| Abdominal Hysterectomy | $1,510$1.3k$4.8k | — | — |
| ACL Reconstruction (Arthroscopic) | $8,170$7.3k$12k | — | — |
| Allergy Skin Testing | $1,380$863$4.0k | — | — |
| Basic Metabolic Panel | $11$8$37 | $335 | $335 |
| Bone Marrow Biopsy | $1,709$140$4.8k | — | — |
| Breast Biopsy (Ultrasound-guided) | $1,868$1.7k$3.4k | $6,176 | $6,176 |
| Bunion Correction Surgery | $3,713$3.3k$7.1k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $29,427$26k$91k | — | — |
| Cardiac Catheterization (Left Heart) | $5,044$3.3k$5.8k | $16,680 | $16,680 |
| Cardiac Stress Test (Treadmill) | $300$279$321 | — | — |
| Carpal Tunnel Release Surgery | $2,313$2.0k$4.2k | — | — |
| Cataract Surgery with Lens Implant | $2,719$2.3k$6.1k | $19,639 | $19,639 |
| Cervical Spinal Fusion (Anterior) | $14,273$8.7k$21k | — | — |
| Cesarean Delivery (Global Package) | $3,477$3.0k$4.8k | — | — |
| Chemotherapy Infusion (First Hour) | $531$332$634 | — | — |
| Chest X-ray (2 Views) | $140$87$354 | $924 | $924 |
| Colonoscopy with Biopsy | $1,360$1.2k$3.0k | — | — |
| Complete Abdominal Ultrasound | $168$105$497 | $1,356 | $1,356 |
| Complete Blood Count (CBC) with Differential | $10$7$34 | $269 | $269 |
| Comprehensive Metabolic Panel | $14$10$47 | $460 | $460 |
| Coronary Angioplasty with Stent | $17,538$12k$20k | $47,730 | $47,730 |
| Critical Care, First Hour | $1,328$830$3.0k | $7,380 | $7,380 |
| CT Abdomen and Pelvis with Contrast | $561$350$2.0k | $9,769 | $9,769 |
| CT Cardiac Calcium Scoring | $140$87$354 | $659 | $659 |
| CT Chest without Contrast | $168$105$601 | $3,738 | $3,738 |
| CT Head without Contrast | $168$105$601 | $3,436 | $3,436 |
| DEXA Bone Density Scan | $118$105$168 | $568 | $568 |
| Diagnostic Colonoscopy | $1,045$934$2.2k | — | — |
| Diagnostic Mammogram (Both Breasts) | $168$105$533 | $982 | $982 |
| Ear Tube Placement (Tympanostomy) | $1,815$1.6k$3.0k | — | — |
| Echocardiogram (Complete with Doppler) | $582$522$878 | $3,329 | $3,329 |
| EKG (Electrocardiogram, 12-lead) | $72$67$77 | — | — |
| Emergency Room Visit (Level 3) | $439$274$989 | $1,470 | $1,470 |
| Group Therapy Session | — | $696 | $696 |
| Hemodialysis Treatment | — | $2,808 | $2,808 |
| Hemoglobin A1c (Diabetes Test) | $13$9$43 | $193 | $193 |
| HIV Antibody Test | $12$8$39 | $302 | $302 |
| Holter Monitor (24-48 Hour Heart Monitor) | $375$348$401 | — | — |
| Home Sleep Study | $346$217$398 | — | — |
| Individual Therapy Session (45 Minutes) | — | $640 | $640 |
| Inguinal Hernia Repair (Open) | $4,182$3.6k$7.1k | — | — |
| Initial Hospital Admission (Level 1) | $427$397$457 | — | — |
| Initial Psychiatric Diagnostic Evaluation | — | $640 | $640 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $4,267$4.0k$4.6k | — | — |
| IUD Insertion | $80$69$4.8k | — | — |
| IUD Removal | $315$65$4.8k | — | — |
| Knee Arthroscopy with Meniscectomy | $3,713$3.3k$7.1k | — | — |
| Laparoscopic Appendectomy | $6,255$4.8k$9.7k | — | — |
| Laparoscopic Gallbladder Removal | $6,699$6.0k$9.7k | — | — |
| Laparoscopic Tubal Ligation | $6,699$6.0k$9.7k | — | — |
