| Abdominal Hysterectomy | $484$484$11k | — | — |
| ACL Reconstruction (Arthroscopic) | $3,781$3.8k$12k | — | — |
| Allergy Skin Testing | $448$448$1.6k | — | — |
| Basic Metabolic Panel | $9$4$90 | $85 | $100 |
| Bone Marrow Biopsy | $2,034$341$2.8k | $2,613 | $3,075 |
| Breast Biopsy (Ultrasound-guided) | $1,646$861$2.8k | $2,192 | $2,579 |
| Bunion Correction Surgery | $1,705$1.7k$3.9k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $13,621$14k$36k | — | — |
| Cardiac Catheterization (Left Heart) | $1,689$1.7k$3.2k | — | — |
| Cardiac Stress Test (Treadmill) | $75$36$669 | $669 | $787 |
| Carpal Tunnel Release Surgery | $1,018$1.0k$2.3k | — | — |
| Cataract Surgery with Lens Implant | $1,203$1.2k$2.3k | — | — |
| Cervical Spinal Fusion (Anterior) | $6,690$6.7k$25k | — | — |
| Cesarean Delivery (Global Package) | $1,292$1.3k$2.6k | — | — |
| Chemotherapy Infusion (First Hour) | $517$172$614 | $601 | $707 |
| Chest X-ray (2 Views) | $209$45$564 | $407 | $479 |
| Colonoscopy with Biopsy | $624$624$1.2k | — | — |
| Complete Abdominal Ultrasound | $113$54$751 | $751 | $884 |
| Complete Blood Count (CBC) with Differential | $8$4$72 | $68 | $80 |
| Comprehensive Metabolic Panel | $11$6$126 | $119 | $140 |
| Coronary Angioplasty with Stent | $6,016$6.0k$17k | — | — |
| Critical Care, First Hour | $1,328$430$2.4k | $2,404 | $2,828 |
| CT Abdomen and Pelvis with Contrast | $375$182$3.1k | $3,066 | $3,607 |
| CT Cardiac Calcium Scoring | $94$45$532 | $473 | $557 |
| CT Chest without Contrast | $113$54$1.3k | $1,338 | $1,574 |
| CT Head without Contrast | $113$54$1.3k | $1,319 | $1,552 |
| DEXA Bone Density Scan | $113$54$493 | $493 | $580 |
| Diagnostic Colonoscopy | $485$485$1.0k | — | — |
| Diagnostic Mammogram (Both Breasts) | $311$77$384 | $366 | $430 |
| Ear Tube Placement (Tympanostomy) | $809$809$4.7k | — | — |
| Echocardiogram (Complete with Doppler) | $580$285$1.6k | $1,637 | $1,926 |
| EKG (Electrocardiogram, 12-lead) | $110$8$159 | $145 | $171 |
| Emergency Room Visit (Level 3) | $497$142$710 | $629 | $740 |
| Group Therapy Session | $53$53$127 | — | — |
| Hemodialysis Treatment | $88$46$907 | $907 | $1,067 |
| Hemoglobin A1c (Diabetes Test) | $10$5$76 | $71 | $84 |
| HIV Antibody Test | $9$5$38 | $35 | $42 |
| Holter Monitor (24-48 Hour Heart Monitor) | $34$34$242 | — | — |
| Home Sleep Study | $307$113$426 | $382 | $450 |
| Individual Therapy Session (45 Minutes) | $177$93$301 | $215 | $253 |
| Inguinal Hernia Repair (Open) | $1,866$1.9k$4.1k | — | — |
| Initial Hospital Admission (Level 1) | $39$39$99 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $191$93$301 | $272 | $320 |
| Initial Psychiatric Evaluation with Medication Management | $93$93$227 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $2,599 | — | — |
| IUD Insertion | $108$52$311 | $311 | $366 |
| IUD Removal | $304$159$516 | $373 | $439 |
| Knee Arthroscopy with Meniscectomy | $1,705$1.7k$3.3k | — | — |
| Laparoscopic Appendectomy | $3,150$3.2k$6.9k | — | — |
| Laparoscopic Gallbladder Removal | $3,150$3.2k$6.0k | — | — |
