| Abdominal Hysterectomy | $790$67$1.8k | $1,942 | $1,942 |
| ACL Reconstruction (Arthroscopic) | $934$480$3.6k | $3,781 | $3,781 |
| Anesthesia for Screening Colonoscopy | — | $100 | $100 |
| Anesthesia for Upper Endoscopy | — | $100 | $100 |
| Basic Metabolic Panel | $9$7$16 | $7 | $19 |
| Bone Marrow Biopsy | $67 | $2,881 | $2,881 |
| Breast Biopsy (Ultrasound-guided) | $857$146$1.3k | $2,881 | $2,881 |
| Bunion Correction Surgery | $524$288$1.6k | $1,652 | $1,652 |
| Cardiac Ablation for Atrial Fibrillation | $2,084$876$19k | $43,940 | $43,940 |
| Cardiac Catheterization (Left Heart) | $810$700$1.1k | $1,592 | $5,938 |
| Cardiac Stress Test (Treadmill) | $72$48$339 | $356 | $356 |
| Carpal Tunnel Release Surgery | $431$201$847 | $889 | $889 |
| Cervical Spinal Fusion (Anterior) | $1,411$108$3.7k | $3,917 | $3,917 |
| Cesarean Delivery (Global Package) | $2,390$1.8k$4.6k | $4,870 | $4,870 |
| Chemotherapy Infusion (First Hour) | $80$35$512 | $219 | $653 |
| Chest X-ray (2 Views) | $38$9$194 | $94 | $179 |
| Colonoscopy with Biopsy | $190$133$780 | $922 | $922 |
| Complete Abdominal Ultrasound | $131$37$288 | $36 | $286 |
| Complete Blood Count (CBC) with Differential | $8$3$15 | $3 | $22 |
| Comprehensive Metabolic Panel | $11$8$23 | $10 | $26 |
| Coronary Angioplasty with Stent | $1,097$544$8.7k | $20,568 | $20,568 |
| Critical Care, First Hour | $204 | $2,700 | $2,700 |
| CT Abdomen and Pelvis with Contrast | $385$67$901 | $65 | $885 |
| CT Cardiac Calcium Scoring | $189$56$227 | $210 | $210 |
| CT Chest without Contrast | $210$81$514 | $84 | $692 |
| CT Head without Contrast | $164$65$403 | $72 | $553 |
| DEXA Bone Density Scan | $159$28$303 | $60 | $233 |
| Diagnostic Colonoscopy | $157$52$709 | $722 | $722 |
| Diagnostic Mammogram (Both Breasts) | $132$60$334 | $58 | $288 |
| Ear Tube Placement (Tympanostomy) | $154$101$379 | $398 | $398 |
| Echocardiogram (Complete with Doppler) | $488$122$1.5k | $1,081 | $1,081 |
| EKG (Electrocardiogram, 12-lead) | $15$10$59 | $154 | $154 |
| Emergency Room Visit (Level 3) | $68 | $951 | $951 |
| Group Therapy Session | $25$17$48 | $51 | $51 |
| Hemodialysis Treatment | $98 | $592 | $592 |
| Hemoglobin A1c (Diabetes Test) | $10$8$22 | $17 | $24 |
| HIV Antibody Test | $9$7$22 | $22 | $22 |
| Holter Monitor (24-48 Hour Heart Monitor) | $75$48$375 | $394 | $394 |
| Home Sleep Study | $301$49$603 | $645 | $645 |
| Individual Therapy Session (45 Minutes) | $150$67$150 | $274 | $274 |
| Inguinal Hernia Repair (Open) | $469$33$1.7k | $1,193 | $1,193 |
| Initial Hospital Admission (Level 1) | $79$35$171 | $181 | $181 |
| Initial Psychiatric Diagnostic Evaluation | $230$110$230 | $274 | $274 |
| Initial Psychiatric Evaluation with Medication Management | $166 | $266 | $266 |
| IUD Insertion | $152$35$303 | $348 | $348 |
| IUD Removal | $57$57$254 | $578 | $578 |
| Knee Arthroscopy with Meniscectomy | $523$308$1.8k | $1,869 | $1,869 |
| Laparoscopic Appendectomy | $465$38$1.1k | $1,193 | $1,193 |
| Laparoscopic Gallbladder Removal | $509$47$1.8k | $1,863 | $1,863 |
