| Abdominal Hysterectomy | $3,900$2.8k$8.0k | — | — |
| ACL Reconstruction (Arthroscopic) | $7,820$2.2k$12k | — | — |
| Allergy Skin Testing | $1,210$28$1.4k | — | — |
| Basic Metabolic Panel | $15$8$103 | $380 | $380 |
| Bone Marrow Biopsy | $2,064$1.4k$4.7k | $5,041 | $5,041 |
| Breast Biopsy (Ultrasound-guided) | $2,584$1.8k$4.7k | $5,759 | $5,759 |
| Bunion Correction Surgery | $4,231$2.2k$6.1k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $32,493$2.8k$44k | $55,069 | $55,069 |
| Cardiac Catheterization (Left Heart) | $4,566$2.8k$14k | $17,355 | $17,355 |
| Cardiac Stress Test (Treadmill) | $276$150$534 | — | — |
| Carpal Tunnel Release Surgery | $2,959$2.0k$4.7k | — | — |
| Cataract Surgery with Lens Implant | $3,611$2.5k$6.6k | — | — |
| Cervical Spinal Fusion (Anterior) | $13,700$2.6k$21k | — | — |
| Cesarean Delivery (Global Package) | $4,083$2.8k$6.0k | — | — |
| Chemotherapy Infusion (First Hour) | $501$352$711 | $1,846 | $1,846 |
| Chest X-ray (2 Views) | $127$39$598 | $479 | $479 |
| Colonoscopy with Biopsy | $1,941$1.3k$3.0k | — | — |
| Complete Abdominal Ultrasound | $167$112$806 | $2,413 | $2,413 |
| Complete Blood Count (CBC) with Differential | $14$8$95 | $152 | $152 |
| Comprehensive Metabolic Panel | $19$11$129 | $603 | $603 |
| Coronary Angioplasty with Stent | $16,876$4.7k$31k | $18,356 | $18,356 |
| Critical Care, First Hour | $1,208$881$1.3k | $16,207 | $16,207 |
| CT Abdomen and Pelvis with Contrast | $537$372$982 | $5,350 | $5,350 |
| CT Cardiac Calcium Scoring | $134$93$333 | $1,067 | $1,067 |
| CT Chest without Contrast | $161$112$376 | $5,182 | $5,182 |
| CT Head without Contrast | $161$112$305 | $3,985 | $3,985 |
| DEXA Bone Density Scan | $153$50$806 | $1,656 | $1,656 |
| Diagnostic Colonoscopy | $1,508$992$3.0k | — | — |
| Diagnostic Mammogram (Both Breasts) | $176$107$840 | $1,142 | $1,142 |
| Ear Tube Placement (Tympanostomy) | $2,428$1.7k$4.7k | — | — |
| Echocardiogram (Complete with Doppler) | $770$275$1.2k | $2,800 | $2,800 |
| EKG (Electrocardiogram, 12-lead) | $56$30$111 | — | — |
| Emergency Room Visit (Level 3) | $399$291$443 | $2,304 | $2,304 |
| Group Therapy Session | $146$108$165 | — | — |
| Hemodialysis Treatment | $247$173$942 | — | — |
| Hemoglobin A1c (Diabetes Test) | $17$10$118 | $177 | $177 |
| HIV Antibody Test | $16$9$108 | $182 | $182 |
| Holter Monitor (24-48 Hour Heart Monitor) | $292$159$630 | — | — |
| Home Sleep Study | $304$104$613 | $2,287 | $2,287 |
| Individual Therapy Session (45 Minutes) | $269$189$343 | — | — |
| Inguinal Hernia Repair (Open) | $4,674$2.4k$6.1k | — | — |
| Initial Hospital Admission (Level 1) | $431 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $269$189$546 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $269$189$564 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,651$650$4.0k | — | — |
| IUD Insertion | $2,000$1.4k$4.7k | $4,234 | $4,234 |
| IUD Removal | $1,448$325$4.7k | $1,806 | $1,806 |
| Knee Arthroscopy with Meniscectomy | $4,674$2.4k$6.1k | — | — |
| Laparoscopic Appendectomy | $6,451$2.2k$11k | — | — |
| Laparoscopic Gallbladder Removal | $7,053$2.6k$11k | — | — |
