| Abdominal Hysterectomy | $5,390$657$9.2k | $5,339 | — |
| ACL Reconstruction (Arthroscopic) | $8,413$647$26k | $5,339 | — |
| Allergy Skin Testing | $1,198$5$2.4k | — | — |
| Basic Metabolic Panel | $9$4$149 | $9 | $164 |
| Bone Marrow Biopsy | $2,098$109$4.2k | $5,339 | $3,907 |
| Breast Biopsy (Ultrasound-guided) | $3,274$332$5.0k | $5,339 | $4,963 |
| Bunion Correction Surgery | $3,821$555$7.6k | $5,339 | — |
| Cardiac Ablation for Atrial Fibrillation | $33,745$603$57k | $11,099 | $53,414 |
| Cardiac Catheterization (Left Heart) | $9,545$690$21k | $4,550 | $21,894 |
| Cardiac Stress Test (Treadmill) | $430$48$617 | — | — |
| Carpal Tunnel Release Surgery | $2,823$302$5.0k | $5,339 | — |
| Cataract Surgery with Lens Implant | $4,288$356$9.5k | $5,339 | — |
| Cervical Spinal Fusion (Anterior) | $12,274$1.1k$30k | $5,339 | — |
| Cesarean Delivery (Global Package) | $3,867$1.1k$4.2k | $5,339 | — |
| Chemotherapy Infusion (First Hour) | $1,157$88$2.1k | $485 | $2,332 |
| Chest X-ray (2 Views) | $111$23$463 | $106 | $510 |
| Colonoscopy with Biopsy | $2,638$290$5.0k | $5,339 | — |
| Complete Abdominal Ultrasound | $173$78$990 | $227 | $1,091 |
| Complete Blood Count (CBC) with Differential | $8$4$133 | $9 | $146 |
| Comprehensive Metabolic Panel | $11$5$298 | $12 | $328 |
| Coronary Angioplasty with Stent | $34,907$374$51k | — | $24,712 |
| Critical Care, First Hour | $1,667$187$5.1k | $1,157 | $5,566 |
| CT Abdomen and Pelvis with Contrast | $599$210$3.3k | $749 | $3,605 |
| CT Cardiac Calcium Scoring | $114$15$1.8k | $12 | $56 |
| CT Chest without Contrast | $244$91$2.0k | $456 | $2,195 |
| CT Head without Contrast | $244$73$1.9k | $433 | $2,085 |
| DEXA Bone Density Scan | $135$37$788 | $180 | $868 |
| Diagnostic Colonoscopy | $2,137$227$5.0k | $5,339 | — |
| Diagnostic Mammogram (Both Breasts) | $216$107$711 | $163 | $783 |
| Ear Tube Placement (Tympanostomy) | $3,274$107$5.8k | $5,339 | — |
| Echocardiogram (Complete with Doppler) | $1,285$132$3.7k | $817 | $3,931 |
| EKG (Electrocardiogram, 12-lead) | $284$10$334 | — | — |
| Emergency Room Visit (Level 3) | $1,261$48$3.0k | $470 | $2,261 |
| Group Therapy Session | $196$31$375 | $86 | $413 |
| Hemodialysis Treatment | $1,310$66$1.5k | — | — |
| Hemoglobin A1c (Diabetes Test) | $10$5$104 | $11 | $115 |
| HIV Antibody Test | $9$4$102 | $10 | $112 |
| Holter Monitor (24-48 Hour Heart Monitor) | $412$49$449 | — | — |
| Home Sleep Study | $1,500$63$3.9k | $580 | $2,793 |
| Individual Therapy Session (45 Minutes) | $286$100$470 | $108 | $518 |
| Inguinal Hernia Repair (Open) | $4,554$347$8.3k | $5,339 | — |
| Initial Hospital Admission (Level 1) | $7,458$56$10k | — | — |
| Initial Psychiatric Diagnostic Evaluation | $456$189$779 | $178 | $858 |
| Initial Psychiatric Evaluation with Medication Management | $518$189$876 | $201 | $965 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $2,395$681$6.1k | $1,394 | $6,708 |
| IUD Insertion | $1,378$163$4.2k | $5,339 | $1,179 |
| IUD Removal | $512$196$4.2k | $5,339 | $712 |
| Knee Arthroscopy with Meniscectomy | $5,115$364$26k | $5,339 | — |
| Laparoscopic Appendectomy | $6,871$399$14k | $5,339 | — |
