| Abdominal Hysterectomy | $5,488$3.3k$18k | — | — |
| ACL Reconstruction (Arthroscopic) | $10,304$1.7k$30k | — | — |
| Allergy Skin Testing | $1,259$35$3.6k | $2,585 | $2,585 |
| Basic Metabolic Panel | $14$6$111 | $693 | $693 |
| Bone Marrow Biopsy | $2,337$1.3k$8.8k | $6,571 | $6,571 |
| Breast Biopsy (Ultrasound-guided) | $3,699$1.4k$9.0k | $3,972 | $3,972 |
| Bunion Correction Surgery | $6,637$1.7k$18k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $38,324$3.8k$108k | $66,126 | $66,126 |
| Cardiac Catheterization (Left Heart) | $9,423$2.7k$23k | $30,656 | $30,656 |
| Cardiac Stress Test (Treadmill) | $798$680$1.0k | — | — |
| Carpal Tunnel Release Surgery | $4,221$1.5k$13k | — | — |
| Cataract Surgery with Lens Implant | $5,320$1.9k$20k | — | — |
| Cervical Spinal Fusion (Anterior) | $17,834$3.2k$53k | — | — |
| Cesarean Delivery (Global Package) | $8,208$6.5k$10k | — | — |
| Chemotherapy Infusion (First Hour) | $752$276$1.8k | $2,253 | $2,253 |
| Chest X-ray (2 Views) | $188$73$362 | $1,166 | $1,166 |
| Colonoscopy with Biopsy | $2,873$1.0k$9.0k | $6,270 | $6,270 |
| Complete Abdominal Ultrasound | $276$87$1.0k | $1,387 | $1,387 |
| Complete Blood Count (CBC) with Differential | $13$5$102 | $62 | $62 |
| Comprehensive Metabolic Panel | $17$7$139 | $883 | $883 |
| Coronary Angioplasty with Stent | $17,520$6.1k$48k | $31,202 | $31,202 |
| Critical Care, First Hour | $1,328$691$3.4k | $7,502 | $7,502 |
| CT Abdomen and Pelvis with Contrast | $795$292$3.6k | $10,055 | $10,055 |
| CT Cardiac Calcium Scoring | $198$73$1.2k | $1,760 | $1,760 |
| CT Chest without Contrast | $238$87$3.0k | $5,830 | $5,830 |
| CT Head without Contrast | $238$87$2.4k | $5,215 | $5,215 |
| DEXA Bone Density Scan | $276$87$591 | $1,115 | $1,115 |
| Diagnostic Colonoscopy | $2,572$777$9.0k | $4,077 | $4,077 |
| Diagnostic Mammogram (Both Breasts) | $214$79$1.5k | $1,319 | $1,319 |
| Ear Tube Placement (Tympanostomy) | $3,439$1.3k$10k | — | — |
| Echocardiogram (Complete with Doppler) | $1,139$457$2.9k | $4,158 | $4,158 |
| EKG (Electrocardiogram, 12-lead) | $206$175$259 | — | — |
| Emergency Room Visit (Level 3) | $439$228$1.1k | $2,498 | $2,498 |
| Group Therapy Session | $149$68$420 | $416 | $416 |
| Hemodialysis Treatment | $395$337$497 | — | — |
| Hemoglobin A1c (Diabetes Test) | $16$6$127 | $38 | $38 |
| HIV Antibody Test | $14$6$117 | $38 | $38 |
| Holter Monitor (24-48 Hour Heart Monitor) | $1,468$1.3k$1.8k | — | — |
| Home Sleep Study | $492$181$1.7k | — | — |
| Individual Therapy Session (45 Minutes) | $285$148$734 | $621 | $621 |
| Inguinal Hernia Repair (Open) | $7,722$2.1k$18k | — | — |
| Initial Psychiatric Diagnostic Evaluation | $285$148$734 | $602 | $602 |
| Initial Psychiatric Evaluation with Medication Management | $285$148$734 | $888 | $888 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | — | $10,284 | $10,284 |
| IUD Insertion | $1,573$61$2.2k | $2,632 | $2,632 |
| IUD Removal | $890$255$2.5k | $773 | $773 |
| Knee Arthroscopy with Meniscectomy | $7,073$2.1k$18k | — | — |
| Laparoscopic Appendectomy | $10,646$2.0k$25k | — | — |
| Laparoscopic Gallbladder Removal | $13,651$5.1k$25k | — | — |
