| Abdominal Hysterectomy | $9,266$5.4k$9.8k | — | — |
| ACL Reconstruction (Arthroscopic) | $10,086$7.5k$34k | — | — |
| Allergy Skin Testing | $120$56$4.1k | $79 | $79 |
| Basic Metabolic Panel | $12$6$54 | — | — |
| Bone Marrow Biopsy | $2,489$1.3k$7.8k | $1,506 | $1,506 |
| Breast Biopsy (Ultrasound-guided) | $2,815$1.7k$7.8k | $4,454 | $4,454 |
| Bunion Correction Surgery | $6,043$3.4k$15k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $41,664$25k$124k | $28,250 | $28,250 |
| Cardiac Catheterization (Left Heart) | $6,505$3.4k$15k | $10,079 | $10,079 |
| Cardiac Stress Test (Treadmill) | $158$80$848 | — | — |
| Carpal Tunnel Release Surgery | $3,994$2.0k$9.2k | — | — |
| Cataract Surgery with Lens Implant | $4,821$2.4k$11k | — | — |
| Cervical Spinal Fusion (Anterior) | $16,397$9.6k$61k | — | — |
| Cesarean Delivery (Global Package) | $5,780$2.9k$9.8k | — | — |
| Chemotherapy Infusion (First Hour) | $726$353$1.6k | $1,221 | $1,221 |
| Chest X-ray (2 Views) | $160$85$467 | $238 | $238 |
| Colonoscopy with Biopsy | $2,441$1.2k$5.7k | $2,308 | $2,308 |
| Complete Abdominal Ultrasound | $227$115$598 | $455 | $455 |
| Complete Blood Count (CBC) with Differential | $11$6$50 | $52 | $52 |
| Comprehensive Metabolic Panel | $15$8$67 | — | — |
| Coronary Angioplasty with Stent | $19,344$11k$55k | $19,482 | $19,482 |
| Critical Care, First Hour | $1,560$926$3.9k | $2,637 | $2,637 |
| CT Abdomen and Pelvis with Contrast | $397$203$2.3k | $2,900 | $2,900 |
| CT Cardiac Calcium Scoring | $99$32$432 | $90 | $90 |
| CT Chest without Contrast | $190$118$833 | $1,230 | $1,230 |
| CT Head without Contrast | $146$90$833 | $1,100 | $1,100 |
| DEXA Bone Density Scan | $193$115$597 | $412 | $412 |
| Diagnostic Colonoscopy | $1,891$954$4.4k | $2,309 | $2,309 |
| Diagnostic Mammogram (Both Breasts) | $248$114$508 | $403 | $403 |
| Ear Tube Placement (Tympanostomy) | $3,155$1.6k$7.3k | — | — |
| Echocardiogram (Complete with Doppler) | $1,141$576$2.6k | $1,261 | $1,261 |
| EKG (Electrocardiogram, 12-lead) | $79$37$128 | — | — |
| Emergency Room Visit (Level 3) | $502$298$1.5k | $884 | $884 |
| Group Therapy Session | $123$59$480 | $146 | $146 |
| Hemodialysis Treatment | $750$360$763 | — | — |
| Hemoglobin A1c (Diabetes Test) | $14$7$60 | $62 | $62 |
| HIV Antibody Test | $13$6$57 | — | — |
| Holter Monitor (24-48 Hour Heart Monitor) | $204$95$773 | — | — |
| Home Sleep Study | $323$163$1.0k | $500 | $500 |
| Individual Therapy Session (45 Minutes) | $217$105$839 | $274 | $274 |
| Inguinal Hernia Repair (Open) | $6,274$3.6k$17k | — | — |
| Initial Hospital Admission (Level 1) | $177$90$5.1k | $327 | $327 |
| Initial Psychiatric Diagnostic Evaluation | $217$105$839 | $380 | $380 |
| Initial Psychiatric Evaluation with Medication Management | $217$105$839 | $379 | $379 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,218$614$3.2k | — | — |
| IUD Insertion | $249$113$1.5k | $350 | $350 |
| IUD Removal | $616$335$1.5k | $547 | $547 |
| Knee Arthroscopy with Meniscectomy | $5,831$3.4k$15k | — | — |
| Laparoscopic Appendectomy | $9,684$6.0k$29k | — | — |
| Laparoscopic Gallbladder Removal | $9,684$6.0k$29k | — | — |
