| Abdominal Hysterectomy | $2,590$1.6k$4.7k | — | — |
| ACL Reconstruction (Arthroscopic) | $6,474$550$9.5k | $6,474 | — |
| Allergy Skin Testing | $946$9$952 | $946 | $2,838 |
| Basic Metabolic Panel | $9$8$58 | $9 | $241 |
| Bone Marrow Biopsy | $1,467$572$2.1k | $1,467 | — |
| Breast Biopsy (Ultrasound-guided) | $1,467$481$2.6k | $1,467 | $4,373 |
| Bunion Correction Surgery | $2,929$550$5.9k | $2,929 | — |
| Cardiac Ablation for Atrial Fibrillation | $21,492$1.6k$32k | $21,492 | — |
| Cardiac Catheterization (Left Heart) | $2,949$1.6k$9.8k | $2,949 | — |
| Cardiac Stress Test (Treadmill) | $450$346$566 | — | — |
| Carpal Tunnel Release Surgery | $1,747$481$3.7k | $1,747 | — |
| Cataract Surgery with Lens Implant | $2,109$888$5.2k | $2,109 | — |
| Cervical Spinal Fusion (Anterior) | $11,910$1.4k$19k | $11,910 | — |
| Cesarean Delivery (Global Package) | $3,200 | — | — |
| Chemotherapy Infusion (First Hour) | $306$300$733 | $306 | $912 |
| Chest X-ray (2 Views) | $82$82$235 | $82 | $255 |
| Colonoscopy with Biopsy | $1,068$481$2.6k | $1,068 | — |
| Complete Abdominal Ultrasound | $99$99$375 | $99 | $1,370 |
| Complete Blood Count (CBC) with Differential | $8$7$54 | $8 | $191 |
| Comprehensive Metabolic Panel | $11$10$72 | $11 | $256 |
| Coronary Angioplasty with Stent | $9,955$1.6k$22k | $9,955 | — |
| Critical Care, First Hour | $803$803$1.9k | $803 | $2,266 |
| CT Abdomen and Pelvis with Contrast | $348$348$891 | $348 | $4,314 |
| CT Cardiac Calcium Scoring | $82$82$891 | $82 | $2,191 |
| CT Chest without Contrast | $99$99$891 | $99 | $2,330 |
| CT Head without Contrast | $99$99$891 | $99 | $1,831 |
| DEXA Bone Density Scan | $99$99$235 | $99 | $557 |
| Diagnostic Colonoscopy | $827$481$2.6k | $827 | — |
| Diagnostic Mammogram (Both Breasts) | $185$169$185 | — | $641 |
| Ear Tube Placement (Tympanostomy) | $1,380$550$3.4k | $1,380 | $3,833 |
| Echocardiogram (Complete with Doppler) | $499$150$1.2k | $499 | $1,865 |
| EKG (Electrocardiogram, 12-lead) | $110$84$140 | — | $32 |
| Emergency Room Visit (Level 3) | $258$258$825 | $258 | $799 |
| Group Therapy Session | $81$26$231 | $81 | $235 |
| Hemodialysis Treatment | $200$200$574 | — | — |
| Hemoglobin A1c (Diabetes Test) | $10$9$67 | $10 | $116 |
| HIV Antibody Test | $10$8$62 | $10 | $269 |
| Holter Monitor (24-48 Hour Heart Monitor) | $385$350$849 | — | — |
| Home Sleep Study | $141$141$700 | $141 | $515 |
| Individual Therapy Session (45 Minutes) | $144$97$145 | $144 | $398 |
| Inguinal Hernia Repair (Open) | $3,131$680$6.1k | $3,131 | — |
| Initial Hospital Admission (Level 1) | $1,225$600$1.4k | — | — |
| Initial Psychiatric Diagnostic Evaluation | $144$144$169 | $144 | $392 |
| Initial Psychiatric Evaluation with Medication Management | $144$144$190 | $144 | $392 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $533$175$1.0k | $533 | $2,318 |
| IUD Insertion | $359$103$2.1k | — | $125 |
| IUD Removal | $292$290$2.1k | $290 | $800 |
| Knee Arthroscopy with Meniscectomy | $2,929$680$6.0k | $2,929 | — |
| Laparoscopic Appendectomy | $5,221$774$9.2k | $5,221 | — |
| Laparoscopic Gallbladder Removal | $5,221$550$9.2k | $5,221 | — |
