| Abdominal Hysterectomy | $2,272$424$2.4k | — | — |
| ACL Reconstruction (Arthroscopic) | $8,015$1.2k$34k | $33,543 | $39,462 |
| Allergy Skin Testing | $1,141$6$2.6k | — | — |
| Basic Metabolic Panel | $8$3$25 | $25 | $30 |
| Bone Marrow Biopsy | $1,818$939$4.7k | $4,750 | $5,588 |
| Breast Biopsy (Ultrasound-guided) | $1,818$160$4.7k | $4,668 | $5,492 |
| Bunion Correction Surgery | $3,640$358$8.2k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $27,523$687$62k | — | — |
| Cardiac Catheterization (Left Heart) | $3,609$676$8.2k | — | — |
| Cardiac Stress Test (Treadmill) | $398 | — | — |
| Carpal Tunnel Release Surgery | $2,231$202$5.0k | — | — |
| Cataract Surgery with Lens Implant | $2,559$595$5.8k | — | — |
| Cervical Spinal Fusion (Anterior) | $14,436$1.2k$33k | $30,599 | $35,999 |
| Cesarean Delivery (Global Package) | $694 | — | — |
| Chemotherapy Infusion (First Hour) | $372$89$969 | $969 | $1,140 |
| Chest X-ray (2 Views) | $99$41$224 | $215 | $253 |
| Colonoscopy with Biopsy | $1,323$637$3.2k | $3,222 | $3,790 |
| Complete Abdominal Ultrasound | $119$78$396 | $396 | $466 |
| Complete Blood Count (CBC) with Differential | $8$3$23 | $23 | $27 |
| Comprehensive Metabolic Panel | $11$4$31 | $31 | $37 |
| Coronary Angioplasty with Stent | $12,723$294$29k | — | — |
| Critical Care, First Hour | $819$133$2.7k | $2,263 | $2,663 |
| CT Abdomen and Pelvis with Contrast | $401$173$908 | $875 | $1,030 |
| CT Cardiac Calcium Scoring | $99$43$224 | $215 | $253 |
| CT Chest without Contrast | $119$63$396 | $357 | $420 |
| CT Head without Contrast | $197$64$2.6k | $396 | $466 |
| DEXA Bone Density Scan | $119$78$396 | $396 | $466 |
| Diagnostic Colonoscopy | $1,023$489$2.5k | $2,472 | $2,909 |
| Diagnostic Mammogram (Both Breasts) | $127$85$431 | $431 | $507 |
| Ear Tube Placement (Tympanostomy) | $1,776$87$3.8k | — | — |
| Echocardiogram (Complete with Doppler) | $886$296$2.2k | $1,866 | $2,196 |
| EKG (Electrocardiogram, 12-lead) | $102 | — | — |
| Emergency Room Visit (Level 3) | $356$149$1.3k | $753 | $886 |
| Group Therapy Session | $104$14$235 | $83 | $98 |
| Hemodialysis Treatment | $498 | — | — |
| Hemoglobin A1c (Diabetes Test) | $10$3$29 | $21 | $25 |
| HIV Antibody Test | $9$3$28 | — | — |
| Holter Monitor (24-48 Hour Heart Monitor) | $284 | — | — |
| Home Sleep Study | $243$176$982 | — | — |
| Individual Therapy Session (45 Minutes) | $180$180$408 | $429 | $505 |
| Inguinal Hernia Repair (Open) | $3,959$235$9.0k | — | — |
| Initial Hospital Admission (Level 1) | $37 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $180$180$408 | $429 | $505 |
| Initial Psychiatric Evaluation with Medication Management | $180$180$408 | $429 | $505 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $649$209$1.5k | — | — |
| IUD Insertion | $1,428$1.4k$1.5k | — | — |
| IUD Removal | $341$182$1.5k | $918 | $1,080 |
| Knee Arthroscopy with Meniscectomy | $4,104$1.2k$21k | $20,751 | $24,413 |
| Laparoscopic Appendectomy | $6,546$1.2k$28k | $27,859 | $32,775 |
| Laparoscopic Gallbladder Removal | $6,546$350$15k | — | — |
