| Abdominal Hysterectomy | $7,064$548$11k | $6,311 | — |
| ACL Reconstruction (Arthroscopic) | $7,963$529$22k | $6,311 | — |
| Allergy Skin Testing | $1,112$4$2.2k | — | — |
| Basic Metabolic Panel | $8$4$150 | $9 | $164 |
| Bone Marrow Biopsy | $2,163$89$9.1k | $6,311 | $2,934 |
| Breast Biopsy (Ultrasound-guided) | $3,743$271$9.1k | $6,311 | $6,874 |
| Bunion Correction Surgery | $5,036$466$9.1k | $6,311 | — |
| Cardiac Ablation for Atrial Fibrillation | $33,286$494$53k | — | — |
| Cardiac Catheterization (Left Heart) | $11,074$565$20k | $3,619 | $21,415 |
| Cardiac Stress Test (Treadmill) | $433$39$526 | — | — |
| Carpal Tunnel Release Surgery | $3,735$247$9.1k | $6,311 | — |
| Cataract Surgery with Lens Implant | $4,960$292$12k | $6,311 | — |
| Cervical Spinal Fusion (Anterior) | $13,734$925$28k | $6,311 | — |
| Cesarean Delivery (Global Package) | $4,294$903$9.1k | $6,311 | — |
| Chemotherapy Infusion (First Hour) | $1,324$72$2.4k | $427 | $2,525 |
| Chest X-ray (2 Views) | $96$19$451 | $83 | $493 |
| Colonoscopy with Biopsy | $2,564$237$9.1k | $6,311 | — |
| Complete Abdominal Ultrasound | $169$64$998 | $184 | $1,091 |
| Complete Blood Count (CBC) with Differential | $8$4$134 | $9 | $146 |
| Comprehensive Metabolic Panel | $11$5$300 | $12 | $328 |
| Coronary Angioplasty with Stent | $33,575$306$55k | — | $21,044 |
| Critical Care, First Hour | $1,810$153$3.3k | $932 | $5,512 |
| CT Abdomen and Pelvis with Contrast | $521$172$3.3k | $609 | $3,605 |
| CT Cardiac Calcium Scoring | $114$8$1.4k | $9 | $56 |
| CT Chest without Contrast | $231$75$3.1k | $568 | $3,358 |
| CT Head without Contrast | $226$60$1.9k | $352 | $2,085 |
| DEXA Bone Density Scan | $119$30$999 | $185 | $1,092 |
| Diagnostic Colonoscopy | $1,983$186$9.1k | $6,311 | — |
| Diagnostic Mammogram (Both Breasts) | $152$87$716 | $132 | $783 |
| Ear Tube Placement (Tympanostomy) | $3,222$88$9.1k | $6,311 | — |
| Echocardiogram (Complete with Doppler) | $1,049$108$4.2k | $745 | $4,406 |
| EKG (Electrocardiogram, 12-lead) | $128$8$157 | — | — |
| Emergency Room Visit (Level 3) | $1,548$39$3.0k | $410 | $2,428 |
| Group Therapy Session | $382$31$598 | $111 | $654 |
| Hemodialysis Treatment | $534$54$647 | — | — |
| Hemoglobin A1c (Diabetes Test) | $10$5$221 | $11 | $242 |
| HIV Antibody Test | $9$4$94 | $10 | $103 |
| Holter Monitor (24-48 Hour Heart Monitor) | $308$40$373 | — | — |
| Home Sleep Study | $1,326$52$4.3k | $383 | $2,269 |
| Individual Therapy Session (45 Minutes) | $354$90$554 | $102 | $606 |
| Inguinal Hernia Repair (Open) | $5,854$284$9.1k | $6,311 | — |
| Initial Hospital Admission (Level 1) | $9,698$1.4k$11k | — | — |
| Initial Psychiatric Diagnostic Evaluation | $534$136$836 | $154 | $914 |
| Initial Psychiatric Evaluation with Medication Management | $549$136$837 | $155 | $915 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $2,081$632$6.4k | $1,175 | $6,955 |
| IUD Insertion | $4,026$133$9.1k | $6,311 | — |
| IUD Removal | $1,512$217$9.1k | $6,311 | — |
| Knee Arthroscopy with Meniscectomy | $6,205$298$22k | $6,311 | — |
| Laparoscopic Appendectomy | $7,036$326$13k | $6,311 | — |
| Laparoscopic Gallbladder Removal | $8,970$357$13k | $6,311 | — |
