| Abdominal Hysterectomy | $3,295$1.7k$5.5k | — | — |
| ACL Reconstruction (Arthroscopic) | $6,719$1.8k$8.4k | — | — |
| Allergy Skin Testing | $975$132$975 | — | — |
| Basic Metabolic Panel | $9$1$118 | $41 | $66 |
| Bone Marrow Biopsy | $1,553$125$2.2k | $729 | $2,350 |
| Breast Biopsy (Ultrasound-guided) | $1,553$1.1k$2.7k | $885 | $2,856 |
| Bunion Correction Surgery | $3,052$1.8k$5.5k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $20,702$2.4k$28k | $4,892 | $15,781 |
| Cardiac Catheterization (Left Heart) | $3,084$2.3k$9.3k | $1,632 | $5,266 |
| Cardiac Stress Test (Treadmill) | $117$78$868 | — | — |
| Carpal Tunnel Release Surgery | $1,872$1.6k$4.1k | — | — |
| Cataract Surgery with Lens Implant | $2,187$1.6k$5.1k | — | — |
| Cervical Spinal Fusion (Anterior) | $12,101$1.9k$12k | — | — |
| Cesarean Delivery (Global Package) | $2,221$1.6k$3.3k | — | — |
| Chemotherapy Infusion (First Hour) | $318$138$718 | $155 | $499 |
| Chest X-ray (2 Views) | $84$23$223 | $77 | $248 |
| Colonoscopy with Biopsy | $1,130$1.0k$2.3k | — | — |
| Complete Abdominal Ultrasound | $102$53$805 | $277 | $894 |
| Complete Blood Count (CBC) with Differential | $8$1$81 | $28 | $46 |
| Comprehensive Metabolic Panel | $11$1$211 | $73 | $118 |
| Coronary Angioplasty with Stent | $10,666$1.9k$11k | $2,682 | $8,652 |
| Critical Care, First Hour | $808$368$3.9k | $409 | $1,320 |
| CT Abdomen and Pelvis with Contrast | $342$124$2.4k | $818 | $2,640 |
| CT Cardiac Calcium Scoring | $84$28$617 | $37 | $120 |
| CT Chest without Contrast | $102$53$1.4k | $493 | $1,590 |
| CT Head without Contrast | $102$53$1.1k | $386 | $1,245 |
| DEXA Bone Density Scan | $102$34$304 | $105 | $338 |
| Diagnostic Colonoscopy | $874$797$2.6k | — | — |
| Diagnostic Mammogram (Both Breasts) | $243$57$313 | $108 | $348 |
| Ear Tube Placement (Tympanostomy) | $1,420$1.1k$2.7k | — | — |
| Echocardiogram (Complete with Doppler) | $526$140$1.1k | $231 | $745 |
| EKG (Electrocardiogram, 12-lead) | $24$18$234 | — | — |
| Emergency Room Visit (Level 3) | $265$215$2.0k | $233 | $750 |
| Group Therapy Session | $70$18$89 | $36 | $115 |
| Hemodialysis Treatment | $384$101$508 | — | — |
| Hemoglobin A1c (Diabetes Test) | $10$1$88 | $30 | $50 |
| HIV Antibody Test | $9$4$22 | $7 | $24 |
| Holter Monitor (24-48 Hour Heart Monitor) | $129$95$682 | — | — |
| Home Sleep Study | $150$64$988 | — | — |
| Individual Therapy Session (45 Minutes) | $143$39$184 | $63 | $204 |
| Inguinal Hernia Repair (Open) | $3,319$1.3k$5.5k | — | — |
| Initial Hospital Admission (Level 1) | $160$83$4.9k | $64 | $205 |
| Initial Psychiatric Diagnostic Evaluation | $154$53$248 | $81 | $263 |
| Initial Psychiatric Evaluation with Medication Management | $154$63$270 | $98 | $315 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $555$190$3.1k | $1,065 | $3,437 |
| IUD Insertion | $416$138$2.2k | — | — |
| IUD Removal | $292$216$1.8k | — | — |
| Knee Arthroscopy with Meniscectomy | $3,111$1.9k$5.5k | — | — |
| Laparoscopic Appendectomy | $5,487$1.9k$8.4k | — | — |
| Laparoscopic Gallbladder Removal | $5,487$1.3k$8.4k | — | — |
