| Abdominal Hysterectomy | $6,324$416$12k | — | — |
| ACL Reconstruction (Arthroscopic) | $7,124$499$9.8k | — | — |
| Allergy Skin Testing | $1,056$2$2.5k | $1,111 | $28 |
| Basic Metabolic Panel | $9$6$59 | $10 | $119 |
| Bone Marrow Biopsy | $4,800$91$6.6k | $2,137 | $4,226 |
| Breast Biopsy (Ultrasound-guided) | $6,648$181$8.3k | $2,137 | $4,724 |
| Bunion Correction Surgery | $6,648$352$8.3k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $10,034$675$23k | — | — |
| Cardiac Catheterization (Left Heart) | $8,449$377$12k | $4,195 | $16,239 |
| Cardiac Stress Test (Treadmill) | $391$117$726 | — | $75 |
| Carpal Tunnel Release Surgery | $5,323$199$7.2k | $2,527 | $5,177 |
| Cataract Surgery with Lens Implant | $2,150$585$14k | — | — |
| Cervical Spinal Fusion (Anterior) | $10,248$849$19k | — | — |
| Cesarean Delivery (Global Package) | $2,633$682$2.7k | — | — |
| Chemotherapy Infusion (First Hour) | $361$162$819 | $427 | $1,155 |
| Chest X-ray (2 Views) | $90$19$167 | $113 | $776 |
| Colonoscopy with Biopsy | $2,616$228$6.6k | $1,548 | $2,997 |
| Complete Abdominal Ultrasound | $108$75$779 | $135 | $1,018 |
| Complete Blood Count (CBC) with Differential | $8$5$54 | $9 | $53 |
| Comprehensive Metabolic Panel | $11$7$74 | $12 | $112 |
| Coronary Angioplasty with Stent | $8,023$371$12k | $14,936 | $29,393 |
| Critical Care, First Hour | $3,306$140$7.6k | $1,069 | $5,313 |
| CT Abdomen and Pelvis with Contrast | $360$251$3.2k | $451 | $2,405 |
| CT Cardiac Calcium Scoring | $90$45$994 | $113 | $295 |
| CT Chest without Contrast | $108$105$1.6k | $135 | $4,029 |
| CT Head without Contrast | $108$101$1.3k | $135 | $3,323 |
| DEXA Bone Density Scan | $108$68$437 | $135 | $605 |
| Diagnostic Colonoscopy | $2,616$189$6.6k | $1,203 | $2,469 |
| Diagnostic Mammogram (Both Breasts) | $263$118$590 | $139 | $1,138 |
| Ear Tube Placement (Tympanostomy) | $6,147$85$8.3k | — | — |
| Echocardiogram (Complete with Doppler) | $556$128$1.4k | $707 | $1,758 |
| EKG (Electrocardiogram, 12-lead) | $100$25$145 | — | — |
| Emergency Room Visit (Level 3) | $614$96$2.4k | $353 | $3,426 |
| Group Therapy Session | $32$14$32 | $131 | $551 |
| Hemodialysis Treatment | $682$443$921 | — | — |
| Hemoglobin A1c (Diabetes Test) | $10$7$68 | $11 | $78 |
| HIV Antibody Test | $10$6$62 | $10 | $228 |
| Holter Monitor (24-48 Hour Heart Monitor) | $279$122$581 | — | $78 |
| Home Sleep Study | $449$110$7.0k | $279 | $3,524 |
| Individual Therapy Session (45 Minutes) | $98 | $230 | $328 |
| Inguinal Hernia Repair (Open) | $6,147$231$9.8k | $4,632 | $8,955 |
| Initial Hospital Admission (Level 1) | $85 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $152 | $230 | $641 |
| Initial Psychiatric Evaluation with Medication Management | $175 | $230 | $585 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $569$370$2.8k | — | $4,901 |
| IUD Insertion | $637$22$6.6k | — | — |
| IUD Removal | $4,400$22$6.6k | $394 | $378 |
| Knee Arthroscopy with Meniscectomy | $6,147$324$9.8k | — | — |
| Laparoscopic Appendectomy | $8,172$260$9.8k | — | — |
| Laparoscopic Gallbladder Removal | $9,751$680$15k | — | — |
