| Abdominal Hysterectomy | $1,484$974$2.1k | — | — |
| ACL Reconstruction (Arthroscopic) | $7,018$6.9k$34k | — | — |
| Allergy Skin Testing | $999$985$4.8k | — | — |
| Basic Metabolic Panel | $155$8$185 | $196 | $196 |
| Bone Marrow Biopsy | $1,592$699$7.6k | $1,456 | $1,456 |
| Breast Biopsy (Ultrasound-guided) | $2,742$1.6k$7.6k | $4,287 | $4,287 |
| Bunion Correction Surgery | $3,187$3.1k$15k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $24,099$24k$115k | — | — |
| Cardiac Catheterization (Left Heart) | $9,434$3.1k$15k | $11,904 | $11,904 |
| Cardiac Stress Test (Treadmill) | $113$68$148 | — | — |
| Carpal Tunnel Release Surgery | $1,918$1.9k$9.2k | — | — |
| Cataract Surgery with Lens Implant | $2,241$2.2k$11k | — | — |
| Cervical Spinal Fusion (Anterior) | $12,640$12k$60k | — | — |
| Cesarean Delivery (Global Package) | $3,241$2.5k$5.5k | — | — |
| Chemotherapy Infusion (First Hour) | $643$321$1.6k | $811 | $811 |
| Chest X-ray (2 Views) | $354$85$683 | $559 | $559 |
| Colonoscopy with Biopsy | $1,158$1.1k$5.5k | — | — |
| Complete Abdominal Ultrasound | $799$103$1.4k | $1,189 | $1,189 |
| Complete Blood Count (CBC) with Differential | $83$8$99 | $105 | $105 |
| Comprehensive Metabolic Panel | $162$11$193 | $205 | $205 |
| Coronary Angioplasty with Stent | $11,141$11k$53k | — | — |
| Critical Care, First Hour | $1,500$816$4.9k | $3,416 | $3,416 |
| CT Abdomen and Pelvis with Contrast | $1,619$346$3.8k | $2,940 | $2,940 |
| CT Cardiac Calcium Scoring | $194$85$414 | $245 | $245 |
| CT Chest without Contrast | $809$103$1.8k | $1,429 | $1,429 |
| CT Head without Contrast | $1,381$103$1.6k | $1,720 | $1,720 |
| DEXA Bone Density Scan | $194$103$500 | $233 | $233 |
| Diagnostic Colonoscopy | $896$882$4.3k | — | — |
| Diagnostic Mammogram (Both Breasts) | $342$109$804 | $626 | $626 |
| Ear Tube Placement (Tympanostomy) | $1,455$1.4k$7.0k | — | — |
| Echocardiogram (Complete with Doppler) | $1,046$531$2.6k | $1,468 | $1,468 |
| EKG (Electrocardiogram, 12-lead) | $23$14$31 | — | — |
| Emergency Room Visit (Level 3) | $434$268$1.3k | $704 | $704 |
| Group Therapy Session | $206$90$606 | $244 | $244 |
| Hemodialysis Treatment | $146$98$206 | — | — |
| Hemoglobin A1c (Diabetes Test) | $24$10$43 | $30 | $30 |
| HIV Antibody Test | $21$9$39 | $26 | $26 |
| Holter Monitor (24-48 Hour Heart Monitor) | $106$69$146 | — | — |
| Home Sleep Study | $154$151$735 | — | — |
| Individual Therapy Session (45 Minutes) | $293$156$755 | $370 | $370 |
| Inguinal Hernia Repair (Open) | $3,467$3.4k$17k | — | — |
| Initial Hospital Admission (Level 1) | $137$79$167 | $335 | $335 |
| Initial Psychiatric Diagnostic Evaluation | $286$156$755 | $345 | $345 |
| Initial Psychiatric Evaluation with Medication Management | $302$156$755 | $370 | $370 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $568$560$2.7k | — | — |
| IUD Insertion | $788$731$870 | $926 | $926 |
| IUD Removal | $292$245$1.4k | $310 | $310 |
| Knee Arthroscopy with Meniscectomy | $3,187$3.1k$15k | — | — |
| Laparoscopic Appendectomy | $5,731$5.6k$27k | — | — |
| Laparoscopic Gallbladder Removal | $5,731$5.6k$27k | — | — |
