| Abdominal Hysterectomy | $7,200$3.8k$11k | — | — |
| ACL Reconstruction (Arthroscopic) | $5,721$1.0k$8.0k | — | — |
| Allergy Skin Testing | $3$2$2.5k | $1,015 | $28 |
| Basic Metabolic Panel | $10$6$41 | $10 | $695 |
| Bone Marrow Biopsy | $716$91$7.2k | $1,951 | $3,202 |
| Breast Biopsy (Ultrasound-guided) | $1,327$181$7.2k | $1,951 | $5,042 |
| Bunion Correction Surgery | $4,580$1.4k$7.2k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $6,366$1.0k$23k | $30,881 | $39,787 |
| Cardiac Catheterization (Left Heart) | $4,300$1.0k$15k | $3,830 | $17,636 |
| Cardiac Stress Test (Treadmill) | $158$117$1.6k | — | $75 |
| Carpal Tunnel Release Surgery | $1,135$390$7.2k | — | — |
| Cataract Surgery with Lens Implant | $1,038$783$13k | — | — |
| Cervical Spinal Fusion (Anterior) | $7,200$1.0k$19k | — | — |
| Cesarean Delivery (Global Package) | $3,270$2.3k$7.2k | — | — |
| Chemotherapy Infusion (First Hour) | $223$114$847 | $390 | $696 |
| Chest X-ray (2 Views) | $84$19$328 | $103 | $405 |
| Colonoscopy with Biopsy | $2,375$293$7.2k | $1,414 | $3,020 |
| Complete Abdominal Ultrasound | $101$53$444 | $124 | $506 |
| Complete Blood Count (CBC) with Differential | $9$5$37 | $9 | $81 |
| Comprehensive Metabolic Panel | $13$7$51 | $12 | $1,464 |
| Coronary Angioplasty with Stent | $8,009$1.0k$14k | $13,639 | $21,655 |
| Critical Care, First Hour | $747$197$7.6k | $976 | $3,754 |
| CT Abdomen and Pelvis with Contrast | $335$251$1.4k | $412 | $4,427 |
| CT Cardiac Calcium Scoring | $84$25$700 | $103 | $947 |
| CT Chest without Contrast | $102$92$718 | $124 | $1,742 |
| CT Head without Contrast | $102$92$573 | $124 | $1,704 |
| DEXA Bone Density Scan | $101$39$394 | $124 | $482 |
| Diagnostic Colonoscopy | $758$99$7.2k | $1,099 | $3,740 |
| Diagnostic Mammogram (Both Breasts) | $156$101$619 | $132 | $282 |
| Ear Tube Placement (Tympanostomy) | $879$128$7.2k | — | — |
| Echocardiogram (Complete with Doppler) | $241$128$2.9k | $646 | $1,585 |
| EKG (Electrocardiogram, 12-lead) | $34$25$323 | — | — |
| Emergency Room Visit (Level 3) | $450$96$2.4k | $323 | $1,828 |
| Hemodialysis Treatment | $631$157$1.1k | — | — |
| Hemoglobin A1c (Diabetes Test) | $10$7$47 | $11 | $101 |
| HIV Antibody Test | $10$6$44 | $10 | $58 |
| Holter Monitor (24-48 Hour Heart Monitor) | $164$122$1.3k | — | $78 |
| Home Sleep Study | $132$94$357 | — | — |
| Individual Therapy Session (45 Minutes) | — | $210 | $158 |
| Inguinal Hernia Repair (Open) | $1,378$413$8.3k | — | — |
| Initial Psychiatric Diagnostic Evaluation | $63 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $63 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $490$298$4.2k | — | $6,200 |
| IUD Insertion | $30$22$7.2k | — | — |
| IUD Removal | $1,029$22$7.2k | $360 | $458 |
| Knee Arthroscopy with Meniscectomy | $1,594$707$8.3k | — | — |
| Laparoscopic Appendectomy | $5,928$1.0k$8.3k | — | — |
| Laparoscopic Gallbladder Removal | $7,609$1.0k$13k | — | — |
| Laparoscopic Tubal Ligation | $6,011$1.0k$11k | — | — |
