| Abdominal Hysterectomy | $2,226$2.1k$5.6k | — | — |
| ACL Reconstruction (Arthroscopic) | $1,539$1.5k$3.2k | — | — |
| Allergy Skin Testing | $974$3$1.4k | — | — |
| Basic Metabolic Panel | $8$6$130 | $75 | $250 |
| Bone Marrow Biopsy | $997$413$1.5k | $1,289 | $4,296 |
| Breast Biopsy (Ultrasound-guided) | $1,535$526$3.1k | $3,012 | $10,041 |
| Bunion Correction Surgery | $1,535$1.3k$3.1k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $10,278$51$14k | — | — |
| Cardiac Catheterization (Left Heart) | $8,875$560$12k | — | — |
| Cardiac Stress Test (Treadmill) | $141$101$162 | — | — |
| Carpal Tunnel Release Surgery | $3,391$692$6.1k | — | — |
| Cataract Surgery with Lens Implant | $2,916$876$3.3k | — | — |
| Cervical Spinal Fusion (Anterior) | $5,601$5.1k$6.1k | — | — |
| Cesarean Delivery (Global Package) | $2,215$2.1k$5.6k | — | — |
| Chemotherapy Infusion (First Hour) | $318$104$445 | — | — |
| Chest X-ray (2 Views) | $84$14$128 | $114 | $380 |
| Colonoscopy with Biopsy | $1,239$395$3.0k | $1,261 | $4,204 |
| Complete Abdominal Ultrasound | $107$48$406 | $469 | $1,563 |
| Complete Blood Count (CBC) with Differential | $8$5$130 | $71 | $236 |
| Comprehensive Metabolic Panel | $11$7$311 | $179 | $597 |
| Coronary Angioplasty with Stent | $13,569$490$17k | — | — |
| Critical Care, First Hour | $807$233$1.5k | $976 | $3,253 |
| CT Abdomen and Pelvis with Contrast | $349$193$3.1k | $1,810 | $6,034 |
| CT Cardiac Calcium Scoring | $87$23$563 | $101 | $337 |
| CT Chest without Contrast | $132$92$1.3k | $771 | $2,569 |
| CT Head without Contrast | $111$87$1.4k | $812 | $2,707 |
| DEXA Bone Density Scan | $102$35$179 | $161 | $538 |
| Diagnostic Colonoscopy | $873$395$3.0k | $1,261 | $4,204 |
| Diagnostic Mammogram (Both Breasts) | $126$87$319 | $244 | $814 |
| Ear Tube Placement (Tympanostomy) | $1,535$633$3.1k | — | — |
| Echocardiogram (Complete with Doppler) | $525$149$2.1k | $1,221 | $4,071 |
| EKG (Electrocardiogram, 12-lead) | $31$24$36 | — | — |
| Emergency Room Visit (Level 3) | $326$56$2.5k | $735 | $2,450 |
| Group Therapy Session | $89$23$124 | — | — |
| Hemodialysis Treatment | $168$160$176 | — | — |
| Hemoglobin A1c (Diabetes Test) | $10$7$73 | $42 | $140 |
| HIV Antibody Test | $9$6$382 | $167 | $558 |
| Holter Monitor (24-48 Hour Heart Monitor) | $168$150$193 | — | — |
| Home Sleep Study | $153$85$233 | — | — |
| Individual Therapy Session (45 Minutes) | $154$55$215 | — | — |
| Inguinal Hernia Repair (Open) | $1,974$1.3k$3.6k | — | — |
| Initial Hospital Admission (Level 1) | $92$58$97 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $154$55$215 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $154$55$215 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $554$251$1.4k | — | — |
| IUD Insertion | $2,176$26$5.6k | — | — |
| IUD Removal | $291$20$1.5k | — | — |
| Knee Arthroscopy with Meniscectomy | $1,974$1.1k$3.6k | — | — |
| Laparoscopic Appendectomy | $1,974$1.9k$3.6k | — | — |
| Laparoscopic Gallbladder Removal | $3,142$1.9k$5.1k | — | — |
