| Abdominal Hysterectomy | $3,707$2.3k$8.0k | — | — |
| ACL Reconstruction (Arthroscopic) | $4,674$2.2k$12k | — | — |
| Allergy Skin Testing | $472$8$1.4k | — | — |
| Basic Metabolic Panel | $21$8$103 | $380 | $380 |
| Bone Marrow Biopsy | $1,860$154$4.8k | $5,041 | $5,041 |
| Breast Biopsy (Ultrasound-guided) | $2,421$335$4.8k | $5,759 | $5,759 |
| Bunion Correction Surgery | $3,491$1.1k$6.1k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $24,283$2.0k$44k | $55,069 | $55,069 |
| Cardiac Catheterization (Left Heart) | $3,593$1.6k$14k | $17,355 | $17,355 |
| Cardiac Stress Test (Treadmill) | $251$150$534 | — | — |
| Carpal Tunnel Release Surgery | $2,751$981$4.8k | — | — |
| Cataract Surgery with Lens Implant | $3,497$1.2k$6.6k | — | — |
| Cervical Spinal Fusion (Anterior) | $6,170$2.6k$21k | — | — |
| Cesarean Delivery (Global Package) | $5,378$2.8k$9.9k | — | — |
| Chemotherapy Infusion (First Hour) | $467$284$711 | $1,846 | $1,846 |
| Chest X-ray (2 Views) | $93$39$598 | $479 | $479 |
| Colonoscopy with Biopsy | $1,813$437$4.8k | — | — |
| Complete Abdominal Ultrasound | $190$112$806 | $2,413 | $2,413 |
| Complete Blood Count (CBC) with Differential | $20$8$95 | $152 | $152 |
| Comprehensive Metabolic Panel | $27$11$129 | $603 | $603 |
| Coronary Angioplasty with Stent | $12,319$1.3k$31k | $18,356 | $18,356 |
| Critical Care, First Hour | $881$467$1.3k | $16,207 | $16,207 |
| CT Abdomen and Pelvis with Contrast | $548$372$982 | $5,350 | $5,350 |
| CT Cardiac Calcium Scoring | $166$93$333 | $1,067 | $1,067 |
| CT Chest without Contrast | $188$112$376 | $5,182 | $5,182 |
| CT Head without Contrast | $167$112$305 | $3,985 | $3,985 |
| DEXA Bone Density Scan | $113$50$806 | $1,656 | $1,656 |
| Diagnostic Colonoscopy | $1,432$402$4.8k | — | — |
| Diagnostic Mammogram (Both Breasts) | $255$107$840 | $1,142 | $1,142 |
| Ear Tube Placement (Tympanostomy) | $2,351$356$4.8k | — | — |
| Echocardiogram (Complete with Doppler) | $544$275$1.2k | $2,800 | $2,800 |
| EKG (Electrocardiogram, 12-lead) | $50$30$111 | — | — |
| Emergency Room Visit (Level 3) | $291$156$443 | $2,304 | $2,304 |
| Group Therapy Session | $109$54$165 | — | — |
| Hemodialysis Treatment | $333$173$942 | — | — |
| Hemoglobin A1c (Diabetes Test) | $25$10$118 | $177 | $177 |
| HIV Antibody Test | $22$9$108 | $182 | $182 |
| Holter Monitor (24-48 Hour Heart Monitor) | $250$159$630 | — | — |
| Home Sleep Study | $210$104$613 | $2,287 | $2,287 |
| Individual Therapy Session (45 Minutes) | $283$189$343 | — | — |
| Inguinal Hernia Repair (Open) | $3,859$1.2k$6.1k | — | — |
| Initial Hospital Admission (Level 1) | $286$182$431 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $310$189$557 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $333$189$637 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,210$650$4.0k | — | — |
| IUD Insertion | $1,448$111$4.8k | $4,234 | $4,234 |
| IUD Removal | $477$146$4.8k | $1,806 | $1,806 |
| Knee Arthroscopy with Meniscectomy | $4,231$1.2k$6.1k | — | — |
| Laparoscopic Appendectomy | $4,839$1.3k$11k | — | — |
| Laparoscopic Gallbladder Removal | $5,290$1.5k$11k | — | — |
