| Abdominal Hysterectomy | $2,794$2.5k$2.8k | — | — |
| ACL Reconstruction (Arthroscopic) | $10,435$6.9k$24k | — | — |
| Allergy Skin Testing | $1,036$74$2.8k | — | — |
| Basic Metabolic Panel | $21$8$32 | — | — |
| Bone Marrow Biopsy | $2,375$1.9k$5.4k | — | — |
| Breast Biopsy (Ultrasound-guided) | $2,375$1.9k$5.4k | $2,231 | $2,231 |
| Bunion Correction Surgery | $4,893$3.9k$11k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $35,836$31k$86k | — | — |
| Cardiac Catheterization (Left Heart) | $4,712$3.9k$11k | — | — |
| Cardiac Stress Test (Treadmill) | $200$180$643 | — | — |
| Carpal Tunnel Release Surgery | $3,043$2.3k$6.4k | $4,368 | $4,368 |
| Cataract Surgery with Lens Implant | $3,576$2.8k$7.6k | — | — |
| Cervical Spinal Fusion (Anterior) | $18,464$9.9k$42k | — | — |
| Cesarean Delivery (Global Package) | $6,930 | — | — |
| Chemotherapy Infusion (First Hour) | $511$396$1.1k | $880 | $880 |
| Chest X-ray (2 Views) | $113$89$286 | $236 | $236 |
| Colonoscopy with Biopsy | $1,827$1.4k$3.9k | $1,853 | $1,853 |
| Complete Abdominal Ultrasound | $161$125$343 | $552 | $552 |
| Complete Blood Count (CBC) with Differential | $19$8$30 | $29 | $29 |
| Comprehensive Metabolic Panel | $26$11$41 | — | — |
| Coronary Angioplasty with Stent | $18,034$14k$38k | — | — |
| Critical Care, First Hour | $1,214$990$2.7k | $2,597 | $2,597 |
| CT Abdomen and Pelvis with Contrast | $639$418$1.1k | $1,263 | $1,263 |
| CT Cardiac Calcium Scoring | $121$25$286 | $156 | $156 |
| CT Chest without Contrast | $199$125$343 | $425 | $425 |
| CT Head without Contrast | $199$125$343 | $425 | $425 |
| DEXA Bone Density Scan | $161$125$343 | $365 | $365 |
| Diagnostic Colonoscopy | $1,389$1.1k$3.1k | $1,853 | $1,853 |
| Diagnostic Mammogram (Both Breasts) | $212$132$361 | $526 | $526 |
| Ear Tube Placement (Tympanostomy) | $2,386$1.9k$5.1k | — | — |
| Echocardiogram (Complete with Doppler) | $881$655$1.8k | $1,578 | $1,578 |
| EKG (Electrocardiogram, 12-lead) | $48$43$163 | — | — |
| Emergency Room Visit (Level 3) | $383$327$896 | $969 | $969 |
| Group Therapy Session | $140$122$334 | — | — |
| Hemodialysis Treatment | $280$252$280 | — | — |
| Hemoglobin A1c (Diabetes Test) | $24$10$37 | $36 | $36 |
| HIV Antibody Test | $21$9$34 | $31 | $31 |
| Holter Monitor (24-48 Hour Heart Monitor) | $256$230$266 | — | — |
| Home Sleep Study | $282$228$709 | $516 | $516 |
| Individual Therapy Session (45 Minutes) | $238$213$583 | $506 | $506 |
| Inguinal Hernia Repair (Open) | $5,497$4.3k$12k | — | — |
| Initial Hospital Admission (Level 1) | $273$245$273 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $238$213$583 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $238$213$583 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $594$594$1.5k | — | — |
| IUD Insertion | $181$132$568 | $491 | $491 |
| IUD Removal | $412$278$1.0k | $538 | $538 |
| Knee Arthroscopy with Meniscectomy | $4,706$3.9k$11k | — | — |
| Laparoscopic Appendectomy | $8,572$6.9k$20k | — | — |
| Laparoscopic Gallbladder Removal | $8,572$6.9k$20k | — | — |
