| Abdominal Hysterectomy | $17,741$1.2k$30k | — | — |
| ACL Reconstruction (Arthroscopic) | $6,951$1.3k$24k | $3,614 | — |
| Allergy Skin Testing | $799$55$1.5k | $75 | — |
| Basic Metabolic Panel | $9$8$121 | $31 | — |
| Bone Marrow Biopsy | $6,310$3.1k$7.9k | $671 | $2,657 |
| Breast Biopsy (Ultrasound-guided) | $9,900$4.9k$12k | $1,573 | $4,154 |
| Bunion Correction Surgery | $3,135$1.6k$30k | $1,772 | — |
| Cardiac Ablation for Atrial Fibrillation | $24,310$1.3k$46k | $21,315 | — |
| Cardiac Catheterization (Left Heart) | $3,136$2.9k$32k | $8,358 | — |
| Cardiac Stress Test (Treadmill) | $4,961$70$8.3k | — | — |
| Carpal Tunnel Release Surgery | $1,871$873$21k | $873 | — |
| Cataract Surgery with Lens Implant | $2,254$2.1k$21k | $2,145 | — |
| Cervical Spinal Fusion (Anterior) | $12,180$626$24k | $13,999 | — |
| Cesarean Delivery (Global Package) | $2,150 | — | — |
| Chemotherapy Infusion (First Hour) | $318$248$853 | $248 | — |
| Chest X-ray (2 Views) | $83$14$225 | $110 | — |
| Colonoscopy with Biopsy | $1,146$822$12k | $833 | — |
| Complete Abdominal Ultrasound | $103$97$641 | $210 | — |
| Complete Blood Count (CBC) with Differential | $8$8$108 | $27 | — |
| Comprehensive Metabolic Panel | $11$11$164 | $36 | — |
| Coronary Angioplasty with Stent | $11,059$1.3k$27k | $18,167 | — |
| Critical Care, First Hour | $799$768$6.7k | $1,564 | — |
| CT Abdomen and Pelvis with Contrast | $358$324$4.0k | $873 | — |
| CT Cardiac Calcium Scoring | $81$28$155 | $96 | — |
| CT Chest without Contrast | $109$97$1.3k | $475 | — |
| CT Head without Contrast | $109$97$1.3k | $421 | — |
| DEXA Bone Density Scan | $109$97$362 | $224 | — |
| Diagnostic Colonoscopy | $891$822$12k | $833 | — |
| Diagnostic Mammogram (Both Breasts) | $112$39$205 | — | — |
| Ear Tube Placement (Tympanostomy) | $1,501$822$12k | $1,772 | — |
| Echocardiogram (Complete with Doppler) | $529$263$2.0k | $964 | — |
| EKG (Electrocardiogram, 12-lead) | $265$17$443 | — | — |
| Emergency Room Visit (Level 3) | $264$254$5.0k | $441 | — |
| Group Therapy Session | $98$94$294 | $208 | — |
| Hemodialysis Treatment | $105 | — | — |
| Hemoglobin A1c (Diabetes Test) | $10$10$128 | $37 | — |
| HIV Antibody Test | $9$9$234 | $47 | — |
| Holter Monitor (24-48 Hour Heart Monitor) | $68$47$1.9k | — | — |
| Home Sleep Study | $206$80$694 | $493 | — |
| Individual Therapy Session (45 Minutes) | $172$165$489 | $348 | — |
| Inguinal Hernia Repair (Open) | $3,430$1.3k$30k | $1,926 | — |
| Initial Hospital Admission (Level 1) | $97 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $172$165$489 | $348 | — |
| Initial Psychiatric Evaluation with Medication Management | $172$165$489 | $348 | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $143$140$778 | $778 | — |
| IUD Insertion | $577$64$1.4k | — | — |
| IUD Removal | $295$283$1.1k | $302 | — |
| Knee Arthroscopy with Meniscectomy | $3,165$1.6k$30k | $3,614 | — |
| Laparoscopic Appendectomy | $5,848$1.6k$24k | $9,860 | — |
| Laparoscopic Gallbladder Removal | $5,848$822$24k | $6,900 | — |
