| Umbilical Hernia Repair | $4,013$1.5k$7.6k | — | — |
| Upper GI Endoscopy (EGD) | $2,427$592$4.0k | — | — |
| Urinalysis with Microscopy | $4$1$216 | $245 | $245 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $3,658$1.3k$4.0k | — | — |
| Vaginal Delivery (Global Package) | $3,658$1.3k$4.0k | — | — |
| Vaginal Hysterectomy | $3,835$1.3k$8.7k | — | — |
| Vasectomy | $2,475$697$5.0k | — | — |
| Vitamin D Blood Test | $118$13$981 | $1,114 | $1,114 |