| Abdominal Hysterectomy | $951$899$1.3k | — | — |
| ACL Reconstruction (Arthroscopic) | $9,333$675$13k | — | — |
| Allergy Skin Testing | $1,104$4$3.3k | $4,617 | $4,617 |
| Anesthesia for Screening Colonoscopy | $56$56$75 | — | — |
| Anesthesia for Upper Endoscopy | $70$70$94 | — | — |
| Basic Metabolic Panel | $8$7$143 | $197 | $197 |
| Bone Marrow Biopsy | $2,124$196$3.0k | $3,236 | $3,236 |
| Breast Biopsy (Ultrasound-guided) | $2,124$614$5.2k | $5,829 | $5,829 |
| Bunion Correction Surgery | $4,208$401$5.9k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $33,618$880$47k | — | — |
| Cardiac Catheterization (Left Heart) | $4,170$950$7.6k | $10,528 | $10,528 |
| Cardiac Stress Test (Treadmill) | $96$78$129 | — | — |
| Carpal Tunnel Release Surgery | $2,512$317$6.6k | $6,803 | $6,803 |
| Cataract Surgery with Lens Implant | $2,968$1.0k$4.2k | — | — |
| Cervical Spinal Fusion (Anterior) | $16,513$1.4k$23k | — | — |
| Cesarean Delivery (Global Package) | $2,498$2.3k$3.5k | — | — |
| Chemotherapy Infusion (First Hour) | $425$29$853 | $1,177 | $1,177 |
| Chest X-ray (2 Views) | $112$27$291 | $402 | $402 |
| Colonoscopy with Biopsy | $1,539$330$3.5k | $4,812 | $4,812 |
| Complete Abdominal Ultrasound | $134$83$771 | $1,064 | $1,064 |
| Complete Blood Count (CBC) with Differential | $8$7$130 | $179 | $179 |
| Comprehensive Metabolic Panel | $11$9$175 | $241 | $241 |
| Coronary Angioplasty with Stent | $14,848$483$21k | $27,775 | $27,775 |
| Critical Care, First Hour | $1,062$122$6.0k | $8,218 | $8,218 |
| CT Abdomen and Pelvis with Contrast | $449$282$3.6k | $4,947 | $4,947 |
| CT Cardiac Calcium Scoring | $112$81$337 | $465 | $465 |
| CT Chest without Contrast | $134$127$2.3k | $3,202 | $3,202 |
| CT Head without Contrast | $134$101$2.3k | $3,202 | $3,202 |
| DEXA Bone Density Scan | $134$34$454 | $626 | $626 |
| Diagnostic Colonoscopy | $1,196$295$3.5k | $4,812 | $4,812 |
| Diagnostic Mammogram (Both Breasts) | $169$148$950 | $1,311 | $1,311 |
| Ear Tube Placement (Tympanostomy) | $1,996$121$2.8k | — | — |
| Echocardiogram (Complete with Doppler) | $703$240$2.1k | $2,960 | $2,960 |
| EKG (Electrocardiogram, 12-lead) | $21$16$38 | — | — |
| Emergency Room Visit (Level 3) | $351$45$1.0k | $1,433 | $1,433 |
| Group Therapy Session | $131$24$600 | — | — |
| Hemodialysis Treatment | $140$91$587 | $809 | $809 |
| Hemoglobin A1c (Diabetes Test) | $10$9$146 | $201 | $201 |
| HIV Antibody Test | $9$8$124 | $171 | $171 |
| Holter Monitor (24-48 Hour Heart Monitor) | $99$76$149 | — | — |
| Home Sleep Study | $278$83$1.0k | $1,446 | $1,446 |
| Individual Therapy Session (45 Minutes) | $224$90$320 | $304 | $304 |
| Inguinal Hernia Repair (Open) | $4,605$344$6.4k | — | — |
| Initial Hospital Admission (Level 1) | $76$34$106 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $223$12$320 | $21 | $21 |
| Initial Psychiatric Evaluation with Medication Management | $228$12$655 | $463 | $463 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $2,256$1.7k$2.5k | $3,437 | $3,437 |
| IUD Insertion | $160$112$225 | $274 | $274 |
| IUD Removal | $392$49$716 | $987 | $987 |
| Knee Arthroscopy with Meniscectomy | $4,208$551$5.9k | — | — |
