| Abdominal Hysterectomy | $1,066$816$4.7k | $1,040 | $1,110 |
| ACL Reconstruction (Arthroscopic) | $3,076$725$7.5k | — | — |
| Allergy Skin Testing | $11$4$1.0k | $17 | $17 |
| Basic Metabolic Panel | $8$7$129 | $8 | $199 |
| Bone Marrow Biopsy | $525$96$1.6k | $1,526 | $1,526 |
| Breast Biopsy (Ultrasound-guided) | $726$486$1.8k | $1,983 | $1,983 |
| Bunion Correction Surgery | $1,995$725$4.7k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $6,932$1.5k$25k | $27,239 | $27,239 |
| Cardiac Catheterization (Left Heart) | $1,454$1.1k$5.2k | $4,335 | $4,335 |
| Carpal Tunnel Release Surgery | $1,337$660$3.3k | — | — |
| Cataract Surgery with Lens Implant | $1,400$787$3.3k | $2,659 | $3,123 |
| Cervical Spinal Fusion (Anterior) | $5,363$1.2k$14k | — | — |
| Cesarean Delivery (Global Package) | $2,913$2.8k$3.2k | $2,801 | $4,206 |
| Chemotherapy Infusion (First Hour) | $222$108$335 | $319 | $427 |
| Chest X-ray (2 Views) | $88$34$190 | $86 | $292 |
| Colonoscopy with Biopsy | $660$429$1.7k | $3,104 | $3,104 |
| Complete Abdominal Ultrasound | $109$88$536 | $104 | $824 |
| Complete Blood Count (CBC) with Differential | $8$7$103 | $8 | $151 |
| Comprehensive Metabolic Panel | $11$9$347 | $11 | $534 |
| Coronary Angioplasty with Stent | $3,994$1.4k$14k | $15,462 | $15,462 |
| Critical Care, First Hour | $224$214$878 | $214 | $346 |
| CT Abdomen and Pelvis with Contrast | $362$318$3.4k | $362 | $5,193 |
| CT Cardiac Calcium Scoring | $87$50$142 | $86 | $113 |
| CT Chest without Contrast | $109$104$1.3k | $104 | $1,932 |
| CT Head without Contrast | $109$104$1.2k | $104 | $1,856 |
| DEXA Bone Density Scan | $78$38$367 | $104 | $564 |
| Diagnostic Colonoscopy | $660$329$1.7k | $3,104 | $3,104 |
| Diagnostic Mammogram (Both Breasts) | $114$76$241 | $109 | $303 |
| Ear Tube Placement (Tympanostomy) | $789$421$1.7k | $1,556 | $1,674 |
| Echocardiogram (Complete with Doppler) | $261$193$662 | $520 | $901 |
| EKG (Electrocardiogram, 12-lead) | $13$12$15 | $14 | $19 |
| Emergency Room Visit (Level 3) | $71$51$497 | $71 | $101 |
| Group Therapy Session | $26$19$102 | $25 | $39 |
| Hemodialysis Treatment | $206$137$434 | $543 | $543 |
| Hemoglobin A1c (Diabetes Test) | $10$8$58 | $10 | $89 |
| HIV Antibody Test | $9$7$24 | $9 | $18 |
| Individual Therapy Session (45 Minutes) | $93$47$158 | $93 | $131 |
| Inguinal Hernia Repair (Open) | $2,237$825$4.7k | — | — |
| Initial Hospital Admission (Level 1) | $77$70$87 | $83 | $157 |
| Initial Psychiatric Diagnostic Evaluation | $127$47$158 | $146 | $196 |
| Initial Psychiatric Evaluation with Medication Management | $145$47$176 | $168 | $219 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $486$188$2.1k | $555 | $747 |
| IUD Insertion | $202$49$1.3k | $416 | $416 |
| IUD Removal | $109$47$1.3k | $302 | $194 |
| Knee Arthroscopy with Meniscectomy | $2,076$825$4.7k | — | — |
| Laparoscopic Appendectomy | $3,094$789$6.0k | — | — |
| Laparoscopic Gallbladder Removal | $3,557$1.1k$6.0k | — | — |
| Laparoscopic Tubal Ligation | $1,946$930$6.0k | $5,038 | $5,038 |
