| Abdominal Hysterectomy | $946$937$983 | — | — |
| ACL Reconstruction (Arthroscopic) | $6,769$6.7k$7.0k | — | — |
| Allergy Skin Testing | $964$954$1.0k | — | — |
| Basic Metabolic Panel | $11$8$43 | $31 | $44 |
| Bone Marrow Biopsy | $1,216$382$1.7k | $1,198 | $1,711 |
| Breast Biopsy (Ultrasound-guided) | $1,588$1.1k$5.0k | $3,591 | $5,129 |
| Bunion Correction Surgery | $3,074$3.0k$3.2k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $23,245$23k$24k | — | — |
| Cardiac Catheterization (Left Heart) | $3,207$2.8k$12k | $8,847 | $12,639 |
| Cardiac Stress Test (Treadmill) | $68$67$70 | — | — |
| Carpal Tunnel Release Surgery | $1,850$1.8k$1.9k | — | — |
| Cataract Surgery with Lens Implant | $2,161$2.1k$2.2k | — | — |
| Cervical Spinal Fusion (Anterior) | $12,192$12k$13k | — | — |
| Cesarean Delivery (Global Package) | $2,441$2.4k$2.5k | — | — |
| Chemotherapy Infusion (First Hour) | $311$103$449 | $324 | $463 |
| Chest X-ray (2 Views) | $91$83$359 | $259 | $370 |
| Colonoscopy with Biopsy | $1,142$512$2.2k | $1,606 | $2,294 |
| Complete Abdominal Ultrasound | $298$100$1.2k | $869 | $1,242 |
| Complete Blood Count (CBC) with Differential | $10$8$40 | $29 | $41 |
| Comprehensive Metabolic Panel | $13$11$54 | $39 | $56 |
| Coronary Angioplasty with Stent | $10,745$11k$11k | — | — |
| Critical Care, First Hour | $842$742$3.2k | $2,326 | $3,323 |
| CT Abdomen and Pelvis with Contrast | $1,302$335$5.3k | $3,797 | $5,424 |
| CT Cardiac Calcium Scoring | $156$63$434 | $256 | $365 |
| CT Chest without Contrast | $369$100$1.5k | $1,075 | $1,536 |
| CT Head without Contrast | $276$100$1.1k | $805 | $1,151 |
| DEXA Bone Density Scan | $224$100$905 | $653 | $933 |
| Diagnostic Colonoscopy | $894$511$2.2k | $1,601 | $2,288 |
| Diagnostic Mammogram (Both Breasts) | $151$114$493 | $356 | $508 |
| Ear Tube Placement (Tympanostomy) | $1,404$1.4k$1.5k | — | — |
| Echocardiogram (Complete with Doppler) | $544$476$2.1k | $1,491 | $2,130 |
| EKG (Electrocardiogram, 12-lead) | $13$13$14 | — | — |
| Emergency Room Visit (Level 3) | $301$260$1.2k | $879 | $1,255 |
| Group Therapy Session | $88$87$91 | — | — |
| Hemodialysis Treatment | $96$95$100 | — | — |
| Hemoglobin A1c (Diabetes Test) | $13$10$52 | $37 | $53 |
| HIV Antibody Test | $30$9$122 | $88 | $126 |
| Holter Monitor (24-48 Hour Heart Monitor) | $65$64$67 | — | — |
| Home Sleep Study | $242$147$979 | $706 | $1,009 |
| Individual Therapy Session (45 Minutes) | $152$151$158 | — | — |
| Inguinal Hernia Repair (Open) | $3,344$3.3k$3.5k | — | — |
| Initial Hospital Admission (Level 1) | $77$76$80 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $151$56$242 | $175 | $250 |
| Initial Psychiatric Evaluation with Medication Management | $152$151$158 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $548$543$570 | — | — |
| IUD Insertion | $100$99$104 | — | — |
| IUD Removal | $288$285$300 | — | — |
| Knee Arthroscopy with Meniscectomy | $3,074$3.0k$3.2k | — | — |
| Laparoscopic Appendectomy | $5,528$5.5k$5.7k | — | — |
| Laparoscopic Gallbladder Removal | $5,528$5.5k$5.7k | — | — |
