| Abdominal Hysterectomy | $3,613$584$4.9k | — | — |
| ACL Reconstruction (Arthroscopic) | $4,015$584$6.9k | $9,072 | — |
| Allergy Skin Testing | $294$5$584 | $1,074 | — |
| Basic Metabolic Panel | $13$8$584 | $11 | $26 |
| Bone Marrow Biopsy | $1,427$223$4.9k | $2,065 | — |
| Breast Biopsy (Ultrasound-guided) | $1,477$584$4.9k | $2,065 | — |
| Bunion Correction Surgery | $3,881$584$4.9k | $4,091 | — |
| Cardiac Ablation for Atrial Fibrillation | $3,654$584$4.9k | $32,680 | — |
| Cardiac Catheterization (Left Heart) | $4,124$584$6.1k | $4,053 | — |
| Cardiac Stress Test (Treadmill) | $141$99$584 | — | — |
| Carpal Tunnel Release Surgery | $1,631$405$4.9k | $2,441 | $1,013 |
| Cataract Surgery with Lens Implant | $2,473$584$4.9k | $2,885 | — |
| Cervical Spinal Fusion (Anterior) | $4,232$584$14k | $16,052 | $10,159 |
| Cesarean Delivery (Global Package) | $1,887$584$3.2k | — | — |
| Chemotherapy Infusion (First Hour) | $240$175$584 | $413 | — |
| Chest X-ray (2 Views) | $24$24$584 | $109 | $269 |
| Colonoscopy with Biopsy | $1,477$584$4.9k | $1,496 | — |
| Complete Abdominal Ultrasound | $123$100$584 | $131 | — |
| Complete Blood Count (CBC) with Differential | $14$7$584 | $10 | $11 |
| Comprehensive Metabolic Panel | $16$10$584 | $14 | $26 |
| Coronary Angioplasty with Stent | $3,617$584$4.9k | $14,434 | — |
| Critical Care, First Hour | $500$416$584 | $1,033 | — |
| CT Abdomen and Pelvis with Contrast | $284$284$584 | $436 | $1,690 |
| CT Cardiac Calcium Scoring | $94$94$584 | $109 | — |
| CT Chest without Contrast | $171$109$584 | $131 | — |
| CT Head without Contrast | $99$88$584 | $131 | $906 |
| DEXA Bone Density Scan | $47$39$584 | $131 | — |
| Diagnostic Colonoscopy | $1,477$502$4.9k | $1,163 | — |
| Diagnostic Mammogram (Both Breasts) | $148$145$584 | — | — |
| Ear Tube Placement (Tympanostomy) | $1,635$193$4.9k | $1,940 | — |
| Echocardiogram (Complete with Doppler) | $296$169$584 | $683 | — |
| EKG (Electrocardiogram, 12-lead) | $31$21$584 | — | — |
| Emergency Room Visit (Level 3) | $339$94$584 | $341 | — |
| Group Therapy Session | $313$43$584 | $127 | — |
| Hemodialysis Treatment | $353$123$584 | — | — |
| Hemoglobin A1c (Diabetes Test) | $18$9$584 | $13 | $31 |
| HIV Antibody Test | $16$8$584 | $12 | $444 |
| Holter Monitor (24-48 Hour Heart Monitor) | $168$94$584 | — | — |
| Home Sleep Study | $198$76$584 | $270 | — |
| Individual Therapy Session (45 Minutes) | $372$160$584 | $222 | — |
| Inguinal Hernia Repair (Open) | $2,105$584$4.9k | $4,477 | — |
| Initial Hospital Admission (Level 1) | $343$101$584 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $414$244$584 | $222 | — |
| Initial Psychiatric Evaluation with Medication Management | $432$280$584 | $222 | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $484$484$584 | — | — |
| IUD Insertion | $1,100$120$4.9k | — | — |
| IUD Removal | $1,072$148$4.9k | $381 | — |
| Knee Arthroscopy with Meniscectomy | $2,105$584$4.9k | $4,091 | — |
| Laparoscopic Appendectomy | $1,635$584$6.9k | $7,559 | — |
| Laparoscopic Gallbladder Removal | $4,015$584$6.9k | $7,559 | — |
