| Abdominal Hysterectomy | $4,158$954$8.5k | — | — |
| ACL Reconstruction (Arthroscopic) | $5,394$946$13k | — | — |
| Allergy Skin Testing | $69$5$1.1k | $243 | $270 |
| Basic Metabolic Panel | $10$7$33 | $119 | $133 |
| Bone Marrow Biopsy | $2,847$79$5.5k | $5,078 | $5,643 |
| Breast Biopsy (Ultrasound-guided) | $3,037$641$6.1k | $4,037 | $4,485 |
| Bunion Correction Surgery | $3,660$830$9.6k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $5,588$755$33k | $27,000 | $30,000 |
| Cardiac Catheterization (Left Heart) | $2,934$287$11k | $8,100 | $9,000 |
| Cardiac Stress Test (Treadmill) | $66$60$127 | — | — |
| Carpal Tunnel Release Surgery | $3,350$413$7.9k | — | — |
| Cataract Surgery with Lens Implant | $3,374$596$9.0k | — | — |
| Cervical Spinal Fusion (Anterior) | $5,714$1.2k$16k | — | — |
| Cesarean Delivery (Global Package) | $2,415$2.2k$3.0k | — | — |
| Chemotherapy Infusion (First Hour) | $137$35$412 | $2,790 | $3,100 |
| Chest X-ray (2 Views) | $19$9$186 | $477 | $530 |
| Colonoscopy with Biopsy | $3,374$274$6.1k | — | — |
| Complete Abdominal Ultrasound | $80$36$302 | $1,260 | $1,400 |
| Complete Blood Count (CBC) with Differential | $9$3$30 | $85 | $94 |
| Comprehensive Metabolic Panel | $12$8$41 | $171 | $190 |
| Coronary Angioplasty with Stent | $6,147$576$19k | $13,950 | $15,500 |
| Critical Care, First Hour | $496$233$1.0k | $6,750 | $7,500 |
| CT Abdomen and Pelvis with Contrast | $519$65$2.2k | $3,960 | $4,400 |
| CT Cardiac Calcium Scoring | $71$26$281 | $1,116 | $1,240 |
| CT Chest without Contrast | $140$53$331 | $1,800 | $2,000 |
| CT Head without Contrast | $109$39$265 | $1,620 | $1,800 |
| DEXA Bone Density Scan | $60$9$250 | $923 | $1,025 |
| Diagnostic Colonoscopy | $2,414$151$6.1k | $3,060 | $3,400 |
| Diagnostic Mammogram (Both Breasts) | $218$46$823 | $855 | $950 |
| Ear Tube Placement (Tympanostomy) | $3,350$150$6.1k | — | — |
| Echocardiogram (Complete with Doppler) | $197$66$781 | $3,281 | $3,645 |
| EKG (Electrocardiogram, 12-lead) | $16$15$32 | — | — |
| Emergency Room Visit (Level 3) | $145$56$341 | $1,935 | $2,150 |
| Group Therapy Session | $56$23$127 | $270 | $300 |
| Hemodialysis Treatment | $106$94$130 | — | — |
| Hemoglobin A1c (Diabetes Test) | $11$8$38 | $149 | $165 |
| HIV Antibody Test | $11$7$34 | $113 | $125 |
| Holter Monitor (24-48 Hour Heart Monitor) | $86$60$201 | — | — |
| Home Sleep Study | $136$55$332 | $6,660 | $7,400 |
| Individual Therapy Session (45 Minutes) | $114$77$222 | $462 | $513 |
| Inguinal Hernia Repair (Open) | $3,660$504$9.6k | — | — |
| Initial Hospital Admission (Level 1) | $93$73$103 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $128$119$222 | $428 | $475 |
| Initial Psychiatric Evaluation with Medication Management | $134$128$222 | $747 | $830 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $2,247$80$4.9k | $6,660 | $7,400 |
| IUD Insertion | $2,485$56$4.0k | $608 | $675 |
| IUD Removal | $2,515$79$4.0k | $630 | $700 |
| Knee Arthroscopy with Meniscectomy | $3,660$521$9.6k | — | — |
| Laparoscopic Appendectomy | $4,596$529$13k | — | — |
| Laparoscopic Gallbladder Removal | $4,596$468$13k | — | — |
