| Abdominal Hysterectomy | $971$12$2.5k | $436 | $872 |
| ACL Reconstruction (Arthroscopic) | $929$12$2.7k | $414 | $827 |
| Allergy Skin Testing | $3$2$11 | $5 | $10 |
| Basic Metabolic Panel | $285$6$475 | $238 | $475 |
| Bone Marrow Biopsy | $136$12$573 | $51 | $102 |
| Breast Biopsy (Ultrasound-guided) | $3,406$800$4.0k | $2,000 | $4,000 |
| Bunion Correction Surgery | $790$12$1.9k | $374 | $747 |
| Cardiac Ablation for Atrial Fibrillation | $57,411$440$75k | $37,500 | $75,000 |
| Cardiac Catheterization (Left Heart) | $18,117$3.7k$22k | $11,000 | $22,000 |
| Cardiac Stress Test (Treadmill) | $69$47$289 | $78 | $155 |
| Carpal Tunnel Release Surgery | $425$12$1.0k | $190 | $381 |
| Cataract Surgery with Lens Implant | $510$12$1.9k | $256 | $512 |
| Cervical Spinal Fusion (Anterior) | $1,612$12$4.7k | $708 | $1,417 |
| Cesarean Delivery (Global Package) | $2,546$12$6.2k | $1,116 | $2,231 |
| Chemotherapy Infusion (First Hour) | $1,060$220$1.2k | $550 | $1,100 |
| Chest X-ray (2 Views) | $215$15$525 | $185 | $370 |
| Colonoscopy with Biopsy | $377$12$1.2k | $154 | $307 |
| Complete Abdominal Ultrasound | $1,125$76$1.5k | $750 | $1,500 |
| Complete Blood Count (CBC) with Differential | $150$5$250 | $125 | $250 |
| Comprehensive Metabolic Panel | $450$7$750 | $375 | $750 |
| Coronary Angioplasty with Stent | $24,691$1.3k$32k | $13,833 | $27,665 |
| Critical Care, First Hour | $3,327$511$4.3k | $2,169 | $4,338 |
| CT Abdomen and Pelvis with Contrast | $4,275$201$5.7k | $2,850 | $5,700 |
| CT Cardiac Calcium Scoring | $100$28$1.3k | $100 | $100 |
| CT Chest without Contrast | $879$39$2.3k | $463 | $925 |
| CT Head without Contrast | $1,800$67$2.4k | $1,200 | $2,400 |
| DEXA Bone Density Scan | $625$28$850 | $425 | $850 |
| Diagnostic Colonoscopy | $176$12$1.0k | $153 | $306 |
| Diagnostic Mammogram (Both Breasts) | $90$25$400 | $123 | $245 |
| Ear Tube Placement (Tympanostomy) | $152$12$446 | $74 | $148 |
| Echocardiogram (Complete with Doppler) | $1,726$53$3.0k | $1,400 | $2,800 |
| EKG (Electrocardiogram, 12-lead) | $14$9$72 | $30 | $60 |
| Emergency Room Visit (Level 3) | $944$246$1.2k | $616 | $1,231 |
| Group Therapy Session | $310$62$485 | $173 | $345 |
| Hemodialysis Treatment | $98$68$331 | $118 | $235 |
| Hemoglobin A1c (Diabetes Test) | $89$7$148 | $74 | $148 |
| Holter Monitor (24-48 Hour Heart Monitor) | $66$47$437 | $89 | $178 |
| Home Sleep Study | $867$152$950 | $466 | $933 |
| Individual Therapy Session (45 Minutes) | $408$111$555 | $278 | $555 |
| Inguinal Hernia Repair (Open) | $499$12$1.3k | $224 | $449 |
| Initial Hospital Admission (Level 1) | $80$75$308 | $108 | $216 |
| Initial Psychiatric Diagnostic Evaluation | $308$70$485 | $175 | $349 |
| Initial Psychiatric Evaluation with Medication Management | $179$101$414 | $202 | $405 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $288$7$2.4k | $12 | $24 |
| IUD Insertion | $88$7$260 | $69 | $137 |
| IUD Removal | $200$40$624 | $100 | $200 |
| Knee Arthroscopy with Meniscectomy | $521$12$1.6k | $232 | $465 |
| Laparoscopic Appendectomy | $573$12$1.4k | $257 | $515 |
| Laparoscopic Gallbladder Removal | $628$12$1.8k | $282 | $563 |