| Laparoscopic Tubal Ligation | $509$44$1.3k | $1,395 | $1,395 |
| Lipid Panel (Cholesterol Test) | $14$6$27 | $6 | $54 |
| Lumbar Epidural Steroid Injection | $399$95$548 | $1,300 | $1,300 |
| Lumbar Puncture (Spinal Tap) | $60 | $1,300 | $1,300 |
| Lumbar Spinal Fusion (Posterior) | $1,351$122$3.2k | $3,362 | $3,362 |
| Lumpectomy (Partial Mastectomy) | $628$270$1.1k | $698 | $698 |
| MRI Abdomen with and without Contrast | $682$232$1.1k | $300 | $2,885 |
| MRI Brain with and without Contrast | $682$209$1.1k | $300 | $2,916 |
| MRI Brain with Contrast | $682$184$1.1k | $300 | $1,573 |
| MRI Brain without Contrast | $601$125$1.1k | $300 | $1,313 |
| MRI Cervical Spine (Neck) without Contrast | $601$120$1.1k | $300 | $1,313 |
| MRI Knee without Contrast | $589$137$1.1k | $798 | $1,296 |
| MRI Lower Back (Lumbar Spine) without Contrast | $601$120$1.1k | $300 | $1,457 |
| MRI Thoracic Spine (Mid-back) without Contrast | $601$120$1.1k | $300 | $1,457 |
| Newborn Circumcision | $92 | $3,666 | $3,666 |
| Nuclear Cardiac Stress Test | $563$148$2.8k | $143 | $2,724 |
| Office Visit, Established Patient (Level 3) | $71$63$106 | $181 | $181 |
| Office Visit, New Patient (Level 3) | $115$78$131 | $153 | $229 |
| Pacemaker Insertion (Dual Chamber) | $1,707$482$8.5k | $21,291 | $21,291 |
| Pregnancy Ultrasound (Second or Third Trimester) | $125$34$306 | $168 | $302 |
| Prostate Biopsy | $124 | $3,666 | $3,666 |
| PSA Prostate Cancer Screening | $19$14$41 | $18 | $45 |
| Pulmonary Function Test with Bronchodilator | $57$15$579 | $542 | $542 |
| Rotator Cuff Repair (Arthroscopic) | $1,023$442$1.9k | $2,917 | $2,917 |
| Screening Mammogram | $127$29$303 | $162 | $265 |
| Septoplasty (Deviated Septum Repair) | $650$279$1.4k | $1,493 | $1,493 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $308$204$1.8k | $1,931 | $1,931 |
| Skin Biopsy (Tangential) | $36 | $368 | $368 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $95$79$1.3k | $2,881 | $2,881 |
| Sleep Study (In-lab Polysomnography) | $778$306$2.1k | $2,144 | $2,144 |
| Spinal Cord Stimulator Trial | $399 | $12,496 | $12,622 |
| Spirometry (Breathing Test) | $34$9$306 | $291 | $291 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $295$148$733 | $770 | $770 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $282$141$687 | $721 | $721 |
| Total Hip Replacement | $1,224$580$5.2k | $5,463 | $5,463 |
| Total Knee Replacement | $1,223$623$3.9k | $4,138 | $4,138 |
| Total Mastectomy | $820$59$1.6k | $1,693 | $1,693 |
| TSH Thyroid Function Test | $17$9$33 | $9 | $68 |
| TURP (Transurethral Prostate Resection) | $697 | $9,034 | $9,034 |
| Umbilical Hernia Repair | $1,065$60$1.1k | $1,119 | $1,119 |
| Upper GI Endoscopy (EGD) | $521$116$719 | $773 | $1,657 |
| Urinalysis with Microscopy | $3$2$8 | $3 | $8 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,390$1.8k$4.3k | $4,457 | $4,457 |
| Vaginal Delivery (Global Package) | $2,295$1.7k$4.1k | $4,666 | $4,666 |
| Vaginal Hysterectomy | $726$64$1.8k | $1,871 | $1,871 |
| Vitamin D Blood Test | $30$23$67 | $30 | $117 |