| Lipid Panel (Cholesterol Test) | $18$12$59 | $324 | $324 |
| Lumbar Epidural Steroid Injection | $841$709$4.8k | — | — |
| Lumbar Puncture (Spinal Tap) | $841$709$4.8k | $3,192 | $3,192 |
| Lumbar Spinal Fusion (Posterior) | $17,375$8.7k$28k | — | — |
| Lumpectomy (Partial Mastectomy) | $4,266$3.8k$6.7k | — | — |
| MRI Abdomen with and without Contrast | $561$350$2.0k | $5,924 | $5,924 |
| MRI Brain with and without Contrast | $561$350$2.0k | $5,941 | $5,941 |
| MRI Brain with Contrast | $561$350$2.0k | $4,415 | $4,415 |
| MRI Brain without Contrast | $384$240$1.2k | $4,392 | $4,392 |
| MRI Cervical Spine (Neck) without Contrast | $384$240$1.2k | $4,260 | $4,260 |
| MRI Knee without Contrast | $384$240$1.2k | $4,057 | $4,057 |
| MRI Lower Back (Lumbar Spine) without Contrast | $384$240$1.2k | $4,346 | $4,346 |
| MRI Thoracic Spine (Mid-back) without Contrast | $384$240$1.2k | $4,162 | $4,162 |
| Newborn Circumcision | $2,388$2.1k$4.2k | — | — |
| Nuclear Cardiac Stress Test | $1,576$1.3k$2.1k | $8,442 | $8,442 |
| Office Visit, Established Patient (Level 3) | $215$200$230 | $361 | $361 |
| Office Visit, New Patient (Level 3) | $321$298$343 | $568 | $568 |
| Pacemaker Insertion (Dual Chamber) | $11,972$8.7k$17k | $49,479 | $49,479 |
| PET/CT Scan, Whole Body | $2,298$1.4k$7.4k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $168$105$406 | $1,489 | $1,489 |
| Prostate Biopsy | $2,551$2.2k$4.2k | — | — |
| PSA Prostate Cancer Screening | $24$17$81 | $326 | $326 |
| Pulmonary Function Test with Bronchodilator | $375$182$600 | $1,591 | $1,591 |
| Rotator Cuff Repair (Arthroscopic) | $8,170$7.3k$12k | — | — |
| Screening Mammogram | $133$83$441 | $793 | $793 |
| Septoplasty (Deviated Septum Repair) | $3,651$3.3k$6.1k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,675$6.8k$11k | — | — |
| Skin Biopsy (Tangential) | $421$95$4.8k | $942 | $942 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,709$111$4.8k | — | — |
| Sleep Study (In-lab Polysomnography) | $1,380$863$2.2k | $4,681 | $4,681 |
| Spinal Cord Stimulator Trial | $8,225$6.4k$10k | — | — |
| Spirometry (Breathing Test) | $347$217$613 | $574 | $574 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,651$3.3k$6.1k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,644$5.9k$9.5k | — | — |
| Total Hip Replacement | $14,273$4.8k$21k | — | — |
| Total Knee Replacement | $14,273$4.8k$21k | — | — |
| Total Mastectomy | $7,306$6.5k$11k | — | — |
| TSH Thyroid Function Test | $22$15$74 | $287 | $287 |
| TURP (Transurethral Prostate Resection) | $5,901$5.3k$8.7k | — | — |
| Umbilical Hernia Repair | $4,477$3.9k$4.8k | — | — |
| Upper GI Endoscopy (EGD) | $1,057$911$2.2k | — | — |
| Urinalysis with Microscopy | $4$3$14 | $132 | $132 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $3,291$2.9k$4.8k | — | — |
| Vaginal Delivery (Global Package) | $3,136$2.7k$4.8k | — | — |
| Vaginal Hysterectomy | $5,745$5.0k$8.7k | — | — |
| Vasectomy | $2,388$2.1k$4.2k | — | — |
| Vitamin D Blood Test | $39$27$131 | $354 | $354 |