| Abdominal Hysterectomy | $13,585$2.3k$31k | — | — |
| ACL Reconstruction (Arthroscopic) | $7,285$474$18k | — | — |
| Allergy Skin Testing | $1,023$2$2.5k | — | — |
| Anesthesia for Screening Colonoscopy | $67 | — | — |
| Anesthesia for Upper Endoscopy | $67 | — | — |
| Basic Metabolic Panel | $12$8$67 | $45 | $64 |
| Bone Marrow Biopsy | $1,613$70$4.0k | $1,750 | $2,500 |
| Breast Biopsy (Ultrasound-guided) | $1,750$139$7.3k | $3,656 | $5,223 |
| Bunion Correction Surgery | $3,309$471$8.0k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $25,961$1.6k$68k | $45,273 | $64,676 |
| Cardiac Catheterization (Left Heart) | $4,221$1.0k$13k | $8,819 | $12,598 |
| Cardiac Stress Test (Treadmill) | $124$46$325 | $173 | $247 |
| Carpal Tunnel Release Surgery | $1,963$300$4.8k | — | — |
| Cataract Surgery with Lens Implant | $2,315$603$5.6k | — | — |
| Cervical Spinal Fusion (Anterior) | $13,121$2.1k$32k | — | — |
| Cesarean Delivery (Global Package) | $4,184$3.1k$5.8k | — | — |
| Chemotherapy Infusion (First Hour) | $340$125$818 | $517 | $739 |
| Chest X-ray (2 Views) | $94$24$289 | $193 | $275 |
| Colonoscopy with Biopsy | $1,191$225$2.9k | — | — |
| Complete Abdominal Ultrasound | $191$74$1.1k | $715 | $1,022 |
| Complete Blood Count (CBC) with Differential | $14$6$79 | $53 | $75 |
| Comprehensive Metabolic Panel | $15$10$84 | $56 | $80 |
| Coronary Angioplasty with Stent | $11,564$894$28k | $12,600 | $18,000 |
| Critical Care, First Hour | $850$104$2.1k | $1,190 | $1,700 |
| CT Abdomen and Pelvis with Contrast | $561$263$3.1k | $2,100 | $3,000 |
| CT Cardiac Calcium Scoring | $109$57$578 | $385 | $550 |
| CT Chest without Contrast | $234$100$1.4k | $911 | $1,302 |
| CT Head without Contrast | $216$100$1.2k | $808 | $1,154 |
| DEXA Bone Density Scan | $122$60$398 | $265 | $379 |
| Diagnostic Colonoscopy | $921$181$2.2k | — | — |
| Diagnostic Mammogram (Both Breasts) | $143$97$546 | $364 | $520 |
| Ear Tube Placement (Tympanostomy) | $1,496$99$3.7k | — | — |
| Echocardiogram (Complete with Doppler) | $648$108$2.3k | $1,559 | $2,227 |
| EKG (Electrocardiogram, 12-lead) | $21$11$69 | — | — |
| Emergency Room Visit (Level 3) | $284$35$683 | $455 | $650 |
| Group Therapy Session | $127$10$267 | $178 | $254 |
| Hemodialysis Treatment | $428$96$1.2k | — | — |
| Hemoglobin A1c (Diabetes Test) | $13$7$70 | $47 | $67 |
| HIV Antibody Test | $15$8$85 | $57 | $81 |
| Holter Monitor (24-48 Hour Heart Monitor) | $104$64$491 | — | — |
| Home Sleep Study | $311$145$1.5k | $979 | $1,399 |
| Individual Therapy Session (45 Minutes) | $188$70$396 | $263 | $375 |
| Inguinal Hernia Repair (Open) | $3,514$318$8.7k | — | — |
| Initial Hospital Admission (Level 1) | $153$34$262 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $177$26$396 | $247 | $353 |
| Initial Psychiatric Evaluation with Medication Management | $177$66$396 | $247 | $353 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $590$284$1.4k | — | — |
| IUD Insertion | $20$17$1.5k | — | — |
| IUD Removal | $307$17$1.5k | — | — |
| Knee Arthroscopy with Meniscectomy | $3,262$544$8.0k | — | — |
| Laparoscopic Appendectomy | $5,978$923$14k | — | — |
