| 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$4$118 | $39 | $131 |
| Bone Marrow Biopsy | $1,575$432$2.2k | $705 | $2,350 |
| Breast Biopsy (Ultrasound-guided) | $1,553$882$2.7k | $857 | $2,856 |
| Bunion Correction Surgery | $3,066$1.8k$5.5k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $17,896$2.4k$28k | $4,734 | $15,781 |
| Cardiac Catheterization (Left Heart) | $4,568$2.2k$6.3k | $1,580 | $5,266 |
| Cardiac Stress Test (Treadmill) | $117$78$868 | — | — |
| Carpal Tunnel Release Surgery | $1,872$1.4k$4.1k | — | — |
| Cataract Surgery with Lens Implant | $2,187$1.4k$5.1k | — | — |
| Cervical Spinal Fusion (Anterior) | $12,101$1.9k$12k | — | — |
| Cesarean Delivery (Global Package) | $2,231$1.6k$3.3k | — | — |
| Chemotherapy Infusion (First Hour) | $192$138$718 | $152 | $506 |
| Chest X-ray (2 Views) | $118$23$164 | $74 | $248 |
| Colonoscopy with Biopsy | $1,130$882$2.3k | — | — |
| Complete Abdominal Ultrasound | $158$92$159 | $268 | $894 |
| Complete Blood Count (CBC) with Differential | $8$4$81 | $27 | $90 |
| Comprehensive Metabolic Panel | $11$5$211 | $70 | $234 |
| Coronary Angioplasty with Stent | $10,666$1.9k$11k | $5,048 | $16,826 |
| Critical Care, First Hour | $1,464$368$3.9k | $396 | $1,320 |
| CT Abdomen and Pelvis with Contrast | $373$259$783 | $792 | $2,640 |
| CT Cardiac Calcium Scoring | $269$85$617 | $36 | $120 |
| CT Chest without Contrast | $269$114$617 | $477 | $1,590 |
| CT Head without Contrast | $269$83$617 | $374 | $1,245 |
| DEXA Bone Density Scan | $118$34$230 | $101 | $338 |
| Diagnostic Colonoscopy | $874$797$2.6k | — | — |
| Diagnostic Mammogram (Both Breasts) | $246$135$247 | $104 | $348 |
| Ear Tube Placement (Tympanostomy) | $1,420$882$2.7k | — | — |
| Echocardiogram (Complete with Doppler) | $526$140$1.1k | $223 | $745 |
| EKG (Electrocardiogram, 12-lead) | $24$18$234 | — | — |
| Emergency Room Visit (Level 3) | $950$215$2.0k | $225 | $750 |
| Group Therapy Session | $89$35$89 | — | — |
| Hemodialysis Treatment | $384$101$508 | — | — |
| Hemoglobin A1c (Diabetes Test) | $10$4$88 | $29 | $98 |
| HIV Antibody Test | $12$4$19 | $7 | $24 |
| Holter Monitor (24-48 Hour Heart Monitor) | $129$95$682 | — | — |
| Home Sleep Study | $809$688$988 | $99 | $331 |
| Individual Therapy Session (45 Minutes) | $154$63$154 | — | — |
| Inguinal Hernia Repair (Open) | $3,319$1.3k$5.5k | — | — |
| Initial Hospital Admission (Level 1) | $3,158$135$4.9k | $56 | $185 |
| Initial Psychiatric Diagnostic Evaluation | $154$53$225 | $75 | $250 |
| Initial Psychiatric Evaluation with Medication Management | $154$63$270 | $90 | $300 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $555$172$868 | — | — |
| IUD Insertion | $416$138$2.2k | — | — |
| IUD Removal | $292$278$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$6$122 | $41 | $135 |
| Lumbar Epidural Steroid Injection | $1,477$432$1.8k | $372 | $1,240 |
| Lumbar Puncture (Spinal Tap) | $664$432$1.8k | — | — |
| Lumbar Spinal Fusion (Posterior) | $17,296$1.9k$28k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,601$1.4k$4.1k | — | — |
| MRI Abdomen with and without Contrast | $603$329$987 | $758 | $2,526 |
| MRI Brain with and without Contrast | $603$292$987 | $758 | $2,526 |
| MRI Brain with Contrast | $603$256$987 | $607 | $2,023 |
| MRI Brain without Contrast | $470$173$987 | $532 | $1,772 |
| MRI Cervical Spine (Neck) without Contrast | $470$166$987 | $705 | $2,350 |
| MRI Knee without Contrast | $232$105$987 | $465 | $1,551 |
| MRI Lower Back (Lumbar Spine) without Contrast | $470$167$987 | $705 | $2,350 |
| MRI Thoracic Spine (Mid-back) without Contrast | $470$167$987 | $705 | $2,350 |
| Newborn Circumcision | $1,737$1.2k$4.1k | $617 | $2,058 |
| Nuclear Cardiac Stress Test | $2,608$460$4.3k | $677 | $2,257 |
| Office Visit, Established Patient (Level 3) | $65$23$97 | $32 | $108 |
| Pacemaker Insertion (Dual Chamber) | $3,885$1.9k$18k | $3,534 | $11,779 |
| PET/CT Scan, Whole Body | $1,398$616$5.2k | $1,609 | $5,364 |
| Pregnancy Ultrasound (Second or Third Trimester) | $177$103$179 | $199 | $662 |
| Prostate Biopsy | $1,964$882$2.7k | — | — |
| PSA Prostate Cancer Screening | $19$8$167 | $56 | $185 |
| Pulmonary Function Test with Bronchodilator | $257$214$371 | $92 | $307 |
| Rotator Cuff Repair (Arthroscopic) | $6,719$1.9k$8.4k | — | — |
| Screening Mammogram | $194$112$245 | $70 | $234 |
| Septoplasty (Deviated Septum Repair) | $3,109$1.4k$4.1k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,511$1.9k$6.6k | — | — |
| Skin Biopsy (Tangential) | $416$138$1.9k | $187 | $623 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,553$432$2.2k | — | — |
| Sleep Study (In-lab Polysomnography) | $1,825$1.6k$2.2k | $847 | $2,822 |
| Spinal Cord Stimulator Trial | $6,292$1.7k$28k | — | — |
| Spirometry (Breathing Test) | $257$214$371 | $55 | $184 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,109$1.4k$4.1k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,564$1.4k$5.7k | — | — |
| Total Hip Replacement | $12,219$1.9k$21k | — | — |
| Total Knee Replacement | $12,219$1.9k$21k | — | — |
| Total Mastectomy | $6,134$1.9k$8.4k | — | — |
| TSH Thyroid Function Test | $18$8$152 | $51 | $169 |
| 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 | $2,231$1.6k$3.3k | — | — |
| Vaginal Delivery (Global Package) | $2,231$1.6k$3.3k | — | — |
| Vaginal Hysterectomy | $4,643$1.7k$5.5k | — | — |
| Vasectomy | $1,964$1.4k$4.1k | — | — |
| Vitamin D Blood Test | $41$13$62 | $34 | $113 |