| Laparoscopic Tubal Ligation | $4,674$1.4k$11k | — | — |
| Lipid Panel (Cholesterol Test) | $34$13$163 | $426 | $426 |
| Lumbar Epidural Steroid Injection | $1,105$219$4.8k | $1,733 | $1,733 |
| Lumbar Puncture (Spinal Tap) | $1,070$139$4.8k | $2,164 | $2,164 |
| Lumbar Spinal Fusion (Posterior) | $5,742$2.6k$36k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,770$1.5k$6.4k | — | — |
| MRI Abdomen with and without Contrast | $566$372$1.1k | $9,611 | $9,611 |
| MRI Brain with and without Contrast | $546$372$961 | $4,947 | $4,947 |
| MRI Brain with Contrast | $546$330$851 | $3,618 | $3,618 |
| MRI Brain without Contrast | $373$224$579 | $3,014 | $3,014 |
| MRI Cervical Spine (Neck) without Contrast | $373$215$551 | $4,006 | $4,006 |
| MRI Knee without Contrast | $373$245$636 | $4,322 | $4,322 |
| MRI Lower Back (Lumbar Spine) without Contrast | $373$215$554 | $5,484 | $5,484 |
| MRI Thoracic Spine (Mid-back) without Contrast | $373$214$553 | $6,122 | $6,122 |
| Newborn Circumcision | $2,231$210$4.8k | — | — |
| Nuclear Cardiac Stress Test | $1,395$608$9.7k | $9,421 | $9,421 |
| Office Visit, Established Patient (Level 3) | $217$145$244 | $208 | $208 |
| Office Visit, New Patient (Level 3) | $270$181$304 | $255 | $255 |
| Pacemaker Insertion (Dual Chamber) | $4,674$1.1k$22k | $29,304 | $29,304 |
| PET/CT Scan, Whole Body | $3,284$191$11k | $6,326 | $6,326 |
| Pregnancy Ultrasound (Second or Third Trimester) | $215$112$806 | $1,680 | $1,680 |
| Prostate Biopsy | $2,279$285$4.8k | $3,313 | $3,313 |
| PSA Prostate Cancer Screening | $47$18$224 | $382 | $382 |
| Pulmonary Function Test with Bronchodilator | $303$64$605 | $1,110 | $1,110 |
| Rotator Cuff Repair (Arthroscopic) | $4,839$2.4k$12k | — | — |
| Screening Mammogram | $211$88$695 | $725 | $725 |
| Septoplasty (Deviated Septum Repair) | $3,770$1.5k$5.6k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $4,674$710$11k | — | — |
| Skin Biopsy (Tangential) | $573$83$4.8k | $636 | $636 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,000$183$4.8k | $1,587 | $1,587 |
| Sleep Study (In-lab Polysomnography) | $1,368$916$2.9k | $6,000 | $6,000 |
| Spinal Cord Stimulator Trial | $5,290$917$11k | — | — |
| Spirometry (Breathing Test) | $174$42$350 | $911 | $911 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,770$680$5.7k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $3,770$652$9.6k | — | — |
| Total Hip Replacement | $4,765$2.6k$41k | — | — |
| Total Knee Replacement | $4,757$2.6k$43k | — | — |
| Total Mastectomy | $4,674$2.1k$11k | — | — |
| TSH Thyroid Function Test | $43$17$205 | $376 | $376 |
| TURP (Transurethral Prostate Resection) | $4,839$1.6k$8.7k | — | — |
| Umbilical Hernia Repair | $1,699$1.0k$4.5k | — | — |
| Upper GI Endoscopy (EGD) | $1,419$268$4.8k | — | — |
| Urinalysis with Microscopy | $8$3$39 | $72 | $72 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $5,208$2.8k$9.4k | — | — |
| Vaginal Delivery (Global Package) | $5,085$2.8k$9.0k | — | — |
| Vaginal Hysterectomy | $5,290$1.9k$8.1k | — | — |
| Vasectomy | $2,678$511$4.8k | — | — |
| Vitamin D Blood Test | $75$30$361 | $359 | $359 |