| Abdominal Hysterectomy | $13,063$1.4k$14k | — | — |
| ACL Reconstruction (Arthroscopic) | $6,906$1.4k$7.3k | — | — |
| Allergy Skin Testing | $984$5$1.0k | — | — |
| Anesthesia for Screening Colonoscopy | $58 | — | — |
| Anesthesia for Upper Endoscopy | $58 | — | — |
| Basic Metabolic Panel | $14$5$185 | $12 | $32 |
| Bone Marrow Biopsy | $1,596$225$3.1k | $1,317 | $3,467 |
| Breast Biopsy (Ultrasound-guided) | $1,481$491$2.5k | $1,040 | $2,736 |
| Bunion Correction Surgery | $3,168$1.2k$4.3k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $23,953$1.3k$46k | $19,385 | $51,014 |
| Cardiac Catheterization (Left Heart) | $4,473$1.4k$12k | $5,178 | $13,625 |
| Cardiac Stress Test (Treadmill) | $99 | — | — |
| Carpal Tunnel Release Surgery | $1,907$627$2.6k | — | — |
| Cataract Surgery with Lens Implant | $2,227$756$9.4k | — | — |
| Cervical Spinal Fusion (Anterior) | $12,438$2.4k$13k | — | — |
| Cesarean Delivery (Global Package) | $3,691 | — | — |
| Chemotherapy Infusion (First Hour) | $328$131$659 | $278 | $732 |
| Chest X-ray (2 Views) | $136$47$861 | $176 | $463 |
| Colonoscopy with Biopsy | $1,151$608$2.6k | — | — |
| Complete Abdominal Ultrasound | $428$103$1.3k | $554 | $1,457 |
| Complete Blood Count (CBC) with Differential | $20$4$131 | $17 | $45 |
| Comprehensive Metabolic Panel | $16$6$284 | $66 | $174 |
| Coronary Angioplasty with Stent | $11,073$806$21k | $9,049 | $23,814 |
| Critical Care, First Hour | $2,241$386$5.6k | $2,348 | $6,180 |
| CT Abdomen and Pelvis with Contrast | $1,697$345$5.8k | $2,430 | $6,396 |
| CT Cardiac Calcium Scoring | $279$27$1.8k | $236 | $620 |
| CT Chest without Contrast | $861$103$1.9k | $791 | $2,082 |
| CT Head without Contrast | $861$103$1.9k | $821 | $2,161 |
| DEXA Bone Density Scan | $432$53$1.3k | $559 | $1,470 |
| Diagnostic Colonoscopy | $890$476$2.6k | — | — |
| Diagnostic Mammogram (Both Breasts) | $221$121$861 | $271 | $714 |
| Ear Tube Placement (Tympanostomy) | $1,446$225$4.3k | — | — |
| Echocardiogram (Complete with Doppler) | $1,068$274$2.9k | $1,236 | $3,253 |
| EKG (Electrocardiogram, 12-lead) | $20 | — | — |
| Emergency Room Visit (Level 3) | $641$102$1.4k | $608 | $1,600 |
| Group Therapy Session | $83$27$137 | $58 | $152 |
| Hemodialysis Treatment | $144 | — | — |
| Hemoglobin A1c (Diabetes Test) | $13$5$48 | $16 | $42 |
| HIV Antibody Test | $13$4$93 | $13 | $34 |
| Holter Monitor (24-48 Hour Heart Monitor) | $101 | — | — |
| Home Sleep Study | $415$129$1.1k | $481 | $1,265 |
| Individual Therapy Session (45 Minutes) | $157$61$306 | $129 | $340 |
| Inguinal Hernia Repair (Open) | $3,446$733$5.2k | — | — |
| Initial Hospital Admission (Level 1) | $117 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $272$145$730 | $308 | $811 |
| Initial Psychiatric Evaluation with Medication Management | $155$49$280 | $104 | $274 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $570$559$861 | — | — |
| IUD Insertion | $125$45$226 | $95 | $251 |
| IUD Removal | $307$151$757 | $320 | $841 |
| Knee Arthroscopy with Meniscectomy | $3,168$763$5.2k | — | — |
| Laparoscopic Appendectomy | $5,640$843$5.9k | — | — |