| Laparoscopic Tubal Ligation | $10,043$2.3k$25k | — | — |
| Lipid Panel (Cholesterol Test) | $22$9$176 | $530 | $530 |
| Lumbar Epidural Steroid Injection | $2,043$590$6.8k | $8,754 | $8,754 |
| Lumbar Puncture (Spinal Tap) | $1,952$590$6.8k | $2,622 | $2,622 |
| Lumbar Spinal Fusion (Posterior) | $23,679$3.2k$73k | — | — |
| Lumpectomy (Partial Mastectomy) | $7,374$2.0k$16k | — | — |
| MRI Abdomen with and without Contrast | $795$292$12k | $11,509 | $11,509 |
| MRI Brain with and without Contrast | $795$292$13k | $11,782 | $11,782 |
| MRI Brain with Contrast | $795$292$6.8k | $8,128 | $8,128 |
| MRI Brain without Contrast | $543$199$5.7k | $7,384 | $7,384 |
| MRI Cervical Spine (Neck) without Contrast | $543$199$5.7k | $6,864 | $6,864 |
| MRI Knee without Contrast | $543$199$5.6k | $6,253 | $6,253 |
| MRI Lower Back (Lumbar Spine) without Contrast | $543$199$6.3k | $7,633 | $7,633 |
| MRI Thoracic Spine (Mid-back) without Contrast | $543$199$6.3k | $7,338 | $7,338 |
| Newborn Circumcision | $4,288$1.1k$13k | $6,381 | $6,381 |
| Nuclear Cardiac Stress Test | $2,813$1.1k$5.5k | $8,597 | $8,597 |
| Office Visit, Established Patient (Level 3) | — | $459 | $459 |
| Office Visit, New Patient (Level 3) | — | $523 | $523 |
| Pacemaker Insertion (Dual Chamber) | $19,370$3.3k$54k | $31,709 | $31,709 |
| PET/CT Scan, Whole Body | $3,257$1.2k$19k | $15,256 | $15,256 |
| Pregnancy Ultrasound (Second or Third Trimester) | $276$87$1.1k | $2,350 | $2,350 |
| Prostate Biopsy | $5,649$1.5k$9.0k | $7,720 | $7,720 |
| PSA Prostate Cancer Screening | $30$12$241 | $52 | $52 |
| Pulmonary Function Test with Bronchodilator | $547$312$1.5k | $1,550 | $1,550 |
| Rotator Cuff Repair (Arthroscopic) | $11,369$2.3k$30k | — | — |
| Screening Mammogram | $193$71$1.5k | $965 | $965 |
| Septoplasty (Deviated Septum Repair) | $7,167$2.1k$15k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $10,802$2.3k$29k | — | — |
| Skin Biopsy (Tangential) | $941$61$9.0k | $1,897 | $1,897 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $3,441$1.4k$8.8k | $4,117 | $4,117 |
| Sleep Study (In-lab Polysomnography) | $1,956$718$7.8k | $3,538 | $3,538 |
| Spinal Cord Stimulator Trial | $9,754$1.5k$26k | $18,572 | $18,572 |
| Spirometry (Breathing Test) | $318$181$893 | $821 | $821 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $7,167$2.3k$15k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $8,477$1.7k$24k | — | — |
| Total Hip Replacement | $18,164$3.2k$53k | — | — |
| Total Knee Replacement | $18,164$3.2k$53k | — | — |
| Total Mastectomy | $10,186$2.9k$27k | — | — |
| TSH Thyroid Function Test | $27$11$220 | $45 | $45 |
| TURP (Transurethral Prostate Resection) | $8,869$2.1k$23k | — | — |
| Umbilical Hernia Repair | $10,220$2.1k$15k | — | — |
| Upper GI Endoscopy (EGD) | $2,156$758$6.8k | $3,049 | $3,049 |
| Urinalysis with Microscopy | $5$2$42 | $24 | $24 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $7,182$5.6k$9.0k | — | — |
| Vaginal Delivery (Global Package) | $7,182$5.6k$9.0k | — | — |
| Vaginal Hysterectomy | $8,042$2.8k$21k | — | — |
| Vasectomy | $4,519$1.5k$13k | $3,655 | $3,655 |
| Vitamin D Blood Test | $48$19$388 | $195 | $195 |