| Abdominal Hysterectomy | $919$396$2.5k | $1,141 | $1,913 |
| ACL Reconstruction (Arthroscopic) | $957$399$25k | $1,736 | $2,912 |
| Allergy Skin Testing | $1,072$5$3.0k | — | — |
| Basic Metabolic Panel | $8$6$16 | $24 | $48 |
| Bone Marrow Biopsy | $2,062$1.7k$5.7k | $2,636 | $5,273 |
| Breast Biopsy (Ultrasound-guided) | $2,062$1.7k$5.7k | $2,636 | $5,273 |
| Bunion Correction Surgery | $728$240$11k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $32,627$1.4k$90k | — | — |
| Cardiac Catheterization (Left Heart) | $4,047$1.0k$11k | — | — |
| Cardiac Stress Test (Treadmill) | $71$57$196 | — | — |
| Carpal Tunnel Release Surgery | $435$167$6.8k | $770 | $1,292 |
| Cataract Surgery with Lens Implant | $2,881$2.3k$8.0k | — | — |
| Cervical Spinal Fusion (Anterior) | $1,785$1.1k$44k | $2,878 | $4,827 |
| Cesarean Delivery (Global Package) | $2,363$1.4k$6.4k | $2,605 | $4,369 |
| Chemotherapy Infusion (First Hour) | $167$35$1.1k | $540 | $1,079 |
| Chest X-ray (2 Views) | $21$7$301 | $147 | $294 |
| Colonoscopy with Biopsy | $351$130$4.1k | $789 | $1,323 |
| Complete Abdominal Ultrasound | $79$22$362 | $288 | $577 |
| Complete Blood Count (CBC) with Differential | $7$3$9 | $24 | $48 |
| Comprehensive Metabolic Panel | $10$7$23 | $31 | $62 |
| Coronary Angioplasty with Stent | $14,410$722$40k | — | — |
| Critical Care, First Hour | $249$72$2.9k | $606 | $1,879 |
| CT Abdomen and Pelvis with Contrast | $132$65$1.2k | $669 | $1,338 |
| CT Cardiac Calcium Scoring | $109$80$301 | $131 | $262 |
| CT Chest without Contrast | $141$85$362 | $304 | $607 |
| CT Head without Contrast | $121$73$362 | $304 | $607 |
| DEXA Bone Density Scan | $103$33$362 | $202 | $404 |
| Diagnostic Colonoscopy | $281$86$3.2k | $959 | $1,847 |
| Diagnostic Mammogram (Both Breasts) | $101$59$291 | $352 | $704 |
| Ear Tube Placement (Tympanostomy) | $160$105$5.4k | — | — |
| Echocardiogram (Complete with Doppler) | $177$45$1.9k | $1,076 | $2,151 |
| EKG (Electrocardiogram, 12-lead) | $15$9$41 | — | $150 |
| Emergency Room Visit (Level 3) | $68$18$944 | $172 | $681 |
| Group Therapy Session | $27$11$351 | — | — |
| Hemoglobin A1c (Diabetes Test) | $10$4$22 | $29 | $58 |
| HIV Antibody Test | $9$6$20 | — | — |
| Holter Monitor (24-48 Hour Heart Monitor) | $67$55$187 | — | — |
| Home Sleep Study | $81$29$747 | $189 | $368 |
| Individual Therapy Session (45 Minutes) | $93$27$614 | — | — |
| Inguinal Hernia Repair (Open) | $508$194$12k | $3,167 | $6,238 |
| Initial Hospital Admission (Level 1) | $78$25$203 | $117 | $197 |
| Initial Psychiatric Diagnostic Evaluation | $151$44$614 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $222$179$614 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $80$80$181 | — | — |
| IUD Insertion | $73$33$272 | $79 | $151 |
| IUD Removal | $86$26$1.1k | $507 | $990 |
| Knee Arthroscopy with Meniscectomy | $544$256$11k | $3,108 | $6,064 |
| Laparoscopic Appendectomy | $588$223$21k | $672 | $1,127 |
| Laparoscopic Gallbladder Removal | $641$277$21k | $758 | $1,272 |