| Laparoscopic Tubal Ligation | $5,848$1.3k$24k | $9,860 | — |
| Lipid Panel (Cholesterol Test) | $14$13$186 | $42 | — |
| Lumbar Epidural Steroid Injection | $683$184$7.9k | $796 | — |
| Lumbar Puncture (Spinal Tap) | $6,310$3.1k$7.9k | $696 | $1,938 |
| Lumbar Spinal Fusion (Posterior) | $16,308$822$31k | $10,346 | — |
| Lumpectomy (Partial Mastectomy) | $3,722$822$21k | $3,675 | — |
| MRI Abdomen with and without Contrast | $368$324$2.7k | $1,038 | — |
| MRI Brain with and without Contrast | $368$324$2.7k | $1,132 | — |
| MRI Brain with Contrast | $368$324$1.9k | $905 | — |
| MRI Brain without Contrast | $231$222$1.8k | $622 | — |
| MRI Cervical Spine (Neck) without Contrast | $231$222$2.3k | $622 | — |
| MRI Knee without Contrast | $231$222$1.8k | $622 | — |
| MRI Lower Back (Lumbar Spine) without Contrast | $231$222$2.3k | $660 | — |
| MRI Thoracic Spine (Mid-back) without Contrast | $231$222$2.3k | $679 | — |
| Newborn Circumcision | $2,022$822$21k | $4,861 | — |
| Nuclear Cardiac Stress Test | $1,252$235$3.0k | $1,769 | — |
| Office Visit, Established Patient (Level 3) | $79$49$109 | $109 | — |
| Office Visit, New Patient (Level 3) | $104$73$136 | $136 | — |
| Pacemaker Insertion (Dual Chamber) | $13,356$6.6k$17k | $30,650 | $28,875 |
| PET/CT Scan, Whole Body | $1,480$1.3k$4.7k | $2,898 | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $109$97$641 | $148 | — |
| Prostate Biopsy | $9,900$4.9k$12k | $873 | $9,177 |
| PSA Prostate Cancer Screening | $19$18$130 | $77 | — |
| Pulmonary Function Test with Bronchodilator | $357$241$2.4k | $296 | — |
| Rotator Cuff Repair (Arthroscopic) | $6,951$1.3k$24k | $3,614 | — |
| Screening Mammogram | $97$34$148 | $148 | — |
| Septoplasty (Deviated Septum Repair) | $3,176$822$21k | $1,926 | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,695$1.6k$30k | $2,231 | — |
| Skin Biopsy (Tangential) | $906$447$1.1k | $278 | $1,373 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,567$822$7.9k | $1,758 | — |
| Sleep Study (In-lab Polysomnography) | $819$361$3.4k | $2,430 | — |
| Spinal Cord Stimulator Trial | $6,164$1.3k$21k | $12,305 | — |
| Spirometry (Breathing Test) | $207$130$2.4k | $177 | — |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,176$1.3k$21k | $2,231 | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,616$1.3k$21k | $2,231 | — |
| Total Hip Replacement | $12,180$938$27k | $27,052 | — |
| Total Knee Replacement | $12,180$1.0k$25k | $21,564 | — |
| Total Mastectomy | $6,299$1.3k$30k | $7,146 | — |
| TSH Thyroid Function Test | $17$17$140 | $60 | — |
| TURP (Transurethral Prostate Resection) | $5,186$1.6k$32k | $7,634 | — |
| Upper GI Endoscopy (EGD) | $869$759$12k | $759 | — |
| Urinalysis with Microscopy | $3$3$92 | $12 | — |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,150 | — | — |
| Vaginal Delivery (Global Package) | $2,150 | — | — |
| Vaginal Hysterectomy | $4,839$1.6k$30k | $7,171 | — |
| Vasectomy | $2,022$822$21k | $4,861 | — |
| Vitamin D Blood Test | $31$30$436 | $77 | — |