| Abdominal Hysterectomy | $913$396$2.5k | $1,445 | $2,357 |
| ACL Reconstruction (Arthroscopic) | $1,040$399$24k | $1,421 | $2,383 |
| Allergy Skin Testing | $1,148$4$2.8k | — | — |
| Basic Metabolic Panel | $8$5$19 | $62 | $113 |
| Bone Marrow Biopsy | $2,208$80$5.4k | $240 | $403 |
| Breast Biopsy (Ultrasound-guided) | $2,208$81$5.4k | — | — |
| Bunion Correction Surgery | $793$240$11k | $983 | $1,648 |
| Cardiac Ablation for Atrial Fibrillation | $34,944$575$85k | — | — |
| Cardiac Catheterization (Left Heart) | $4,334$923$11k | — | — |
| Cardiac Stress Test (Treadmill) | $71$61$267 | — | — |
| Carpal Tunnel Release Surgery | $448$167$6.4k | $605 | $992 |
| Cataract Surgery with Lens Implant | $3,085$607$7.5k | — | — |
| Cervical Spinal Fusion (Anterior) | $17,164$809$42k | — | — |
| Cesarean Delivery (Global Package) | $2,390$1.4k$6.4k | $3,277 | $5,496 |
| Chemotherapy Infusion (First Hour) | $331$35$1.1k | $630 | $1,260 |
| Chest X-ray (2 Views) | $27$8$284 | $168 | $336 |
| Colonoscopy with Biopsy | $395$134$3.9k | $279 | $469 |
| Complete Abdominal Ultrasound | $100$29$409 | $202 | $405 |
| Complete Blood Count (CBC) with Differential | $7$3$16 | $25 | $47 |
| Comprehensive Metabolic Panel | $11$6$24 | $37 | $69 |
| Coronary Angioplasty with Stent | $15,434$316$38k | — | — |
| Critical Care, First Hour | $268$125$2.7k | $319 | $520 |
| CT Abdomen and Pelvis with Contrast | $267$65$1.2k | $680 | $1,359 |
| CT Cardiac Calcium Scoring | $116$68$395 | — | — |
| CT Chest without Contrast | $141$85$622 | $202 | $405 |
| CT Head without Contrast | $140$73$534 | $202 | $405 |
| DEXA Bone Density Scan | $140$61$445 | $202 | $405 |
| Diagnostic Colonoscopy | $314$86$3.0k | $426 | $715 |
| Diagnostic Mammogram (Both Breasts) | $105$59$590 | $136 | $272 |
| Ear Tube Placement (Tympanostomy) | $2,074$138$5.1k | $240 | $403 |
| Echocardiogram (Complete with Doppler) | $187$50$1.8k | $1,042 | $2,085 |
| EKG (Electrocardiogram, 12-lead) | $15$10$117 | $120 | $117 |
| Emergency Room Visit (Level 3) | $76$26$892 | $149 | $195 |
| Group Therapy Session | $27$17$332 | — | — |
| Hemodialysis Treatment | $76 | — | — |
| Hemoglobin A1c (Diabetes Test) | $10$4$22 | $35 | $64 |
| HIV Antibody Test | $9$5$20 | $33 | $55 |
| Holter Monitor (24-48 Hour Heart Monitor) | $67$61$267 | — | — |
| Home Sleep Study | $91$32$706 | $203 | $389 |
| Individual Therapy Session (45 Minutes) | $98$29$580 | — | — |
| Inguinal Hernia Repair (Open) | $537$194$12k | $699 | $1,176 |
| Initial Hospital Admission (Level 1) | $79$28$203 | $139 | $233 |
| Initial Psychiatric Diagnostic Evaluation | $160$55$580 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $237$64$580 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $88$80$940 | — | — |
| IUD Insertion | $75$36$272 | $163 | $333 |
| IUD Removal | $92$30$1.5k | $339 | $663 |
| Knee Arthroscopy with Meniscectomy | $583$256$11k | $785 | $1,317 |
| Laparoscopic Appendectomy | $620$223$20k | $808 | $1,358 |
| Laparoscopic Gallbladder Removal | $676$277$20k | $884 | $1,487 |
