| Abdominal Hysterectomy | $982$888$6.3k | — | — |
| ACL Reconstruction (Arthroscopic) | $7,358$979$13k | — | — |
| Allergy Skin Testing | $1,038$4$1.1k | — | — |
| Anesthesia for Screening Colonoscopy | $1 | — | — |
| Anesthesia for Upper Endoscopy | $1 | — | — |
| Basic Metabolic Panel | $9$8$23 | — | — |
| Bone Marrow Biopsy | $1,684$69$3.1k | $2,368 | $2,960 |
| Breast Biopsy (Ultrasound-guided) | $1,699$151$3.7k | $3,276 | $4,095 |
| Bunion Correction Surgery | $3,342$517$6.1k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $25,268$922$48k | $42,380 | $52,975 |
| Cardiac Catheterization (Left Heart) | $3,415$1.0k$17k | $15,510 | $19,388 |
| Cardiac Stress Test (Treadmill) | $72$67$126 | — | — |
| Carpal Tunnel Release Surgery | $2,037$445$5.2k | $4,593 | $5,741 |
| Cataract Surgery with Lens Implant | $2,349$537$4.4k | — | — |
| Cervical Spinal Fusion (Anterior) | $13,253$1.7k$17k | — | — |
| Cesarean Delivery (Global Package) | $2,489$2.3k$5.6k | — | — |
| Chemotherapy Infusion (First Hour) | $348$129$864 | $768 | $960 |
| Chest X-ray (2 Views) | $95$34$428 | $381 | $476 |
| Colonoscopy with Biopsy | $1,214$197$1.5k | — | — |
| Complete Abdominal Ultrasound | $116$49$1.3k | $1,130 | $1,412 |
| Complete Blood Count (CBC) with Differential | $8$7$21 | — | — |
| Comprehensive Metabolic Panel | $11$10$29 | — | — |
| Coronary Angioplasty with Stent | $11,681$572$25k | $22,157 | $27,696 |
| Critical Care, First Hour | $930$210$3.1k | $2,794 | $3,492 |
| CT Abdomen and Pelvis with Contrast | $403$170$5.5k | $4,883 | $6,104 |
| CT Cardiac Calcium Scoring | $102$40$1.1k | $964 | $1,205 |
| CT Chest without Contrast | $136$49$2.9k | $2,570 | $3,212 |
| CT Head without Contrast | $115$49$2.6k | $2,334 | $2,918 |
| DEXA Bone Density Scan | $115$39$537 | $478 | $597 |
| Diagnostic Colonoscopy | $939$181$1.1k | — | — |
| Diagnostic Mammogram (Both Breasts) | $158$145$313 | — | — |
| Ear Tube Placement (Tympanostomy) | $1,526$161$2.9k | — | — |
| Echocardiogram (Complete with Doppler) | $578$196$3.2k | $2,846 | $3,557 |
| EKG (Electrocardiogram, 12-lead) | $14$13$25 | — | — |
| Emergency Room Visit (Level 3) | $299$70$973 | $865 | $1,081 |
| Group Therapy Session | $95$24$239 | $213 | $266 |
| Hemodialysis Treatment | $101$91$557 | — | — |
| Hemoglobin A1c (Diabetes Test) | $10$9$27 | — | — |
| HIV Antibody Test | $9$8$24 | — | — |
| Holter Monitor (24-48 Hour Heart Monitor) | $71$64$126 | — | — |
| Home Sleep Study | $192$69$848 | $754 | $942 |
| Individual Therapy Session (45 Minutes) | $167$71$289 | $257 | $321 |
| Inguinal Hernia Repair (Open) | $3,630$527$6.5k | — | — |
| Initial Hospital Admission (Level 1) | $80$72$147 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $167$71$368 | $327 | $409 |
| Initial Psychiatric Evaluation with Medication Management | $169$71$347 | $308 | $385 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $596$261$740 | — | — |
| IUD Insertion | $106$50$520 | $462 | $578 |
| IUD Removal | $319$66$566 | $503 | $629 |
| Knee Arthroscopy with Meniscectomy | $3,342$549$6.1k | — | — |
| Laparoscopic Appendectomy | $6,009$605$7.3k | — | — |
