| Abdominal Hysterectomy | $4,200$1.5k$9.7k | — | — |
| ACL Reconstruction (Arthroscopic) | $7,155$456$15k | — | — |
| Allergy Skin Testing | $1,050$15$4.3k | — | — |
| Basic Metabolic Panel | $17$4$277 | $99 | $299 |
| Bone Marrow Biopsy | $1,623$96$5.1k | $1,503 | $4,555 |
| Breast Biopsy (Ultrasound-guided) | $1,736$297$7.8k | $1,325 | $4,016 |
| Bunion Correction Surgery | $3,250$456$9.7k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $12,843$2.0k$49k | $6,520 | $19,758 |
| Cardiac Catheterization (Left Heart) | $3,479$777$21k | $2,565 | $7,774 |
| Cardiac Stress Test (Treadmill) | $293$170$740 | — | — |
| Carpal Tunnel Release Surgery | $1,956$398$7.2k | — | — |
| Cataract Surgery with Lens Implant | $2,284$850$12k | — | — |
| Cervical Spinal Fusion (Anterior) | $7,568$1.2k$26k | — | — |
| Cesarean Delivery (Global Package) | $3,984$2.9k$7.7k | — | — |
| Chemotherapy Infusion (First Hour) | $355$116$6.1k | $381 | $1,156 |
| Chest X-ray (2 Views) | $344$29$932 | $353 | $1,070 |
| Colonoscopy with Biopsy | $1,275$398$7.2k | $1,033 | $3,130 |
| Complete Abdominal Ultrasound | $277$53$4.7k | $1,212 | $3,673 |
| Complete Blood Count (CBC) with Differential | $16$4$379 | $143 | $435 |
| Comprehensive Metabolic Panel | $21$5$401 | $156 | $472 |
| Coronary Angioplasty with Stent | $10,420$1.6k$23k | $5,290 | $16,031 |
| Critical Care, First Hour | $928$844$6.2k | $1,664 | $5,043 |
| CT Abdomen and Pelvis with Contrast | $487$179$2.3k | $757 | $2,293 |
| CT Cardiac Calcium Scoring | $176$44$2.0k | $176 | $535 |
| CT Chest without Contrast | $213$53$2.0k | $380 | $1,153 |
| CT Head without Contrast | $141$53$2.0k | $417 | $1,265 |
| DEXA Bone Density Scan | $143$40$2.9k | $824 | $2,496 |
| Diagnostic Colonoscopy | $986$329$7.2k | $999 | $3,027 |
| Diagnostic Mammogram (Both Breasts) | $300$39$850 | $330 | $1,000 |
| Ear Tube Placement (Tympanostomy) | $1,484$421$7.8k | — | — |
| Echocardiogram (Complete with Doppler) | $1,074$195$7.6k | $2,791 | $8,458 |
| EKG (Electrocardiogram, 12-lead) | $76$38$224 | — | — |
| Emergency Room Visit (Level 3) | $297$55$2.5k | $413 | $1,253 |
| Group Therapy Session | $93$58$185 | — | — |
| Hemodialysis Treatment | $640$503$1.0k | — | — |
| Hemoglobin A1c (Diabetes Test) | $47$5$342 | $130 | $395 |
| HIV Antibody Test | $9$4$92 | $36 | $108 |
| Holter Monitor (24-48 Hour Heart Monitor) | $386$200$1.3k | — | — |
| Home Sleep Study | $171$157$4.7k | — | — |
| Individual Therapy Session (45 Minutes) | $163$161$322 | — | — |
| Inguinal Hernia Repair (Open) | $3,535$562$9.7k | — | — |
| Initial Hospital Admission (Level 1) | $463$177$4.6k | — | — |
| Initial Psychiatric Diagnostic Evaluation | $163$161$322 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $163$161$334 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $608$290$5.9k | — | — |
| IUD Insertion | $1,540$77$5.0k | — | — |
| IUD Removal | $305$37$5.1k | $266 | $807 |
| Knee Arthroscopy with Meniscectomy | $3,250$562$10k | — | — |
| Laparoscopic Appendectomy | $6,311$4.0k$15k | — | — |
| Laparoscopic Gallbladder Removal | $5,844$816$15k | — | — |
