| Abdominal Hysterectomy | $2,237$754$2.2k | — | — |
| ACL Reconstruction (Arthroscopic) | $3,773$719$8.2k | — | — |
| Allergy Skin Testing | $275$2$965 | — | — |
| Basic Metabolic Panel | $32$4$260 | $52 | $260 |
| Bone Marrow Biopsy | $551$56$1.9k | — | — |
| Breast Biopsy (Ultrasound-guided) | $1,710$126$4.1k | $901 | $4,507 |
| Bunion Correction Surgery | $2,271$467$3.7k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $11,379$647$41k | $9,079 | $45,397 |
| Cardiac Catheterization (Left Heart) | $1,959$232$8.9k | $1,972 | $9,858 |
| Cardiac Stress Test (Treadmill) | $71$60$106 | — | — |
| Carpal Tunnel Release Surgery | $1,445$300$2.2k | — | — |
| Cataract Surgery with Lens Implant | $2,219$380$2.6k | — | — |
| Cervical Spinal Fusion (Anterior) | $4,262$776$14k | — | — |
| Cesarean Delivery (Global Package) | $2,076$1.8k$2.7k | — | — |
| Chemotherapy Infusion (First Hour) | $341$35$687 | $153 | $763 |
| Chest X-ray (2 Views) | $32$8$403 | $90 | $448 |
| Colonoscopy with Biopsy | $843$171$4.0k | $500 | $2,498 |
| Complete Abdominal Ultrasound | $107$31$1.5k | $328 | $1,640 |
| Complete Blood Count (CBC) with Differential | $11$4$157 | $31 | $157 |
| Comprehensive Metabolic Panel | $32$5$380 | $75 | $374 |
| Coronary Angioplasty with Stent | $6,030$372$17k | $3,820 | $19,100 |
| Critical Care, First Hour | $895$152$1.8k | $400 | $2,001 |
| CT Abdomen and Pelvis with Contrast | $287$69$6.8k | $1,367 | $6,834 |
| CT Cardiac Calcium Scoring | $98$22$801 | $160 | $801 |
| CT Chest without Contrast | $127$41$2.4k | $484 | $2,420 |
| CT Head without Contrast | $109$33$2.3k | $459 | $2,296 |
| DEXA Bone Density Scan | $107$8$823 | $183 | $914 |
| Diagnostic Colonoscopy | $1,007$158$4.0k | $670 | $3,351 |
| Diagnostic Mammogram (Both Breasts) | $171$38$1.1k | $248 | $1,240 |
| Ear Tube Placement (Tympanostomy) | $1,356$99$1.7k | — | — |
| Echocardiogram (Complete with Doppler) | $365$56$2.2k | $500 | $2,500 |
| EKG (Electrocardiogram, 12-lead) | $46$11$303 | $18 | $91 |
| Emergency Room Visit (Level 3) | $307$57$1.0k | $146 | $730 |
| Group Therapy Session | $64$24$114 | — | — |
| Hemodialysis Treatment | $305$73$305 | — | — |
| Hemoglobin A1c (Diabetes Test) | $19$4$223 | $45 | $223 |
| HIV Antibody Test | $13$4$84 | $17 | $84 |
| Holter Monitor (24-48 Hour Heart Monitor) | $67$57$106 | — | — |
| Home Sleep Study | $327$37$1.2k | $136 | $682 |
| Individual Therapy Session (45 Minutes) | $165$91$199 | — | — |
| Inguinal Hernia Repair (Open) | $2,269$64$4.0k | — | — |
| Initial Hospital Admission (Level 1) | $67$61$72 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $167$89$206 | $37 | $186 |
| Initial Psychiatric Evaluation with Medication Management | $181$98$206 | $41 | $205 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $570$175$2.6k | $570 | $2,852 |
| IUD Insertion | $160$17$1.3k | $252 | $1,260 |
| IUD Removal | $155$17$776 | $33 | $166 |
| Knee Arthroscopy with Meniscectomy | $1,985$416$3.7k | — | — |
| Laparoscopic Appendectomy | $2,746$463$6.8k | — | — |
| Laparoscopic Gallbladder Removal | $2,935$506$6.8k | — | — |
