| Abdominal Hysterectomy | $7,449$1.0k$14k | — | — |
| ACL Reconstruction (Arthroscopic) | $7,563$1.1k$19k | — | — |
| Allergy Skin Testing | $913$5$1.1k | $243 | $270 |
| Basic Metabolic Panel | $12$7$33 | $119 | $133 |
| Bone Marrow Biopsy | $4,206$79$7.6k | $5,078 | $5,643 |
| Breast Biopsy (Ultrasound-guided) | $4,353$786$10k | $4,037 | $4,485 |
| Bunion Correction Surgery | $5,841$830$14k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $8,942$1.2k$33k | $27,000 | $30,000 |
| Cardiac Catheterization (Left Heart) | $5,958$928$17k | $8,100 | $9,000 |
| Cardiac Stress Test (Treadmill) | $60$60$127 | — | — |
| Carpal Tunnel Release Surgery | $4,769$460$11k | — | — |
| Cataract Surgery with Lens Implant | $4,769$766$11k | — | — |
| Cervical Spinal Fusion (Anterior) | $9,248$2.0k$19k | — | — |
| Cesarean Delivery (Global Package) | $2,415$2.4k$3.0k | — | — |
| Chemotherapy Infusion (First Hour) | $35$35$412 | $2,790 | $3,100 |
| Chest X-ray (2 Views) | $24$9$392 | $477 | $530 |
| Colonoscopy with Biopsy | $4,790$274$10k | — | — |
| Complete Abdominal Ultrasound | $113$36$528 | $1,260 | $1,400 |
| Complete Blood Count (CBC) with Differential | $11$3$38 | $85 | $94 |
| Comprehensive Metabolic Panel | $15$8$46 | $171 | $190 |
| Coronary Angioplasty with Stent | $9,669$673$19k | $13,950 | $15,500 |
| Critical Care, First Hour | $740$233$1.0k | $6,750 | $7,500 |
| CT Abdomen and Pelvis with Contrast | $808$65$1.8k | $3,960 | $4,400 |
| CT Cardiac Calcium Scoring | $110$58$392 | $1,116 | $1,240 |
| CT Chest without Contrast | $238$84$856 | $1,800 | $2,000 |
| CT Head without Contrast | $184$72$670 | $1,620 | $1,800 |
| DEXA Bone Density Scan | $100$60$528 | $923 | $1,025 |
| Diagnostic Colonoscopy | $3,595$232$10k | $3,060 | $3,400 |
| Diagnostic Mammogram (Both Breasts) | $381$58$823 | $855 | $950 |
| Ear Tube Placement (Tympanostomy) | $4,769$178$10k | — | — |
| Echocardiogram (Complete with Doppler) | $207$124$753 | $3,281 | $3,645 |
| EKG (Electrocardiogram, 12-lead) | $15$15$32 | — | — |
| Emergency Room Visit (Level 3) | $223$66$341 | $1,935 | $2,150 |
| Group Therapy Session | $76$35$127 | $270 | $300 |
| Hemodialysis Treatment | $106$106$130 | — | — |
| Hemoglobin A1c (Diabetes Test) | $14$8$47 | $149 | $165 |
| HIV Antibody Test | $13$7$43 | $113 | $125 |
| Holter Monitor (24-48 Hour Heart Monitor) | $60$60$201 | — | — |
| Home Sleep Study | $181$136$532 | $6,660 | $7,400 |
| Individual Therapy Session (45 Minutes) | $128$70$222 | $462 | $513 |
| Inguinal Hernia Repair (Open) | $5,841$513$14k | — | — |
| Initial Hospital Admission (Level 1) | $103$73$103 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $128$90$222 | $428 | $475 |
| Initial Psychiatric Evaluation with Medication Management | $128$83$222 | $747 | $830 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $2,005$80$3.8k | $6,660 | $7,400 |
| IUD Insertion | $3,208$56$7.6k | $608 | $675 |
| IUD Removal | $3,208$79$7.6k | $630 | $700 |
| Knee Arthroscopy with Meniscectomy | $5,841$686$14k | — | — |
| Laparoscopic Appendectomy | $7,498$577$19k | — | — |
| Laparoscopic Gallbladder Removal | $7,578$719$19k | — | — |