| Laparoscopic Tubal Ligation | $6,451$2.6k$11k | — | — |
| Lipid Panel (Cholesterol Test) | $24$13$163 | $426 | $426 |
| Lumbar Epidural Steroid Injection | $1,438$753$4.7k | $1,733 | $1,733 |
| Lumbar Puncture (Spinal Tap) | $1,145$753$4.7k | $2,164 | $2,164 |
| Lumbar Spinal Fusion (Posterior) | $18,710$2.6k$36k | — | — |
| Lumpectomy (Partial Mastectomy) | $4,220$2.2k$6.4k | — | — |
| MRI Abdomen with and without Contrast | $537$372$1.1k | $9,611 | $9,611 |
| MRI Brain with and without Contrast | $531$372$961 | $4,947 | $4,947 |
| MRI Brain with Contrast | $510$330$851 | $3,618 | $3,618 |
| MRI Brain without Contrast | $349$224$579 | $3,014 | $3,014 |
| MRI Cervical Spine (Neck) without Contrast | $349$215$551 | $4,006 | $4,006 |
| MRI Knee without Contrast | $356$245$636 | $4,322 | $4,322 |
| MRI Lower Back (Lumbar Spine) without Contrast | $349$215$554 | $5,484 | $5,484 |
| MRI Thoracic Spine (Mid-back) without Contrast | $349$214$553 | $6,122 | $6,122 |
| Newborn Circumcision | $2,640$1.5k$4.7k | — | — |
| Nuclear Cardiac Stress Test | $1,893$608$9.7k | $9,421 | $9,421 |
| Office Visit, Established Patient (Level 3) | — | $208 | $208 |
| Office Visit, New Patient (Level 3) | — | $255 | $255 |
| Pacemaker Insertion (Dual Chamber) | $11,153$2.8k$22k | $29,304 | $29,304 |
| PET/CT Scan, Whole Body | $2,202$191$11k | $6,326 | $6,326 |
| Pregnancy Ultrasound (Second or Third Trimester) | $167$112$806 | $1,680 | $1,680 |
| Prostate Biopsy | $2,678$2.0k$4.7k | $3,313 | $3,313 |
| PSA Prostate Cancer Screening | $32$18$224 | $382 | $382 |
| Pulmonary Function Test with Bronchodilator | $526$208$605 | $1,110 | $1,110 |
| Rotator Cuff Repair (Arthroscopic) | $7,743$2.6k$12k | — | — |
| Screening Mammogram | $145$88$695 | $725 | $725 |
| Septoplasty (Deviated Septum Repair) | $4,231$2.4k$5.6k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,117$2.6k$11k | — | — |
| Skin Biopsy (Tangential) | $636$175$4.7k | $636 | $636 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,064$1.4k$4.7k | $1,587 | $1,587 |
| Sleep Study (In-lab Polysomnography) | $1,301$916$2.9k | $6,000 | $6,000 |
| Spinal Cord Stimulator Trial | $7,053$2.0k$11k | — | — |
| Spirometry (Breathing Test) | $304$118$350 | $911 | $911 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $4,305$2.6k$5.7k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $4,674$2.2k$9.6k | — | — |
| Total Hip Replacement | $13,837$2.6k$41k | — | — |
| Total Knee Replacement | $13,837$2.6k$43k | — | — |
| Total Mastectomy | $6,117$2.4k$11k | — | — |
| TSH Thyroid Function Test | $30$17$205 | $376 | $376 |
| TURP (Transurethral Prostate Resection) | $5,779$2.4k$8.7k | — | — |
| Umbilical Hernia Repair | $3,453$2.8k$4.5k | — | — |
| Upper GI Endoscopy (EGD) | $1,471$968$2.6k | — | — |
| Urinalysis with Microscopy | $6$3$39 | $72 | $72 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $4,083$2.8k$6.0k | — | — |
| Vaginal Delivery (Global Package) | $4,083$2.8k$6.0k | — | — |
| Vaginal Hysterectomy | $6,117$2.6k$8.1k | — | — |
| Vasectomy | $2,944$2.0k$4.7k | — | — |
| Vitamin D Blood Test | $52$30$361 | $359 | $359 |