| Lipid Panel (Cholesterol Test) | $13$11$115 | $13 | $177 |
| Lumbar Epidural Steroid Injection | $485$188$1.5k | $699 | $746 |
| Lumbar Puncture (Spinal Tap) | $361$51$1.5k | $652 | $898 |
| Lumbar Spinal Fusion (Posterior) | $3,292$950$14k | — | — |
| Lumpectomy (Partial Mastectomy) | $2,041$725$3.7k | — | — |
| MRI Abdomen with and without Contrast | $381$355$4.2k | $362 | $6,466 |
| MRI Brain with and without Contrast | $381$333$3.6k | $362 | $5,563 |
| MRI Brain with Contrast | $381$283$3.0k | $362 | $4,632 |
| MRI Brain without Contrast | $242$204$2.6k | $231 | $2,216 |
| MRI Cervical Spine (Neck) without Contrast | $242$198$2.7k | $231 | $2,257 |
| MRI Knee without Contrast | $242$211$2.0k | $231 | $3,057 |
| MRI Lower Back (Lumbar Spine) without Contrast | $242$199$2.8k | $231 | $4,261 |
| MRI Thoracic Spine (Mid-back) without Contrast | $242$198$2.9k | $231 | $4,483 |
| Newborn Circumcision | $672$525$3.3k | $2,207 | $2,495 |
| Nuclear Cardiac Stress Test | $953$853$2.3k | $1,338 | $3,479 |
| Office Visit, Established Patient (Level 3) | $40$11$172 | $93 | $93 |
| Office Visit, New Patient (Level 3) | $65$17$86 | $82 | $119 |
| Pacemaker Insertion (Dual Chamber) | $6,451$950$14k | $17,875 | $17,875 |
| PET/CT Scan, Whole Body | $1,489$1.1k$3.1k | $1,474 | $1,888 |
| Pregnancy Ultrasound (Second or Third Trimester) | $109$67$474 | $104 | $729 |
| Prostate Biopsy | $726$629$2.3k | $2,207 | $2,495 |
| PSA Prostate Cancer Screening | $18$7$50 | $15 | $42 |
| Pulmonary Function Test with Bronchodilator | $106$28$311 | $162 | $241 |
| Rotator Cuff Repair (Arthroscopic) | $3,217$930$7.5k | — | — |
| Screening Mammogram | $90$35$199 | $90 | $139 |
| Septoplasty (Deviated Septum Repair) | $1,806$825$3.3k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $2,870$930$6.5k | — | — |
| Skin Biopsy (Tangential) | $68$31$1.3k | $189 | $209 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $500$68$1.6k | $1,528 | $1,032 |
| Spinal Cord Stimulator Trial | $3,766$726$8.1k | $7,676 | $8,908 |
| Spirometry (Breathing Test) | $57$19$210 | $83 | $173 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $1,866$930$3.3k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $2,041$725$5.8k | — | — |
| Total Hip Replacement | $1,397$950$1.9k | — | — |
| Total Knee Replacement | $1,397$950$14k | — | — |
| Total Mastectomy | $2,810$825$6.4k | — | — |
| TSH Thyroid Function Test | $17$4$139 | $11 | $110 |
| TURP (Transurethral Prostate Resection) | $2,718$825$5.2k | — | — |
| Umbilical Hernia Repair | $1,093$825$1.1k | — | — |
| Upper GI Endoscopy (EGD) | $525$335$1.7k | $3,407 | $3,407 |
| Urinalysis with Microscopy | $3$3$55 | $3 | $84 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,757$2.6k$3.0k | $2,643 | $3,982 |
| Vaginal Delivery (Global Package) | $2,618$2.5k$2.9k | $2,508 | $3,794 |
| Vaginal Hysterectomy | $898$680$5.5k | $855 | $1,323 |
| Vasectomy | $812$653$3.3k | $2,524 | $3,129 |
| Vitamin D Blood Test | $30$25$92 | $30 | $142 |