| Lipid Panel (Cholesterol Test) | $16$9$64 | $15 | $404 |
| Lumbar Epidural Steroid Injection | $1,327$106$7.2k | $834 | $1,026 |
| Lumbar Puncture (Spinal Tap) | $612$55$7.2k | $834 | $1,285 |
| Lumbar Spinal Fusion (Posterior) | $7,200$1.0k$19k | — | — |
| Lumpectomy (Partial Mastectomy) | $4,580$1.0k$7.2k | — | — |
| MRI Abdomen with and without Contrast | $339$294$2.0k | $412 | $3,680 |
| MRI Brain with and without Contrast | $339$294$2.0k | $412 | $3,677 |
| MRI Brain with Contrast | $339$240$1.6k | $412 | $2,838 |
| MRI Brain without Contrast | $232$186$1.6k | $282 | $2,412 |
| MRI Cervical Spine (Neck) without Contrast | $232$186$1.6k | $282 | $2,415 |
| MRI Knee without Contrast | $232$186$1.6k | $282 | $2,467 |
| MRI Lower Back (Lumbar Spine) without Contrast | $232$186$1.6k | $282 | $2,415 |
| MRI Thoracic Spine (Mid-back) without Contrast | $232$186$1.6k | $282 | $2,415 |
| Newborn Circumcision | $610$103$7.2k | $2,470 | $2,011 |
| Nuclear Cardiac Stress Test | $1,245$362$4.9k | $1,530 | $3,609 |
| Office Visit, Established Patient (Level 3) | $80$40$107 | — | $132 |
| Office Visit, New Patient (Level 3) | $93$52$107 | — | $170 |
| Pacemaker Insertion (Dual Chamber) | $5,327$602$11k | $12,349 | $22,054 |
| PET/CT Scan, Whole Body | $1,388$570$5.4k | $1,689 | $10,397 |
| Pregnancy Ultrasound (Second or Third Trimester) | $101$53$509 | $124 | $388 |
| Prostate Biopsy | $1,327$116$7.2k | — | $2,397 |
| PSA Prostate Cancer Screening | $20$13$88 | $21 | $225 |
| Pulmonary Function Test with Bronchodilator | $25$15$932 | $441 | $783 |
| Rotator Cuff Repair (Arthroscopic) | $6,011$1.0k$11k | — | — |
| Screening Mammogram | $129$80$499 | $109 | $738 |
| Septoplasty (Deviated Septum Repair) | $4,580$1.1k$8.3k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,609$1.0k$11k | — | — |
| Skin Biopsy (Tangential) | $637$42$7.2k | $480 | $385 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $716$52$7.2k | $1,951 | $1,926 |
| Sleep Study (In-lab Polysomnography) | $469$351$4.1k | $1,015 | $3,943 |
| Spinal Cord Stimulator Trial | $1,327$485$13k | — | — |
| Spirometry (Breathing Test) | $20$12$513 | $255 | $417 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $5,438$910$11k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,332$902$7.2k | — | — |
| Total Hip Replacement | $9,504$1.0k$21k | — | — |
| Total Knee Replacement | $9,504$1.0k$21k | — | — |
| Total Mastectomy | $4,580$1.0k$8.3k | — | — |
| TSH Thyroid Function Test | $21$12$82 | $19 | $358 |
| TURP (Transurethral Prostate Resection) | $4,750$1.0k$8.3k | — | — |
| Umbilical Hernia Repair | $7,187 | — | — |
| Upper GI Endoscopy (EGD) | $1,717$163$7.2k | $1,072 | $2,336 |
| Urinalysis with Microscopy | $4$2$15 | $4 | $41 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $3,270$2.3k$7.2k | — | — |
| Vaginal Delivery (Global Package) | $3,270$2.3k$7.2k | — | — |
| Vaginal Hysterectomy | $7,609$1.0k$13k | — | — |
| Vasectomy | $716$193$7.2k | $2,470 | $2,011 |
| Vitamin D Blood Test | $33$21$142 | $34 | $303 |