| Abdominal Hysterectomy | $1,519$1.1k$7.2k | $3,116 | $3,116 |
| ACL Reconstruction (Arthroscopic) | $8,877$1.1k$34k | $2,993 | $2,993 |
| Allergy Skin Testing | $1,132$4$4.0k | $93 | $93 |
| Basic Metabolic Panel | $9$5$32 | $84 | $84 |
| Bone Marrow Biopsy | $2,177$78$7.7k | — | — |
| Breast Biopsy (Ultrasound-guided) | $2,185$170$7.7k | — | — |
| Bunion Correction Surgery | $4,229$588$15k | $2,673 | $2,673 |
| Cardiac Ablation for Atrial Fibrillation | $31,975$1.0k$122k | — | — |
| Cardiac Catheterization (Left Heart) | $4,290$780$15k | $797 | $797 |
| Cardiac Stress Test (Treadmill) | $102$46$278 | $223 | $223 |
| Carpal Tunnel Release Surgery | $2,573$498$9.1k | $1,384 | $1,384 |
| Cataract Surgery with Lens Implant | $3,054$604$11k | $1,650 | $1,650 |
| Cervical Spinal Fusion (Anterior) | $15,706$1.9k$60k | $5,152 | $5,152 |
| Cesarean Delivery (Global Package) | $3,697$3.0k$4.8k | $6,994 | $6,994 |
| Chemotherapy Infusion (First Hour) | $429$136$1.5k | $1,788 | $1,788 |
| Chest X-ray (2 Views) | $113$21$405 | $311 | $311 |
| Colonoscopy with Biopsy | $1,583$223$5.6k | $1,298 | $1,298 |
| Complete Abdominal Ultrasound | $141$76$487 | $653 | $653 |
| Complete Blood Count (CBC) with Differential | $8$5$29 | $80 | $80 |
| Comprehensive Metabolic Panel | $11$6$39 | $107 | $107 |
| Coronary Angioplasty with Stent | $14,122$635$54k | $1,734 | $1,734 |
| Critical Care, First Hour | $1,072$239$3.8k | $3,992 | $3,992 |
| CT Abdomen and Pelvis with Contrast | $470$243$1.6k | $1,834 | $1,834 |
| CT Cardiac Calcium Scoring | $115$63$405 | $462 | $462 |
| CT Chest without Contrast | $142$76$594 | $869 | $869 |
| CT Head without Contrast | $142$75$487 | $823 | $823 |
| DEXA Bone Density Scan | $142$33$487 | $594 | $594 |
| Diagnostic Colonoscopy | $1,128$103$4.3k | $1,027 | $1,027 |
| Diagnostic Mammogram (Both Breasts) | $128$61$391 | $383 | $383 |
| Ear Tube Placement (Tympanostomy) | $2,053$180$7.2k | $492 | $492 |
| Echocardiogram (Complete with Doppler) | $690$139$2.5k | $2,300 | $2,300 |
| EKG (Electrocardiogram, 12-lead) | $50$16$155 | $79 | $79 |
| Emergency Room Visit (Level 3) | $354$80$1.3k | $1,332 | $1,332 |
| Group Therapy Session | $127$29$473 | $295 | $295 |
| Hemodialysis Treatment | $149$115$319 | — | — |
| Hemoglobin A1c (Diabetes Test) | $11$6$36 | $103 | $103 |
| HIV Antibody Test | $10$5$33 | $97 | $97 |
| Holter Monitor (24-48 Hour Heart Monitor) | $98$45$421 | $214 | $214 |
| Home Sleep Study | $285$58$1.0k | — | — |
| Individual Therapy Session (45 Minutes) | $222$86$827 | $515 | $515 |
| Inguinal Hernia Repair (Open) | $4,469$586$17k | $1,601 | $1,601 |
| Initial Hospital Admission (Level 1) | $114$92$182 | $252 | $252 |
| Initial Psychiatric Diagnostic Evaluation | $234$115$827 | $514 | $514 |
| Initial Psychiatric Evaluation with Medication Management | $239$115$827 | $665 | $665 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $559$421$1.3k | — | — |
| IUD Insertion | $251$156$2.4k | $215 | $215 |
| IUD Removal | $403$74$2.4k | $244 | $244 |
| Knee Arthroscopy with Meniscectomy | $4,229$615$15k | $1,680 | $1,680 |
| Laparoscopic Appendectomy | $7,396$673$28k | $1,838 | $1,838 |
| Laparoscopic Gallbladder Removal | $7,396$738$28k | $2,015 | $2,015 |
