| Abdominal Hysterectomy | $975 | — | — |
| ACL Reconstruction (Arthroscopic) | $7,300$939$7.3k | — | — |
| Allergy Skin Testing | $1,067$4$1.1k | — | — |
| Basic Metabolic Panel | $9$7$9 | $35 | $44 |
| Bone Marrow Biopsy | $1,654$67$1.7k | $437 | $546 |
| Breast Biopsy (Ultrasound-guided) | $1,654$146$1.7k | $175 | $219 |
| Bunion Correction Surgery | $3,303$490$3.3k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $24,236$899$24k | — | — |
| Cardiac Catheterization (Left Heart) | $3,325$1.0k$3.3k | $6,286 | $7,857 |
| Cardiac Stress Test (Treadmill) | $68 | — | — |
| Carpal Tunnel Release Surgery | $1,970$424$2.0k | — | — |
| Cataract Surgery with Lens Implant | $2,378$514$2.4k | — | — |
| Cervical Spinal Fusion (Anterior) | $13,430$1.6k$13k | — | — |
| Cesarean Delivery (Global Package) | $3,143 | — | — |
| Chemotherapy Infusion (First Hour) | $346$126$346 | $436 | $545 |
| Chest X-ray (2 Views) | $93$33$93 | $188 | $235 |
| Colonoscopy with Biopsy | $1,204$189$1.2k | $4,368 | — |
| Complete Abdominal Ultrasound | $112$112$113 | $420 | $525 |
| Complete Blood Count (CBC) with Differential | $8$6$8 | $37 | $46 |
| Comprehensive Metabolic Panel | $11$9$11 | $38 | $47 |
| Coronary Angioplasty with Stent | $11,226$551$11k | $1,884 | $2,355 |
| Critical Care, First Hour | $906$203$906 | $1,162 | $1,453 |
| CT Abdomen and Pelvis with Contrast | $392$306$392 | $2,975 | $3,719 |
| CT Cardiac Calcium Scoring | $93$93$99 | $423 | $529 |
| CT Chest without Contrast | $112$112$133 | $1,473 | $1,841 |
| CT Head without Contrast | $112$106$112 | $1,322 | $1,652 |
| DEXA Bone Density Scan | $112$37$112 | $270 | $337 |
| Diagnostic Colonoscopy | $933$174$933 | $396 | $495 |
| Diagnostic Mammogram (Both Breasts) | $153 | — | — |
| Ear Tube Placement (Tympanostomy) | $1,556$154$1.6k | $527 | $659 |
| Echocardiogram (Complete with Doppler) | $563$189$563 | $829 | $1,037 |
| EKG (Electrocardiogram, 12-lead) | $14 | — | — |
| Emergency Room Visit (Level 3) | $291$68$291 | $203 | $254 |
| Group Therapy Session | $91$22$91 | — | — |
| Hemodialysis Treatment | $96 | — | — |
| Hemoglobin A1c (Diabetes Test) | $10$8$10 | $51 | $64 |
| HIV Antibody Test | $10$7$10 | $78 | $98 |
| Holter Monitor (24-48 Hour Heart Monitor) | $70 | — | — |
| Home Sleep Study | $159$88$159 | $387 | $484 |
| Individual Therapy Session (45 Minutes) | $163$84$163 | $119 | $149 |
| Inguinal Hernia Repair (Open) | $3,530$504$3.5k | $14,425 | — |
| Initial Hospital Admission (Level 1) | $79 | $248 | $310 |
| Initial Psychiatric Diagnostic Evaluation | $163$143$163 | $248 | $310 |
| Initial Psychiatric Evaluation with Medication Management | $163$163$163 | $226 | $283 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $601$601$2.5k | $2,029 | $2,536 |
| IUD Insertion | $48 | $250 | $312 |
| IUD Removal | $327$63$327 | $290 | $363 |
| Knee Arthroscopy with Meniscectomy | $3,303$525$3.3k | — | — |
| Laparoscopic Appendectomy | $5,888$580$5.9k | $4,683 | — |
| Laparoscopic Gallbladder Removal | $5,888$634$5.9k | $1,716 | $2,145 |