| Laparoscopic Tubal Ligation | $3,150$3.2k$6.7k | — | — |
| Lipid Panel (Cholesterol Test) | $14$7$91 | $86 | $101 |
| Lumbar Epidural Steroid Injection | $760$368$1.8k | $1,828 | $2,150 |
| Lumbar Puncture (Spinal Tap) | $849$368$1.8k | $964 | $1,134 |
| Lumbar Spinal Fusion (Posterior) | $9,137$9.1k$25k | — | — |
| Lumpectomy (Partial Mastectomy) | $2,040$2.0k$3.9k | — | — |
| MRI Abdomen with and without Contrast | $375$182$3.6k | $3,621 | $4,260 |
| MRI Brain with and without Contrast | $375$182$4.1k | $4,063 | $4,780 |
| MRI Brain with Contrast | $375$182$2.8k | $2,752 | $3,238 |
| MRI Brain without Contrast | $257$124$2.4k | $2,350 | $2,765 |
| MRI Cervical Spine (Neck) without Contrast | $257$124$2.3k | $2,286 | $2,689 |
| MRI Knee without Contrast | $257$124$2.4k | $2,428 | $2,856 |
| MRI Lower Back (Lumbar Spine) without Contrast | $257$124$2.3k | $2,327 | $2,738 |
| MRI Thoracic Spine (Mid-back) without Contrast | $257$124$2.3k | $2,332 | $2,743 |
| Newborn Circumcision | $2,166$1.1k$3.5k | $3,069 | $3,610 |
| Nuclear Cardiac Stress Test | $2,562$675$3.6k | $3,369 | $3,964 |
| Office Visit, Established Patient (Level 3) | $111$48$159 | $130 | $153 |
| Office Visit, New Patient (Level 3) | $118$59$192 | $141 | $166 |
| Pacemaker Insertion (Dual Chamber) | $5,447$5.4k$23k | — | — |
| PET/CT Scan, Whole Body | $1,539$745$5.8k | $5,520 | $6,494 |
| Pregnancy Ultrasound (Second or Third Trimester) | $516$54$704 | $703 | $827 |
| Prostate Biopsy | $3,498$2.3k$3.7k | $3,717 | $4,373 |
| PSA Prostate Cancer Screening | $19$8$61 | $35 | $41 |
| Pulmonary Function Test with Bronchodilator | $194$28$632 | $507 | $596 |
| Rotator Cuff Repair (Arthroscopic) | $3,781$3.8k$7.2k | — | — |
| Screening Mammogram | $127$62$331 | $331 | $389 |
| Septoplasty (Deviated Septum Repair) | $1,728$1.7k$3.3k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $3,678$3.7k$7.0k | — | — |
| Skin Biopsy (Tangential) | $284$211$689 | $298 | $351 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,646$269$2.8k | $2,521 | $2,966 |
| Sleep Study (In-lab Polysomnography) | $924$448$2.9k | $2,907 | $3,420 |
| Spinal Cord Stimulator Trial | $3,321$3.3k$13k | — | — |
| Spirometry (Breathing Test) | $215$65$366 | $328 | $386 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $1,728$1.7k$5.3k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $3,085$3.1k$5.9k | — | — |
| Total Hip Replacement | $6,690$6.7k$23k | — | — |
| Total Knee Replacement | $6,690$6.7k$22k | — | — |
| Total Mastectomy | $3,460$3.5k$6.6k | — | — |
| TSH Thyroid Function Test | $27$9$119 | $70 | $83 |
| TURP (Transurethral Prostate Resection) | $2,794$2.8k$6.0k | — | — |
| Upper GI Endoscopy (EGD) | $473$473$1.7k | — | — |
| Urinalysis with Microscopy | $18$2$32 | $27 | $32 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $1,219$1.2k$2.5k | — | — |
| Vaginal Delivery (Global Package) | $1,153$1.2k$2.5k | — | — |
| Vaginal Hysterectomy | $2,607$2.6k$7.9k | — | — |
| Vasectomy | $2,250$1.1k$3.5k | $3,390 | $3,988 |
| Vitamin D Blood Test | $30$12$100 | $56 | $66 |