| Laparoscopic Tubal Ligation | $7,562$729$19k | — | — |
| Lipid Panel (Cholesterol Test) | $20$6$65 | $117 | $130 |
| Lumbar Epidural Steroid Injection | $3,340$288$7.6k | $2,970 | $3,300 |
| Lumbar Puncture (Spinal Tap) | $3,595$70$7.6k | $3,330 | $3,700 |
| Lumbar Spinal Fusion (Posterior) | $9,248$1.7k$22k | — | — |
| Lumpectomy (Partial Mastectomy) | $5,841$2.8k$11k | — | — |
| MRI Abdomen with and without Contrast | $758$300$2.3k | $5,225 | $5,805 |
| MRI Brain with and without Contrast | $672$300$2.3k | $8,177 | $9,085 |
| MRI Brain with Contrast | $578$300$1.9k | $5,220 | $5,800 |
| MRI Brain without Contrast | $500$298$1.5k | $4,860 | $5,400 |
| MRI Cervical Spine (Neck) without Contrast | $500$298$1.5k | $3,515 | $3,905 |
| MRI Knee without Contrast | $500$298$1.5k | $3,159 | $3,510 |
| MRI Lower Back (Lumbar Spine) without Contrast | $500$298$1.5k | $3,524 | $3,915 |
| MRI Thoracic Spine (Mid-back) without Contrast | $500$298$1.5k | $3,506 | $3,895 |
| Newborn Circumcision | $4,790$166$11k | $2,610 | $2,900 |
| Nuclear Cardiac Stress Test | $390$143$6.3k | $5,288 | $5,875 |
| Office Visit, Established Patient (Level 3) | $52$52$163 | $504 | $560 |
| Office Visit, New Patient (Level 3) | $77 | $531 | $590 |
| Pacemaker Insertion (Dual Chamber) | $9,859$639$25k | $17,100 | $19,000 |
| PET/CT Scan, Whole Body | $1,785$406$7.2k | $7,290 | $8,100 |
| Pregnancy Ultrasound (Second or Third Trimester) | $113$33$528 | $689 | $765 |
| Prostate Biopsy | $4,811$99$10k | $4,050 | $4,500 |
| PSA Prostate Cancer Screening | $27$15$89 | $167 | $185 |
| Pulmonary Function Test with Bronchodilator | $25$15$466 | $990 | $1,100 |
| Rotator Cuff Repair (Arthroscopic) | $8,366$1.2k$19k | — | — |
| Screening Mammogram | $314$58$638 | $720 | $800 |
| Septoplasty (Deviated Septum Repair) | $4,790$513$11k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,728$479$14k | — | — |
| Skin Biopsy (Tangential) | $3,306$117$7.6k | $765 | $850 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $4,358$88$7.6k | $2,736 | $3,040 |
| Sleep Study (In-lab Polysomnography) | $913$772$2.6k | $9,378 | $10,420 |
| Spinal Cord Stimulator Trial | $7,853$421$19k | $11,250 | $12,500 |
| Spirometry (Breathing Test) | $15$9$270 | $797 | $885 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $4,790$377$11k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $7,037$363$11k | — | — |
| Total Hip Replacement | $8,544$1.4k$24k | — | — |
| Total Knee Replacement | $9,566$1.7k$51k | — | — |
| Total Mastectomy | $7,452$2.1k$14k | — | — |
| TSH Thyroid Function Test | $25$9$81 | $164 | $183 |
| TURP (Transurethral Prostate Resection) | $7,097$755$17k | — | — |
| Umbilical Hernia Repair | $5,717$455$10k | — | — |
| Upper GI Endoscopy (EGD) | $3,595$147$10k | $2,187 | $2,430 |
| Urinalysis with Microscopy | $5$3$15 | $59 | $65 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,285$2.3k$3.0k | — | — |
| Vaginal Delivery (Global Package) | $2,178$2.2k$3.0k | $3,150 | $3,500 |
| Vaginal Hysterectomy | $7,230$874$14k | — | — |
| Vasectomy | $4,790$273$11k | $4,320 | $4,800 |
| Vitamin D Blood Test | $43$24$143 | $90 | $100 |