| Laparoscopic Tubal Ligation | $5,888$628$5.9k | $4,645 | — |
| Lipid Panel (Cholesterol Test) | $14$11$14 | $38 | $47 |
| Lumbar Epidural Steroid Injection | $706$94$706 | $1,068 | $1,335 |
| Lumbar Puncture (Spinal Tap) | $706$60$706 | $415 | $519 |
| Lumbar Spinal Fusion (Posterior) | $19,017$1.5k$19k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,890$635$3.9k | $2,738 | — |
| MRI Abdomen with and without Contrast | $392$341$392 | $3,170 | $3,963 |
| MRI Brain with and without Contrast | $392$321$392 | $3,144 | $3,930 |
| MRI Brain with Contrast | $392$272$392 | $2,258 | $2,822 |
| MRI Brain without Contrast | $250$197$250 | $2,093 | $2,616 |
| MRI Cervical Spine (Neck) without Contrast | $250$191$250 | $1,802 | $2,253 |
| MRI Knee without Contrast | $250$203$250 | $1,738 | $2,172 |
| MRI Lower Back (Lumbar Spine) without Contrast | $250$192$250 | $1,983 | $2,479 |
| MRI Thoracic Spine (Mid-back) without Contrast | $250$191$250 | $1,920 | $2,400 |
| Newborn Circumcision | $2,078$92$2.1k | $558 | $698 |
| Nuclear Cardiac Stress Test | $1,449$422$1.4k | $2,064 | $2,580 |
| Office Visit, Established Patient (Level 3) | $63 | $99 | $124 |
| Office Visit, New Patient (Level 3) | $79 | $154 | $193 |
| Pacemaker Insertion (Dual Chamber) | $10,897$492$11k | $18,676 | $23,345 |
| PET/CT Scan, Whole Body | $1,596$1.5k$1.6k | $6,205 | $7,756 |
| Pregnancy Ultrasound (Second or Third Trimester) | $112$112$131 | $411 | $514 |
| Prostate Biopsy | $2,078$122$2.1k | $710 | $888 |
| PSA Prostate Cancer Screening | $20$15$20 | $66 | $82 |
| Pulmonary Function Test with Bronchodilator | $320$37$320 | $276 | $346 |
| Rotator Cuff Repair (Arthroscopic) | $7,300$1.0k$7.3k | — | — |
| Screening Mammogram | $124 | — | — |
| Septoplasty (Deviated Septum Repair) | $3,285$658$3.3k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,984$309$7.0k | — | — |
| Skin Biopsy (Tangential) | $204$36$204 | $356 | $446 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,654$79$1.7k | $414 | $518 |
| Sleep Study (In-lab Polysomnography) | $1,067$584$1.1k | $1,989 | $2,486 |
| Spinal Cord Stimulator Trial | $6,979$394$7.0k | — | — |
| Spirometry (Breathing Test) | $159$26$159 | $112 | $140 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,285$295$3.3k | $3,321 | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,976$282$6.0k | $3,027 | — |
| Total Hip Replacement | $13,430$1.2k$13k | $17,690 | — |
| Total Knee Replacement | $13,430$1.2k$13k | $9,574 | — |
| Total Mastectomy | $6,654$921$6.7k | — | — |
| TSH Thyroid Function Test | $18$14$18 | $65 | $81 |
| TURP (Transurethral Prostate Resection) | $5,280$690$5.3k | $1,613 | $2,016 |
| Upper GI Endoscopy (EGD) | $925$116$925 | $2,640 | — |
| Urinalysis with Microscopy | $3$3$3 | $18 | $23 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,416 | — | — |
| Vaginal Delivery (Global Package) | $2,847 | — | — |
| Vaginal Hysterectomy | $5,076$810$5.1k | $7,346 | — |
| Vasectomy | $2,078$219$2.1k | $1,225 | $1,531 |
| Vitamin D Blood Test | $32$24$32 | $93 | $116 |