| Abdominal Hysterectomy | $1,289$965$2.1k | — | — |
| ACL Reconstruction (Arthroscopic) | $7,011$7.0k$25k | — | — |
| Allergy Skin Testing | $999$994$3.6k | — | — |
| Basic Metabolic Panel | $19$8$185 | $196 | $196 |
| Bone Marrow Biopsy | $835$625$5.7k | $886 | $886 |
| Breast Biopsy (Ultrasound-guided) | $4,314$1.6k$5.7k | $5,542 | $5,542 |
| Bunion Correction Surgery | $3,185$3.2k$11k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $24,078$24k$86k | — | — |
| Cardiac Catheterization (Left Heart) | $9,266$3.1k$11k | $11,904 | $11,904 |
| Cardiac Stress Test (Treadmill) | $96$68$148 | — | — |
| Carpal Tunnel Release Surgery | $1,917$1.9k$6.8k | — | — |
| Cataract Surgery with Lens Implant | $2,239$2.2k$8.0k | — | — |
| Cervical Spinal Fusion (Anterior) | $12,629$13k$45k | — | — |
| Cesarean Delivery (Global Package) | $3,127$2.5k$5.5k | — | — |
| Chemotherapy Infusion (First Hour) | $326$324$1.2k | — | — |
| Chest X-ray (2 Views) | $301$86$369 | $391 | $391 |
| Colonoscopy with Biopsy | $1,157$1.2k$4.1k | — | — |
| Complete Abdominal Ultrasound | $674$104$873 | $925 | $925 |
| Complete Blood Count (CBC) with Differential | $17$8$99 | $105 | $105 |
| Comprehensive Metabolic Panel | $23$11$193 | $205 | $205 |
| Coronary Angioplasty with Stent | $11,131$11k$40k | — | — |
| Critical Care, First Hour | $3,770$823$4.9k | $5,173 | $5,173 |
| CT Abdomen and Pelvis with Contrast | $978$349$1.7k | $1,791 | $1,791 |
| CT Cardiac Calcium Scoring | $202$86$708 | $245 | $245 |
| CT Chest without Contrast | $692$104$884 | $937 | $937 |
| CT Head without Contrast | $695$104$1.6k | $1,693 | $1,693 |
| DEXA Bone Density Scan | $171$104$371 | $220 | $220 |
| Diagnostic Colonoscopy | $895$890$3.2k | — | — |
| Diagnostic Mammogram (Both Breasts) | $288$109$374 | $396 | $396 |
| Ear Tube Placement (Tympanostomy) | $1,454$1.4k$5.2k | — | — |
| Echocardiogram (Complete with Doppler) | $1,386$535$1.9k | $1,780 | $1,780 |
| EKG (Electrocardiogram, 12-lead) | $21$14$29 | — | — |
| Emergency Room Visit (Level 3) | $721$270$967 | $927 | $927 |
| Group Therapy Session | $212$90$473 | $238 | $238 |
| Hemodialysis Treatment | $133$97$206 | — | — |
| Hemoglobin A1c (Diabetes Test) | $21$10$29 | $30 | $30 |
| HIV Antibody Test | $19$9$25 | $26 | $26 |
| Holter Monitor (24-48 Hour Heart Monitor) | $96$69$146 | — | — |
| Home Sleep Study | $154$153$546 | — | — |
| Individual Therapy Session (45 Minutes) | $324$157$561 | $416 | $416 |
| Inguinal Hernia Repair (Open) | $3,464$3.4k$12k | — | — |
| Initial Hospital Admission (Level 1) | $131$78$167 | $263 | $263 |
| Initial Psychiatric Diagnostic Evaluation | $286$157$561 | $367 | $367 |
| Initial Psychiatric Evaluation with Medication Management | $325$157$561 | $416 | $416 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $568$565$2.0k | — | — |
| IUD Insertion | $102$49$213 | — | — |
| IUD Removal | $299$297$1.1k | — | — |
| Knee Arthroscopy with Meniscectomy | $3,185$3.2k$11k | — | — |
| Laparoscopic Appendectomy | $5,726$5.7k$20k | — | — |
| Laparoscopic Gallbladder Removal | $5,726$5.7k$20k | — | — |