| Laparoscopic Tubal Ligation | $8,572$6.9k$20k | — | — |
| Lipid Panel (Cholesterol Test) | $33$13$51 | $51 | $51 |
| Lumbar Epidural Steroid Injection | $1,117$846$2.3k | $2,021 | $2,021 |
| Lumbar Puncture (Spinal Tap) | $1,117$846$2.3k | $1,897 | $1,897 |
| Lumbar Spinal Fusion (Posterior) | $21,013$9.2k$58k | — | — |
| Lumpectomy (Partial Mastectomy) | $5,288$4.7k$13k | — | — |
| MRI Abdomen with and without Contrast | $742$418$1.1k | $1,668 | $1,668 |
| MRI Brain with and without Contrast | $742$418$1.1k | $1,668 | $1,668 |
| MRI Brain with Contrast | $742$418$1.1k | $1,300 | $1,300 |
| MRI Brain without Contrast | $471$286$783 | $887 | $887 |
| MRI Cervical Spine (Neck) without Contrast | $471$286$783 | $887 | $887 |
| MRI Knee without Contrast | $471$286$783 | $887 | $887 |
| MRI Lower Back (Lumbar Spine) without Contrast | $471$286$783 | $887 | $887 |
| MRI Thoracic Spine (Mid-back) without Contrast | $471$286$783 | $887 | $887 |
| Newborn Circumcision | $3,006$1.9k$6.9k | — | — |
| Nuclear Cardiac Stress Test | $2,139$1.6k$4.3k | $4,586 | $4,586 |
| Office Visit, Established Patient (Level 3) | $137$124$137 | $138 | $138 |
| Office Visit, New Patient (Level 3) | $205$184$205 | $205 | $205 |
| Pacemaker Insertion (Dual Chamber) | $17,601$13k$34k | — | — |
| PET/CT Scan, Whole Body | $2,480$1.7k$4.7k | $4,648 | $4,648 |
| Pregnancy Ultrasound (Second or Third Trimester) | $161$125$343 | $478 | $478 |
| Prostate Biopsy | $3,245$1.9k$4.4k | — | — |
| PSA Prostate Cancer Screening | $45$18$71 | $72 | $72 |
| Pulmonary Function Test with Bronchodilator | $487$423$1.2k | $797 | $797 |
| Rotator Cuff Repair (Arthroscopic) | $10,435$8.7k$24k | — | — |
| Screening Mammogram | $166$96$263 | $425 | $425 |
| Septoplasty (Deviated Septum Repair) | $4,478$3.7k$11k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $8,954$6.9k$23k | — | — |
| Skin Biopsy (Tangential) | $549$296$1.3k | $507 | $507 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,375$1.9k$5.4k | $1,822 | $1,822 |
| Sleep Study (In-lab Polysomnography) | $1,511$1.0k$2.8k | $3,103 | $3,103 |
| Spinal Cord Stimulator Trial | $10,024$4.4k$21k | $13,807 | $13,807 |
| Spirometry (Breathing Test) | $282$228$709 | $413 | $413 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $4,478$3.7k$11k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $7,449$4.7k$19k | — | — |
| Total Hip Replacement | $16,562$15k$42k | — | — |
| Total Knee Replacement | $18,464$15k$42k | — | — |
| Total Mastectomy | $9,168$8.0k$22k | — | — |
| TSH Thyroid Function Test | $42$17$65 | $63 | $63 |
| TURP (Transurethral Prostate Resection) | $7,499$6.4k$18k | — | — |
| Upper GI Endoscopy (EGD) | $1,420$1.1k$3.0k | $1,883 | $1,883 |
| Urinalysis with Microscopy | $8$3$12 | $12 | $12 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $6,930 | — | — |
| Vaginal Delivery (Global Package) | $5,830$5.2k$5.8k | $5,511 | $5,511 |
| Vaginal Hysterectomy | $7,194$6.0k$16k | — | — |
| Vasectomy | $3,006$1.9k$6.9k | — | — |
| Vitamin D Blood Test | $72$30$114 | $109 | $109 |