| Laparoscopic Tubal Ligation | $2,286$1.9k$4.9k | — | — |
| Lipid Panel (Cholesterol Test) | $13$9$176 | $56 | $188 |
| Lumbar Epidural Steroid Injection | $663$597$1.5k | $984 | $3,280 |
| Lumbar Puncture (Spinal Tap) | $663$30$1.5k | $549 | $1,829 |
| Lumbar Spinal Fusion (Posterior) | $2,220$2.1k$5.6k | — | — |
| Lumpectomy (Partial Mastectomy) | $1,535$1.1k$3.1k | — | — |
| MRI Abdomen with and without Contrast | $440$264$2.2k | $1,248 | $4,161 |
| MRI Brain with and without Contrast | $376$264$2.8k | $1,504 | $5,015 |
| MRI Brain with Contrast | $359$216$2.4k | $1,385 | $4,616 |
| MRI Brain without Contrast | $243$168$1.7k | $981 | $3,271 |
| MRI Cervical Spine (Neck) without Contrast | $243$168$1.7k | $977 | $3,256 |
| MRI Knee without Contrast | $253$168$1.7k | $974 | $3,247 |
| MRI Lower Back (Lumbar Spine) without Contrast | $243$168$1.7k | $977 | $3,256 |
| MRI Thoracic Spine (Mid-back) without Contrast | $243$168$1.7k | $977 | $3,256 |
| Newborn Circumcision | $980$39$1.5k | — | — |
| Nuclear Cardiac Stress Test | $931$217$2.0k | $1,179 | $3,931 |
| Office Visit, Established Patient (Level 3) | $47$36$50 | — | — |
| Office Visit, New Patient (Level 3) | $66$48$73 | — | — |
| Pacemaker Insertion (Dual Chamber) | $8,000$4.7k$18k | — | — |
| PET/CT Scan, Whole Body | $2,309$513$4.3k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $104$48$314 | $362 | $1,208 |
| Prostate Biopsy | $1,239$731$3.0k | — | — |
| PSA Prostate Cancer Screening | $18$13$113 | $63 | $211 |
| Pulmonary Function Test with Bronchodilator | $298$28$418 | $536 | $1,788 |
| Rotator Cuff Repair (Arthroscopic) | $2,286$2.2k$4.9k | — | — |
| Screening Mammogram | $104$72$264 | $190 | $632 |
| Septoplasty (Deviated Septum Repair) | $1,974$973$3.6k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $2,286$1.5k$4.9k | — | — |
| Skin Biopsy (Tangential) | $190$45$5.6k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $980$26$1.5k | — | — |
| Sleep Study (In-lab Polysomnography) | $974$156$1.4k | — | — |
| Spinal Cord Stimulator Trial | $3,142$2.6k$5.1k | — | — |
| Spirometry (Breathing Test) | $150$13$210 | $170 | $567 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $2,286$973$4.9k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $1,535$973$3.1k | — | — |
| Total Hip Replacement | $20,763$2.1k$28k | — | — |
| Total Knee Replacement | $21,555$2.1k$28k | — | — |
| Total Mastectomy | $1,974$1.5k$3.6k | — | — |
| TSH Thyroid Function Test | $17$12$129 | $67 | $223 |
| TURP (Transurethral Prostate Resection) | $1,974$1.6k$3.6k | — | — |
| Umbilical Hernia Repair | $2,214$1.3k$5.6k | — | — |
| Upper GI Endoscopy (EGD) | $898$373$1.5k | $1,093 | $3,644 |
| Urinalysis with Microscopy | $3$2$83 | $48 | $160 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,215$2.1k$5.6k | — | — |
| Vaginal Delivery (Global Package) | $2,215$2.1k$5.6k | — | — |
| Vaginal Hysterectomy | $3,151$2.0k$5.1k | — | — |
| Vasectomy | $1,218$96$3.0k | — | — |
| Vitamin D Blood Test | $30$21$142 | $78 | $260 |