| Abdominal Hysterectomy | $2,765$1.1k$9.2k | — | — |
| ACL Reconstruction (Arthroscopic) | $8,208$2.0k$13k | — | — |
| Allergy Skin Testing | $1,258$79$1.7k | — | — |
| Basic Metabolic Panel | $16$8$36 | $98 | $98 |
| Bone Marrow Biopsy | $1,986$1.1k$4.1k | $254 | $254 |
| Breast Biopsy (Ultrasound-guided) | $1,986$1.4k$4.8k | $2,833 | $2,833 |
| Bunion Correction Surgery | $4,783$2.0k$6.1k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $28,579$2.9k$43k | — | — |
| Cardiac Catheterization (Left Heart) | $4,011$3.4k$6.3k | — | — |
| Cardiac Stress Test (Treadmill) | $198$81$794 | — | — |
| Carpal Tunnel Release Surgery | $2,975$1.4k$5.4k | — | — |
| Cataract Surgery with Lens Implant | $3,400$2.5k$5.4k | — | — |
| Cervical Spinal Fusion (Anterior) | $15,101$1.9k$27k | — | — |
| Cesarean Delivery (Global Package) | $3,466$1.9k$5.3k | — | — |
| Chemotherapy Infusion (First Hour) | $519$295$717 | $798 | $798 |
| Chest X-ray (2 Views) | $110$89$195 | $256 | $256 |
| Colonoscopy with Biopsy | $1,470$1.3k$4.8k | $1,126 | $1,126 |
| Complete Abdominal Ultrasound | $161$120$362 | $880 | $880 |
| Complete Blood Count (CBC) with Differential | $15$8$33 | $43 | $43 |
| Comprehensive Metabolic Panel | $20$11$45 | $202 | $202 |
| Coronary Angioplasty with Stent | $16,801$7.3k$22k | — | — |
| Critical Care, First Hour | $1,349$443$2.0k | $823 | $823 |
| CT Abdomen and Pelvis with Contrast | $844$202$1.1k | $2,868 | $2,868 |
| CT Cardiac Calcium Scoring | $155$99$345 | $50 | $50 |
| CT Chest without Contrast | $245$120$397 | $1,378 | $1,378 |
| CT Head without Contrast | $245$120$319 | $1,295 | $1,295 |
| DEXA Bone Density Scan | $161$120$280 | $646 | $646 |
| Diagnostic Colonoscopy | $1,387$998$4.8k | $1,126 | $1,126 |
| Diagnostic Mammogram (Both Breasts) | $288$180$510 | $713 | $713 |
| Ear Tube Placement (Tympanostomy) | $2,332$1.7k$4.8k | — | — |
| Echocardiogram (Complete with Doppler) | $896$242$1.2k | $1,641 | $1,641 |
| EKG (Electrocardiogram, 12-lead) | $53$16$526 | — | — |
| Emergency Room Visit (Level 3) | $427$311$2.0k | $389 | $389 |
| Group Therapy Session | $111$21$146 | $220 | $220 |
| Hemodialysis Treatment | $277$111$360 | — | — |
| Hemoglobin A1c (Diabetes Test) | $18$10$41 | $72 | $72 |
| HIV Antibody Test | $17$9$38 | $113 | $113 |
| Holter Monitor (24-48 Hour Heart Monitor) | $259$82$710 | — | — |
| Home Sleep Study | $251$170$1.8k | $531 | $531 |
| Individual Therapy Session (45 Minutes) | $196$38$261 | $508 | $508 |
| Inguinal Hernia Repair (Open) | $5,314$2.3k$6.6k | — | — |
| Initial Hospital Admission (Level 1) | $1,674$90$4.8k | $193 | $193 |
| Initial Psychiatric Diagnostic Evaluation | $196$38$261 | $279 | $279 |
| Initial Psychiatric Evaluation with Medication Management | $196$38$261 | $350 | $350 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $721$594$1.3k | — | — |
| IUD Insertion | $436$124$4.1k | $260 | $260 |
| IUD Removal | $399$299$4.1k | $295 | $295 |
| Knee Arthroscopy with Meniscectomy | $3,970$2.3k$6.1k | — | — |
| Laparoscopic Appendectomy | $7,109$2.0k$10k | — | — |
