| Abdominal Hysterectomy | $2,870$1.5k$2.9k | — | — |
| ACL Reconstruction (Arthroscopic) | $2,823$1.5k$4.3k | — | — |
| Allergy Skin Testing | $997$5$1.9k | — | — |
| Basic Metabolic Panel | $9$8$16 | $18 | $32 |
| Bone Marrow Biopsy | $384$124$871 | $678 | $1,210 |
| Breast Biopsy (Ultrasound-guided) | $614$165$2.1k | $1,153 | $2,059 |
| Bunion Correction Surgery | $1,651$1.1k$2.1k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $1,335$1.3k$39k | $21,590 | $38,553 |
| Cardiac Catheterization (Left Heart) | $862$862$23k | $12,673 | $22,630 |
| Cardiac Stress Test (Treadmill) | $145$145$184 | — | — |
| Carpal Tunnel Release Surgery | $1,106$695$1.4k | — | — |
| Cataract Surgery with Lens Implant | $1,816$918$1.8k | — | — |
| Cervical Spinal Fusion (Anterior) | $23,196$5.5k$23k | — | — |
| Cesarean Delivery (Global Package) | $6,655$2.8k$6.7k | — | — |
| Chemotherapy Infusion (First Hour) | $323$147$617 | $248 | $443 |
| Chest X-ray (2 Views) | $86$17$227 | $127 | $227 |
| Colonoscopy with Biopsy | $635$396$1.4k | — | — |
| Complete Abdominal Ultrasound | $105$81$198 | $509 | $909 |
| Complete Blood Count (CBC) with Differential | $8$6$18 | $20 | $36 |
| Comprehensive Metabolic Panel | $12$10$26 | $25 | $44 |
| Coronary Angioplasty with Stent | $736$736$17k | $9,253 | $16,524 |
| Critical Care, First Hour | $826$304$1.6k | $2,361 | $4,216 |
| CT Abdomen and Pelvis with Contrast | $350$183$3.0k | $1,683 | $3,005 |
| CT Cardiac Calcium Scoring | $86$7$164 | — | — |
| CT Chest without Contrast | $109$59$447 | $715 | $1,277 |
| CT Head without Contrast | $109$59$348 | $646 | $1,153 |
| DEXA Bone Density Scan | $104$36$198 | $155 | $277 |
| Diagnostic Colonoscopy | $898$396$1.7k | — | — |
| Diagnostic Mammogram (Both Breasts) | $104$94$791 | $443 | $791 |
| Ear Tube Placement (Tympanostomy) | $1,137$253$1.7k | — | — |
| Echocardiogram (Complete with Doppler) | $537$36$4.4k | $1,408 | $2,515 |
| EKG (Electrocardiogram, 12-lead) | $22$22$37 | — | — |
| Emergency Room Visit (Level 3) | $273$69$740 | $543 | $970 |
| Group Therapy Session | $91$37$172 | — | — |
| Hemodialysis Treatment | $117$117$208 | — | — |
| Hemoglobin A1c (Diabetes Test) | $10$8$19 | $24 | $42 |
| HIV Antibody Test | $9$7$21 | $22 | $40 |
| Holter Monitor (24-48 Hour Heart Monitor) | $110$110$277 | — | — |
| Home Sleep Study | $154$68$291 | — | — |
| Individual Therapy Session (45 Minutes) | $157$66$299 | — | — |
| Inguinal Hernia Repair (Open) | $2,080$832$2.4k | — | — |
| Initial Hospital Admission (Level 1) | $113$109$113 | $82 | $146 |
| Initial Psychiatric Diagnostic Evaluation | $165$66$299 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $165$66$299 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $567$266$3.0k | $1,675 | $2,991 |
| IUD Insertion | $205$118$205 | — | — |
| IUD Removal | $298$47$566 | — | — |
| Knee Arthroscopy with Meniscectomy | $1,910$1.2k$2.4k | — | — |
| Laparoscopic Appendectomy | $3,155$896$3.2k | — | — |
| Laparoscopic Gallbladder Removal | $3,182$1.3k$7.5k | $5,797 | $10,351 |
