| Abdominal Hysterectomy | $919$875$13k | — | — |
| ACL Reconstruction (Arthroscopic) | $7,784$7.4k$20k | — | — |
| Allergy Skin Testing | $921$877$2.4k | — | — |
| Basic Metabolic Panel | $13$4$191 | $201 | $201 |
| Bone Marrow Biopsy | $1,772$279$4.5k | $3,699 | $3,699 |
| Breast Biopsy (Ultrasound-guided) | $1,772$908$6.8k | $6,033 | $6,033 |
| Bunion Correction Surgery | $3,343$856$13k | $5,688 | $5,688 |
| Cardiac Ablation for Atrial Fibrillation | $28,039$14k$89k | $94,021 | $94,021 |
| Cardiac Catheterization (Left Heart) | $5,398$3.3k$26k | $26,990 | $26,990 |
| Cardiac Stress Test (Treadmill) | $73$70$188 | — | — |
| Carpal Tunnel Release Surgery | $2,030$617$10.0k | $4,101 | $4,101 |
| Cataract Surgery with Lens Implant | $2,523$1.2k$10.0k | $8,033 | $8,033 |
| Cervical Spinal Fusion (Anterior) | $13,773$13k$35k | — | — |
| Cesarean Delivery (Global Package) | $2,385$2.3k$6.1k | — | — |
| Chemotherapy Infusion (First Hour) | $442$221$1.5k | $1,541 | $1,541 |
| Chest X-ray (2 Views) | $112$60$380 | $400 | $400 |
| Colonoscopy with Biopsy | $1,223$504$4.6k | $4,116 | $4,116 |
| Complete Abdominal Ultrasound | $265$107$1.6k | $1,729 | $1,729 |
| Complete Blood Count (CBC) with Differential | $13$5$144 | $152 | $152 |
| Comprehensive Metabolic Panel | $14$5$218 | $229 | $229 |
| Coronary Angioplasty with Stent | $13,549$7.8k$49k | $51,545 | $51,545 |
| Critical Care, First Hour | $2,541$733$16k | $8,052 | $8,052 |
| CT Abdomen and Pelvis with Contrast | $1,185$356$7.5k | $7,873 | $7,873 |
| CT Cardiac Calcium Scoring | $114$61$1.1k | $407 | $407 |
| CT Chest without Contrast | $452$107$2.8k | $2,943 | $2,943 |
| CT Head without Contrast | $394$107$2.4k | $2,564 | $2,564 |
| DEXA Bone Density Scan | $167$107$1.0k | $1,086 | $1,086 |
| Diagnostic Colonoscopy | $988$517$3.8k | $3,732 | $3,732 |
| Diagnostic Mammogram (Both Breasts) | $148$44$536 | $415 | $415 |
| Ear Tube Placement (Tympanostomy) | $1,664$685$6.8k | $4,551 | $4,551 |
| Echocardiogram (Complete with Doppler) | $841$541$3.4k | $3,594 | $3,594 |
| EKG (Electrocardiogram, 12-lead) | $15$15$39 | — | — |
| Emergency Room Visit (Level 3) | $488$279$2.4k | $2,485 | $2,485 |
| Group Therapy Session | $109$104$279 | — | — |
| Hemodialysis Treatment | $90$86$231 | — | — |
| Hemoglobin A1c (Diabetes Test) | $16$6$114 | $120 | $120 |
| HIV Antibody Test | $9$5$29 | — | — |
| Holter Monitor (24-48 Hour Heart Monitor) | $70$66$178 | — | — |
| Home Sleep Study | $283$152$959 | $1,009 | $1,009 |
| Individual Therapy Session (45 Minutes) | $190$181$488 | — | — |
| Inguinal Hernia Repair (Open) | $3,841$3.7k$13k | — | — |
| Initial Hospital Admission (Level 1) | $75$71$192 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $190$181$488 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $190$181$488 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,180$568$3.6k | $3,775 | $3,775 |
| IUD Insertion | $105$100$2.3k | — | — |
| IUD Removal | $317$91$2.3k | $605 | $605 |
| Knee Arthroscopy with Meniscectomy | $3,510$3.3k$13k | — | — |
| Laparoscopic Appendectomy | $6,485$6.2k$17k | — | — |
| Laparoscopic Gallbladder Removal | $6,424$780$17k | $13,055 | $13,055 |
