| Abdominal Hysterectomy | $8,516$8.3k$8.7k | — | — |
| ACL Reconstruction (Arthroscopic) | $11,625$6.6k$12k | — | — |
| Allergy Skin Testing | $1,766$778$1.9k | — | — |
| Basic Metabolic Panel | $12$8$17 | $203 | $203 |
| Bone Marrow Biopsy | $2,668$1.5k$2.8k | — | — |
| Breast Biopsy (Ultrasound-guided) | $2,668$1.5k$2.8k | $4,773 | $4,773 |
| Bunion Correction Surgery | $5,320$3.0k$5.6k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $39,714$24k$42k | $54,583 | $54,583 |
| Cardiac Catheterization (Left Heart) | $5,539$2.9k$5.8k | $25,946 | $25,946 |
| Cardiac Stress Test (Treadmill) | $505$492$517 | $165 | $165 |
| Carpal Tunnel Release Surgery | $3,341$1.8k$3.5k | — | — |
| Cataract Surgery with Lens Implant | $3,929$2.1k$4.1k | — | — |
| Cervical Spinal Fusion (Anterior) | $23,128$12k$24k | — | — |
| Chemotherapy Infusion (First Hour) | $378$299$378 | $2,040 | $2,040 |
| Chest X-ray (2 Views) | $159$79$182 | $721 | $721 |
| Colonoscopy with Biopsy | $1,952$1.1k$2.1k | — | — |
| Complete Abdominal Ultrasound | $223$95$245 | $464 | $464 |
| Complete Blood Count (CBC) with Differential | $10$7$13 | $80 | $80 |
| Comprehensive Metabolic Panel | $16$10$22 | $224 | $224 |
| Coronary Angioplasty with Stent | $19,256$10k$20k | $34,112 | $34,112 |
| Critical Care, First Hour | $1,296$748$1.4k | $2,172 | $2,172 |
| CT Abdomen and Pelvis with Contrast | $761$316$828 | $5,740 | $5,740 |
| CT Cardiac Calcium Scoring | $159$79$182 | $297 | $297 |
| CT Chest without Contrast | $223$95$245 | $1,699 | $1,699 |
| CT Head without Contrast | $223$95$245 | $1,699 | $1,699 |
| DEXA Bone Density Scan | $223$95$245 | $971 | $971 |
| Diagnostic Colonoscopy | $1,485$842$1.6k | — | — |
| Diagnostic Mammogram (Both Breasts) | $212$98$263 | $786 | $786 |
| Ear Tube Placement (Tympanostomy) | $2,622$1.4k$2.8k | — | — |
| Echocardiogram (Complete with Doppler) | $936$495$984 | $3,100 | $3,100 |
| EKG (Electrocardiogram, 12-lead) | $110$107$112 | $35 | $35 |
| Emergency Room Visit (Level 3) | $434$247$456 | $605 | $605 |
| Group Therapy Session | $153$92$161 | $295 | $295 |
| Hemoglobin A1c (Diabetes Test) | $14$9$20 | $76 | $76 |
| HIV Antibody Test | $13$8$18 | $115 | $115 |
| Holter Monitor (24-48 Hour Heart Monitor) | $217$212$223 | — | — |
| Home Sleep Study | $269$196$283 | $905 | $905 |
| Individual Therapy Session (45 Minutes) | $255$161$268 | $233 | $233 |
| Inguinal Hernia Repair (Open) | $6,043$3.2k$6.4k | — | — |
| Initial Hospital Admission (Level 1) | $204$199$209 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $255$161$268 | $287 | $287 |
| Initial Psychiatric Evaluation with Medication Management | $255$161$268 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,074$1.0k$1.1k | $3,705 | $3,705 |
| IUD Insertion | $2,593$2.5k$2.7k | $3,286 | $3,286 |
| IUD Removal | $526$276$553 | $1,335 | $1,335 |
| Knee Arthroscopy with Meniscectomy | $5,320$3.0k$5.6k | — | — |
| Laparoscopic Appendectomy | $9,394$5.5k$9.9k | — | — |
| Laparoscopic Gallbladder Removal | $9,394$5.5k$9.9k | — | — |