| Laparoscopic Tubal Ligation | $624$12$1.8k | $284 | $567 |
| Lipid Panel (Cholesterol Test) | $106$9$159 | $80 | $159 |
| Lumbar Epidural Steroid Injection | $209$12$679 | $79 | $157 |
| Lumbar Puncture (Spinal Tap) | $725$145$1.5k | $363 | $725 |
| Lumbar Spinal Fusion (Posterior) | $1,500$12$3.9k | $663 | $1,325 |
| Lumpectomy (Partial Mastectomy) | $627$12$1.6k | $281 | $562 |
| MRI Abdomen with and without Contrast | $3,150$359$4.2k | $2,100 | $4,200 |
| MRI Brain with and without Contrast | $3,300$240$4.4k | $2,200 | $4,400 |
| MRI Brain with Contrast | $3,200$210$4.1k | $1,975 | $3,950 |
| MRI Brain without Contrast | $2,900$143$3.3k | $1,575 | $3,150 |
| MRI Cervical Spine (Neck) without Contrast | $2,250$136$3.0k | $1,500 | $3,000 |
| MRI Knee without Contrast | $2,625$154$3.5k | $1,750 | $3,500 |
| MRI Lower Back (Lumbar Spine) without Contrast | $2,400$135$3.2k | $1,600 | $3,200 |
| MRI Thoracic Spine (Mid-back) without Contrast | $2,250$136$3.0k | $1,500 | $3,000 |
| Newborn Circumcision | $1,100$220$8.9k | $550 | $1,100 |
| Nuclear Cardiac Stress Test | $4,557$376$6.2k | $3,100 | $6,200 |
| Office Visit, Established Patient (Level 3) | $200$40$275 | $125 | $250 |
| Office Visit, New Patient (Level 3) | $231$50$275 | $131 | $263 |
| Pacemaker Insertion (Dual Chamber) | $16,000$3.2k$54k | $8,000 | $16,000 |
| PET/CT Scan, Whole Body | $5,288$425$6.6k | $3,300 | $6,600 |
| Pregnancy Ultrasound (Second or Third Trimester) | $750$85$1.0k | $500 | $1,000 |
| Prostate Biopsy | $800$160$5.1k | $400 | $800 |
| PSA Prostate Cancer Screening | $169$13$310 | $155 | $310 |
| Pulmonary Function Test with Bronchodilator | $398$9$821 | $199 | $398 |
| Rotator Cuff Repair (Arthroscopic) | $1,018$12$2.9k | $452 | $904 |
| Screening Mammogram | $90$25$310 | $100 | $200 |
| Septoplasty (Deviated Septum Repair) | $637$12$1.6k | $297 | $593 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $307$12$1.2k | $143 | $285 |
| Skin Biopsy (Tangential) | $500$100$563 | $250 | $500 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,700$340$3.1k | $850 | $1,700 |
| Sleep Study (In-lab Polysomnography) | $4,839$461$5.6k | $2,700 | $5,400 |
| Spinal Cord Stimulator Trial | $972$12$3.4k | $284 | $569 |
| Spirometry (Breathing Test) | $241$6$821 | $125 | $250 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $291$12$857 | $135 | $270 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $279$12$793 | $129 | $259 |
| Total Hip Replacement | $1,222$12$3.7k | $541 | $1,081 |
| Total Knee Replacement | $1,220$12$4.0k | $540 | $1,080 |
| Total Mastectomy | $911$12$2.5k | $406 | $811 |
| TSH Thyroid Function Test | $114$12$190 | $95 | $190 |
| TURP (Transurethral Prostate Resection) | $693$12$1.9k | $316 | $632 |
| Umbilical Hernia Repair | $591$7$1.7k | $499 | $998 |
| Upper GI Endoscopy (EGD) | $243$12$776 | $101 | $202 |
| Urinalysis with Microscopy | $176$2$209 | $98 | $195 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,405$12$5.8k | $1,057 | $2,113 |
| Vaginal Delivery (Global Package) | $2,299$12$5.6k | $1,014 | $2,027 |
| Vaginal Hysterectomy | $803$12$2.2k | $364 | $729 |
| Vasectomy | $310$12$1.3k | $181 | $362 |
| Vitamin D Blood Test | $190$21$317 | $159 | $317 |