| Abdominal Hysterectomy | $976$955$986 | — | — |
| ACL Reconstruction (Arthroscopic) | $7,447$7.3k$7.5k | — | — |
| Allergy Skin Testing | $1,061$1.0k$1.1k | — | — |
| Anesthesia for Screening Colonoscopy | $169 | — | — |
| Anesthesia for Upper Endoscopy | $169 | — | — |
| Basic Metabolic Panel | $175$9$326 | $177 | $354 |
| Bone Marrow Biopsy | $1,193$681$2.0k | $1,113 | $2,225 |
| Breast Biopsy (Ultrasound-guided) | $1,917$1.2k$3.6k | $1,944 | $3,888 |
| Bunion Correction Surgery | $3,383$3.3k$3.4k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $59,675$25k$111k | $60,522 | $121,044 |
| Cardiac Catheterization (Left Heart) | $14,448$3.3k$27k | $14,653 | $29,307 |
| Cardiac Stress Test (Treadmill) | $70$68$71 | — | — |
| Carpal Tunnel Release Surgery | $3,455$2.0k$6.4k | $3,504 | $7,008 |
| Cataract Surgery with Lens Implant | $2,378$2.3k$2.4k | — | — |
| Cervical Spinal Fusion (Anterior) | $13,414$13k$14k | — | — |
| Cesarean Delivery (Global Package) | $2,520$2.5k$2.5k | — | — |
| Chemotherapy Infusion (First Hour) | $808$338$1.5k | $820 | $1,639 |
| Chest X-ray (2 Views) | $229$90$427 | $232 | $465 |
| Colonoscopy with Biopsy | $1,229$1.2k$1.2k | — | — |
| Complete Abdominal Ultrasound | $656$108$1.2k | $665 | $1,331 |
| Complete Blood Count (CBC) with Differential | $134$8$249 | $135 | $271 |
| Comprehensive Metabolic Panel | $241$11$450 | $245 | $489 |
| Coronary Angioplasty with Stent | $11,737$6.9k$21k | $11,354 | $22,707 |
| Critical Care, First Hour | $2,770$859$5.2k | $2,809 | $5,618 |
| CT Abdomen and Pelvis with Contrast | $3,172$364$5.9k | $3,217 | $6,434 |
| CT Cardiac Calcium Scoring | $98$61$183 | $100 | $199 |
| CT Chest without Contrast | $1,331$108$2.5k | $1,350 | $2,700 |
| CT Head without Contrast | $1,251$108$2.3k | $1,269 | $2,538 |
| DEXA Bone Density Scan | $408$108$761 | $413 | $827 |
| Diagnostic Colonoscopy | $950$930$960 | — | — |
| Diagnostic Mammogram (Both Breasts) | $436$147$814 | $443 | $885 |
| Ear Tube Placement (Tympanostomy) | $2,964$1.5k$5.5k | $3,007 | $6,013 |
| Echocardiogram (Complete with Doppler) | $1,755$559$3.3k | $1,780 | $3,560 |
| EKG (Electrocardiogram, 12-lead) | $14$13$14 | — | — |
| Emergency Room Visit (Level 3) | $1,498$282$2.8k | $1,519 | $3,038 |
| Group Therapy Session | $99$62$185 | $101 | $202 |
| Hemodialysis Treatment | $99$97$100 | — | — |
| Hemoglobin A1c (Diabetes Test) | $135$10$252 | $137 | $273 |
| HIV Antibody Test | $79$9$148 | $80 | $160 |
| Holter Monitor (24-48 Hour Heart Monitor) | $67$65$67 | — | — |
| Home Sleep Study | $354$160$661 | $359 | $718 |
| Individual Therapy Session (45 Minutes) | $101$58$173 | $94 | $188 |
| Inguinal Hernia Repair (Open) | $3,679$3.6k$3.7k | — | — |
| Initial Hospital Admission (Level 1) | $79$78$80 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $75$43$169 | $70 | $139 |
| Initial Psychiatric Evaluation with Medication Management | $75$43$169 | $70 | $139 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $3,624$590$6.8k | $3,675 | $7,351 |
| IUD Insertion | $362$101$675 | $367 | $733 |
| IUD Removal | $362$225$676 | $367 | $735 |
| Knee Arthroscopy with Meniscectomy | $3,383$3.3k$3.4k | — | — |
