| ACL Reconstruction (Arthroscopic) | $10,662$7.2k$13k | — | — |
| Allergy Skin Testing | $453$258$1.5k | — | — |
| Basic Metabolic Panel | $12$8$19 | $49 | $49 |
| Bone Marrow Biopsy | $1,061$284$3.0k | $1,648 | $1,648 |
| Breast Biopsy (Ultrasound-guided) | $3,025$1.6k$3.5k | $1,790 | $1,790 |
| Bunion Correction Surgery | $3,260$2.2k$5.9k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $24,627$14k$47k | $42,588 | $42,588 |
| Cardiac Catheterization (Left Heart) | $7,723$3.2k$14k | $9,640 | $9,640 |
| Cardiac Stress Test (Treadmill) | $192$139$243 | — | — |
| Carpal Tunnel Release Surgery | $2,170$1.9k$3.5k | — | — |
| Cataract Surgery with Lens Implant | $2,444$2.3k$4.1k | — | — |
| Cervical Spinal Fusion (Anterior) | $13,432$6.1k$23k | — | — |
| Cesarean Delivery (Global Package) | $1,981$1.4k$2.5k | — | — |
| Chemotherapy Infusion (First Hour) | $329$201$592 | $679 | $679 |
| Chest X-ray (2 Views) | $91$87$156 | $306 | $306 |
| Colonoscopy with Biopsy | $1,192$1.1k$2.1k | $1,137 | $1,137 |
| Complete Abdominal Ultrasound | $184$104$258 | $1,394 | $1,394 |
| Complete Blood Count (CBC) with Differential | $11$7$16 | $34 | $34 |
| Comprehensive Metabolic Panel | $13$10$21 | $59 | $59 |
| Coronary Angioplasty with Stent | $12,078$9.4k$21k | $10,571 | $10,571 |
| Critical Care, First Hour | $864$674$1.5k | $5,861 | $5,861 |
| CT Abdomen and Pelvis with Contrast | $365$348$626 | $2,769 | $2,769 |
| CT Cardiac Calcium Scoring | $91$87$156 | $150 | $150 |
| CT Chest without Contrast | $109$104$188 | $846 | $846 |
| CT Head without Contrast | $109$104$188 | $846 | $846 |
| DEXA Bone Density Scan | $109$104$188 | $352 | $352 |
| Diagnostic Colonoscopy | $1,077$927$1.7k | $873 | $873 |
| Diagnostic Mammogram (Both Breasts) | $106$101$182 | $522 | $522 |
| Ear Tube Placement (Tympanostomy) | $1,959$1.5k$2.8k | — | — |
| Echocardiogram (Complete with Doppler) | $572$544$980 | $1,292 | $1,292 |
| EKG (Electrocardiogram, 12-lead) | $26$18$32 | — | — |
| Emergency Room Visit (Level 3) | $286$197$490 | $986 | $986 |
| Group Therapy Session | $105$69$182 | — | — |
| Hemodialysis Treatment | $63$46$80 | — | — |
| Hemoglobin A1c (Diabetes Test) | $14$9$21 | $23 | $23 |
| HIV Antibody Test | $44$8$125 | — | — |
| Holter Monitor (24-48 Hour Heart Monitor) | $230$166$291 | — | — |
| Home Sleep Study | $245$196$387 | $654 | $654 |
| Individual Therapy Session (45 Minutes) | $186$124$318 | $231 | $231 |
| Inguinal Hernia Repair (Open) | $3,746$3.1k$8.1k | — | — |
| Initial Hospital Admission (Level 1) | $68$49$86 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $186$124$318 | $231 | $231 |
| Initial Psychiatric Evaluation with Medication Management | $186$124$318 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,666$1.2k$2.1k | $2,563 | $2,563 |
| IUD Insertion | $81$58$103 | $67 | $67 |
| IUD Removal | $319$108$5.1k | $470 | $470 |
| Knee Arthroscopy with Meniscectomy | $3,353$3.3k$5.9k | — | — |
| Laparoscopic Appendectomy | $7,419$6.0k$11k | — | — |
| Laparoscopic Gallbladder Removal | $6,024$5.8k$11k | — | — |