| Laparoscopic Tubal Ligation | $5,844$642$15k | — | — |
| Lipid Panel (Cholesterol Test) | $14$7$264 | $102 | $310 |
| Lumbar Epidural Steroid Injection | $749$220$5.1k | $992 | $3,006 |
| Lumbar Puncture (Spinal Tap) | $1,068$263$5.1k | $1,399 | $4,240 |
| Lumbar Spinal Fusion (Posterior) | $7,598$1.2k$37k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,835$456$7.8k | — | — |
| MRI Abdomen with and without Contrast | $715$179$9.8k | $3,107 | $9,417 |
| MRI Brain with and without Contrast | $1,364$179$2.7k | $912 | $2,764 |
| MRI Brain with Contrast | $1,259$179$2.4k | $775 | $2,347 |
| MRI Brain without Contrast | $1,117$121$2.4k | $624 | $1,890 |
| MRI Cervical Spine (Neck) without Contrast | $484$121$5.6k | $2,034 | $6,163 |
| MRI Knee without Contrast | $484$121$3.5k | $1,088 | $3,297 |
| MRI Lower Back (Lumbar Spine) without Contrast | $484$121$6.8k | $2,167 | $6,568 |
| MRI Thoracic Spine (Mid-back) without Contrast | $484$121$6.8k | $2,167 | $6,568 |
| Newborn Circumcision | $2,052$145$6.3k | $945 | $2,865 |
| Nuclear Cardiac Stress Test | $1,756$454$10k | $3,959 | $11,998 |
| Office Visit, Established Patient (Level 3) | $149$13$1.4k | $188 | $571 |
| Office Visit, New Patient (Level 3) | $186$24$1.4k | $201 | $609 |
| Pacemaker Insertion (Dual Chamber) | $8,985$642$28k | $3,706 | $11,231 |
| PET/CT Scan, Whole Body | $1,970$730$8.7k | $3,368 | $10,205 |
| Pregnancy Ultrasound (Second or Third Trimester) | $290$53$2.0k | $710 | $2,151 |
| Prostate Biopsy | $2,175$398$8.9k | $3,170 | $9,605 |
| PSA Prostate Cancer Screening | $88$9$564 | $215 | $651 |
| Pulmonary Function Test with Bronchodilator | $522$74$4.0k | $1,566 | $4,744 |
| Rotator Cuff Repair (Arthroscopic) | $7,155$456$15k | — | — |
| Screening Mammogram | $273$39$849 | $275 | $835 |
| Septoplasty (Deviated Septum Repair) | $3,248$562$8.2k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,858$642$14k | — | — |
| Skin Biopsy (Tangential) | $199$59$11k | $189 | $573 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,623$74$11k | — | — |
| Sleep Study (In-lab Polysomnography) | $1,111$1.0k$4.7k | — | — |
| Spinal Cord Stimulator Trial | $6,574$398$16k | — | — |
| Spirometry (Breathing Test) | $284$74$2.0k | $780 | $2,365 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,248$642$8.8k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,925$398$12k | — | — |
| Total Hip Replacement | $12,888$3.7k$26k | — | — |
| Total Knee Replacement | $12,888$3.7k$26k | — | — |
| Total Mastectomy | $6,246$562$13k | — | — |
| TSH Thyroid Function Test | $247$8$638 | $163 | $494 |
| TURP (Transurethral Prostate Resection) | $5,092$562$13k | — | — |
| Upper GI Endoscopy (EGD) | $939$297$5.1k | $396 | $1,201 |
| Urinalysis with Microscopy | $6$2$662 | $221 | $669 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $3,829$2.9k$7.7k | — | — |
| Vaginal Delivery (Global Package) | $3,724$2.9k$7.7k | — | — |
| Vaginal Hysterectomy | $4,944$1.2k$16k | — | — |
| Vasectomy | $2,052$297$7.2k | — | — |
| Vitamin D Blood Test | $128$15$542 | $136 | $412 |