| Laparoscopic Tubal Ligation | $5,726$5.7k$20k | — | — |
| Lipid Panel (Cholesterol Test) | $29$13$190 | $202 | $202 |
| Lumbar Epidural Steroid Injection | $1,422$676$2.4k | $1,827 | $1,827 |
| Lumbar Puncture (Spinal Tap) | $1,961$676$2.4k | $2,520 | $2,520 |
| Lumbar Spinal Fusion (Posterior) | $18,050$18k$64k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,758$3.7k$13k | — | — |
| MRI Abdomen with and without Contrast | $1,114$349$2.3k | $2,457 | $2,457 |
| MRI Brain with and without Contrast | $1,114$349$2.1k | $2,175 | $2,175 |
| MRI Brain with Contrast | $1,114$349$1.7k | $1,845 | $1,845 |
| MRI Brain without Contrast | $962$236$1.3k | $1,330 | $1,330 |
| MRI Cervical Spine (Neck) without Contrast | $958$236$1.2k | $1,293 | $1,293 |
| MRI Knee without Contrast | $962$236$1.3k | $1,367 | $1,367 |
| MRI Lower Back (Lumbar Spine) without Contrast | $958$236$1.2k | $1,293 | $1,293 |
| MRI Thoracic Spine (Mid-back) without Contrast | $959$236$1.2k | $1,296 | $1,296 |
| Newborn Circumcision | $267$200$7.2k | $283 | $283 |
| Nuclear Cardiac Stress Test | $2,491$1.3k$4.6k | $3,200 | $3,200 |
| Office Visit, Established Patient (Level 3) | $275$126$450 | $353 | $353 |
| Office Visit, New Patient (Level 3) | $275$126$450 | $353 | $353 |
| Pacemaker Insertion (Dual Chamber) | $31,974$10k$39k | $41,077 | $41,077 |
| PET/CT Scan, Whole Body | $3,424$1.4k$5.1k | $4,398 | $4,398 |
| Pregnancy Ultrasound (Second or Third Trimester) | $674$104$873 | $925 | $925 |
| Prostate Biopsy | $2,059$1.8k$7.2k | $2,555 | $2,555 |
| PSA Prostate Cancer Screening | $32$18$121 | $85 | $85 |
| Pulmonary Function Test with Bronchodilator | $306$304$1.1k | — | — |
| Rotator Cuff Repair (Arthroscopic) | $7,011$7.0k$25k | — | — |
| Screening Mammogram | $259$91$335 | $355 | $355 |
| Septoplasty (Deviated Septum Repair) | $3,183$3.2k$11k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,794$6.8k$24k | — | — |
| Skin Biopsy (Tangential) | $195$194$694 | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,590$1.6k$5.7k | — | — |
| Sleep Study (In-lab Polysomnography) | $2,579$994$3.6k | $3,313 | $3,313 |
| Spinal Cord Stimulator Trial | $6,441$6.4k$23k | — | — |
| Spirometry (Breathing Test) | $244$153$546 | $313 | $313 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,183$3.2k$11k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,806$5.8k$21k | — | — |
| Total Hip Replacement | $12,629$13k$45k | — | — |
| Total Knee Replacement | $12,629$13k$45k | — | — |
| Total Mastectomy | $6,401$6.4k$23k | — | — |
| TSH Thyroid Function Test | $37$17$203 | $215 | $215 |
| TURP (Transurethral Prostate Resection) | $4,989$5.0k$18k | — | — |
| Umbilical Hernia Repair | $596 | — | — |
| Upper GI Endoscopy (EGD) | $920$916$3.3k | — | — |
| Urinalysis with Microscopy | $7$3$142 | $150 | $150 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,954$2.3k$5.2k | — | — |
| Vaginal Delivery (Global Package) | $2,902$2.3k$4.9k | — | — |
| Vaginal Hysterectomy | $4,845$4.8k$17k | — | — |
| Vasectomy | $2,011$2.0k$7.2k | — | — |
| Vitamin D Blood Test | $65$30$158 | $167 | $167 |