| Abdominal Hysterectomy | $3,295$1.7k$6.8k | — | — |
| ACL Reconstruction (Arthroscopic) | $7,196$1.8k$8.3k | — | — |
| Allergy Skin Testing | $1,045$158$1.0k | — | — |
| Basic Metabolic Panel | $10$1$118 | $41 | $66 |
| Bone Marrow Biopsy | $1,654$125$2.8k | $729 | $2,350 |
| Breast Biopsy (Ultrasound-guided) | $1,664$882$2.8k | $885 | $2,856 |
| Bunion Correction Surgery | $3,332$1.8k$5.5k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $22,172$2.4k$28k | $4,892 | $15,781 |
| Cardiac Catheterization (Left Heart) | $3,303$2.2k$9.3k | $1,632 | $5,266 |
| Cardiac Stress Test (Treadmill) | $117$78$866 | — | — |
| Carpal Tunnel Release Surgery | $2,005$1.4k$4.0k | — | — |
| Cataract Surgery with Lens Implant | $2,342$1.4k$5.1k | — | — |
| Cervical Spinal Fusion (Anterior) | $12,961$1.9k$13k | — | — |
| Cesarean Delivery (Global Package) | $2,780$1.6k$3.3k | — | — |
| Chemotherapy Infusion (First Hour) | $341$138$716 | $155 | $499 |
| Chest X-ray (2 Views) | $90$23$223 | $77 | $248 |
| Colonoscopy with Biopsy | $1,211$882$2.8k | — | — |
| Complete Abdominal Ultrasound | $109$63$805 | $277 | $894 |
| Complete Blood Count (CBC) with Differential | $9$1$81 | $28 | $46 |
| Comprehensive Metabolic Panel | $12$1$211 | $73 | $118 |
| Coronary Angioplasty with Stent | $11,423$1.9k$12k | $2,682 | $8,652 |
| Critical Care, First Hour | $865$368$3.9k | $409 | $1,320 |
| CT Abdomen and Pelvis with Contrast | $367$148$2.4k | $818 | $2,640 |
| CT Cardiac Calcium Scoring | $90$33$941 | $37 | $120 |
| CT Chest without Contrast | $109$63$1.4k | $493 | $1,590 |
| CT Head without Contrast | $109$63$1.1k | $386 | $1,245 |
| DEXA Bone Density Scan | $109$34$304 | $105 | $338 |
| Diagnostic Colonoscopy | $936$853$2.6k | — | — |
| Diagnostic Mammogram (Both Breasts) | $247$68$313 | $108 | $348 |
| Ear Tube Placement (Tympanostomy) | $1,521$882$2.8k | — | — |
| Echocardiogram (Complete with Doppler) | $563$140$1.1k | $231 | $745 |
| EKG (Electrocardiogram, 12-lead) | $24$18$234 | — | — |
| Emergency Room Visit (Level 3) | $284$215$2.0k | $233 | $750 |
| Group Therapy Session | $70$18$95 | $36 | $115 |
| Hemodialysis Treatment | $384$101$507 | — | — |
| Hemoglobin A1c (Diabetes Test) | $11$1$88 | $30 | $50 |
| HIV Antibody Test | $10$4$22 | $7 | $24 |
| Holter Monitor (24-48 Hour Heart Monitor) | $129$95$680 | — | — |
| Home Sleep Study | $161$76$986 | — | — |
| Individual Therapy Session (45 Minutes) | $148$39$184 | $63 | $204 |
| Inguinal Hernia Repair (Open) | $3,624$1.3k$5.5k | — | — |
| Initial Hospital Admission (Level 1) | $160$83$4.9k | $64 | $205 |
| Initial Psychiatric Diagnostic Evaluation | $165$53$248 | $81 | $263 |
| Initial Psychiatric Evaluation with Medication Management | $165$63$270 | $98 | $315 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $594$206$3.1k | $1,065 | $3,437 |
| IUD Insertion | $416$138$2.8k | — | — |
| IUD Removal | $312$297$2.2k | — | — |
| Knee Arthroscopy with Meniscectomy | $3,332$1.9k$5.5k | — | — |
| Laparoscopic Appendectomy | $5,934$1.9k$8.3k | — | — |
| Laparoscopic Gallbladder Removal | $5,934$1.3k$8.3k | — | — |