| Laparoscopic Tubal Ligation | $5,731$5.6k$27k | — | — |
| Lipid Panel (Cholesterol Test) | $159$13$190 | $202 | $202 |
| Lumbar Epidural Steroid Injection | $1,049$670$3.3k | $1,494 | $1,494 |
| Lumbar Puncture (Spinal Tap) | $1,294$670$3.3k | $1,975 | $1,975 |
| Lumbar Spinal Fusion (Posterior) | $18,066$18k$86k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,762$3.7k$18k | — | — |
| MRI Abdomen with and without Contrast | $2,123$346$2.9k | $2,771 | $2,771 |
| MRI Brain with and without Contrast | $1,720$346$2.0k | $2,142 | $2,142 |
| MRI Brain with Contrast | $1,499$346$1.7k | $1,846 | $1,846 |
| MRI Brain without Contrast | $1,067$234$1.3k | $1,313 | $1,313 |
| MRI Cervical Spine (Neck) without Contrast | $1,044$234$1.2k | $1,285 | $1,285 |
| MRI Knee without Contrast | $1,126$234$1.3k | $1,388 | $1,388 |
| MRI Lower Back (Lumbar Spine) without Contrast | $1,044$234$1.2k | $1,285 | $1,285 |
| MRI Thoracic Spine (Mid-back) without Contrast | $1,045$234$1.2k | $1,287 | $1,287 |
| Newborn Circumcision | $591$224$9.6k | $497 | $497 |
| Nuclear Cardiac Stress Test | $2,893$1.3k$6.1k | $3,559 | $3,559 |
| Office Visit, Established Patient (Level 3) | $171$104$606 | $216 | $216 |
| Office Visit, New Patient (Level 3) | $152$125$606 | $178 | $178 |
| Pacemaker Insertion (Dual Chamber) | $32,553$10k$49k | $41,077 | $41,077 |
| PET/CT Scan, Whole Body | $2,695$1.4k$6.9k | $3,690 | $3,690 |
| Pregnancy Ultrasound (Second or Third Trimester) | $799$103$1.4k | $1,189 | $1,189 |
| Prostate Biopsy | $2,042$2.0k$9.6k | $2,555 | $2,555 |
| PSA Prostate Cancer Screening | $34$18$121 | $85 | $85 |
| Pulmonary Function Test with Bronchodilator | $420$301$1.5k | $530 | $530 |
| Rotator Cuff Repair (Arthroscopic) | $7,018$6.9k$34k | — | — |
| Screening Mammogram | $307$91$817 | $612 | $612 |
| Septoplasty (Deviated Septum Repair) | $3,186$3.1k$15k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,800$6.7k$33k | — | — |
| Skin Biopsy (Tangential) | $300$192$934 | $379 | $379 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,968$1.6k$7.6k | $2,483 | $2,483 |
| Sleep Study (In-lab Polysomnography) | $2,995$985$5.3k | $4,452 | $4,452 |
| Spinal Cord Stimulator Trial | $6,447$6.4k$31k | — | — |
| Spirometry (Breathing Test) | $265$151$735 | $323 | $323 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,186$3.1k$15k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,811$5.7k$28k | — | — |
| Total Hip Replacement | $12,640$12k$60k | — | — |
| Total Knee Replacement | $12,640$12k$60k | — | — |
| Total Mastectomy | $6,406$6.3k$31k | — | — |
| TSH Thyroid Function Test | $169$17$202 | $215 | $215 |
| TURP (Transurethral Prostate Resection) | $4,994$4.9k$24k | — | — |
| Umbilical Hernia Repair | $685 | — | — |
| Upper GI Endoscopy (EGD) | $921$907$4.4k | — | — |
| Urinalysis with Microscopy | $119$3$141 | $150 | $150 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $3,291$2.4k$5.2k | — | — |
| Vaginal Delivery (Global Package) | $3,086$2.3k$4.9k | — | — |
| Vaginal Hysterectomy | $4,849$4.8k$23k | — | — |
| Vasectomy | $2,012$2.0k$9.6k | — | — |
| Vitamin D Blood Test | $132$30$157 | $167 | $167 |