| Laparoscopic Gallbladder Removal | $5,978$920$14k | — | — |
| Laparoscopic Tubal Ligation | $5,978$698$14k | — | — |
| Lipid Panel (Cholesterol Test) | $24$12$134 | $90 | $128 |
| Lumbar Epidural Steroid Injection | $733$81$1.7k | $1,120 | $1,600 |
| Lumbar Puncture (Spinal Tap) | $733$42$1.7k | $1,049 | $1,498 |
| Lumbar Spinal Fusion (Posterior) | $18,753$1.2k$45k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,905$575$9.4k | — | — |
| MRI Abdomen with and without Contrast | $785$337$5.3k | $3,525 | $5,035 |
| MRI Brain with and without Contrast | $930$337$5.3k | $2,812 | $4,018 |
| MRI Brain with Contrast | $468$337$2.6k | $1,750 | $2,500 |
| MRI Brain without Contrast | $531$228$4.1k | $2,766 | $3,952 |
| MRI Cervical Spine (Neck) without Contrast | $531$228$4.1k | $2,766 | $3,952 |
| MRI Knee without Contrast | $546$228$4.1k | $2,766 | $3,952 |
| MRI Lower Back (Lumbar Spine) without Contrast | $531$228$4.1k | $2,766 | $3,952 |
| MRI Thoracic Spine (Mid-back) without Contrast | $531$228$4.1k | $2,766 | $3,952 |
| Newborn Circumcision | $2,050$72$5.1k | — | — |
| Nuclear Cardiac Stress Test | $1,494$341$6.0k | $4,003 | $5,719 |
| Office Visit, Established Patient (Level 3) | $117$28$236 | $158 | $225 |
| Office Visit, New Patient (Level 3) | $172$50$278 | $186 | $265 |
| Pacemaker Insertion (Dual Chamber) | $10,571$463$26k | $14,000 | $20,000 |
| PET/CT Scan, Whole Body | $2,806$500$16k | $7,246 | $10,351 |
| Pregnancy Ultrasound (Second or Third Trimester) | $228$78$1.3k | $852 | $1,217 |
| Prostate Biopsy | $2,050$90$5.1k | $2,450 | $3,500 |
| PSA Prostate Cancer Screening | $32$17$182 | $121 | $173 |
| Pulmonary Function Test with Bronchodilator | $318$13$768 | $480 | $686 |
| Rotator Cuff Repair (Arthroscopic) | $7,285$643$18k | — | — |
| Screening Mammogram | $166$80$448 | $299 | $427 |
| Septoplasty (Deviated Septum Repair) | $3,307$584$8.0k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,059$694$17k | — | — |
| Skin Biopsy (Tangential) | $228$32$1.5k | $502 | $717 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,631$40$4.0k | $1,750 | $2,500 |
| Sleep Study (In-lab Polysomnography) | $1,077$169$5.2k | $3,463 | $4,947 |
| Spinal Cord Stimulator Trial | $6,535$373$16k | — | — |
| Spirometry (Breathing Test) | $160$10$386 | $228 | $326 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,307$694$8.0k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,032$661$15k | — | — |
| Total Hip Replacement | $13,245$3.3k$32k | — | — |
| Total Knee Replacement | $13,121$3.3k$32k | — | — |
| Total Mastectomy | $6,650$1.0k$16k | — | — |
| TSH Thyroid Function Test | $39$16$168 | $97 | $138 |
| TURP (Transurethral Prostate Resection) | $5,184$580$13k | — | — |
| Umbilical Hernia Repair | $2,037$581$3.3k | — | — |
| Upper GI Endoscopy (EGD) | $947$125$2.3k | — | — |
| Urinalysis with Microscopy | $6$2$34 | $22 | $32 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $4,056$4.0k$5.5k | — | — |
| Vaginal Delivery (Global Package) | $2,761$2.0k$5.2k | — | — |
| Vaginal Hysterectomy | $5,034$2.1k$12k | — | — |
| Vasectomy | $2,050$149$5.1k | — | — |
| Vitamin D Blood Test | $43$27$218 | $146 | $208 |