| Laparoscopic Tubal Ligation | $7,396$730$28k | $1,994 | $1,994 |
| Lipid Panel (Cholesterol Test) | $14$8$50 | $140 | $140 |
| Lumbar Epidural Steroid Injection | $934$112$3.3k | — | — |
| Lumbar Puncture (Spinal Tap) | $934$71$3.3k | $1,039 | $1,039 |
| Lumbar Spinal Fusion (Posterior) | $21,449$1.8k$82k | $4,807 | $4,807 |
| Lumpectomy (Partial Mastectomy) | $4,790$561$18k | $2,010 | $2,010 |
| MRI Abdomen with and without Contrast | $473$253$2.5k | $3,337 | $3,337 |
| MRI Brain with and without Contrast | $473$238$2.5k | $3,612 | $3,612 |
| MRI Brain with Contrast | $473$211$1.6k | $2,092 | $2,092 |
| MRI Brain without Contrast | $323$144$1.1k | $1,415 | $1,415 |
| MRI Cervical Spine (Neck) without Contrast | $323$136$1.1k | $1,839 | $1,839 |
| MRI Knee without Contrast | $323$157$1.1k | $1,699 | $1,699 |
| MRI Lower Back (Lumbar Spine) without Contrast | $323$137$1.3k | $1,699 | $1,699 |
| MRI Thoracic Spine (Mid-back) without Contrast | $323$137$1.3k | $1,699 | $1,699 |
| Newborn Circumcision | $2,714$107$9.7k | $1,647 | $1,647 |
| Nuclear Cardiac Stress Test | $1,706$383$6.0k | $2,928 | $2,928 |
| Office Visit, Established Patient (Level 3) | $86$42$139 | $270 | $270 |
| Office Visit, New Patient (Level 3) | $115$52$255 | $289 | $289 |
| Pacemaker Insertion (Dual Chamber) | $12,786$564$49k | $1,541 | $1,541 |
| PET/CT Scan, Whole Body | $1,937$128$6.7k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $141$76$487 | $690 | $690 |
| Prostate Biopsy | $358$145$3.2k | — | — |
| PSA Prostate Cancer Screening | $20$11$69 | $189 | $189 |
| Pulmonary Function Test with Bronchodilator | $466$32$1.7k | $444 | $444 |
| Rotator Cuff Repair (Arthroscopic) | $8,877$1.2k$34k | $3,281 | $3,281 |
| Screening Mammogram | $106$50$323 | $329 | $329 |
| Septoplasty (Deviated Septum Repair) | $4,139$750$15k | $2,048 | $2,048 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $8,634$360$33k | $984 | $984 |
| Skin Biopsy (Tangential) | $453$42$2.4k | $687 | $687 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,185$93$7.7k | $742 | $742 |
| Sleep Study (In-lab Polysomnography) | $1,163$564$4.0k | $1,347 | $1,347 |
| Spinal Cord Stimulator Trial | $7,796$467$30k | — | — |
| Spirometry (Breathing Test) | $270$21$1.0k | $214 | $214 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $4,139$345$15k | $942 | $942 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $7,242$331$28k | $903 | $903 |
| Total Hip Replacement | $15,706$1.4k$60k | $3,931 | $3,931 |
| Total Knee Replacement | $15,706$1.4k$60k | $3,926 | $3,926 |
| Total Mastectomy | $8,123$1.1k$31k | $2,920 | $2,920 |
| TSH Thyroid Function Test | $18$10$63 | $175 | $175 |
| TURP (Transurethral Prostate Resection) | $6,559$818$25k | — | — |
| Umbilical Hernia Repair | $4,229 | — | — |
| Upper GI Endoscopy (EGD) | $1,200$136$4.2k | $864 | $864 |
| Urinalysis with Microscopy | $3$2$12 | $33 | $33 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $3,485$2.8k$4.5k | $6,503 | $6,503 |
| Vaginal Delivery (Global Package) | $3,339$2.7k$4.3k | $6,177 | $6,177 |
| Vaginal Hysterectomy | $6,120$939$23k | $2,564 | $2,564 |
| Vasectomy | $2,755$261$9.7k | $5,463 | $5,463 |
| Vitamin D Blood Test | $32$17$110 | $305 | $305 |