| Abdominal Hysterectomy | $1,484$965$2.1k | — | — |
| ACL Reconstruction (Arthroscopic) | $6,949$6.9k$31k | — | — |
| Allergy Skin Testing | $990$985$4.5k | — | — |
| Basic Metabolic Panel | $306$8$349 | $372 | $372 |
| Bone Marrow Biopsy | $1,082$873$7.1k | $1,187 | $1,187 |
| Breast Biopsy (Ultrasound-guided) | $3,170$1.6k$7.1k | $3,793 | $3,793 |
| Bunion Correction Surgery | $3,156$3.1k$14k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $23,533$19k$108k | $26,173 | $26,173 |
| Cardiac Catheterization (Left Heart) | $10,786$3.1k$14k | $12,906 | $12,906 |
| Cardiac Stress Test (Treadmill) | $109$71$152 | — | — |
| Carpal Tunnel Release Surgery | $1,899$1.9k$8.6k | — | — |
| Cataract Surgery with Lens Implant | $2,218$2.2k$10k | — | — |
| Cervical Spinal Fusion (Anterior) | $12,515$12k$57k | — | — |
| Cesarean Delivery (Global Package) | $3,564$2.5k$5.5k | — | — |
| Chemotherapy Infusion (First Hour) | $844$321$1.5k | $1,010 | $1,010 |
| Chest X-ray (2 Views) | $372$85$418 | $445 | $445 |
| Colonoscopy with Biopsy | $1,147$1.1k$5.2k | — | — |
| Complete Abdominal Ultrasound | $719$103$821 | $874 | $874 |
| Complete Blood Count (CBC) with Differential | $118$8$135 | $144 | $144 |
| Comprehensive Metabolic Panel | $308$11$352 | $375 | $375 |
| Coronary Angioplasty with Stent | $14,848$11k$50k | $17,766 | $17,766 |
| Critical Care, First Hour | $3,841$816$4.4k | $4,670 | $4,670 |
| CT Abdomen and Pelvis with Contrast | $2,324$346$2.7k | $2,826 | $2,826 |
| CT Cardiac Calcium Scoring | $244$85$387 | $292 | $292 |
| CT Chest without Contrast | $836$103$956 | $1,017 | $1,017 |
| CT Head without Contrast | $836$103$956 | $1,017 | $1,017 |
| DEXA Bone Density Scan | $103$103$467 | — | — |
| Diagnostic Colonoscopy | $887$882$4.0k | — | — |
| Diagnostic Mammogram (Both Breasts) | $689$109$788 | $838 | $838 |
| Ear Tube Placement (Tympanostomy) | $1,441$1.4k$6.5k | — | — |
| Echocardiogram (Complete with Doppler) | $2,415$531$2.7k | $2,911 | $2,911 |
| EKG (Electrocardiogram, 12-lead) | $23$14$34 | — | — |
| Emergency Room Visit (Level 3) | $660$268$1.2k | $790 | $790 |
| Group Therapy Session | $90$29$606 | $40 | $40 |
| Hemodialysis Treatment | $154$97$207 | — | — |
| Hemoglobin A1c (Diabetes Test) | $137$10$156 | $166 | $166 |
| HIV Antibody Test | $117$9$133 | $142 | $142 |
| Holter Monitor (24-48 Hour Heart Monitor) | $136$116$149 | $158 | $158 |
| Home Sleep Study | $152$151$688 | — | — |
| Individual Therapy Session (45 Minutes) | $147$118$706 | $161 | $161 |
| Inguinal Hernia Repair (Open) | $3,433$3.4k$16k | — | — |
| Initial Hospital Admission (Level 1) | $148$78$262 | $405 | $405 |
| Initial Psychiatric Diagnostic Evaluation | $311$156$706 | $378 | $378 |
| Initial Psychiatric Evaluation with Medication Management | $507$156$706 | $596 | $596 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,958$560$2.5k | $2,343 | $2,343 |
| IUD Insertion | $50$41$56 | $58 | $58 |
| IUD Removal | $264$218$1.3k | $296 | $296 |
| Knee Arthroscopy with Meniscectomy | $3,156$3.1k$14k | — | — |
| Laparoscopic Appendectomy | $5,675$5.6k$26k | — | — |
| Laparoscopic Gallbladder Removal | $5,675$5.6k$26k | — | — |
