| Abdominal Hysterectomy | $5,070$1.9k$12k | — | — |
| ACL Reconstruction (Arthroscopic) | $9,594$1.3k$30k | — | — |
| Allergy Skin Testing | $1,381$745$3.6k | $191 | $191 |
| Basic Metabolic Panel | $13$5$26 | $8 | $8 |
| Bone Marrow Biopsy | $2,436$685$6.9k | $4,870 | $4,870 |
| Breast Biopsy (Ultrasound-guided) | $2,656$990$6.9k | $8,924 | $8,924 |
| Bunion Correction Surgery | $4,863$1.3k$14k | $5,177 | $5,177 |
| Cardiac Ablation for Atrial Fibrillation | $37,093$2.4k$110k | $61,476 | $61,476 |
| Cardiac Catheterization (Left Heart) | $5,349$2.2k$14k | $25,842 | $25,842 |
| Carpal Tunnel Release Surgery | $3,141$1.1k$8.2k | $3,032 | $3,032 |
| Cataract Surgery with Lens Implant | $3,712$1.9k$10k | $3,981 | $3,981 |
| Cervical Spinal Fusion (Anterior) | $18,220$2.2k$54k | — | — |
| Cesarean Delivery (Global Package) | $2,435 | — | — |
| Chemotherapy Infusion (First Hour) | $531$287$1.4k | $1,027 | $1,027 |
| Chest X-ray (2 Views) | $135$76$366 | $302 | $302 |
| Colonoscopy with Biopsy | $1,778$863$5.0k | $2,570 | $2,570 |
| Complete Abdominal Ultrasound | $176$91$439 | $1,149 | $1,149 |
| Complete Blood Count (CBC) with Differential | $12$4$24 | $8 | $8 |
| Comprehensive Metabolic Panel | $16$6$33 | $33 | $33 |
| Coronary Angioplasty with Stent | $16,383$2.2k$49k | $26,589 | $26,589 |
| Critical Care, First Hour | $1,329$717$3.5k | $21,567 | $21,567 |
| CT Abdomen and Pelvis with Contrast | $586$303$1.5k | $4,370 | $4,370 |
| CT Cardiac Calcium Scoring | $146$76$366 | $185 | $185 |
| CT Chest without Contrast | $176$91$439 | $2,858 | $2,858 |
| CT Head without Contrast | $176$91$439 | $1,946 | $1,946 |
| DEXA Bone Density Scan | $162$91$439 | $883 | $883 |
| Diagnostic Colonoscopy | $1,372$807$5.0k | $2,359 | $2,359 |
| Diagnostic Mammogram (Both Breasts) | $152$93$489 | $647 | $647 |
| Ear Tube Placement (Tympanostomy) | $2,495$990$6.6k | $3,390 | $3,390 |
| Echocardiogram (Complete with Doppler) | $879$474$2.3k | $5,791 | $5,791 |
| Emergency Room Visit (Level 3) | $439$237$1.1k | $1,667 | $1,667 |
| Group Therapy Session | $163$88$427 | $340 | $340 |
| Hemoglobin A1c (Diabetes Test) | $15$5$30 | $57 | $57 |
| HIV Antibody Test | $14$5$27 | $172 | $172 |
| Home Sleep Study | $347$187$907 | $1,324 | $1,324 |
| Individual Therapy Session (45 Minutes) | $285$154$746 | $306 | $306 |
| Inguinal Hernia Repair (Open) | $5,321$1.6k$15k | $5,525 | $5,525 |
| Initial Psychiatric Diagnostic Evaluation | $285$154$746 | $509 | $509 |
| Initial Psychiatric Evaluation with Medication Management | $285$154$746 | $672 | $672 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,563 | $6,550 | $6,550 |
| IUD Insertion | $1,137$400$3.2k | $3,526 | $3,526 |
| IUD Removal | $583$265$3.2k | $354 | $354 |
| Knee Arthroscopy with Meniscectomy | $4,863$1.6k$14k | — | — |
| Laparoscopic Appendectomy | $8,579$2.2k$25k | $12,936 | $12,936 |
| Laparoscopic Gallbladder Removal | $8,918$2.2k$25k | $9,377 | $9,377 |
| Laparoscopic Tubal Ligation | $8,579$1.8k$25k | $9,377 | $9,377 |
| Lipid Panel (Cholesterol Test) | $21$7$41 | $15 | $15 |