| Laparoscopic Appendectomy | $6,082$6.0k$6.1k | — | — |
| Laparoscopic Gallbladder Removal | $6,082$6.0k$6.1k | — | — |
| Laparoscopic Tubal Ligation | $6,082$6.0k$6.1k | — | — |
| Lipid Panel (Cholesterol Test) | $185$14$345 | $188 | $375 |
| Lumbar Epidural Steroid Injection | $2,177$706$4.1k | $2,208 | $4,416 |
| Lumbar Puncture (Spinal Tap) | $832$516$1.6k | $844 | $1,688 |
| Lumbar Spinal Fusion (Posterior) | $19,172$19k$19k | — | — |
| Lumpectomy (Partial Mastectomy) | $5,808$3.6k$11k | $5,891 | $11,781 |
| MRI Abdomen with and without Contrast | $2,483$364$4.6k | $2,518 | $5,037 |
| MRI Brain with and without Contrast | $2,622$364$4.9k | $2,659 | $5,318 |
| MRI Brain with Contrast | $2,235$364$4.2k | $2,267 | $4,534 |
| MRI Brain without Contrast | $1,741$247$3.2k | $1,765 | $3,531 |
| MRI Cervical Spine (Neck) without Contrast | $1,920$247$3.6k | $1,948 | $3,895 |
| MRI Knee without Contrast | $1,895$247$3.5k | $1,922 | $3,845 |
| MRI Lower Back (Lumbar Spine) without Contrast | $1,985$247$3.7k | $2,013 | $4,026 |
| MRI Thoracic Spine (Mid-back) without Contrast | $1,985$247$3.7k | $2,013 | $4,026 |
| Newborn Circumcision | $397$227$2.2k | $370 | $741 |
| Nuclear Cardiac Stress Test | $3,295$1.3k$6.1k | $3,342 | $6,684 |
| Office Visit, Established Patient (Level 3) | $88$86$89 | — | — |
| Office Visit, New Patient (Level 3) | $108$105$109 | — | — |
| Pacemaker Insertion (Dual Chamber) | $8,120$4.6k$14k | $7,575 | $15,149 |
| PET/CT Scan, Whole Body | $3,920$1.5k$7.3k | $3,976 | $7,951 |
| Pregnancy Ultrasound (Second or Third Trimester) | $473$108$882 | $479 | $959 |
| Prostate Biopsy | $963$549$2.2k | $898 | $1,796 |
| PSA Prostate Cancer Screening | $102$19$191 | $104 | $208 |
| Pulmonary Function Test with Bronchodilator | $542$318$1.0k | $550 | $1,100 |
| Rotator Cuff Repair (Arthroscopic) | $7,447$7.3k$7.5k | — | — |
| Screening Mammogram | $315$119$589 | $320 | $640 |
| Septoplasty (Deviated Septum Repair) | $3,381$3.3k$3.4k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,217$7.1k$7.3k | — | — |
| Skin Biopsy (Tangential) | $207$126$380 | $207 | $413 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,132$646$1.9k | $1,056 | $2,112 |
| Sleep Study (In-lab Polysomnography) | $3,138$1.0k$5.9k | $3,183 | $6,366 |
| Spinal Cord Stimulator Trial | $7,091$4.4k$13k | $7,192 | $14,383 |
| Spirometry (Breathing Test) | $232$144$433 | $235 | $471 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,381$3.3k$3.4k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,167$6.0k$6.2k | — | — |
| Total Hip Replacement | $13,414$13k$14k | — | — |
| Total Knee Replacement | $13,414$13k$14k | — | — |
| Total Mastectomy | $6,799$6.7k$6.9k | — | — |
| TSH Thyroid Function Test | $184$17$344 | $187 | $374 |
| TURP (Transurethral Prostate Resection) | $5,300$5.2k$5.4k | — | — |
| Upper GI Endoscopy (EGD) | $977$956$987 | — | — |
| Urinalysis with Microscopy | $40$3$74 | $40 | $81 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,375$2.3k$2.4k | — | — |
| Vaginal Delivery (Global Package) | $2,278$2.2k$2.3k | — | — |
| Vaginal Hysterectomy | $5,146$5.0k$5.2k | — | — |
| Vasectomy | $2,136$2.1k$2.2k | — | — |
| Vitamin D Blood Test | $221$30$413 | $225 | $449 |