| Laparoscopic Tubal Ligation | $2,920$952$2.9k | — | — |
| Lipid Panel (Cholesterol Test) | $14$12$26 | $22 | $40 |
| Lumbar Epidural Steroid Injection | $685$392$2.4k | $1,317 | $2,352 |
| Lumbar Puncture (Spinal Tap) | $682$142$1.3k | $888 | $1,586 |
| Lumbar Spinal Fusion (Posterior) | $17,388$2.6k$17k | — | — |
| Lumpectomy (Partial Mastectomy) | $1,749$698$1.7k | — | — |
| MRI Abdomen with and without Contrast | $367$239$1.8k | $1,312 | $2,343 |
| MRI Brain with and without Contrast | $367$239$1.3k | $1,312 | $2,343 |
| MRI Brain with Contrast | $367$239$1.1k | $1,148 | $2,050 |
| MRI Brain without Contrast | $249$144$780 | $984 | $1,757 |
| MRI Cervical Spine (Neck) without Contrast | $249$144$757 | $984 | $1,757 |
| MRI Knee without Contrast | $249$144$804 | $1,571 | $2,806 |
| MRI Lower Back (Lumbar Spine) without Contrast | $249$144$779 | $984 | $1,757 |
| MRI Thoracic Spine (Mid-back) without Contrast | $249$144$779 | $984 | $1,757 |
| Newborn Circumcision | $1,174$173$1.2k | — | — |
| Nuclear Cardiac Stress Test | $602$381$5.1k | $2,880 | $5,142 |
| Office Visit, Established Patient (Level 3) | $85$73$85 | $45 | $81 |
| Office Visit, New Patient (Level 3) | $127$107$130 | $90 | $161 |
| Pacemaker Insertion (Dual Chamber) | $10,802$1.1k$21k | $15,978 | $28,533 |
| PET/CT Scan, Whole Body | $1,377$676$3.0k | $1,913 | $3,416 |
| Pregnancy Ultrasound (Second or Third Trimester) | $109$81$198 | $118 | $210 |
| Prostate Biopsy | $1,133$185$1.4k | — | — |
| PSA Prostate Cancer Screening | $19$15$35 | $48 | $85 |
| Pulmonary Function Test with Bronchodilator | $305$54$580 | $85 | $152 |
| Rotator Cuff Repair (Arthroscopic) | $3,529$1.5k$3.5k | — | — |
| Screening Mammogram | $86$78$371 | $208 | $371 |
| Septoplasty (Deviated Septum Repair) | $1,537$850$2.4k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $2,451$814$2.5k | — | — |
| Skin Biopsy (Tangential) | $201$185$370 | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $302$87$813 | — | — |
| Sleep Study (In-lab Polysomnography) | $997$450$1.9k | — | — |
| Spinal Cord Stimulator Trial | $5,383$597$9.6k | $7,460 | $13,322 |
| Spirometry (Breathing Test) | $153$31$291 | $142 | $253 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $1,489$506$1.5k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $1,312$478$1.6k | — | — |
| Total Hip Replacement | $16,102$2.9k$16k | — | — |
| Total Knee Replacement | $15,702$3.2k$16k | — | — |
| Total Mastectomy | $2,768$1.1k$2.8k | — | — |
| TSH Thyroid Function Test | $18$14$32 | $57 | $101 |
| TURP (Transurethral Prostate Resection) | $2,261$1.0k$2.4k | — | — |
| Umbilical Hernia Repair | $1,962$738$2.4k | — | — |
| Upper GI Endoscopy (EGD) | $919$378$1.7k | — | — |
| Urinalysis with Microscopy | $3$3$6 | $17 | $31 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $6,310$2.7k$6.3k | — | — |
| Vaginal Delivery (Global Package) | $5,995$2.7k$6.0k | — | — |
| Vaginal Hysterectomy | $2,570$1.4k$2.6k | — | — |
| Vasectomy | $803$626$1.1k | — | — |
| Vitamin D Blood Test | $31$24$56 | $36 | $64 |