| Laparoscopic Gallbladder Removal | $7,109$1.9k$10k | — | — |
| Laparoscopic Tubal Ligation | $7,109$2.6k$10k | $3,431 | $3,431 |
| Lipid Panel (Cholesterol Test) | $25$13$57 | $236 | $236 |
| Lumbar Epidural Steroid Injection | $1,119$755$4.1k | — | — |
| Lumbar Puncture (Spinal Tap) | $1,119$755$4.1k | $763 | $763 |
| Lumbar Spinal Fusion (Posterior) | $19,775$1.9k$31k | — | — |
| Lumpectomy (Partial Mastectomy) | $5,135$2.0k$6.3k | — | — |
| MRI Abdomen with and without Contrast | $844$397$1.1k | — | — |
| MRI Brain with and without Contrast | $844$397$1.0k | — | — |
| MRI Brain with Contrast | $844$397$960 | — | — |
| MRI Brain without Contrast | $536$267$612 | — | — |
| MRI Cervical Spine (Neck) without Contrast | $536$267$586 | — | — |
| MRI Knee without Contrast | $536$267$670 | — | — |
| MRI Lower Back (Lumbar Spine) without Contrast | $536$267$589 | — | — |
| MRI Thoracic Spine (Mid-back) without Contrast | $536$267$586 | — | — |
| Newborn Circumcision | $2,503$1.1k$5.4k | $1,427 | $1,427 |
| Nuclear Cardiac Stress Test | $2,570$1.5k$3.1k | $5,198 | $5,198 |
| Office Visit, Established Patient (Level 3) | $102$32$136 | $121 | $121 |
| Office Visit, New Patient (Level 3) | $124$32$203 | $206 | $206 |
| Pacemaker Insertion (Dual Chamber) | $13,478$1.9k$18k | — | — |
| PET/CT Scan, Whole Body | $2,985$1.7k$3.5k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $161$120$407 | $843 | $843 |
| Prostate Biopsy | $2,503$1.4k$4.8k | — | — |
| PSA Prostate Cancer Screening | $35$18$78 | $105 | $105 |
| Pulmonary Function Test with Bronchodilator | $460$343$628 | $383 | $383 |
| Rotator Cuff Repair (Arthroscopic) | $8,208$2.6k$13k | — | — |
| Screening Mammogram | $238$145$423 | $601 | $601 |
| Septoplasty (Deviated Septum Repair) | $4,081$2.3k$5.4k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,853$2.6k$12k | — | — |
| Skin Biopsy (Tangential) | $327$219$4.1k | $253 | $253 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,986$1.1k$4.1k | $895 | $895 |
| Sleep Study (In-lab Polysomnography) | $1,685$1.1k$2.3k | — | — |
| Spinal Cord Stimulator Trial | $7,824$1.4k$13k | — | — |
| Spirometry (Breathing Test) | $251$170$380 | $150 | $150 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $4,081$2.6k$7.0k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,719$2.0k$9.9k | — | — |
| Total Hip Replacement | $15,240$1.9k$22k | — | — |
| Total Knee Replacement | $15,240$1.9k$22k | — | — |
| Total Mastectomy | $7,482$2.3k$11k | — | — |
| TSH Thyroid Function Test | $32$17$71 | $112 | $112 |
| TURP (Transurethral Prostate Resection) | $6,215$2.3k$9.0k | — | — |
| Umbilical Hernia Repair | $521 | — | — |
| Upper GI Endoscopy (EGD) | $1,389$989$4.8k | $1,811 | $1,811 |
| Urinalysis with Microscopy | $6$3$13 | $32 | $32 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $3,466$1.9k$5.3k | — | — |
| Vaginal Delivery (Global Package) | $3,434$1.9k$5.8k | — | — |
| Vaginal Hysterectomy | $6,045$2.7k$9.2k | — | — |
| Vasectomy | $2,503$1.4k$5.4k | $1,287 | $1,287 |
| Vitamin D Blood Test | $56$30$126 | $322 | $322 |