| Laparoscopic Gallbladder Removal | $7,514$437$14k | $5,339 | — |
| Laparoscopic Tubal Ligation | $6,871$430$14k | $5,339 | — |
| Lipid Panel (Cholesterol Test) | $14$6$224 | $15 | $247 |
| Lumbar Epidural Steroid Injection | $1,586$174$4.2k | $5,339 | — |
| Lumbar Puncture (Spinal Tap) | $1,356$66$4.2k | $5,339 | $2,405 |
| Lumbar Spinal Fusion (Posterior) | $15,527$1.0k$43k | $5,339 | — |
| Lumpectomy (Partial Mastectomy) | $4,510$437$9.0k | $5,339 | — |
| MRI Abdomen with and without Contrast | $724$234$4.1k | $944 | $4,542 |
| MRI Brain with and without Contrast | $701$220$4.6k | $1,047 | $5,038 |
| MRI Brain with Contrast | $603$187$3.3k | $751 | $3,615 |
| MRI Brain without Contrast | $488$135$3.3k | $681 | $3,279 |
| MRI Cervical Spine (Neck) without Contrast | $488$132$3.3k | $573 | $2,756 |
| MRI Knee without Contrast | $387$140$3.3k | — | $2,458 |
| MRI Lower Back (Lumbar Spine) without Contrast | $488$132$3.3k | $593 | $2,854 |
| MRI Thoracic Spine (Mid-back) without Contrast | $488$131$3.3k | $623 | $2,996 |
| Newborn Circumcision | $2,412$20$5.0k | $5,339 | — |
| Nuclear Cardiac Stress Test | $1,537$276$4.5k | $1,019 | $4,904 |
| Office Visit, Established Patient (Level 3) | $278$63$466 | $107 | $513 |
| Office Visit, New Patient (Level 3) | $313$64$525 | $120 | $578 |
| Pacemaker Insertion (Dual Chamber) | $12,325$334$40k | $5,339 | $42,168 |
| PET/CT Scan, Whole Body | $1,897$1.1k$4.2k | — | $9,166 |
| Pregnancy Ultrasound (Second or Third Trimester) | $173$91$845 | $193 | $931 |
| Prostate Biopsy | $2,823$76$6.0k | $5,339 | $6,593 |
| PSA Prostate Cancer Screening | $19$9$290 | $20 | $319 |
| Pulmonary Function Test with Bronchodilator | $671$26$1.3k | $299 | $1,441 |
| Rotator Cuff Repair (Arthroscopic) | $8,413$710$26k | $5,339 | — |
| Screening Mammogram | $175$84$575 | $132 | $634 |
| Septoplasty (Deviated Septum Repair) | $3,896$388$7.6k | $5,339 | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,514$210$16k | $5,339 | — |
| Skin Biopsy (Tangential) | $481$68$4.2k | $5,339 | $1,044 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,908$85$5.0k | $5,339 | $3,041 |
| Sleep Study (In-lab Polysomnography) | $3,920$422$7.1k | $1,617 | $7,783 |
| Spinal Cord Stimulator Trial | $7,729$770$15k | $5,339 | — |
| Spirometry (Breathing Test) | $437$18$739 | $169 | $814 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $4,288$204$7.6k | $5,339 | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,845$195$14k | $5,339 | — |
| Total Hip Replacement | $21,284$848$30k | $5,339 | — |
| Total Knee Replacement | $21,284$847$30k | $5,339 | — |
| Total Mastectomy | $6,680$633$15k | $5,339 | — |
| TSH Thyroid Function Test | $17$8$250 | $18 | $275 |
| TURP (Transurethral Prostate Resection) | $5,987$475$12k | $5,339 | — |
| Upper GI Endoscopy (EGD) | $2,098$193$4.5k | $5,339 | — |
| Urinalysis with Microscopy | $3$1$102 | $3 | $112 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $4,174$3.4k$4.2k | $5,339 | — |
| Vaginal Delivery (Global Package) | $3,688$918$4.2k | $5,339 | — |
| Vaginal Hysterectomy | $5,813$554$12k | $5,339 | — |
| Vasectomy | $2,898$224$5.8k | $5,339 | $6,379 |
| Vitamin D Blood Test | $31$14$255 | $33 | $281 |