| Laparoscopic Gallbladder Removal | $6,009$663$7.3k | — | — |
| Laparoscopic Tubal Ligation | $6,009$654$11k | — | — |
| Lipid Panel (Cholesterol Test) | $14$13$37 | — | — |
| Lumbar Epidural Steroid Injection | $727$99$2.4k | $2,091 | $2,614 |
| Lumbar Puncture (Spinal Tap) | $725$63$1.5k | $1,293 | $1,616 |
| Lumbar Spinal Fusion (Posterior) | $18,942$1.6k$23k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,944$663$7.2k | — | — |
| MRI Abdomen with and without Contrast | $403$170$5.5k | $4,866 | $6,082 |
| MRI Brain with and without Contrast | $403$170$5.4k | $4,781 | $5,976 |
| MRI Brain with Contrast | $403$170$3.6k | $3,202 | $4,003 |
| MRI Brain without Contrast | $257$109$3.5k | $3,142 | $3,927 |
| MRI Cervical Spine (Neck) without Contrast | $257$109$4.1k | $3,659 | $4,574 |
| MRI Knee without Contrast | $257$109$3.7k | $3,285 | $4,106 |
| MRI Lower Back (Lumbar Spine) without Contrast | $257$109$4.0k | $3,555 | $4,444 |
| MRI Thoracic Spine (Mid-back) without Contrast | $257$109$4.1k | $3,687 | $4,609 |
| Newborn Circumcision | $2,110$95$2.6k | — | — |
| Nuclear Cardiac Stress Test | $1,488$432$5.6k | $5,011 | $6,264 |
| Office Visit, Established Patient (Level 3) | $227$47$792 | $278 | $347 |
| Office Visit, New Patient (Level 3) | $178$65$608 | $369 | $462 |
| Pacemaker Insertion (Dual Chamber) | $10,989$508$23k | $20,250 | $25,312 |
| PET/CT Scan, Whole Body | $2,828$693$8.4k | $7,500 | $9,375 |
| Pregnancy Ultrasound (Second or Third Trimester) | $135$49$1.1k | $960 | $1,200 |
| Prostate Biopsy | $2,110$128$2.6k | — | — |
| PSA Prostate Cancer Screening | $19$17$51 | — | — |
| Pulmonary Function Test with Bronchodilator | $329$39$783 | $696 | $870 |
| Rotator Cuff Repair (Arthroscopic) | $7,358$1.1k$13k | — | — |
| Screening Mammogram | $128$117$252 | — | — |
| Septoplasty (Deviated Septum Repair) | $3,340$680$4.0k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,130$321$13k | — | — |
| Skin Biopsy (Tangential) | $209$37$476 | $423 | $529 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,669$83$2.0k | $1,760 | $2,200 |
| Sleep Study (In-lab Polysomnography) | $1,965$463$5.8k | $3,698 | $4,622 |
| Spinal Cord Stimulator Trial | $6,760$413$8.6k | $7,280 | $9,100 |
| Spirometry (Breathing Test) | $164$27$528 | $470 | $587 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,340$308$4.0k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,093$295$7.4k | — | — |
| Total Hip Replacement | $13,253$1.3k$25k | — | — |
| Total Knee Replacement | $13,253$1.3k$25k | — | — |
| Total Mastectomy | $6,717$961$12k | — | — |
| TSH Thyroid Function Test | $17$16$46 | — | — |
| TURP (Transurethral Prostate Resection) | $5,236$723$6.5k | — | — |
| Umbilical Hernia Repair | $4,249$1.5k$4.4k | — | — |
| Upper GI Endoscopy (EGD) | $984$121$2.9k | $2,539 | $3,174 |
| Urinalysis with Microscopy | $3$3$9 | — | — |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,300$1.4k$3.9k | — | — |
| Vaginal Delivery (Global Package) | $2,219$1.4k$3.9k | — | — |
| Vaginal Hysterectomy | $5,085$843$6.3k | — | — |
| Vasectomy | $2,110$231$2.6k | — | — |
| Vitamin D Blood Test | $30$28$81 | — | — |