| Laparoscopic Tubal Ligation | $4,015$584$6.9k | $7,559 | — |
| Lipid Panel (Cholesterol Test) | $25$12$584 | $17 | $20 |
| Lumbar Epidural Steroid Injection | $683$270$4.9k | $883 | $675 |
| Lumbar Puncture (Spinal Tap) | $1,427$216$4.9k | $883 | — |
| Lumbar Spinal Fusion (Posterior) | $4,039$584$14k | $21,923 | $6,771 |
| Lumpectomy (Partial Mastectomy) | $2,829$584$4.9k | $4,895 | — |
| MRI Abdomen with and without Contrast | $497$307$584 | $436 | — |
| MRI Brain with and without Contrast | $340$277$584 | $436 | — |
| MRI Brain with Contrast | $297$245$584 | $436 | — |
| MRI Brain without Contrast | $209$167$584 | $298 | — |
| MRI Cervical Spine (Neck) without Contrast | $206$160$584 | $298 | $793 |
| MRI Knee without Contrast | $227$185$584 | $298 | — |
| MRI Lower Back (Lumbar Spine) without Contrast | $206$161$584 | $298 | $1,690 |
| MRI Thoracic Spine (Mid-back) without Contrast | $206$160$584 | $298 | $2,152 |
| Newborn Circumcision | $1,965$203$4.9k | $2,614 | — |
| Nuclear Cardiac Stress Test | $492$462$584 | $1,619 | — |
| Office Visit, Established Patient (Level 3) | $356$129$584 | — | — |
| Office Visit, New Patient (Level 3) | $371$158$584 | — | — |
| Pacemaker Insertion (Dual Chamber) | $3,613$584$9.2k | $13,068 | — |
| PET/CT Scan, Whole Body | $2,753$584$3.0k | $1,788 | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $118$116$584 | $131 | — |
| Prostate Biopsy | $2,115$584$4.9k | — | — |
| PSA Prostate Cancer Screening | $34$17$584 | $24 | $20 |
| Pulmonary Function Test with Bronchodilator | $85$43$584 | $467 | — |
| Rotator Cuff Repair (Arthroscopic) | $4,015$584$6.9k | $9,072 | — |
| Screening Mammogram | $122$119$584 | — | — |
| Septoplasty (Deviated Septum Repair) | $2,105$584$4.9k | $4,145 | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $3,881$368$4.9k | $8,824 | — |
| Skin Biopsy (Tangential) | $2,558$127$4.9k | $508 | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,616$166$4.9k | $2,065 | — |
| Sleep Study (In-lab Polysomnography) | $890$584$1.9k | $1,074 | — |
| Spinal Cord Stimulator Trial | $4,114$584$10k | $7,968 | $3,387 |
| Spirometry (Breathing Test) | $49$28$584 | $270 | — |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $2,829$365$4.9k | $4,145 | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $2,829$349$4.9k | $7,402 | — |
| Total Hip Replacement | $3,613$584$22k | $16,052 | $4,737 |
| Total Knee Replacement | $3,613$584$22k | $16,052 | $4,737 |
| Total Mastectomy | $2,105$584$4.9k | $8,302 | — |
| TSH Thyroid Function Test | $31$15$584 | $22 | $51 |
| TURP (Transurethral Prostate Resection) | $2,105$584$6.1k | $6,704 | — |
| Umbilical Hernia Repair | $1,026$584$1.1k | — | — |
| Upper GI Endoscopy (EGD) | $1,926$428$4.9k | $1,134 | — |
| Urinalysis with Microscopy | $6$3$584 | $4 | $11 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $1,104$584$3.0k | — | — |
| Vaginal Delivery (Global Package) | $1,104$584$2.9k | — | — |
| Vaginal Hysterectomy | $4,015$584$4.9k | $6,255 | — |
| Vasectomy | $2,153$462$4.9k | $2,614 | — |
| Vitamin D Blood Test | $55$27$584 | $38 | $10 |