| Laparoscopic Tubal Ligation | $8,440$352$13k | $6,311 | — |
| Lipid Panel (Cholesterol Test) | $13$6$226 | $15 | $247 |
| Lumbar Epidural Steroid Injection | $2,428$142$9.1k | $6,311 | $4,047 |
| Lumbar Puncture (Spinal Tap) | $757$66$9.1k | $6,311 | $898 |
| Lumbar Spinal Fusion (Posterior) | $16,753$858$40k | $6,311 | — |
| Lumpectomy (Partial Mastectomy) | $6,122$358$9.1k | $6,311 | — |
| MRI Abdomen with and without Contrast | $649$191$4.0k | $746 | $4,413 |
| MRI Brain with and without Contrast | $603$180$4.6k | $851 | $5,038 |
| MRI Brain with Contrast | $537$153$3.3k | $611 | $3,615 |
| MRI Brain without Contrast | $436$111$3.0k | $554 | $3,279 |
| MRI Cervical Spine (Neck) without Contrast | $410$108$2.9k | $466 | $2,756 |
| MRI Knee without Contrast | $387$115$2.9k | — | $2,458 |
| MRI Lower Back (Lumbar Spine) without Contrast | $414$108$2.9k | $482 | $2,854 |
| MRI Thoracic Spine (Mid-back) without Contrast | $433$107$2.9k | $506 | $2,996 |
| Newborn Circumcision | $3,003$16$9.1k | $6,311 | — |
| Nuclear Cardiac Stress Test | $1,427$240$8.3k | $1,542 | $9,127 |
| Office Visit, Established Patient (Level 3) | $325$51$469 | $87 | $513 |
| Office Visit, New Patient (Level 3) | $366$63$529 | $98 | $578 |
| Pacemaker Insertion (Dual Chamber) | $19,351$273$41k | $6,311 | $35,205 |
| PET/CT Scan, Whole Body | $1,897$904$4.5k | — | $14,233 |
| Pregnancy Ultrasound (Second or Third Trimester) | $169$75$960 | $157 | $931 |
| Prostate Biopsy | $4,346$63$9.1k | $6,311 | $6,593 |
| PSA Prostate Cancer Screening | $18$9$292 | $20 | $319 |
| Pulmonary Function Test with Bronchodilator | $672$21$1.5k | $276 | $1,631 |
| Rotator Cuff Repair (Arthroscopic) | $8,970$581$22k | $6,311 | — |
| Screening Mammogram | $126$70$580 | $107 | $634 |
| Septoplasty (Deviated Septum Repair) | $5,854$326$9.1k | $6,311 | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,565$172$15k | $6,311 | — |
| Skin Biopsy (Tangential) | $432$55$9.1k | $6,311 | $683 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,771$70$9.1k | $6,311 | $2,100 |
| Sleep Study (In-lab Polysomnography) | $3,987$345$7.1k | $1,315 | $7,783 |
| Spinal Cord Stimulator Trial | $7,316$646$14k | $6,311 | — |
| Spirometry (Breathing Test) | $484$15$757 | $140 | $828 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $6,203$167$9.1k | $6,311 | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,465$160$13k | $6,311 | — |
| Total Hip Replacement | $16,865$694$28k | $6,311 | — |
| Total Knee Replacement | $16,865$693$28k | $6,311 | — |
| Total Mastectomy | $7,127$518$14k | $6,311 | — |
| TSH Thyroid Function Test | $17$8$252 | $18 | $275 |
| TURP (Transurethral Prostate Resection) | $7,636$389$13k | $6,311 | — |
| Upper GI Endoscopy (EGD) | $2,039$158$9.1k | $6,311 | — |
| Urinalysis with Microscopy | $3$1$102 | $3 | $112 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $4,294$2.7k$9.1k | $6,311 | — |
| Vaginal Delivery (Global Package) | $4,294$770$9.1k | $6,311 | — |
| Vaginal Hysterectomy | $6,645$454$13k | $6,311 | — |
| Vasectomy | $4,132$184$9.1k | $6,311 | — |
| Vitamin D Blood Test | $30$14$376 | $33 | $411 |