| Laparoscopic Gallbladder Removal | $5,640$923$5.9k | — | — |
| Laparoscopic Tubal Ligation | $5,696$923$6.3k | — | — |
| Lipid Panel (Cholesterol Test) | $34$8$182 | $38 | $101 |
| Lumbar Epidural Steroid Injection | $784$361$2.1k | $906 | $2,385 |
| Lumbar Puncture (Spinal Tap) | $703$185$2.1k | $685 | $1,802 |
| Lumbar Spinal Fusion (Posterior) | $17,778$2.2k$19k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,739$923$4.3k | — | — |
| MRI Abdomen with and without Contrast | $1,593$345$4.9k | $2,058 | $5,417 |
| MRI Brain with and without Contrast | $1,581$345$4.3k | $1,833 | $4,823 |
| MRI Brain with Contrast | $1,489$345$3.7k | $1,561 | $4,107 |
| MRI Brain without Contrast | $1,285$234$3.2k | $1,347 | $3,545 |
| MRI Cervical Spine (Neck) without Contrast | $1,444$234$3.6k | $1,514 | $3,983 |
| MRI Knee without Contrast | $1,555$234$3.9k | $1,629 | $4,288 |
| MRI Lower Back (Lumbar Spine) without Contrast | $1,444$234$3.6k | $1,514 | $3,983 |
| MRI Thoracic Spine (Mid-back) without Contrast | $1,444$234$3.6k | $1,514 | $3,983 |
| Newborn Circumcision | $2,000$209$2.1k | — | — |
| Nuclear Cardiac Stress Test | $1,770$607$5.4k | $2,288 | $6,022 |
| Office Visit, Established Patient (Level 3) | $125$45$225 | $95 | $250 |
| Office Visit, New Patient (Level 3) | $150$54$270 | $114 | $300 |
| Pacemaker Insertion (Dual Chamber) | $10,471$717$23k | $9,513 | $25,035 |
| PET/CT Scan, Whole Body | $1,424$162$2.8k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $306$103$938 | $396 | $1,042 |
| Prostate Biopsy | $1,980$338$3.4k | $1,447 | $3,809 |
| PSA Prostate Cancer Screening | $28$10$112 | $37 | $97 |
| Pulmonary Function Test with Bronchodilator | $483$53$1.3k | $559 | $1,471 |
| Rotator Cuff Repair (Arthroscopic) | $6,906$1.5k$7.3k | — | — |
| Screening Mammogram | $179$95$861 | $202 | $531 |
| Septoplasty (Deviated Septum Repair) | $3,166$957$5.2k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,692$455$7.0k | — | — |
| Skin Biopsy (Tangential) | $183$61$308 | $130 | $342 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,566$179$1.6k | — | — |
| Sleep Study (In-lab Polysomnography) | $1,075$553$2.8k | $1,170 | $3,080 |
| Spinal Cord Stimulator Trial | $6,100$2.1k$11k | $4,545 | $11,960 |
| Spirometry (Breathing Test) | $349$37$786 | $310 | $816 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,166$432$6.3k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,719$412$6.0k | — | — |
| Total Hip Replacement | $12,438$1.8k$13k | — | — |
| Total Knee Replacement | $12,438$1.8k$13k | — | — |
| Total Mastectomy | $6,304$1.3k$6.6k | — | — |
| TSH Thyroid Function Test | $25$9$65 | $27 | $70 |
| TURP (Transurethral Prostate Resection) | $4,963$1.0k$5.2k | — | — |
| Umbilical Hernia Repair | $5,196 | — | — |
| Upper GI Endoscopy (EGD) | $915$403$2.1k | — | — |
| Urinalysis with Microscopy | $6$2$59 | $15 | $39 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $3,494 | — | — |
| Vaginal Delivery (Global Package) | $3,346 | — | — |
| Vaginal Hysterectomy | $4,772$1.2k$5.0k | — | — |
| Vasectomy | $2,000$469$2.6k | — | — |
| Vitamin D Blood Test | $50$16$167 | $53 | $139 |