| Abdominal Hysterectomy | $765$124$3.1k | — | — |
| ACL Reconstruction (Arthroscopic) | $7,898$104$29k | — | — |
| Allergy Skin Testing | $1,097$1$3.5k | — | — |
| Basic Metabolic Panel | $9$5$27 | $58 | $58 |
| Bone Marrow Biopsy | $1,966$71$6.6k | $3,339 | $3,339 |
| Breast Biopsy (Ultrasound-guided) | $2,000$151$6.6k | $3,484 | $3,484 |
| Bunion Correction Surgery | $3,561$55$13k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $32,627$500$105k | — | — |
| Cardiac Catheterization (Left Heart) | $3,925$236$13k | $7,887 | $7,887 |
| Cardiac Stress Test (Treadmill) | $100$72$144 | — | — |
| Carpal Tunnel Release Surgery | $2,210$48$7.8k | — | — |
| Cataract Surgery with Lens Implant | $2,747$55$9.3k | — | — |
| Cervical Spinal Fusion (Anterior) | $15,023$180$52k | — | — |
| Cesarean Delivery (Global Package) | $2,177$355$2.9k | — | — |
| Chemotherapy Infusion (First Hour) | $417$190$1.3k | $536 | $536 |
| Chest X-ray (2 Views) | $109$9$350 | $186 | $186 |
| Colonoscopy with Biopsy | $1,497$222$4.8k | — | — |
| Complete Abdominal Ultrasound | $132$30$420 | $770 | $770 |
| Complete Blood Count (CBC) with Differential | $8$4$25 | $56 | $56 |
| Comprehensive Metabolic Panel | $11$6$34 | $65 | $65 |
| Coronary Angioplasty with Stent | $14,410$275$46k | $18,190 | $18,190 |
| Critical Care, First Hour | $1,031$156$3.3k | $1,324 | $1,324 |
| CT Abdomen and Pelvis with Contrast | $439$69$1.4k | $2,043 | $2,043 |
| CT Cardiac Calcium Scoring | $109$23$350 | $465 | $465 |
| CT Chest without Contrast | $136$60$481 | $1,053 | $1,053 |
| CT Head without Contrast | $134$50$420 | $906 | $906 |
| DEXA Bone Density Scan | $132$13$420 | $343 | $343 |
| Diagnostic Colonoscopy | $1,165$102$3.7k | — | — |
| Diagnostic Mammogram (Both Breasts) | $113$31$338 | $358 | $358 |
| Ear Tube Placement (Tympanostomy) | $1,879$16$6.2k | — | — |
| Echocardiogram (Complete with Doppler) | $694$65$2.2k | $1,272 | $1,272 |
| EKG (Electrocardiogram, 12-lead) | $88$15$122 | $78 | $78 |
| Emergency Room Visit (Level 3) | $341$32$1.1k | $145 | $145 |
| Group Therapy Session | $127$25$408 | $37 | $37 |
| Hemodialysis Treatment | $109$66$685 | — | — |
| Hemoglobin A1c (Diabetes Test) | $10$6$32 | $70 | $70 |
| HIV Antibody Test | $9$5$29 | $29 | $29 |
| Holter Monitor (24-48 Hour Heart Monitor) | $105$76$211 | — | — |
| Home Sleep Study | $271$49$868 | — | — |
| Individual Therapy Session (45 Minutes) | $222$36$713 | $367 | $367 |
| Inguinal Hernia Repair (Open) | $3,897$48$14k | — | — |
| Initial Hospital Admission (Level 1) | $81$36$88 | $208 | $208 |
| Initial Psychiatric Diagnostic Evaluation | $222$69$713 | $367 | $367 |
| Initial Psychiatric Evaluation with Medication Management | $222$56$713 | $382 | $382 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $765$365$1.1k | $1,511 | $1,511 |
| IUD Insertion | $205$52$2.9k | $115 | $115 |
| IUD Removal | $381$58$2.9k | $261 | $261 |
| Knee Arthroscopy with Meniscectomy | $3,561$58$13k | — | — |
| Laparoscopic Appendectomy | $6,580$55$24k | — | — |
| Laparoscopic Gallbladder Removal | $6,580$60$24k | — | — |