| Laparoscopic Tubal Ligation | $5,934$1.7k$8.3k | — | — |
| Lipid Panel (Cholesterol Test) | $15$1$122 | $25 | $27 |
| Lumbar Epidural Steroid Injection | $711$432$2.2k | $384 | $1,240 |
| Lumbar Puncture (Spinal Tap) | $711$432$2.2k | $322 | $1,039 |
| Lumbar Spinal Fusion (Posterior) | $18,524$1.9k$28k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,857$1.4k$4.0k | — | — |
| MRI Abdomen with and without Contrast | $367$239$2.3k | $783 | $2,526 |
| MRI Brain with and without Contrast | $367$239$2.3k | $783 | $2,526 |
| MRI Brain with Contrast | $367$239$1.8k | $627 | $2,023 |
| MRI Brain without Contrast | $248$126$1.6k | $549 | $1,772 |
| MRI Cervical Spine (Neck) without Contrast | $248$126$2.1k | $729 | $2,350 |
| MRI Knee without Contrast | $248$126$987 | $481 | $1,551 |
| MRI Lower Back (Lumbar Spine) without Contrast | $248$126$2.1k | $729 | $2,350 |
| MRI Thoracic Spine (Mid-back) without Contrast | $248$126$2.1k | $729 | $2,350 |
| Newborn Circumcision | $2,063$926$4.0k | $638 | $2,058 |
| Nuclear Cardiac Stress Test | $1,341$460$4.6k | $368 | $1,187 |
| Office Visit, Established Patient (Level 3) | $102$23$236 | $51 | $165 |
| Office Visit, New Patient (Level 3) | $150$41$236 | $69 | $222 |
| Pacemaker Insertion (Dual Chamber) | $10,235$473$18k | $3,651 | $11,779 |
| PET/CT Scan, Whole Body | $1,498$739$5.2k | $1,595 | $5,147 |
| Pregnancy Ultrasound (Second or Third Trimester) | $109$63$596 | $205 | $662 |
| Prostate Biopsy | $2,063$882$3.5k | $638 | $2,058 |
| PSA Prostate Cancer Screening | $34$8$167 | $16 | $53 |
| Pulmonary Function Test with Bronchodilator | $320$49$448 | $84 | $270 |
| Rotator Cuff Repair (Arthroscopic) | $7,196$1.9k$8.3k | — | — |
| Screening Mammogram | $186$56$261 | $73 | $234 |
| Septoplasty (Deviated Septum Repair) | $3,289$1.4k$4.0k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,973$1.9k$7.1k | — | — |
| Skin Biopsy (Tangential) | $204$125$2.2k | $113 | $366 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,664$432$2.8k | — | — |
| Sleep Study (In-lab Polysomnography) | $1,045$190$2.5k | $875 | $2,822 |
| Spinal Cord Stimulator Trial | $6,739$1.7k$28k | — | — |
| Spirometry (Breathing Test) | $161$28$367 | $45 | $147 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,330$1.4k$4.0k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,959$1.4k$6.8k | — | — |
| Total Hip Replacement | $13,043$1.9k$20k | — | — |
| Total Knee Replacement | $13,043$1.9k$21k | — | — |
| Total Mastectomy | $6,633$1.9k$8.4k | — | — |
| TSH Thyroid Function Test | $19$1$152 | $34 | $48 |
| TURP (Transurethral Prostate Resection) | $5,121$1.3k$6.3k | — | — |
| Umbilical Hernia Repair | $2,953 | — | — |
| Upper GI Endoscopy (EGD) | $963$846$2.6k | — | — |
| Urinalysis with Microscopy | $4$1$29 | $10 | $32 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,780$1.6k$3.3k | — | — |
| Vaginal Delivery (Global Package) | $2,780$1.6k$3.3k | — | — |
| Vaginal Hysterectomy | $4,972$1.7k$5.5k | — | — |
| Vasectomy | $2,104$1.4k$4.0k | — | — |
| Vitamin D Blood Test | $33$13$102 | $26 | $83 |