| Lumbar Epidural Steroid Injection | $1,137$613$3.2k | $1,953 | $1,953 |
| Lumbar Puncture (Spinal Tap) | $1,137$613$3.2k | $1,916 | $1,916 |
| Lumbar Spinal Fusion (Posterior) | $24,883$2.2k$74k | — | — |
| Lumpectomy (Partial Mastectomy) | $5,556$1.3k$16k | — | — |
| MRI Abdomen with and without Contrast | $586$303$1.5k | $6,538 | $6,538 |
| MRI Brain with and without Contrast | $586$303$1.5k | $4,621 | $4,621 |
| MRI Brain with Contrast | $586$303$1.5k | $3,532 | $3,532 |
| MRI Brain without Contrast | $401$207$1.0k | $3,267 | $3,267 |
| MRI Cervical Spine (Neck) without Contrast | $401$207$1.0k | $3,647 | $3,647 |
| MRI Knee without Contrast | $401$207$1.0k | $3,355 | $3,355 |
| MRI Lower Back (Lumbar Spine) without Contrast | $401$207$1.0k | $2,345 | $2,345 |
| MRI Thoracic Spine (Mid-back) without Contrast | $401$207$1.0k | $3,867 | $3,867 |
| Newborn Circumcision | $3,163$750$8.8k | $1,885 | $1,885 |
| Nuclear Cardiac Stress Test | $2,003$1.1k$5.4k | $10,852 | $10,852 |
| Office Visit, Established Patient (Level 3) | — | $211 | $211 |
| Office Visit, New Patient (Level 3) | — | $255 | $255 |
| Pacemaker Insertion (Dual Chamber) | $14,833$2.4k$44k | $22,739 | $22,739 |
| PET/CT Scan, Whole Body | $2,401$1.2k$6.0k | $12,201 | $12,201 |
| Pregnancy Ultrasound (Second or Third Trimester) | $176$91$439 | $738 | $738 |
| Prostate Biopsy | $2,314$990$5.0k | $4,013 | $4,013 |
| PSA Prostate Cancer Screening | $29$10$57 | $149 | $149 |
| Pulmonary Function Test with Bronchodilator | $600$324$1.6k | $1,138 | $1,138 |
| Rotator Cuff Repair (Arthroscopic) | $10,272$1.8k$30k | — | — |
| Screening Mammogram | $125$76$404 | $532 | $532 |
| Septoplasty (Deviated Septum Repair) | $4,705$1.6k$14k | $4,572 | $4,572 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $10,015$1.8k$30k | $7,953 | $7,953 |
| Skin Biopsy (Tangential) | $745$353$3.2k | $455 | $455 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,656$685$6.9k | $930 | $930 |
| Sleep Study (In-lab Polysomnography) | $1,381$745$3.6k | $7,754 | $7,754 |
| Spinal Cord Stimulator Trial | $9,401$1.1k$27k | $14,967 | $14,967 |
| Spirometry (Breathing Test) | $347$187$907 | $729 | $729 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $4,705$1.8k$14k | $4,572 | $4,572 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $7,827$1.3k$25k | — | — |
| Total Hip Replacement | $18,220$4.8k$54k | — | — |
| Total Knee Replacement | $18,220$4.8k$54k | — | — |
| Total Mastectomy | $8,779$1.6k$28k | — | — |
| TSH Thyroid Function Test | $26$9$52 | $88 | $88 |
| TURP (Transurethral Prostate Resection) | $7,609$1.6k$23k | $8,267 | $8,267 |
| Umbilical Hernia Repair | $2,435$1.6k$2.9k | — | — |
| Upper GI Endoscopy (EGD) | $1,677$750$3.8k | $2,344 | $2,344 |
| Urinalysis with Microscopy | $5$2$10 | $44 | $44 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,435 | — | — |
| Vaginal Delivery (Global Package) | $2,435 | — | — |
| Vaginal Hysterectomy | $7,380$1.9k$21k | — | — |
| Vasectomy | $3,362$1.1k$8.8k | $3,147 | $3,147 |
| Vitamin D Blood Test | $46$16$91 | $30 | $30 |