| Laparoscopic Tubal Ligation | $6,755$67$24k | — | — |
| Lipid Panel (Cholesterol Test) | $14$7$43 | $74 | $74 |
| Lumbar Epidural Steroid Injection | $891$98$2.8k | $1,510 | $1,510 |
| Lumbar Puncture (Spinal Tap) | $888$62$2.8k | $509 | $509 |
| Lumbar Spinal Fusion (Posterior) | $19,591$168$70k | — | — |
| Lumpectomy (Partial Mastectomy) | $4,387$65$16k | — | — |
| MRI Abdomen with and without Contrast | $462$92$1.4k | $1,468 | $1,468 |
| MRI Brain with and without Contrast | $462$84$1.8k | $2,382 | $2,382 |
| MRI Brain with Contrast | $457$94$1.4k | $1,919 | $1,919 |
| MRI Brain without Contrast | $305$87$959 | $1,599 | $1,599 |
| MRI Cervical Spine (Neck) without Contrast | $305$60$959 | $1,599 | $1,599 |
| MRI Knee without Contrast | $310$52$959 | $1,599 | $1,599 |
| MRI Lower Back (Lumbar Spine) without Contrast | $309$55$959 | $1,599 | $1,599 |
| MRI Thoracic Spine (Mid-back) without Contrast | $305$87$959 | $1,390 | $1,390 |
| Newborn Circumcision | $2,461$100$8.4k | $6,377 | $6,377 |
| Nuclear Cardiac Stress Test | $1,628$51$5.2k | $3,434 | $3,434 |
| Office Visit, Established Patient (Level 3) | $68$37$73 | $261 | $261 |
| Office Visit, New Patient (Level 3) | $84$57$135 | $326 | $326 |
| Pacemaker Insertion (Dual Chamber) | $11,678$62$42k | $27,605 | $27,605 |
| PET/CT Scan, Whole Body | $1,805$93$5.7k | $3,830 | $3,830 |
| Pregnancy Ultrasound (Second or Third Trimester) | $134$48$420 | $437 | $437 |
| Prostate Biopsy | $1,021$134$2.2k | $1,988 | $1,988 |
| PSA Prostate Cancer Screening | $19$11$59 | $75 | $75 |
| Pulmonary Function Test with Bronchodilator | $466$11$1.5k | $475 | $475 |
| Rotator Cuff Repair (Arthroscopic) | $7,898$114$29k | — | — |
| Screening Mammogram | $94$24$279 | $262 | $262 |
| Septoplasty (Deviated Septum Repair) | $3,608$69$13k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $8,093$242$28k | — | — |
| Skin Biopsy (Tangential) | $457$37$1.6k | $642 | $642 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,845$8$6.6k | $1,306 | $1,306 |
| Sleep Study (In-lab Polysomnography) | $1,084$107$3.5k | $2,688 | $2,688 |
| Spinal Cord Stimulator Trial | $7,121$41$26k | $13,772 | $13,772 |
| Spirometry (Breathing Test) | $270$6$868 | $297 | $297 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,608$28$13k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,443$27$24k | — | — |
| Total Hip Replacement | $14,345$137$52k | — | — |
| Total Knee Replacement | $14,345$137$52k | — | — |
| Total Mastectomy | $7,419$94$27k | — | — |
| TSH Thyroid Function Test | $17$10$54 | $120 | $120 |
| TURP (Transurethral Prostate Resection) | $5,836$58$22k | — | — |
| Umbilical Hernia Repair | $1,354$235$1.5k | — | — |
| Upper GI Endoscopy (EGD) | $1,134$124$3.6k | — | — |
| Urinalysis with Microscopy | $3$2$10 | $20 | $20 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,108$355$2.9k | — | — |
| Vaginal Delivery (Global Package) | $2,057$355$2.9k | — | — |
| Vaginal Hysterectomy | $5,589$103$20k | — | — |
| Vasectomy | $2,348$24$8.4k | $2,200 | $2,200 |
| Vitamin D Blood Test | $30$17$95 | $254 | $254 |