| Abdominal Hysterectomy | $916$916$14k | — | — |
| ACL Reconstruction (Arthroscopic) | $6,862$6.8k$17k | — | — |
| Allergy Skin Testing | $968$968$1.0k | — | — |
| Basic Metabolic Panel | $23$8$66 | $41 | $75 |
| Bone Marrow Biopsy | $1,556$1.5k$4.8k | — | — |
| Breast Biopsy (Ultrasound-guided) | $2,216$1.2k$6.3k | $1,998 | $3,633 |
| Bunion Correction Surgery | $3,117$3.1k$14k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $23,333$13k$25k | — | — |
| Cardiac Catheterization (Left Heart) | $9,174$3.1k$16k | $8,800 | $16,000 |
| Cardiac Stress Test (Treadmill) | $68$68$73 | — | — |
| Carpal Tunnel Release Surgery | $1,876$1.9k$8.8k | — | — |
| Cataract Surgery with Lens Implant | $2,191$2.2k$8.8k | — | — |
| Cervical Spinal Fusion (Anterior) | $12,238$9.7k$17k | — | — |
| Cesarean Delivery (Global Package) | $2,312$2.3k$7.3k | — | — |
| Chemotherapy Infusion (First Hour) | $751$315$1.6k | $665 | $1,209 |
| Chest X-ray (2 Views) | $158$39$597 | $134 | $244 |
| Colonoscopy with Biopsy | $1,133$1.1k$6.3k | — | — |
| Complete Abdominal Ultrasound | $452$101$781 | $488 | $887 |
| Complete Blood Count (CBC) with Differential | $19$8$50 | $31 | $57 |
| Comprehensive Metabolic Panel | $28$11$88 | $55 | $100 |
| Coronary Angioplasty with Stent | $10,019$3.9k$17k | $6,458 | $11,741 |
| Critical Care, First Hour | $2,376$801$6.4k | $2,021 | $3,675 |
| CT Abdomen and Pelvis with Contrast | $1,353$340$3.1k | $1,926 | $3,502 |
| CT Cardiac Calcium Scoring | $65$12$1.6k | $37 | $67 |
| CT Chest without Contrast | $934$101$1.6k | $793 | $1,442 |
| CT Head without Contrast | $1,045$101$1.6k | $1,020 | $1,854 |
| DEXA Bone Density Scan | $343$48$597 | $304 | $552 |
| Diagnostic Colonoscopy | $876$867$6.3k | — | — |
| Diagnostic Mammogram (Both Breasts) | $198$126$513 | $321 | $583 |
| Ear Tube Placement (Tympanostomy) | $1,423$1.4k$6.3k | — | — |
| Echocardiogram (Complete with Doppler) | $988$515$2.4k | $1,488 | $2,706 |
| EKG (Electrocardiogram, 12-lead) | $13$13$14 | — | — |
| Emergency Room Visit (Level 3) | $711$263$4.2k | $605 | $1,100 |
| Group Therapy Session | $88$88$95 | — | — |
| Hemodialysis Treatment | $94$94$102 | — | — |
| Hemoglobin A1c (Diabetes Test) | $13$6$65 | $25 | $46 |
| HIV Antibody Test | $13$9$31 | $19 | $35 |
| Holter Monitor (24-48 Hour Heart Monitor) | $65$65$70 | — | — |
| Home Sleep Study | $150$149$4.1k | — | — |
| Individual Therapy Session (45 Minutes) | $153$153$165 | — | — |
| Inguinal Hernia Repair (Open) | $3,390$3.4k$14k | — | — |
| Initial Hospital Admission (Level 1) | $75$75$81 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $153$153$165 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $153$153$165 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,862$550$3.6k | $1,760 | $3,200 |
| IUD Insertion | $101$100$1.4k | — | — |
| IUD Removal | $683$289$1.4k | $616 | $1,120 |
| Knee Arthroscopy with Meniscectomy | $3,117$3.1k$14k | — | — |
| Laparoscopic Appendectomy | $5,549$5.5k$17k | — | — |
| Laparoscopic Gallbladder Removal | $5,549$5.5k$17k | — | — |