| Laparoscopic Tubal Ligation | $657$261$21k | $1,019 | $1,709 |
| Lipid Panel (Cholesterol Test) | $12$6$15 | $42 | $84 |
| Lumbar Epidural Steroid Injection | $211$47$2.4k | $784 | $740 |
| Lumbar Puncture (Spinal Tap) | $114$31$2.4k | $668 | $1,302 |
| Lumbar Spinal Fusion (Posterior) | $1,665$1.0k$61k | — | — |
| Lumpectomy (Partial Mastectomy) | $637$225$14k | $735 | $1,233 |
| MRI Abdomen with and without Contrast | $492$303$1.2k | $907 | $1,814 |
| MRI Brain with and without Contrast | $492$297$1.2k | $907 | $1,814 |
| MRI Brain with Contrast | $492$260$1.2k | $718 | $1,436 |
| MRI Brain without Contrast | $434$176$1.1k | $592 | $1,184 |
| MRI Cervical Spine (Neck) without Contrast | $434$169$1.1k | $592 | $1,184 |
| MRI Knee without Contrast | $434$191$1.1k | $592 | $1,184 |
| MRI Lower Back (Lumbar Spine) without Contrast | $434$169$1.1k | $592 | $1,184 |
| MRI Thoracic Spine (Mid-back) without Contrast | $434$169$1.1k | $592 | $1,184 |
| Newborn Circumcision | $124$42$7.2k | $185 | $343 |
| Nuclear Cardiac Stress Test | $293$145$4.5k | $2,124 | $4,248 |
| Office Visit, Established Patient (Level 3) | $65$18$490 | $95 | $170 |
| Office Visit, New Patient (Level 3) | $89$25$490 | $107 | $175 |
| Pacemaker Insertion (Dual Chamber) | $13,047$11k$36k | — | — |
| PET/CT Scan, Whole Body | $1,536$683$4.9k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $68$33$362 | $283 | $566 |
| Prostate Biopsy | $169$55$591 | — | — |
| PSA Prostate Cancer Screening | $18$12$41 | $55 | $110 |
| Pulmonary Function Test with Bronchodilator | $30$7$1.3k | $269 | $558 |
| Rotator Cuff Repair (Arthroscopic) | $1,049$442$25k | $6,727 | $13,159 |
| Screening Mammogram | $98$59$240 | $314 | $627 |
| Septoplasty (Deviated Septum Repair) | $653$437$11k | $3,197 | $6,214 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $8,810$7.1k$24k | — | — |
| Skin Biopsy (Tangential) | $78$16$1.4k | $218 | $191 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $106$32$5.7k | $1,421 | $347 |
| Sleep Study (In-lab Polysomnography) | $495$77$3.0k | $1,198 | $2,319 |
| Spinal Cord Stimulator Trial | $1,666$169$22k | — | $828 |
| Spirometry (Breathing Test) | $19$5$747 | $136 | $509 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $314$201$11k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $300$193$20k | — | — |
| Total Hip Replacement | $1,256$580$44k | $2,278 | $3,820 |
| Total Knee Replacement | $1,301$623$44k | $2,275 | $3,815 |
| Total Mastectomy | $924$346$23k | $1,139 | $1,910 |
| TSH Thyroid Function Test | $14$7$20 | $50 | $99 |
| TURP (Transurethral Prostate Resection) | $697$346$19k | — | — |
| Upper GI Endoscopy (EGD) | $236$67$3.1k | $1,036 | $1,983 |
| Urinalysis with Microscopy | $3$2$7 | $6 | $13 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,241$1.4k$6.1k | $2,470 | $4,142 |
| Vaginal Delivery (Global Package) | $2,138$1.4k$5.8k | $2,360 | $3,957 |
| Vaginal Hysterectomy | $806$333$17k | $930 | $1,559 |
| Vasectomy | $296$97$7.2k | $434 | $727 |
| Vitamin D Blood Test | $30$20$67 | $46 | $91 |