| Laparoscopic Tubal Ligation | $674$261$20k | $934 | $1,520 |
| Lipid Panel (Cholesterol Test) | $13$6$30 | $47 | $86 |
| Lumbar Epidural Steroid Injection | $222$52$2.3k | $324 | $544 |
| Lumbar Puncture (Spinal Tap) | $121$31$2.3k | $114 | $209 |
| Lumbar Spinal Fusion (Posterior) | $23,441$912$57k | — | — |
| Lumpectomy (Partial Mastectomy) | $663$225$13k | $871 | $1,461 |
| MRI Abdomen with and without Contrast | $505$303$2.2k | $680 | $1,359 |
| MRI Brain with and without Contrast | $505$303$2.2k | $680 | $1,359 |
| MRI Brain with Contrast | $505$303$2.2k | $680 | $1,359 |
| MRI Brain without Contrast | $417$239$2.2k | $459 | $918 |
| MRI Cervical Spine (Neck) without Contrast | $418$239$2.2k | $459 | $918 |
| MRI Knee without Contrast | $418$239$2.2k | $459 | $918 |
| MRI Lower Back (Lumbar Spine) without Contrast | $418$239$2.2k | $459 | $918 |
| MRI Thoracic Spine (Mid-back) without Contrast | $417$239$2.2k | $459 | $918 |
| Newborn Circumcision | $135$42$6.8k | $195 | $426 |
| Nuclear Cardiac Stress Test | $543$145$4.2k | — | — |
| Office Visit, Established Patient (Level 3) | $65$30$221 | $147 | $268 |
| Office Visit, New Patient (Level 3) | $87$46$274 | $191 | $283 |
| Pacemaker Insertion (Dual Chamber) | $13,973$321$34k | — | — |
| PET/CT Scan, Whole Body | $1,912$683$4.7k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $125$33$460 | $176 | $328 |
| Prostate Biopsy | $174$55$1.2k | $1,351 | $2,266 |
| PSA Prostate Cancer Screening | $18$11$41 | $63 | $116 |
| Pulmonary Function Test with Bronchodilator | $32$7$1.2k | $339 | $1,185 |
| Rotator Cuff Repair (Arthroscopic) | $1,142$442$24k | $1,339 | $2,245 |
| Screening Mammogram | $98$59$489 | $112 | $225 |
| Septoplasty (Deviated Septum Repair) | $4,432$333$11k | $881 | $1,478 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $9,435$243$23k | $577 | $968 |
| Skin Biopsy (Tangential) | $86$17$1.5k | $216 | $492 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $112$32$5.4k | $1,599 | $3,049 |
| Sleep Study (In-lab Polysomnography) | $519$85$2.7k | $1,550 | $2,912 |
| Spinal Cord Stimulator Trial | $1,820$169$21k | $2,224 | $3,730 |
| Spirometry (Breathing Test) | $22$5$706 | $165 | $337 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $4,432$177$11k | $434 | $728 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $7,914$169$19k | $417 | $699 |
| Total Hip Replacement | $1,430$580$33k | $2,066 | $3,465 |
| Total Knee Replacement | $1,428$623$33k | $2,206 | $3,699 |
| Total Mastectomy | $961$346$22k | — | — |
| TSH Thyroid Function Test | $15$7$38 | $59 | $107 |
| TURP (Transurethral Prostate Resection) | $788$346$18k | $3,614 | $6,061 |
| Upper GI Endoscopy (EGD) | $254$67$3.0k | $976 | $286 |
| Urinalysis with Microscopy | $3$2$7 | $13 | $23 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,253$1.4k$6.1k | $3,104 | $5,075 |
| Vaginal Delivery (Global Package) | $2,157$1.4k$5.8k | $2,961 | $4,902 |
| Vaginal Hysterectomy | $858$333$16k | $1,339 | $2,069 |
| Vasectomy | $316$97$6.8k | $466 | $782 |
| Vitamin D Blood Test | $30$17$67 | $89 | $163 |