| Laparoscopic Tubal Ligation | $6,485$6.2k$17k | — | — |
| Lipid Panel (Cholesterol Test) | $22$8$151 | $159 | $159 |
| Lumbar Epidural Steroid Injection | $969$505$4.3k | $3,402 | $3,402 |
| Lumbar Puncture (Spinal Tap) | $786$279$4.3k | $2,612 | $2,612 |
| Lumbar Spinal Fusion (Posterior) | $18,809$17k$48k | — | — |
| Lumpectomy (Partial Mastectomy) | $4,200$4.0k$11k | — | — |
| MRI Abdomen with and without Contrast | $1,016$356$6.3k | $6,620 | $6,620 |
| MRI Brain with and without Contrast | $1,040$356$6.6k | $6,909 | $6,909 |
| MRI Brain with Contrast | $878$356$5.4k | $5,721 | $5,721 |
| MRI Brain without Contrast | $529$244$3.3k | $3,449 | $3,449 |
| MRI Cervical Spine (Neck) without Contrast | $776$244$4.8k | $5,054 | $5,054 |
| MRI Knee without Contrast | $805$244$5.0k | $5,241 | $5,241 |
| MRI Lower Back (Lumbar Spine) without Contrast | $810$244$5.0k | $5,275 | $5,275 |
| MRI Thoracic Spine (Mid-back) without Contrast | $812$244$5.0k | $5,290 | $5,290 |
| Newborn Circumcision | $2,264$780$10.0k | $10,404 | $10,404 |
| Nuclear Cardiac Stress Test | $1,605$860$5.4k | $5,713 | $5,713 |
| Office Visit, Established Patient (Level 3) | $141$74$465 | $489 | $489 |
| Office Visit, New Patient (Level 3) | $143$103$651 | $685 | $685 |
| Pacemaker Insertion (Dual Chamber) | $11,212$1.5k$46k | $47,960 | $47,960 |
| PET/CT Scan, Whole Body | $2,116$1.2k$7.5k | $7,898 | $7,898 |
| Pregnancy Ultrasound (Second or Third Trimester) | $179$107$850 | $895 | $895 |
| Prostate Biopsy | $6,824 | — | — |
| PSA Prostate Cancer Screening | $31$11$131 | $138 | $138 |
| Pulmonary Function Test with Bronchodilator | $381$86$1.0k | $572 | $572 |
| Rotator Cuff Repair (Arthroscopic) | $7,784$7.4k$20k | — | — |
| Screening Mammogram | $124$34$544 | $478 | $478 |
| Septoplasty (Deviated Septum Repair) | $3,387$780$10.0k | $5,665 | $5,665 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $4,381$914$19k | $6,076 | $6,076 |
| Skin Biopsy (Tangential) | $387$79$2.3k | $526 | $526 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $877$161$4.5k | $2,036 | $2,036 |
| Sleep Study (In-lab Polysomnography) | $1,535$877$6.3k | $6,631 | $6,631 |
| Spinal Cord Stimulator Trial | $6,837$1.3k$25k | $26,415 | $26,415 |
| Spirometry (Breathing Test) | $221$51$593 | $340 | $340 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,387$909$10.0k | $6,041 | $6,041 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $3,648$762$16k | $5,060 | $5,060 |
| Total Hip Replacement | $13,773$13k$35k | — | — |
| Total Knee Replacement | $13,773$13k$35k | — | — |
| Total Mastectomy | $6,784$1.3k$18k | $13,237 | $13,237 |
| TSH Thyroid Function Test | $27$10$131 | $138 | $138 |
| TURP (Transurethral Prostate Resection) | $5,752$5.5k$16k | — | — |
| Upper GI Endoscopy (EGD) | $973$398$6.8k | $2,907 | $2,907 |
| Urinalysis with Microscopy | $5$2$104 | $109 | $109 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,246$2.1k$5.8k | — | — |
| Vaginal Delivery (Global Package) | $2,148$2.0k$5.5k | — | — |
| Vaginal Hysterectomy | $5,366$5.1k$14k | — | — |
| Vasectomy | $2,242$2.1k$10.0k | — | — |
| Vitamin D Blood Test | $50$18$267 | $281 | $281 |