| Laparoscopic Appendectomy | $7,776$273$11k | $15,230 | $15,230 |
| Laparoscopic Gallbladder Removal | $7,776$466$11k | — | — |
| Laparoscopic Tubal Ligation | $7,776$489$11k | — | — |
| Lipid Panel (Cholesterol Test) | $13$12$220 | $304 | $304 |
| Lumbar Epidural Steroid Injection | $908$220$3.9k | $5,017 | $5,017 |
| Lumbar Puncture (Spinal Tap) | $908$122$1.6k | $2,171 | $2,171 |
| Lumbar Spinal Fusion (Posterior) | $22,551$1.2k$32k | — | — |
| Lumpectomy (Partial Mastectomy) | $5,036$334$7.1k | — | — |
| MRI Abdomen with and without Contrast | $449$334$4.7k | $6,455 | $6,455 |
| MRI Brain with and without Contrast | $449$311$4.7k | $6,455 | $6,455 |
| MRI Brain with Contrast | $449$264$3.8k | $5,288 | $5,288 |
| MRI Brain without Contrast | $307$190$3.0k | $4,152 | $4,152 |
| MRI Cervical Spine (Neck) without Contrast | $307$186$3.0k | $4,152 | $4,152 |
| MRI Knee without Contrast | $395$307$6.0k | $7,687 | $7,687 |
| MRI Lower Back (Lumbar Spine) without Contrast | $307$186$3.0k | $4,152 | $4,152 |
| MRI Thoracic Spine (Mid-back) without Contrast | $307$185$3.0k | $4,152 | $4,152 |
| Newborn Circumcision | $2,689$2.7k$6.6k | $9,169 | $9,169 |
| Nuclear Cardiac Stress Test | $1,665$348$4.2k | $5,853 | $5,853 |
| Office Visit, Established Patient (Level 3) | $100$82$140 | — | — |
| Office Visit, New Patient (Level 3) | $123$101$173 | — | — |
| Pacemaker Insertion (Dual Chamber) | $13,443$745$22k | $30,934 | $30,934 |
| PET/CT Scan, Whole Body | $2,127$1.8k$6.6k | $9,111 | $9,111 |
| Pregnancy Ultrasound (Second or Third Trimester) | $134$128$771 | $1,064 | $1,064 |
| Prostate Biopsy | $96$87$4.1k | $5,593 | $5,593 |
| PSA Prostate Cancer Screening | $18$16$274 | $378 | $378 |
| Pulmonary Function Test with Bronchodilator | $480$45$672 | $765 | $765 |
| Rotator Cuff Repair (Arthroscopic) | $9,333$494$13k | — | — |
| Screening Mammogram | $136$119$719 | $992 | $992 |
| Septoplasty (Deviated Septum Repair) | $4,264$372$6.0k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $9,077$359$13k | — | — |
| Skin Biopsy (Tangential) | $523$95$732 | $907 | $907 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,124$119$3.3k | $4,545 | $4,545 |
| Sleep Study (In-lab Polysomnography) | $1,104$348$1.5k | — | — |
| Spinal Cord Stimulator Trial | $8,197$436$11k | — | — |
| Spirometry (Breathing Test) | $278$25$389 | $467 | $467 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $4,264$203$6.0k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $7,614$169$11k | — | — |
| Total Hip Replacement | $16,513$1.5k$23k | — | — |
| Total Knee Replacement | $16,513$1.5k$23k | — | — |
| Total Mastectomy | $8,540$763$12k | — | — |
| TSH Thyroid Function Test | $17$9$279 | $38 | $38 |
| TURP (Transurethral Prostate Resection) | $6,896$745$9.7k | — | — |
| Upper GI Endoscopy (EGD) | $1,167$224$3.3k | $4,576 | $4,576 |
| Urinalysis with Microscopy | $3$3$57 | $78 | $78 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,353$2.2k$3.3k | — | — |
| Vaginal Delivery (Global Package) | $2,245$2.1k$3.1k | — | — |
| Vaginal Hysterectomy | $6,434$811$9.0k | — | — |
| Vasectomy | $2,689$261$6.6k | $9,169 | $9,169 |
| Vitamin D Blood Test | $30$21$160 | $221 | $221 |