| Abdominal Hysterectomy | $13,650$570$31k | — | — |
| ACL Reconstruction (Arthroscopic) | $7,216$474$16k | — | — |
| Allergy Skin Testing | $993$2$2.3k | — | — |
| Basic Metabolic Panel | $11$8$83 | $52 | $93 |
| Bone Marrow Biopsy | $1,559$70$3.7k | — | — |
| Breast Biopsy (Ultrasound-guided) | $1,722$139$6.2k | $2,925 | $5,223 |
| Bunion Correction Surgery | $3,277$471$7.3k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $25,017$962$55k | — | — |
| Cardiac Catheterization (Left Heart) | $3,295$1.6k$7.3k | — | — |
| Cardiac Stress Test (Treadmill) | $108$55$325 | — | — |
| Carpal Tunnel Release Surgery | $1,879$300$4.4k | — | — |
| Cataract Surgery with Lens Implant | $2,304$603$5.2k | — | — |
| Cervical Spinal Fusion (Anterior) | $13,059$1.5k$29k | — | — |
| Cesarean Delivery (Global Package) | $3,741$2.2k$5.8k | — | — |
| Chemotherapy Infusion (First Hour) | $332$125$750 | $414 | $739 |
| Chest X-ray (2 Views) | $93$19$245 | $154 | $275 |
| Colonoscopy with Biopsy | $1,168$225$2.7k | — | — |
| Complete Abdominal Ultrasound | $114$72$910 | $572 | $1,022 |
| Complete Blood Count (CBC) with Differential | $9$6$43 | $27 | $48 |
| Comprehensive Metabolic Panel | $14$10$71 | $45 | $80 |
| Coronary Angioplasty with Stent | $11,455$530$26k | — | — |
| Critical Care, First Hour | $823$104$1.9k | $952 | $1,700 |
| CT Abdomen and Pelvis with Contrast | $452$241$3.1k | $1,283 | $2,291 |
| CT Cardiac Calcium Scoring | $89$43$259 | — | — |
| CT Chest without Contrast | $170$101$810 | $364 | $650 |
| CT Head without Contrast | $147$97$645 | $290 | $517 |
| DEXA Bone Density Scan | $108$60$240 | $142 | $254 |
| Diagnostic Colonoscopy | $903$181$2.1k | — | — |
| Diagnostic Mammogram (Both Breasts) | $156$99$530 | $291 | $520 |
| Ear Tube Placement (Tympanostomy) | $1,468$99$3.3k | — | — |
| Echocardiogram (Complete with Doppler) | $556$123$1.2k | $647 | $1,156 |
| EKG (Electrocardiogram, 12-lead) | $21$11$68 | — | — |
| Emergency Room Visit (Level 3) | $279$35$626 | $364 | $650 |
| Group Therapy Session | $94$58$254 | — | — |
| Hemodialysis Treatment | $263$96$1.2k | — | — |
| Hemoglobin A1c (Diabetes Test) | $11$7$60 | $38 | $67 |
| HIV Antibody Test | $14$8$72 | $45 | $81 |
| Holter Monitor (24-48 Hour Heart Monitor) | $103$64$482 | — | — |
| Home Sleep Study | $338$67$1.2k | $783 | $1,399 |
| Individual Therapy Session (45 Minutes) | $164$118$363 | — | — |
| Inguinal Hernia Repair (Open) | $3,395$318$8.0k | — | — |
| Initial Hospital Admission (Level 1) | $148$34$262 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $165$153$363 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $165$153$363 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $618$284$1.8k | $1,140 | $2,036 |
| IUD Insertion | $48$17$240 | — | — |
| IUD Removal | $299$17$688 | — | — |
| Knee Arthroscopy with Meniscectomy | $3,121$544$7.3k | — | — |
| Laparoscopic Appendectomy | $5,893$555$13k | — | — |
| Laparoscopic Gallbladder Removal | $5,893$737$13k | — | — |
| Laparoscopic Tubal Ligation | $5,893$698$13k | — | — |