| Laparoscopic Tubal Ligation | $4,596$605$13k | — | — |
| Lipid Panel (Cholesterol Test) | $16$6$52 | $117 | $130 |
| Lumbar Epidural Steroid Injection | $2,478$232$4.5k | $2,970 | $3,300 |
| Lumbar Puncture (Spinal Tap) | $2,537$70$4.5k | $3,330 | $3,700 |
| Lumbar Spinal Fusion (Posterior) | $5,923$1.6k$22k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,720$630$7.9k | — | — |
| MRI Abdomen with and without Contrast | $405$100$1.3k | $5,225 | $5,805 |
| MRI Brain with and without Contrast | $357$104$1.3k | $8,177 | $9,085 |
| MRI Brain with Contrast | $304$81$846 | $5,220 | $5,800 |
| MRI Brain without Contrast | $300$68$571 | $4,860 | $5,400 |
| MRI Cervical Spine (Neck) without Contrast | $300$68$571 | $3,515 | $3,905 |
| MRI Knee without Contrast | $300$62$576 | $3,159 | $3,510 |
| MRI Lower Back (Lumbar Spine) without Contrast | $300$68$634 | $3,524 | $3,915 |
| MRI Thoracic Spine (Mid-back) without Contrast | $300$68$634 | $3,506 | $3,895 |
| Newborn Circumcision | $3,057$148$7.9k | $2,610 | $2,900 |
| Nuclear Cardiac Stress Test | $397$71$3.0k | $5,288 | $5,875 |
| Office Visit, Established Patient (Level 3) | $52$52$67 | $504 | $560 |
| Office Visit, New Patient (Level 3) | $77$77$100 | $531 | $590 |
| Pacemaker Insertion (Dual Chamber) | $6,558$507$25k | $17,100 | $19,000 |
| PET/CT Scan, Whole Body | $858$107$5.3k | $7,290 | $8,100 |
| Pregnancy Ultrasound (Second or Third Trimester) | $89$33$336 | $689 | $765 |
| Prostate Biopsy | $3,374$99$6.1k | $4,050 | $4,500 |
| PSA Prostate Cancer Screening | $23$15$71 | $167 | $185 |
| Pulmonary Function Test with Bronchodilator | $25$12$466 | $990 | $1,100 |
| Rotator Cuff Repair (Arthroscopic) | $5,504$1.0k$13k | — | — |
| Screening Mammogram | $169$34$638 | $720 | $800 |
| Septoplasty (Deviated Septum Repair) | $3,374$513$7.9k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $5,148$305$9.6k | — | — |
| Skin Biopsy (Tangential) | $2,612$117$4.0k | $765 | $850 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $3,057$88$5.5k | $2,736 | $3,040 |
| Sleep Study (In-lab Polysomnography) | $597$110$1.6k | $9,378 | $10,420 |
| Spinal Cord Stimulator Trial | $5,980$421$13k | $11,250 | $12,500 |
| Spirometry (Breathing Test) | $15$8$270 | $797 | $885 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,652$283$7.9k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $4,424$272$7.9k | — | — |
| Total Hip Replacement | $5,179$1.3k$19k | — | — |
| Total Knee Replacement | $6,370$1.3k$51k | — | — |
| Total Mastectomy | $4,915$928$9.6k | — | — |
| TSH Thyroid Function Test | $20$9$65 | $164 | $183 |
| TURP (Transurethral Prostate Resection) | $4,107$684$10.0k | — | — |
| Umbilical Hernia Repair | $3,111$432$9.6k | — | — |
| Upper GI Endoscopy (EGD) | $2,537$147$6.1k | $2,187 | $2,430 |
| Urinalysis with Microscopy | $4$3$12 | $59 | $65 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,285$2.1k$3.0k | — | — |
| Vaginal Delivery (Global Package) | $2,178$2.0k$3.0k | $3,150 | $3,500 |
| Vaginal Hysterectomy | $4,126$761$13k | — | — |
| Vasectomy | $3,374$273$7.9k | $4,320 | $4,800 |
| Vitamin D Blood Test | $37$24$115 | $90 | $100 |