| Abdominal Hysterectomy | $976$900$1.0k | — | — |
| ACL Reconstruction (Arthroscopic) | $7,322$979$7.5k | — | — |
| Allergy Skin Testing | $1,043$4$1.1k | — | — |
| Basic Metabolic Panel | $9$8$23 | — | — |
| Bone Marrow Biopsy | $1,685$69$2.9k | $2,588 | $3,235 |
| Breast Biopsy (Ultrasound-guided) | $1,777$151$3.6k | $3,222 | $4,028 |
| Bunion Correction Surgery | $3,326$517$3.4k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $25,269$922$41k | $36,755 | $45,944 |
| Cardiac Catheterization (Left Heart) | $5,791$1.0k$16k | $14,268 | $17,835 |
| Cardiac Stress Test (Treadmill) | $72$67$74 | — | — |
| Carpal Tunnel Release Surgery | $2,071$445$4.1k | $3,639 | $4,549 |
| Cataract Surgery with Lens Implant | $2,338$537$2.4k | — | — |
| Cervical Spinal Fusion (Anterior) | $13,188$1.7k$14k | — | — |
| Cesarean Delivery (Global Package) | $2,497$2.3k$2.7k | — | — |
| Chemotherapy Infusion (First Hour) | $345$129$863 | $767 | $959 |
| Chest X-ray (2 Views) | $96$34$194 | $173 | $216 |
| Colonoscopy with Biopsy | $1,209$197$1.2k | — | — |
| Complete Abdominal Ultrasound | $244$101$728 | $647 | $809 |
| Complete Blood Count (CBC) with Differential | $8$7$21 | — | — |
| Comprehensive Metabolic Panel | $11$10$29 | — | — |
| Coronary Angioplasty with Stent | $11,681$572$17k | $15,437 | $19,296 |
| Critical Care, First Hour | $1,195$210$2.9k | $2,617 | $3,271 |
| CT Abdomen and Pelvis with Contrast | $1,268$311$4.2k | $3,757 | $4,696 |
| CT Cardiac Calcium Scoring | $127$84$296 | $263 | $329 |
| CT Chest without Contrast | $505$101$1.7k | $1,519 | $1,899 |
| CT Head without Contrast | $650$101$2.3k | $2,068 | $2,585 |
| DEXA Bone Density Scan | $122$39$259 | $230 | $288 |
| Diagnostic Colonoscopy | $935$181$957 | — | — |
| Diagnostic Mammogram (Both Breasts) | $214$145$524 | $466 | $582 |
| Ear Tube Placement (Tympanostomy) | $1,518$161$1.6k | — | — |
| Echocardiogram (Complete with Doppler) | $577$196$1.1k | $1,007 | $1,259 |
| EKG (Electrocardiogram, 12-lead) | $14$13$14 | — | — |
| Emergency Room Visit (Level 3) | $315$70$663 | $590 | $737 |
| Group Therapy Session | $95$24$97 | — | — |
| Hemodialysis Treatment | $99$91$101 | — | — |
| Hemoglobin A1c (Diabetes Test) | $10$9$27 | — | — |
| HIV Antibody Test | $9$8$24 | — | — |
| Holter Monitor (24-48 Hour Heart Monitor) | $70$64$72 | — | — |
| Home Sleep Study | $302$94$859 | $763 | $954 |
| Individual Therapy Session (45 Minutes) | $165$90$169 | — | — |
| Inguinal Hernia Repair (Open) | $3,617$527$3.7k | — | — |
| Initial Hospital Admission (Level 1) | $79$73$82 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $165$147$169 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $165$153$169 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $596$550$607 | — | — |
| IUD Insertion | $106$50$109 | — | — |
| IUD Removal | $316$66$581 | $517 | $646 |
| Knee Arthroscopy with Meniscectomy | $3,326$549$3.4k | — | — |
| Laparoscopic Appendectomy | $5,980$605$6.1k | — | — |
| Laparoscopic Gallbladder Removal | $5,980$663$6.1k | — | — |