| Lipid Panel (Cholesterol Test) | $31$12$114 | $63 | $112 |
| Lumbar Epidural Steroid Injection | $703$81$1.6k | $896 | $1,600 |
| Lumbar Puncture (Spinal Tap) | $703$42$1.6k | $839 | $1,498 |
| Lumbar Spinal Fusion (Posterior) | $18,665$1.2k$42k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,886$306$8.7k | — | — |
| MRI Abdomen with and without Contrast | $635$340$2.5k | $1,585 | $2,830 |
| MRI Brain with and without Contrast | $807$336$3.0k | $1,680 | $3,000 |
| MRI Brain with Contrast | $406$336$2.2k | $1,400 | $2,500 |
| MRI Brain without Contrast | $386$230$1.8k | $1,120 | $2,000 |
| MRI Cervical Spine (Neck) without Contrast | $386$230$2.2k | $1,387 | $2,477 |
| MRI Knee without Contrast | $522$230$2.2k | $1,408 | $2,514 |
| MRI Lower Back (Lumbar Spine) without Contrast | $348$230$2.0k | $1,232 | $2,200 |
| MRI Thoracic Spine (Mid-back) without Contrast | $352$230$2.0k | $1,232 | $2,200 |
| Newborn Circumcision | $2,000$72$4.6k | — | — |
| Nuclear Cardiac Stress Test | $1,325$341$3.0k | $1,744 | $3,114 |
| Office Visit, Established Patient (Level 3) | $90$28$200 | $113 | $203 |
| Office Visit, New Patient (Level 3) | $133$52$236 | $148 | $265 |
| Pacemaker Insertion (Dual Chamber) | $10,068$463$24k | — | — |
| PET/CT Scan, Whole Body | $2,275$500$5.8k | $3,640 | $6,500 |
| Pregnancy Ultrasound (Second or Third Trimester) | $170$58$1.1k | $452 | $808 |
| Prostate Biopsy | $1,971$90$4.6k | $1,960 | $3,500 |
| PSA Prostate Cancer Screening | $29$17$154 | $97 | $173 |
| Pulmonary Function Test with Bronchodilator | $309$14$704 | $384 | $686 |
| Rotator Cuff Repair (Arthroscopic) | $7,216$643$16k | — | — |
| Screening Mammogram | $149$82$433 | $239 | $427 |
| Septoplasty (Deviated Septum Repair) | $3,276$519$7.3k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,993$472$16k | — | — |
| Skin Biopsy (Tangential) | $211$32$638 | $402 | $717 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,559$40$3.7k | $1,400 | $2,500 |
| Sleep Study (In-lab Polysomnography) | $1,008$169$2.3k | $1,266 | $2,260 |
| Spinal Cord Stimulator Trial | $6,314$373$15k | — | — |
| Spirometry (Breathing Test) | $155$11$354 | $183 | $326 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,276$249$7.3k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,976$230$13k | — | — |
| Total Hip Replacement | $13,121$1.1k$29k | — | — |
| Total Knee Replacement | $13,059$1.1k$29k | — | — |
| Total Mastectomy | $6,619$668$15k | — | — |
| TSH Thyroid Function Test | $27$16$103 | $65 | $116 |
| TURP (Transurethral Prostate Resection) | $5,135$580$11k | — | — |
| Umbilical Hernia Repair | $801$390$2.6k | — | — |
| Upper GI Endoscopy (EGD) | $929$125$2.1k | — | — |
| Urinalysis with Microscopy | $4$2$28 | $18 | $32 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $4,741$4.0k$5.5k | — | — |
| Vaginal Delivery (Global Package) | $2,497$2.1k$5.2k | — | — |
| Vaginal Hysterectomy | $5,010$502$11k | — | — |
| Vasectomy | $2,030$149$4.6k | — | — |
| Vitamin D Blood Test | $47$27$158 | $99 | $177 |