| Abdominal Hysterectomy | $10,351$8.6k$12k | — | — |
| ACL Reconstruction (Arthroscopic) | $13,488$6.8k$36k | — | — |
| Allergy Skin Testing | $548$52$4.2k | — | — |
| Basic Metabolic Panel | $15$6$54 | — | — |
| Bone Marrow Biopsy | $2,445$1.7k$8.1k | — | — |
| Breast Biopsy (Ultrasound-guided) | $1,899$1.2k$8.1k | $4,454 | $4,454 |
| Bunion Correction Surgery | $6,757$3.4k$16k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $38,743$25k$128k | — | — |
| Cardiac Catheterization (Left Heart) | $4,318$249$16k | — | — |
| Cardiac Stress Test (Treadmill) | $164$80$615 | — | — |
| Carpal Tunnel Release Surgery | $4,318$2.0k$9.8k | — | — |
| Cataract Surgery with Lens Implant | $4,318$2.1k$11k | — | — |
| Cervical Spinal Fusion (Anterior) | $14,760$8.0k$63k | — | — |
| Cesarean Delivery (Global Package) | $6,005$2.9k$6.8k | — | — |
| Chemotherapy Infusion (First Hour) | $561$356$1.6k | — | — |
| Chest X-ray (2 Views) | $160$85$426 | $238 | $238 |
| Colonoscopy with Biopsy | $2,403$1.2k$6.4k | $3,671 | $3,671 |
| Complete Abdominal Ultrasound | $249$115$512 | $455 | $455 |
| Complete Blood Count (CBC) with Differential | $14$6$50 | $52 | $52 |
| Comprehensive Metabolic Panel | $19$8$67 | — | — |
| Coronary Angioplasty with Stent | $22,398$12k$57k | — | — |
| Critical Care, First Hour | $1,387$929$4.0k | $4,650 | $4,650 |
| CT Abdomen and Pelvis with Contrast | $401$257$1.7k | $2,900 | $2,900 |
| CT Cardiac Calcium Scoring | $100$32$426 | $90 | $90 |
| CT Chest without Contrast | $210$118$829 | $1,230 | $1,230 |
| CT Head without Contrast | $162$90$662 | $1,100 | $1,100 |
| DEXA Bone Density Scan | $224$115$512 | $412 | $412 |
| Diagnostic Colonoscopy | $1,861$959$6.4k | $3,671 | $3,671 |
| Diagnostic Mammogram (Both Breasts) | $257$114$497 | $403 | $403 |
| Ear Tube Placement (Tympanostomy) | $3,450$1.6k$21k | — | — |
| Echocardiogram (Complete with Doppler) | $1,015$579$2.7k | $2,200 | $2,200 |
| EKG (Electrocardiogram, 12-lead) | $77$34$93 | — | — |
| Emergency Room Visit (Level 3) | $581$300$1.3k | $1,494 | $1,494 |
| Group Therapy Session | $117$45$497 | $207 | $207 |
| Hemodialysis Treatment | $916$335$1.6k | — | — |
| Hemoglobin A1c (Diabetes Test) | $18$7$56 | $62 | $62 |
| HIV Antibody Test | $16$6$57 | — | — |
| Holter Monitor (24-48 Hour Heart Monitor) | $221$88$345 | — | — |
| Home Sleep Study | $290$164$1.1k | — | — |
| Individual Therapy Session (45 Minutes) | $204$80$869 | $169 | $169 |
| Inguinal Hernia Repair (Open) | $6,757$3.6k$18k | — | — |
| Initial Hospital Admission (Level 1) | $184$90$4.6k | $327 | $327 |
| Initial Psychiatric Diagnostic Evaluation | $204$80$869 | $358 | $358 |
| Initial Psychiatric Evaluation with Medication Management | $204$80$869 | $384 | $384 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,507$618$2.1k | — | — |
| IUD Insertion | $554$244$1.7k | — | — |
| IUD Removal | $653$337$9.2k | $825 | $825 |
| Knee Arthroscopy with Meniscectomy | $6,590$3.4k$16k | — | — |
| Laparoscopic Appendectomy | $6,950$2.4k$30k | — | — |
| Laparoscopic Gallbladder Removal | $8,444$6.1k$30k | — | — |