| Laparoscopic Tubal Ligation | $5,675$5.6k$26k | — | — |
| Lipid Panel (Cholesterol Test) | $227$13$260 | $277 | $277 |
| Lumbar Epidural Steroid Injection | $1,011$670$3.0k | $1,210 | $1,210 |
| Lumbar Puncture (Spinal Tap) | $670$374$3.0k | $798 | $798 |
| Lumbar Spinal Fusion (Posterior) | $17,888$18k$81k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,725$3.7k$17k | — | — |
| MRI Abdomen with and without Contrast | $2,467$346$2.8k | $2,999 | $2,999 |
| MRI Brain with and without Contrast | $2,467$346$2.8k | $2,999 | $2,999 |
| MRI Brain with Contrast | $2,041$346$2.3k | $2,482 | $2,482 |
| MRI Brain without Contrast | $1,520$234$1.7k | $1,849 | $1,849 |
| MRI Cervical Spine (Neck) without Contrast | $1,520$234$1.7k | $1,849 | $1,849 |
| MRI Knee without Contrast | $1,520$234$1.7k | $1,849 | $1,849 |
| MRI Lower Back (Lumbar Spine) without Contrast | $1,520$234$1.7k | $1,849 | $1,849 |
| MRI Thoracic Spine (Mid-back) without Contrast | $1,520$234$1.7k | $1,849 | $1,849 |
| Newborn Circumcision | $331$267$9.0k | $364 | $364 |
| Nuclear Cardiac Stress Test | $2,690$1.3k$5.7k | $3,219 | $3,219 |
| Office Visit, Established Patient (Level 3) | $119$95$567 | $132 | $132 |
| Office Visit, New Patient (Level 3) | $166$125$567 | $196 | $196 |
| Pacemaker Insertion (Dual Chamber) | $4,527$3.7k$46k | $4,968 | $4,968 |
| PET/CT Scan, Whole Body | $6,251$1.4k$7.8k | $8,279 | $8,279 |
| Pregnancy Ultrasound (Second or Third Trimester) | $103$60$543 | $330 | $330 |
| Prostate Biopsy | $1,496$1.2k$9.0k | $1,642 | $1,642 |
| PSA Prostate Cancer Screening | $225$18$258 | $274 | $274 |
| Pulmonary Function Test with Bronchodilator | $441$301$1.4k | $528 | $528 |
| Rotator Cuff Repair (Arthroscopic) | $6,949$6.9k$31k | — | — |
| Screening Mammogram | $554$91$633 | $674 | $674 |
| Septoplasty (Deviated Septum Repair) | $3,154$3.1k$14k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,733$6.7k$30k | — | — |
| Skin Biopsy (Tangential) | $502$192$874 | $601 | $601 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $843$671$7.1k | $936 | $936 |
| Sleep Study (In-lab Polysomnography) | $990$985$4.5k | — | — |
| Spinal Cord Stimulator Trial | $6,920$6.1k$29k | $8,279 | $8,279 |
| Spirometry (Breathing Test) | $350$151$688 | $418 | $418 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,154$3.1k$14k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,754$5.7k$26k | — | — |
| Total Hip Replacement | $12,515$12k$57k | — | — |
| Total Knee Replacement | $12,515$12k$57k | — | — |
| Total Mastectomy | $6,343$6.3k$29k | — | — |
| TSH Thyroid Function Test | $247$17$283 | $301 | $301 |
| TURP (Transurethral Prostate Resection) | $4,945$4.9k$22k | — | — |
| Umbilical Hernia Repair | $904 | — | — |
| Upper GI Endoscopy (EGD) | $912$907$4.1k | — | — |
| Urinalysis with Microscopy | $29$3$33 | $36 | $36 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $3,375$2.3k$5.2k | — | — |
| Vaginal Delivery (Global Package) | $3,228$2.3k$4.9k | — | — |
| Vaginal Hysterectomy | $4,802$4.8k$22k | — | — |
| Vasectomy | $1,993$2.0k$9.0k | — | — |
| Vitamin D Blood Test | $376$30$430 | $457 | $457 |