| Laparoscopic Tubal Ligation | $9,751$326$12k | — | — |
| Lipid Panel (Cholesterol Test) | $14$9$94 | $15 | $398 |
| Lumbar Epidural Steroid Injection | $4,400$106$6.6k | $913 | $3,536 |
| Lumbar Puncture (Spinal Tap) | $4,400$55$6.6k | $913 | $884 |
| Lumbar Spinal Fusion (Posterior) | $10,248$735$19k | — | — |
| Lumpectomy (Partial Mastectomy) | $6,788$1.0k$8.3k | — | — |
| MRI Abdomen with and without Contrast | $360$351$5.3k | $451 | $4,994 |
| MRI Brain with and without Contrast | $360$350$5.1k | $451 | $3,495 |
| MRI Brain with Contrast | $360$350$4.0k | $451 | $4,994 |
| MRI Brain without Contrast | $246$238$3.6k | $309 | $2,428 |
| MRI Cervical Spine (Neck) without Contrast | $246$238$3.2k | $309 | $3,468 |
| MRI Knee without Contrast | $246$238$3.5k | $309 | $3,468 |
| MRI Lower Back (Lumbar Spine) without Contrast | $246$238$3.3k | $309 | $3,468 |
| MRI Thoracic Spine (Mid-back) without Contrast | $246$238$3.3k | $309 | $3,468 |
| Newborn Circumcision | $4,400$68$6.6k | $2,705 | $2,011 |
| Nuclear Cardiac Stress Test | $1,337$332$2.5k | $1,675 | $3,688 |
| Office Visit, Established Patient (Level 3) | $68$68$78 | — | $231 |
| Office Visit, New Patient (Level 3) | $85$78$85 | — | $240 |
| Pacemaker Insertion (Dual Chamber) | $6,600$333$12k | — | — |
| PET/CT Scan, Whole Body | $1,477$1.4k$8.8k | $1,850 | $6,720 |
| Pregnancy Ultrasound (Second or Third Trimester) | $108$60$779 | $135 | $938 |
| Prostate Biopsy | $5,323$48$7.2k | — | $3,705 |
| PSA Prostate Cancer Screening | $20$13$129 | $21 | $290 |
| Pulmonary Function Test with Bronchodilator | $44$15$247 | $483 | $756 |
| Rotator Cuff Repair (Arthroscopic) | $9,751$507$12k | — | — |
| Screening Mammogram | $203$98$434 | $115 | $397 |
| Septoplasty (Deviated Septum Repair) | $6,648$246$9.8k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,648$228$12k | — | — |
| Skin Biopsy (Tangential) | $823$42$6.6k | $526 | $301 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $4,000$52$7.2k | $2,137 | $3,538 |
| Sleep Study (In-lab Polysomnography) | $2,005$351$7.0k | $1,111 | $10,215 |
| Spinal Cord Stimulator Trial | $7,760$485$15k | $8,246 | $19,020 |
| Spirometry (Breathing Test) | $31$12$181 | $279 | $423 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $6,648$155$12k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,648$135$8.3k | — | — |
| Total Hip Replacement | $10,746$963$26k | — | — |
| Total Knee Replacement | $10,746$749$26k | — | — |
| Total Mastectomy | $7,410$1.0k$9.8k | — | — |
| TSH Thyroid Function Test | $18$12$118 | $19 | $306 |
| TURP (Transurethral Prostate Resection) | $8,479$1.0k$9.8k | — | — |
| Umbilical Hernia Repair | $3,428$207$6.6k | — | — |
| Upper GI Endoscopy (EGD) | $4,400$163$6.6k | $1,173 | $2,588 |
| Urinalysis with Microscopy | $3$2$22 | $4 | $43 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,633$2.3k$2.7k | — | — |
| Vaginal Delivery (Global Package) | $2,633$581$2.7k | — | — |
| Vaginal Hysterectomy | $6,648$397$15k | — | — |
| Vasectomy | $5,323$193$7.2k | $2,705 | $2,011 |
| Vitamin D Blood Test | $31$21$207 | $34 | $244 |