| Laparoscopic Tubal Ligation | $6,950$5.6k$30k | — | — |
| Lipid Panel (Cholesterol Test) | $24$10$85 | $109 | $109 |
| Lumbar Epidural Steroid Injection | $1,564$726$3.5k | $2,678 | $2,678 |
| Lumbar Puncture (Spinal Tap) | $1,564$726$3.5k | $1,573 | $1,573 |
| Lumbar Spinal Fusion (Posterior) | $20,157$8.9k$86k | — | — |
| Lumpectomy (Partial Mastectomy) | $7,761$4.0k$19k | — | — |
| MRI Abdomen with and without Contrast | $614$392$3.1k | $3,485 | $3,485 |
| MRI Brain with and without Contrast | $586$307$3.5k | $3,600 | $3,600 |
| MRI Brain with Contrast | $515$269$1.9k | $2,559 | $2,559 |
| MRI Brain without Contrast | $468$189$1.6k | $2,134 | $2,134 |
| MRI Cervical Spine (Neck) without Contrast | $396$186$1.6k | $2,100 | $2,100 |
| MRI Knee without Contrast | $275$205$1.6k | $2,100 | $2,100 |
| MRI Lower Back (Lumbar Spine) without Contrast | $397$186$1.7k | $2,300 | $2,300 |
| MRI Thoracic Spine (Mid-back) without Contrast | $397$186$1.7k | $2,300 | $2,300 |
| Newborn Circumcision | $4,147$1.8k$10k | — | — |
| Nuclear Cardiac Stress Test | $2,363$1.3k$6.3k | $3,581 | $3,581 |
| Office Visit, Established Patient (Level 3) | $118$67$153 | $302 | $302 |
| Office Visit, New Patient (Level 3) | $144$67$188 | $299 | $299 |
| Pacemaker Insertion (Dual Chamber) | $17,661$5.9k$51k | — | — |
| PET/CT Scan, Whole Body | $3,539$1.6k$7.0k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $249$115$512 | $486 | $486 |
| Prostate Biopsy | $4,099$1.8k$12k | — | — |
| PSA Prostate Cancer Screening | $33$13$117 | $115 | $115 |
| Pulmonary Function Test with Bronchodilator | $467$330$1.8k | — | — |
| Rotator Cuff Repair (Arthroscopic) | $13,488$7.5k$36k | — | — |
| Screening Mammogram | $212$94$410 | $403 | $403 |
| Septoplasty (Deviated Septum Repair) | $6,757$3.4k$16k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $8,113$4.7k$35k | — | — |
| Skin Biopsy (Tangential) | $457$210$2.0k | $639 | $639 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,029$1.7k$8.1k | $3,938 | $3,938 |
| Sleep Study (In-lab Polysomnography) | $1,906$966$4.2k | — | — |
| Spinal Cord Stimulator Trial | $13,924$4.3k$31k | — | — |
| Spirometry (Breathing Test) | $255$164$1.1k | $568 | $568 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $6,555$2.2k$16k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,806$2.2k$29k | — | — |
| Total Hip Replacement | $23,075$14k$63k | — | — |
| Total Knee Replacement | $23,075$14k$63k | — | — |
| Total Mastectomy | $8,945$6.8k$33k | — | — |
| TSH Thyroid Function Test | $30$12$107 | $107 | $107 |
| TURP (Transurethral Prostate Resection) | $6,757$5.4k$26k | — | — |
| Upper GI Endoscopy (EGD) | $1,846$952$18k | $3,153 | $3,153 |
| Urinalysis with Microscopy | $6$2$20 | $25 | $25 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $5,660$2.8k$6.8k | — | — |
| Vaginal Delivery (Global Package) | $4,179$2.6k$5.7k | — | — |
| Vaginal Hysterectomy | $6,757$814$24k | — | — |
| Vasectomy | $2,403$412$10k | — | — |
| Vitamin D Blood Test | $53$21$189 | $145 | $145 |