| Laparoscopic Tubal Ligation | $1,879$474$6.8k | — | — |
| Lipid Panel (Cholesterol Test) | $32$6$365 | $73 | $365 |
| Lumbar Epidural Steroid Injection | $721$81$2.3k | $454 | $2,271 |
| Lumbar Puncture (Spinal Tap) | $603$42$1.4k | $272 | $1,359 |
| Lumbar Spinal Fusion (Posterior) | $8,858$776$28k | $5,615 | $28,075 |
| Lumpectomy (Partial Mastectomy) | $2,415$507$4.4k | — | — |
| MRI Abdomen with and without Contrast | $392$84$7.4k | $1,650 | $8,251 |
| MRI Brain with and without Contrast | $356$87$5.9k | $1,308 | $6,541 |
| MRI Brain with Contrast | $356$68$4.8k | $1,066 | $5,328 |
| MRI Brain without Contrast | $268$56$4.2k | $938 | $4,691 |
| MRI Cervical Spine (Neck) without Contrast | $268$57$4.3k | $951 | $4,755 |
| MRI Knee without Contrast | $300$52$4.3k | $957 | $4,786 |
| MRI Lower Back (Lumbar Spine) without Contrast | $249$57$4.8k | $1,066 | $5,332 |
| MRI Thoracic Spine (Mid-back) without Contrast | $249$57$4.5k | $1,000 | $5,000 |
| Newborn Circumcision | $357$79$2.3k | $75 | $374 |
| Nuclear Cardiac Stress Test | $422$62$4.9k | $972 | $4,862 |
| Office Visit, Established Patient (Level 3) | $94$26$328 | $46 | $229 |
| Office Visit, New Patient (Level 3) | $191$54$335 | $66 | $331 |
| Pacemaker Insertion (Dual Chamber) | $6,919$366$29k | $6,503 | $32,513 |
| PET/CT Scan, Whole Body | $1,461$91$10k | $2,254 | $11,269 |
| Pregnancy Ultrasound (Second or Third Trimester) | $130$39$311 | $63 | $316 |
| Prostate Biopsy | $737$90$2.2k | $168 | $838 |
| PSA Prostate Cancer Screening | $18$8$328 | $66 | $328 |
| Pulmonary Function Test with Bronchodilator | $35$7$635 | $72 | $360 |
| Rotator Cuff Repair (Arthroscopic) | $3,773$776$8.2k | — | — |
| Screening Mammogram | $171$29$645 | $143 | $717 |
| Septoplasty (Deviated Septum Repair) | $2,770$498$3.7k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $3,723$223$7.9k | — | — |
| Skin Biopsy (Tangential) | $370$29$776 | $72 | $362 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $211$40$1.9k | $44 | $222 |
| Sleep Study (In-lab Polysomnography) | $934$99$4.9k | $1,078 | $5,391 |
| Spinal Cord Stimulator Trial | $7,699$362$15k | $2,387 | $11,937 |
| Spirometry (Breathing Test) | $28$7$312 | $69 | $346 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $1,571$222$3.7k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $1,571$212$6.7k | — | — |
| Total Hip Replacement | $3,804$776$14k | — | — |
| Total Knee Replacement | $3,804$776$14k | — | — |
| Total Mastectomy | $2,415$734$7.5k | — | — |
| TSH Thyroid Function Test | $27$8$394 | $79 | $394 |
| TURP (Transurethral Prostate Resection) | $2,933$430$6.0k | — | — |
| Umbilical Hernia Repair | $2,269 | — | — |
| Upper GI Endoscopy (EGD) | $982$106$4.0k | $819 | $4,093 |
| Urinalysis with Microscopy | $9$1$80 | $9 | $45 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,177$1.8k$2.5k | — | — |
| Vaginal Delivery (Global Package) | $2,177$1.8k$2.4k | — | — |
| Vaginal Hysterectomy | $1,307$602$5.6k | — | — |
| Vasectomy | $1,416$149$2.3k | — | — |
| Vitamin D Blood Test | $42$13$204 | $41 | $204 |