| Abdominal Hysterectomy | $1,603$965$2.1k | — | — |
| ACL Reconstruction (Arthroscopic) | $6,949$6.9k$31k | — | — |
| Allergy Skin Testing | $990$985$4.5k | — | — |
| Basic Metabolic Panel | $176$8$201 | $213 | $213 |
| Bone Marrow Biopsy | $2,798$1.6k$7.1k | $3,348 | $3,348 |
| Breast Biopsy (Ultrasound-guided) | $2,330$1.6k$7.1k | $2,788 | $2,788 |
| Bunion Correction Surgery | $3,156$3.1k$14k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $23,862$24k$108k | — | — |
| Cardiac Catheterization (Left Heart) | $6,374$3.1k$14k | $7,626 | $7,626 |
| Cardiac Stress Test (Treadmill) | $114$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) | $4,050$2.5k$5.5k | — | — |
| Chemotherapy Infusion (First Hour) | $670$321$1.5k | $802 | $802 |
| Chest X-ray (2 Views) | $475$85$543 | $578 | $578 |
| Colonoscopy with Biopsy | $1,147$1.1k$5.2k | — | — |
| Complete Abdominal Ultrasound | $628$103$718 | $764 | $764 |
| Complete Blood Count (CBC) with Differential | $105$8$120 | $128 | $128 |
| Comprehensive Metabolic Panel | $298$11$341 | $363 | $363 |
| Coronary Angioplasty with Stent | $13,794$11k$50k | $16,505 | $16,505 |
| Critical Care, First Hour | $2,364$816$3.7k | $2,829 | $2,829 |
| CT Abdomen and Pelvis with Contrast | $4,186$346$4.8k | $5,090 | $5,090 |
| CT Cardiac Calcium Scoring | $86$85$387 | — | — |
| CT Chest without Contrast | $1,396$103$1.6k | $1,698 | $1,698 |
| CT Head without Contrast | $1,398$103$1.6k | $1,699 | $1,699 |
| DEXA Bone Density Scan | $549$103$627 | $667 | $667 |
| Diagnostic Colonoscopy | $887$882$4.0k | — | — |
| Diagnostic Mammogram (Both Breasts) | $556$109$635 | $676 | $676 |
| Ear Tube Placement (Tympanostomy) | $1,441$1.4k$6.5k | — | — |
| Echocardiogram (Complete with Doppler) | $2,312$531$2.6k | $2,766 | $2,766 |
| EKG (Electrocardiogram, 12-lead) | $23$14$34 | — | — |
| Emergency Room Visit (Level 3) | $491$268$1.2k | $587 | $587 |
| Group Therapy Session | $279$90$606 | $311 | $311 |
| Hemodialysis Treatment | $163$97$207 | — | — |
| Hemoglobin A1c (Diabetes Test) | $92$10$105 | $112 | $112 |
| HIV Antibody Test | $127$9$145 | $154 | $154 |
| Holter Monitor (24-48 Hour Heart Monitor) | $117$69$182 | — | — |
| Home Sleep Study | $152$151$688 | — | — |
| Individual Therapy Session (45 Minutes) | $156$156$706 | $234 | $234 |
| Inguinal Hernia Repair (Open) | $3,433$3.4k$16k | — | — |
| Initial Hospital Admission (Level 1) | $141$78$202 | $249 | $249 |
| Initial Psychiatric Diagnostic Evaluation | $705$156$796 | $847 | $847 |
| Initial Psychiatric Evaluation with Medication Management | $211$156$706 | $249 | $249 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $563$560$2.5k | — | — |
| IUD Insertion | $1,826$1.6k$2.0k | $2,109 | $2,109 |
| IUD Removal | $294$242$1.3k | $329 | $329 |
| 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) | $193$13$221 | $235 | $235 |
| Lumbar Epidural Steroid Injection | $1,018$670$3.0k | $1,218 | $1,218 |
| Lumbar Puncture (Spinal Tap) | $555$436$3.0k | $593 | $593 |
| Lumbar Spinal Fusion (Posterior) | $17,888$18k$81k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,725$3.7k$17k | — | — |
| MRI Abdomen with and without Contrast | $4,329$346$4.9k | $5,264 | $5,264 |
| MRI Brain with and without Contrast | $4,395$346$5.0k | $5,344 | $5,344 |
| MRI Brain with Contrast | $2,781$346$3.2k | $3,381 | $3,381 |
| MRI Brain without Contrast | $2,507$234$2.9k | $3,048 | $3,048 |
| MRI Cervical Spine (Neck) without Contrast | $2,507$234$2.9k | $3,048 | $3,048 |
| MRI Knee without Contrast | $2,601$234$3.0k | $3,162 | $3,162 |
| MRI Lower Back (Lumbar Spine) without Contrast | $2,507$234$2.9k | $3,048 | $3,048 |
| MRI Thoracic Spine (Mid-back) without Contrast | $2,507$234$2.9k | $3,048 | $3,048 |
| Newborn Circumcision | $163$132$9.0k | $179 | $179 |
| Nuclear Cardiac Stress Test | $3,164$1.3k$5.7k | $3,786 | $3,786 |
| Office Visit, Established Patient (Level 3) | $279$125$567 | $340 | $340 |
| Office Visit, New Patient (Level 3) | $281$125$567 | $341 | $341 |
| Pacemaker Insertion (Dual Chamber) | $22,382$10k$46k | $26,781 | $26,781 |
| PET/CT Scan, Whole Body | $1,419$1.4k$6.4k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $213$103$755 | $519 | $519 |
| Prostate Biopsy | $2,017$1.7k$9.0k | $2,365 | $2,365 |
| PSA Prostate Cancer Screening | $124$18$158 | $158 | $158 |
| Pulmonary Function Test with Bronchodilator | $623$301$1.4k | $745 | $745 |
| Rotator Cuff Repair (Arthroscopic) | $6,949$6.9k$31k | — | — |
| Screening Mammogram | $566$91$647 | $688 | $688 |
| Septoplasty (Deviated Septum Repair) | $3,154$3.1k$14k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,733$6.7k$30k | — | — |
| Skin Biopsy (Tangential) | $308$192$874 | $368 | $368 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,148$1.6k$7.1k | $2,612 | $2,612 |
| Sleep Study (In-lab Polysomnography) | $3,820$985$4.5k | $4,570 | $4,570 |
| Spinal Cord Stimulator Trial | $6,384$6.4k$29k | — | — |
| Spirometry (Breathing Test) | $185$151$688 | $222 | $222 |
| 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 | $193$17$221 | $235 | $235 |
| TURP (Transurethral Prostate Resection) | $4,945$4.9k$22k | — | — |
| Umbilical Hernia Repair | $904 | — | — |
| Upper GI Endoscopy (EGD) | $912$907$4.1k | — | — |
| Urinalysis with Microscopy | $83$3$95 | $101 | $101 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $3,838$2.3k$5.2k | — | — |
| Vaginal Delivery (Global Package) | $3,662$2.3k$4.9k | — | — |
| Vaginal Hysterectomy | $4,802$4.8k$22k | — | — |
| Vasectomy | $1,993$2.0k$9.0k | — | — |
| Vitamin D Blood Test | $110$30$126 | $134 | $134 |