| Laparoscopic Tubal Ligation | $5,221$774$9.2k | $5,221 | — |
| Lipid Panel (Cholesterol Test) | $14$12$138 | $14 | $210 |
| Lumbar Epidural Steroid Injection | $626$359$2.1k | $626 | $1,854 |
| Lumbar Puncture (Spinal Tap) | $626$359$2.1k | $626 | $1,035 |
| Lumbar Spinal Fusion (Posterior) | $16,864$1.6k$17k | $16,864 | — |
| Lumpectomy (Partial Mastectomy) | $3,449$550$4.2k | $3,449 | — |
| MRI Abdomen with and without Contrast | $348$348$1.3k | $348 | $4,919 |
| MRI Brain with and without Contrast | $348$348$1.3k | $348 | $5,604 |
| MRI Brain with Contrast | $348$348$1.1k | $348 | $4,449 |
| MRI Brain without Contrast | $222$222$1.1k | $222 | $4,059 |
| MRI Cervical Spine (Neck) without Contrast | $222$222$1.1k | $222 | $4,471 |
| MRI Knee without Contrast | $222$222$1.1k | $222 | $3,987 |
| MRI Lower Back (Lumbar Spine) without Contrast | $222$222$1.1k | $222 | $4,296 |
| MRI Thoracic Spine (Mid-back) without Contrast | $222$222$1.1k | $222 | $3,515 |
| Newborn Circumcision | $1,843$481$4.2k | $1,843 | $5,073 |
| Nuclear Cardiac Stress Test | $1,285$1.1k$1.8k | $1,285 | $3,863 |
| Office Visit, Established Patient (Level 3) | $38$38$174 | — | $309 |
| Office Visit, New Patient (Level 3) | $38$38$174 | — | $336 |
| Pacemaker Insertion (Dual Chamber) | $9,663$1.6k$18k | $9,663 | — |
| PET/CT Scan, Whole Body | $1,416$1.2k$4.1k | $1,416 | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $99$99$375 | $99 | $767 |
| Prostate Biopsy | $1,843$481$2.6k | $1,843 | $5,073 |
| PSA Prostate Cancer Screening | $20$17$127 | $20 | $162 |
| Pulmonary Function Test with Bronchodilator | $284$165$286 | $284 | $773 |
| Rotator Cuff Repair (Arthroscopic) | $6,474$774$9.5k | $6,474 | — |
| Screening Mammogram | $185$162$185 | — | $515 |
| Septoplasty (Deviated Septum Repair) | $2,913$680$5.0k | $2,913 | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,193$774$6.2k | $6,193 | $16,499 |
| Skin Biopsy (Tangential) | $181$181$2.1k | $181 | $621 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,467$481$2.6k | $1,467 | $3,987 |
| Sleep Study (In-lab Polysomnography) | $946$700$2.4k | $946 | $4,378 |
| Spinal Cord Stimulator Trial | $6,189$481$11k | $6,189 | — |
| Spirometry (Breathing Test) | $141$141$250 | $141 | $412 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $2,913$774$4.7k | $2,913 | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,299$550$5.3k | $5,299 | — |
| Total Hip Replacement | $11,910$1.6k$12k | $11,910 | — |
| Total Knee Replacement | $11,910$1.6k$12k | $11,910 | — |
| Total Mastectomy | $5,901$680$6.7k | $5,901 | — |
| TSH Thyroid Function Test | $18$15$116 | $18 | $138 |
| TURP (Transurethral Prostate Resection) | $4,682$680$7.2k | $4,682 | — |
| Upper GI Endoscopy (EGD) | $820$359$2.1k | $820 | — |
| Urinalysis with Microscopy | $3$3$22 | $3 | $60 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $3,200 | — | — |
| Vaginal Delivery (Global Package) | $3,200 | — | — |
| Vaginal Hysterectomy | $4,501$1.6k$4.5k | $4,501 | — |
| Vasectomy | $1,843$481$5.0k | $1,843 | — |
| Vitamin D Blood Test | $32$27$205 | $32 | $351 |