| Laparoscopic Tubal Ligation | $5,810$4.7k$11k | — | — |
| Lipid Panel (Cholesterol Test) | $18$13$28 | $43 | $43 |
| Lumbar Epidural Steroid Injection | $710$465$1.3k | $1,088 | $1,088 |
| Lumbar Puncture (Spinal Tap) | $703$494$1.3k | $974 | $974 |
| Lumbar Spinal Fusion (Posterior) | $18,344$4.5k$31k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,901$2.5k$7.0k | — | — |
| MRI Abdomen with and without Contrast | $365$348$626 | $3,057 | $3,057 |
| MRI Brain with and without Contrast | $365$348$626 | $3,057 | $3,057 |
| MRI Brain with Contrast | $365$348$626 | $2,561 | $2,561 |
| MRI Brain without Contrast | $250$238$428 | $1,652 | $1,652 |
| MRI Cervical Spine (Neck) without Contrast | $530$238$929 | $1,652 | $1,652 |
| MRI Knee without Contrast | $250$238$428 | $2,883 | $2,883 |
| MRI Lower Back (Lumbar Spine) without Contrast | $250$238$428 | $1,652 | $1,652 |
| MRI Thoracic Spine (Mid-back) without Contrast | $530$238$929 | $1,652 | $1,652 |
| Newborn Circumcision | $2,401$1.4k$3.7k | $1,772 | $1,772 |
| Nuclear Cardiac Stress Test | $1,354$1.3k$2.3k | $4,049 | $4,049 |
| Office Visit, Established Patient (Level 3) | $90$65$113 | $114 | $114 |
| Office Visit, New Patient (Level 3) | $108$78$137 | — | — |
| Pacemaker Insertion (Dual Chamber) | $18,991$10k$23k | $16,311 | $16,311 |
| PET/CT Scan, Whole Body | $4,196$1.4k$7.4k | $7,118 | $7,118 |
| Pregnancy Ultrasound (Second or Third Trimester) | $109$104$188 | $873 | $873 |
| Prostate Biopsy | $1,832$1.4k$2.5k | — | — |
| PSA Prostate Cancer Screening | $24$17$37 | $53 | $53 |
| Pulmonary Function Test with Bronchodilator | $263$150$669 | $429 | $429 |
| Rotator Cuff Repair (Arthroscopic) | $9,078$7.2k$13k | — | — |
| Screening Mammogram | $87$83$150 | $412 | $412 |
| Septoplasty (Deviated Septum Repair) | $5,079$3.3k$5.9k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,032$4.1k$13k | — | — |
| Skin Biopsy (Tangential) | $425$304$729 | $430 | $430 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,728$201$8.5k | $1,447 | $1,447 |
| Sleep Study (In-lab Polysomnography) | $898$856$1.5k | $4,278 | $4,278 |
| Spinal Cord Stimulator Trial | $9,281$6.4k$14k | $20,258 | $20,258 |
| Spirometry (Breathing Test) | $119$68$387 | $248 | $248 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,304$2.3k$5.9k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,899$5.7k$11k | — | — |
| Total Hip Replacement | $20,478$13k$24k | — | — |
| Total Knee Replacement | $20,478$13k$24k | — | — |
| Total Mastectomy | $6,947$4.0k$16k | — | — |
| TSH Thyroid Function Test | $22$16$34 | $67 | $67 |
| TURP (Transurethral Prostate Resection) | $4,745$3.5k$9.6k | — | — |
| Upper GI Endoscopy (EGD) | $1,765$904$2.0k | $867 | $867 |
| Urinalysis with Microscopy | $6$3$13 | $20 | $20 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $1,861$1.3k$2.4k | — | — |
| Vaginal Delivery (Global Package) | $1,820$1.3k$2.3k | — | — |
| Vaginal Hysterectomy | $8,074$5.0k$9.3k | — | — |
| Vasectomy | $729$470$3.7k | — | — |
| Vitamin D Blood Test | $39$28$61 | $106 | $106 |