| Laparoscopic Tubal Ligation | $5,549$5.5k$17k | — | — |
| Lipid Panel (Cholesterol Test) | $60$13$119 | $65 | $118 |
| Lumbar Epidural Steroid Injection | $1,189$643$4.8k | $1,072 | $1,949 |
| Lumbar Puncture (Spinal Tap) | $687$352$4.8k | $587 | $1,068 |
| Lumbar Spinal Fusion (Posterior) | $17,491$9.7k$19k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,678$3.6k$8.8k | — | — |
| MRI Abdomen with and without Contrast | $2,008$340$4.4k | $2,723 | $4,950 |
| MRI Brain with and without Contrast | $1,958$340$4.0k | $2,475 | $4,500 |
| MRI Brain with Contrast | $1,741$340$3.1k | $1,925 | $3,500 |
| MRI Brain without Contrast | $1,616$230$2.4k | $1,375 | $2,500 |
| MRI Cervical Spine (Neck) without Contrast | $1,712$230$2.6k | $1,650 | $3,000 |
| MRI Knee without Contrast | $1,952$230$3.9k | $2,420 | $4,400 |
| MRI Lower Back (Lumbar Spine) without Contrast | $1,712$230$2.6k | $1,650 | $3,000 |
| MRI Thoracic Spine (Mid-back) without Contrast | $1,712$230$2.6k | $1,650 | $3,000 |
| Newborn Circumcision | $1,968$1.9k$8.8k | — | — |
| Nuclear Cardiac Stress Test | $2,086$610$4.7k | $2,933 | $5,333 |
| Office Visit, Established Patient (Level 3) | $105$85$158 | $99 | $180 |
| Office Visit, New Patient (Level 3) | $103$103$112 | — | — |
| Pacemaker Insertion (Dual Chamber) | $9,888$4.1k$22k | $6,798 | $12,360 |
| PET/CT Scan, Whole Body | $4,848$1.4k$8.1k | $4,400 | $8,000 |
| Pregnancy Ultrasound (Second or Third Trimester) | $549$101$1.1k | $666 | $1,211 |
| Prostate Biopsy | $1,968$1.9k$6.3k | — | — |
| PSA Prostate Cancer Screening | $38$18$92 | $57 | $104 |
| Pulmonary Function Test with Bronchodilator | $587$296$864 | $539 | $981 |
| Rotator Cuff Repair (Arthroscopic) | $6,862$6.8k$17k | — | — |
| Screening Mammogram | $187$119$422 | $264 | $480 |
| Septoplasty (Deviated Septum Repair) | $3,115$3.1k$8.8k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,650$6.6k$14k | — | — |
| Skin Biopsy (Tangential) | $287$155$1.4k | $259 | $470 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,277$1.2k$4.8k | $2,053 | $3,733 |
| Sleep Study (In-lab Polysomnography) | $2,785$478$4.6k | $2,890 | $5,254 |
| Spinal Cord Stimulator Trial | $6,304$6.2k$17k | — | — |
| Spirometry (Breathing Test) | $366$149$723 | $312 | $568 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,115$3.1k$8.8k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,626$5.2k$8.8k | — | — |
| Total Hip Replacement | $12,238$12k$20k | — | — |
| Total Knee Replacement | $12,238$12k$20k | — | — |
| Total Mastectomy | $6,265$6.2k$14k | — | — |
| TSH Thyroid Function Test | $46$17$118 | $69 | $126 |
| TURP (Transurethral Prostate Resection) | $4,883$4.8k$16k | — | — |
| Upper GI Endoscopy (EGD) | $901$892$6.3k | — | — |
| Urinalysis with Microscopy | $9$3$29 | $18 | $33 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,177$2.2k$7.3k | — | — |
| Vaginal Delivery (Global Package) | $2,102$2.1k$7.3k | — | — |
| Vaginal Hysterectomy | $4,742$4.7k$14k | — | — |
| Vasectomy | $1,968$1.9k$8.8k | — | — |
| Vitamin D Blood Test | $104$30$243 | $87 | $159 |