| Laparoscopic Tubal Ligation | $9,394$5.5k$9.9k | — | — |
| Lipid Panel (Cholesterol Test) | $20$12$27 | $149 | $149 |
| Lumbar Epidural Steroid Injection | $1,215$639$1.3k | — | — |
| Lumbar Puncture (Spinal Tap) | $1,215$639$1.3k | $643 | $643 |
| Lumbar Spinal Fusion (Posterior) | $23,128$16k$24k | — | — |
| Lumpectomy (Partial Mastectomy) | $5,888$3.5k$6.2k | — | — |
| MRI Abdomen with and without Contrast | $761$316$828 | $4,920 | $4,920 |
| MRI Brain with and without Contrast | $761$316$828 | $4,920 | $4,920 |
| MRI Brain with Contrast | $761$316$828 | $4,920 | $4,920 |
| MRI Brain without Contrast | $465$216$518 | $3,076 | $3,076 |
| MRI Cervical Spine (Neck) without Contrast | $465$216$518 | $3,076 | $3,076 |
| MRI Knee without Contrast | $465$216$518 | $3,076 | $3,076 |
| MRI Lower Back (Lumbar Spine) without Contrast | $465$216$518 | $3,076 | $3,076 |
| MRI Thoracic Spine (Mid-back) without Contrast | $465$216$518 | $3,076 | $3,076 |
| Newborn Circumcision | $3,443$1.9k$3.6k | $388 | $388 |
| Nuclear Cardiac Stress Test | $2,536$1.2k$2.9k | $8,727 | $8,727 |
| Office Visit, Established Patient (Level 3) | $42$41$43 | $278 | $278 |
| Office Visit, New Patient (Level 3) | $56$55$58 | $325 | $325 |
| Pacemaker Insertion (Dual Chamber) | $19,924$9.5k$21k | $32,466 | $32,466 |
| PET/CT Scan, Whole Body | $2,877$1.3k$3.3k | $10,687 | $10,687 |
| Pregnancy Ultrasound (Second or Third Trimester) | $223$95$245 | $830 | $830 |
| Prostate Biopsy | $3,532$3.4k$3.6k | $8,735 | $8,735 |
| PSA Prostate Cancer Screening | $27$17$38 | $204 | $204 |
| Pulmonary Function Test with Bronchodilator | $492$338$517 | $1,248 | $1,248 |
| Rotator Cuff Repair (Arthroscopic) | $11,625$6.6k$12k | — | — |
| Screening Mammogram | $175$81$217 | $651 | $651 |
| Septoplasty (Deviated Septum Repair) | $5,090$3.0k$5.4k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $10,573$6.4k$11k | — | — |
| Skin Biopsy (Tangential) | $357$340$368 | $487 | $487 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,668$1.5k$2.8k | $6,768 | $6,768 |
| Sleep Study (In-lab Polysomnography) | $1,766$778$1.9k | $5,340 | $5,340 |
| Spinal Cord Stimulator Trial | $12,024$5.8k$13k | $5,449 | $5,449 |
| Spirometry (Breathing Test) | $269$196$283 | $559 | $559 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $5,090$3.0k$5.4k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $9,427$5.4k$9.9k | — | — |
| Total Hip Replacement | $23,128$12k$24k | — | — |
| Total Knee Replacement | $23,128$12k$24k | — | — |
| Total Mastectomy | $10,178$6.0k$11k | — | — |
| TSH Thyroid Function Test | $25$15$34 | $187 | $187 |
| TURP (Transurethral Prostate Resection) | $8,224$4.9k$8.6k | — | — |
| Upper GI Endoscopy (EGD) | $1,527$821$1.6k | — | — |
| Urinalysis with Microscopy | $5$3$6 | $81 | $81 |
| Vaginal Delivery (Global Package) | $4,980$4.9k$5.1k | — | — |
| Vaginal Hysterectomy | $8,301$4.5k$8.7k | — | — |
| Vasectomy | $3,443$1.9k$3.6k | $8,735 | $8,735 |
| Vitamin D Blood Test | $44$27$61 | $274 | $274 |