| Laparoscopic Tubal Ligation | $6,546$332$15k | — | — |
| Lipid Panel (Cholesterol Test) | $13$5$40 | $40 | $47 |
| Lumbar Epidural Steroid Injection | $1,195$239$5.3k | $5,255 | $6,182 |
| Lumbar Puncture (Spinal Tap) | $777$88$2.1k | $2,067 | $2,432 |
| Lumbar Spinal Fusion (Posterior) | $20,632$1.2k$47k | $33,543 | $39,462 |
| Lumpectomy (Partial Mastectomy) | $4,296$2.3k$9.7k | — | — |
| MRI Abdomen with and without Contrast | $511$264$3.7k | $1,580 | $1,859 |
| MRI Brain with and without Contrast | $401$313$1.6k | $1,580 | $1,859 |
| MRI Brain with Contrast | $401$173$908 | $875 | $1,030 |
| MRI Brain without Contrast | $271$159$804 | $804 | $946 |
| MRI Cervical Spine (Neck) without Contrast | $271$159$804 | $804 | $946 |
| MRI Knee without Contrast | $271$74$804 | $590 | $694 |
| MRI Lower Back (Lumbar Spine) without Contrast | $271$159$804 | $804 | $946 |
| MRI Thoracic Spine (Mid-back) without Contrast | $271$159$804 | $804 | $946 |
| Newborn Circumcision | $2,298$70$5.2k | — | — |
| Nuclear Cardiac Stress Test | $1,465$195$3.3k | — | — |
| Office Visit, Established Patient (Level 3) | $145$64$335 | $329 | $387 |
| Office Visit, New Patient (Level 3) | $145$46$380 | $380 | $448 |
| Pacemaker Insertion (Dual Chamber) | $11,741$339$27k | — | — |
| PET/CT Scan, Whole Body | $1,636$1.5k$3.7k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $119$78$396 | $396 | $466 |
| Prostate Biopsy | $2,298$1.2k$5.9k | $5,872 | $6,908 |
| PSA Prostate Cancer Screening | $18$4$55 | $39 | $45 |
| Pulmonary Function Test with Bronchodilator | $349$170$862 | $862 | $1,014 |
| Rotator Cuff Repair (Arthroscopic) | $8,015$1.2k$34k | $33,543 | $39,462 |
| Screening Mammogram | $105$70$498 | $401 | $472 |
| Septoplasty (Deviated Septum Repair) | $3,638$250$8.2k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,766$232$18k | — | — |
| Skin Biopsy (Tangential) | $284$116$1.5k | $585 | $688 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,818$80$4.1k | — | — |
| Sleep Study (In-lab Polysomnography) | $1,700$1.1k$2.6k | — | — |
| Spinal Cord Stimulator Trial | $7,363$1.2k$20k | $19,646 | $23,113 |
| Spirometry (Breathing Test) | $180$93$472 | $472 | $555 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,638$157$8.2k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,637$137$15k | — | — |
| Total Hip Replacement | $14,436$1.2k$33k | $28,233 | $33,216 |
| Total Knee Replacement | $14,436$1.2k$33k | $28,233 | $33,216 |
| Total Mastectomy | $7,317$2.3k$17k | — | — |
| TSH Thyroid Function Test | $17$3$54 | $27 | $32 |
| TURP (Transurethral Prostate Resection) | $5,703$2.6k$13k | — | — |
| Umbilical Hernia Repair | $211 | — | — |
| Upper GI Endoscopy (EGD) | $1,052$486$2.5k | $2,456 | $2,889 |
| Urinalysis with Microscopy | $3$1$9 | $9 | $11 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,703 | — | — |
| Vaginal Delivery (Global Package) | $592 | — | — |
| Vaginal Hysterectomy | $5,538$404$13k | — | — |
| Vasectomy | $2,298$2.3k$5.2k | — | — |
| Vitamin D Blood Test | $25$3$88 | $50 | $59 |