| Laparoscopic Tubal Ligation | $5,487$1.7k$8.4k | — | — |
| Lipid Panel (Cholesterol Test) | $14$1$122 | $25 | $27 |
| Lumbar Epidural Steroid Injection | $664$475$1.8k | $384 | $1,240 |
| Lumbar Puncture (Spinal Tap) | $664$468$1.8k | $322 | $1,039 |
| Lumbar Spinal Fusion (Posterior) | $17,296$1.9k$28k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,601$1.6k$4.1k | — | — |
| MRI Abdomen with and without Contrast | $342$199$2.3k | $783 | $2,526 |
| MRI Brain with and without Contrast | $342$199$2.3k | $783 | $2,526 |
| MRI Brain with Contrast | $342$199$1.8k | $627 | $2,023 |
| MRI Brain without Contrast | $232$105$1.6k | $549 | $1,772 |
| MRI Cervical Spine (Neck) without Contrast | $232$105$2.1k | $729 | $2,350 |
| MRI Knee without Contrast | $232$105$987 | $481 | $1,551 |
| MRI Lower Back (Lumbar Spine) without Contrast | $232$105$2.1k | $729 | $2,350 |
| MRI Thoracic Spine (Mid-back) without Contrast | $232$105$2.1k | $729 | $2,350 |
| Newborn Circumcision | $1,927$926$4.1k | $638 | $2,058 |
| Nuclear Cardiac Stress Test | $1,252$460$4.3k | $368 | $1,187 |
| Office Visit, Established Patient (Level 3) | $99$23$237 | $51 | $165 |
| Office Visit, New Patient (Level 3) | $150$41$237 | $69 | $222 |
| Pacemaker Insertion (Dual Chamber) | $9,843$475$18k | $3,651 | $11,779 |
| PET/CT Scan, Whole Body | $1,398$616$5.2k | $1,595 | $5,147 |
| Pregnancy Ultrasound (Second or Third Trimester) | $102$53$596 | $205 | $662 |
| Prostate Biopsy | $1,927$926$2.7k | $638 | $2,058 |
| PSA Prostate Cancer Screening | $34$8$167 | $16 | $53 |
| Pulmonary Function Test with Bronchodilator | $299$49$448 | $84 | $270 |
| Rotator Cuff Repair (Arthroscopic) | $6,719$1.9k$8.4k | — | — |
| Screening Mammogram | $186$47$243 | $73 | $234 |
| Septoplasty (Deviated Septum Repair) | $3,109$1.6k$4.1k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,511$1.9k$6.6k | — | — |
| Skin Biopsy (Tangential) | $191$125$1.9k | $113 | $366 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,553$865$2.2k | — | — |
| Sleep Study (In-lab Polysomnography) | $975$190$2.5k | $875 | $2,822 |
| Spinal Cord Stimulator Trial | $6,292$1.7k$28k | — | — |
| Spirometry (Breathing Test) | $150$28$371 | $45 | $147 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,109$1.6k$4.1k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,564$1.6k$5.7k | — | — |
| Total Hip Replacement | $12,219$1.9k$20k | — | — |
| Total Knee Replacement | $12,219$1.9k$21k | — | — |
| Total Mastectomy | $6,134$1.9k$8.4k | — | — |
| TSH Thyroid Function Test | $18$1$152 | $34 | $48 |
| TURP (Transurethral Prostate Resection) | $4,781$1.3k$6.3k | — | — |
| Umbilical Hernia Repair | $2,834 | — | — |
| Upper GI Endoscopy (EGD) | $899$790$2.6k | — | — |
| Urinalysis with Microscopy | $3$1$29 | $10 | $32 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,221$1.6k$3.3k | — | — |
| Vaginal Delivery (Global Package) | $2,221$1.6k$3.3k | — | — |
| Vaginal Hysterectomy | $4,643$1.7k$5.5k | — | — |
| Vasectomy | $1,964$1.6k$4.1k | — | — |
| Vitamin D Blood Test | $32$13$102 | $26 | $83 |