| Laparoscopic Tubal Ligation | $5,528$5.5k$5.7k | — | — |
| Lipid Panel (Cholesterol Test) | $17$13$68 | $49 | $70 |
| Lumbar Epidural Steroid Injection | $679$387$1.7k | $1,212 | $1,731 |
| Lumbar Puncture (Spinal Tap) | $460$145$682 | $454 | $648 |
| Lumbar Spinal Fusion (Posterior) | $17,425$17k$18k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,628$3.6k$3.8k | — | — |
| MRI Abdomen with and without Contrast | $1,301$335$5.3k | $3,793 | $5,419 |
| MRI Brain with and without Contrast | $1,133$335$4.6k | $3,305 | $4,722 |
| MRI Brain with Contrast | $962$335$3.9k | $2,806 | $4,009 |
| MRI Brain without Contrast | $889$227$3.6k | $2,593 | $3,704 |
| MRI Cervical Spine (Neck) without Contrast | $977$227$3.9k | $2,850 | $4,071 |
| MRI Knee without Contrast | $917$227$3.7k | $2,673 | $3,818 |
| MRI Lower Back (Lumbar Spine) without Contrast | $911$227$3.7k | $2,656 | $3,795 |
| MRI Thoracic Spine (Mid-back) without Contrast | $824$227$3.3k | $2,403 | $3,434 |
| Newborn Circumcision | $556$175$2.0k | $547 | $782 |
| Nuclear Cardiac Stress Test | $1,515$1.2k$6.1k | $4,419 | $6,313 |
| Office Visit, Established Patient (Level 3) | $85$85$89 | — | — |
| Office Visit, New Patient (Level 3) | $104$103$109 | — | — |
| Pacemaker Insertion (Dual Chamber) | $9,916$9.8k$10k | — | — |
| PET/CT Scan, Whole Body | $1,720$1.4k$6.9k | $5,015 | $7,165 |
| Pregnancy Ultrasound (Second or Third Trimester) | $168$100$679 | $490 | $700 |
| Prostate Biopsy | $1,941$1.9k$2.0k | — | — |
| PSA Prostate Cancer Screening | $43$18$173 | $125 | $179 |
| Pulmonary Function Test with Bronchodilator | $294$110$479 | $346 | $494 |
| Rotator Cuff Repair (Arthroscopic) | $6,769$6.7k$7.0k | — | — |
| Screening Mammogram | $236$96$832 | $450 | $644 |
| Septoplasty (Deviated Septum Repair) | $3,073$3.0k$3.2k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,559$6.5k$6.8k | — | — |
| Skin Biopsy (Tangential) | $186$69$298 | $215 | $307 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $925$291$1.6k | $911 | $1,302 |
| Sleep Study (In-lab Polysomnography) | $1,010$885$3.8k | $2,773 | $3,962 |
| Spinal Cord Stimulator Trial | $6,434$3.7k$16k | $11,485 | $16,407 |
| Spirometry (Breathing Test) | $152$73$319 | $230 | $329 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,073$3.0k$3.2k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,605$5.5k$5.8k | — | — |
| Total Hip Replacement | $12,192$12k$13k | — | — |
| Total Knee Replacement | $12,192$12k$13k | — | — |
| Total Mastectomy | $6,179$6.1k$6.4k | — | — |
| TSH Thyroid Function Test | $18$15$64 | $46 | $66 |
| TURP (Transurethral Prostate Resection) | $4,817$4.8k$5.0k | — | — |
| Upper GI Endoscopy (EGD) | $919$482$2.1k | $1,510 | $2,158 |
| Urinalysis with Microscopy | $3$3$3 | — | — |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,301$2.3k$2.4k | — | — |
| Vaginal Delivery (Global Package) | $2,207$2.2k$2.3k | — | — |
| Vaginal Hysterectomy | $4,677$4.6k$4.9k | — | — |
| Vasectomy | $1,941$1.9k$2.0k | — | — |
| Vitamin D Blood Test | $31$18$79 | $57 | $81 |