| Laparoscopic Tubal Ligation | $9,684$6.0k$29k | — | — |
| Lipid Panel (Cholesterol Test) | $19$10$85 | $109 | $109 |
| Lumbar Epidural Steroid Injection | $1,431$722$3.3k | $1,669 | $1,669 |
| Lumbar Puncture (Spinal Tap) | $1,415$722$3.3k | $987 | $987 |
| Lumbar Spinal Fusion (Posterior) | $19,936$9.6k$83k | — | — |
| Lumpectomy (Partial Mastectomy) | $6,702$4.0k$19k | — | — |
| MRI Abdomen with and without Contrast | $554$388$3.1k | $3,485 | $3,485 |
| MRI Brain with and without Contrast | $529$307$3.4k | $3,600 | $3,600 |
| MRI Brain with Contrast | $464$269$2.2k | $2,559 | $2,559 |
| MRI Brain without Contrast | $422$189$1.6k | $2,134 | $2,134 |
| MRI Cervical Spine (Neck) without Contrast | $357$186$1.6k | $2,100 | $2,100 |
| MRI Knee without Contrast | $271$174$1.6k | $2,100 | $2,100 |
| MRI Lower Back (Lumbar Spine) without Contrast | $358$186$1.7k | $2,300 | $2,300 |
| MRI Thoracic Spine (Mid-back) without Contrast | $358$186$1.7k | $2,300 | $2,300 |
| Newborn Circumcision | $3,581$2.1k$9.9k | — | — |
| Nuclear Cardiac Stress Test | $2,497$1.3k$7.4k | $3,581 | $3,581 |
| Office Visit, Established Patient (Level 3) | $99$87$141 | $302 | $302 |
| Office Visit, New Patient (Level 3) | $121$87$173 | $299 | $299 |
| Pacemaker Insertion (Dual Chamber) | $22,090$11k$49k | $21,549 | $21,549 |
| PET/CT Scan, Whole Body | $3,236$1.6k$8.3k | $5,807 | $5,807 |
| Pregnancy Ultrasound (Second or Third Trimester) | $227$115$597 | $486 | $486 |
| Prostate Biopsy | $4,214$2.1k$4.6k | — | — |
| PSA Prostate Cancer Screening | $27$13$117 | $115 | $115 |
| Pulmonary Function Test with Bronchodilator | $484$328$1.8k | $378 | $378 |
| Rotator Cuff Repair (Arthroscopic) | $11,674$7.5k$34k | — | — |
| Screening Mammogram | $204$94$420 | $403 | $403 |
| Septoplasty (Deviated Septum Repair) | $5,741$3.4k$16k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $9,769$5.4k$33k | — | — |
| Skin Biopsy (Tangential) | $462$209$1.9k | $467 | $467 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,641$1.7k$7.8k | $2,138 | $2,138 |
| Sleep Study (In-lab Polysomnography) | $2,163$966$4.1k | $2,657 | $2,657 |
| Spinal Cord Stimulator Trial | $9,730$6.3k$30k | $9,559 | $9,559 |
| Spirometry (Breathing Test) | $302$163$1.0k | $296 | $296 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $5,741$3.4k$16k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $8,558$4.8k$28k | — | — |
| Total Hip Replacement | $19,058$14k$61k | — | — |
| Total Knee Replacement | $19,058$14k$61k | — | — |
| Total Mastectomy | $10,621$5.4k$31k | — | — |
| TSH Thyroid Function Test | $24$12$107 | $107 | $107 |
| TURP (Transurethral Prostate Resection) | $9,493$5.4k$25k | — | — |
| Upper GI Endoscopy (EGD) | $1,875$946$4.3k | $1,913 | $1,913 |
| Urinalysis with Microscopy | $5$2$20 | $25 | $25 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $5,448$2.7k$9.8k | — | — |
| Vaginal Delivery (Global Package) | $5,212$2.6k$7.2k | — | — |
| Vaginal Hysterectomy | $8,508$5.2k$24k | — | — |
| Vasectomy | $3,581$2.1k$9.9k | $4,998 | $4,998 |
| Vitamin D Blood Test | $43$21$189 | $145 | $145 |