| Laparoscopic Tubal Ligation | $5,980$654$6.1k | — | — |
| Lipid Panel (Cholesterol Test) | $14$13$37 | — | — |
| Lumbar Epidural Steroid Injection | $829$99$1.8k | $1,618 | $2,023 |
| Lumbar Puncture (Spinal Tap) | $739$63$1.5k | $1,305 | $1,631 |
| Lumbar Spinal Fusion (Posterior) | $18,850$1.6k$19k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,925$663$4.0k | — | — |
| MRI Abdomen with and without Contrast | $1,115$339$3.6k | $3,226 | $4,033 |
| MRI Brain with and without Contrast | $1,145$327$3.7k | $3,331 | $4,164 |
| MRI Brain with Contrast | $975$278$3.1k | $2,740 | $3,425 |
| MRI Brain without Contrast | $833$201$2.8k | $2,458 | $3,072 |
| MRI Cervical Spine (Neck) without Contrast | $765$196$2.5k | $2,218 | $2,773 |
| MRI Knee without Contrast | $914$208$3.1k | $2,738 | $3,422 |
| MRI Lower Back (Lumbar Spine) without Contrast | $1,061$196$3.7k | $3,250 | $4,062 |
| MRI Thoracic Spine (Mid-back) without Contrast | $803$195$2.6k | $2,353 | $2,941 |
| Newborn Circumcision | $2,100$95$2.2k | — | — |
| Nuclear Cardiac Stress Test | $1,615$432$3.6k | $3,234 | $4,042 |
| Office Visit, Established Patient (Level 3) | $102$73$208 | $185 | $231 |
| Office Visit, New Patient (Level 3) | $123$88$250 | $222 | $278 |
| Pacemaker Insertion (Dual Chamber) | $11,486$508$23k | $20,842 | $26,052 |
| PET/CT Scan, Whole Body | $2,486$1.4k$5.1k | $4,492 | $5,615 |
| Pregnancy Ultrasound (Second or Third Trimester) | $252$101$721 | $641 | $801 |
| Prostate Biopsy | $2,100$128$2.2k | — | — |
| PSA Prostate Cancer Screening | $19$17$51 | — | — |
| Pulmonary Function Test with Bronchodilator | $324$39$561 | $498 | $623 |
| Rotator Cuff Repair (Arthroscopic) | $7,322$1.1k$7.5k | — | — |
| Screening Mammogram | $303$118$408 | $348 | $436 |
| Septoplasty (Deviated Septum Repair) | $3,324$680$3.4k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,096$321$7.3k | — | — |
| Skin Biopsy (Tangential) | $225$37$473 | $421 | $526 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,684$83$2.8k | $2,472 | $3,090 |
| Sleep Study (In-lab Polysomnography) | $1,586$623$4.1k | $3,659 | $4,574 |
| Spinal Cord Stimulator Trial | $6,825$413$13k | $11,122 | $13,902 |
| Spirometry (Breathing Test) | $163$27$284 | $253 | $316 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,324$308$3.4k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,064$295$6.2k | — | — |
| Total Hip Replacement | $13,188$1.3k$14k | — | — |
| Total Knee Replacement | $13,188$1.3k$14k | — | — |
| Total Mastectomy | $6,685$961$6.8k | — | — |
| TSH Thyroid Function Test | $17$16$46 | — | — |
| TURP (Transurethral Prostate Resection) | $5,211$723$5.3k | — | — |
| Upper GI Endoscopy (EGD) | $961$121$984 | — | — |
| Urinalysis with Microscopy | $3$3$9 | — | — |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,352$2.2k$2.5k | — | — |
| Vaginal Delivery (Global Package) | $2,264$2.1k$2.4k | — | — |
| Vaginal Hysterectomy | $5,060$843$5.2k | — | — |
| Vasectomy | $2,100$231$2.2k | — | — |
| Vitamin D Blood Test | $30$28$81 | — | — |