| Abdominal Hysterectomy | $5,060$3.5k$19k | — | — |
| ACL Reconstruction (Arthroscopic) | $10,033$1.7k$34k | — | — |
| Allergy Skin Testing | $1,259$33$4.0k | $2,585 | $2,585 |
| Basic Metabolic Panel | $15$6$90 | $693 | $693 |
| Bone Marrow Biopsy | $2,507$1.3k$8.8k | $6,571 | $6,571 |
| Breast Biopsy (Ultrasound-guided) | $4,187$1.4k$8.8k | $3,972 | $3,972 |
| Bunion Correction Surgery | $6,818$1.7k$19k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $38,324$3.5k$122k | $66,126 | $66,126 |
| Cardiac Catheterization (Left Heart) | $9,152$2.7k$23k | $30,656 | $30,656 |
| Cardiac Stress Test (Treadmill) | $719$627$960 | — | — |
| Carpal Tunnel Release Surgery | $4,736$1.5k$13k | — | — |
| Cataract Surgery with Lens Implant | $6,131$1.9k$15k | — | — |
| Cervical Spinal Fusion (Anterior) | $17,338$3.0k$60k | — | — |
| Cesarean Delivery (Global Package) | $7,367$6.4k$8.0k | — | — |
| Chemotherapy Infusion (First Hour) | $801$276$1.7k | $2,253 | $2,253 |
| Chest X-ray (2 Views) | $178$73$407 | $1,166 | $1,166 |
| Colonoscopy with Biopsy | $3,148$1.0k$7.5k | $6,270 | $6,270 |
| Complete Abdominal Ultrasound | $276$87$1.0k | $1,387 | $1,387 |
| Complete Blood Count (CBC) with Differential | $14$5$83 | $62 | $62 |
| Comprehensive Metabolic Panel | $19$7$112 | $883 | $883 |
| Coronary Angioplasty with Stent | $16,926$3.5k$54k | $31,202 | $31,202 |
| Critical Care, First Hour | $1,328$691$3.9k | $7,502 | $7,502 |
| CT Abdomen and Pelvis with Contrast | $846$292$3.4k | $10,055 | $10,055 |
| CT Cardiac Calcium Scoring | $211$73$1.2k | $1,760 | $1,760 |
| CT Chest without Contrast | $254$87$2.9k | $5,830 | $5,830 |
| CT Head without Contrast | $254$87$2.3k | $5,215 | $5,215 |
| DEXA Bone Density Scan | $265$87$657 | $1,115 | $1,115 |
| Diagnostic Colonoscopy | $2,728$777$7.5k | $4,077 | $4,077 |
| Diagnostic Mammogram (Both Breasts) | $228$79$1.4k | $1,319 | $1,319 |
| Ear Tube Placement (Tympanostomy) | $3,670$1.3k$8.2k | — | — |
| Echocardiogram (Complete with Doppler) | $949$457$2.9k | $4,158 | $4,158 |
| EKG (Electrocardiogram, 12-lead) | $185$162$247 | — | — |
| Emergency Room Visit (Level 3) | $439$228$1.3k | $2,498 | $2,498 |
| Group Therapy Session | $149$63$476 | $416 | $416 |
| Hemodialysis Treatment | $356$311$475 | — | — |
| Hemoglobin A1c (Diabetes Test) | $17$6$103 | $38 | $38 |
| HIV Antibody Test | $16$6$94 | $38 | $38 |
| Holter Monitor (24-48 Hour Heart Monitor) | $1,323$1.2k$1.8k | — | — |
| Home Sleep Study | $524$181$1.6k | — | — |
| Individual Therapy Session (45 Minutes) | — | $621 | $621 |
| Inguinal Hernia Repair (Open) | $8,125$2.1k$19k | — | — |
| Initial Psychiatric Diagnostic Evaluation | — | $602 | $602 |
| Initial Psychiatric Evaluation with Medication Management | — | $888 | $888 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | — | $10,284 | $10,284 |
| IUD Insertion | $1,470$80$4.1k | $2,632 | $2,632 |
| IUD Removal | $882$255$4.1k | $773 | $773 |
| Knee Arthroscopy with Meniscectomy | $7,768$2.1k$19k | — | — |
| Laparoscopic Appendectomy | $10,497$2.2k$28k | — | — |
| Laparoscopic Gallbladder Removal | $13,996$5.1k$28k | — | — |
| Laparoscopic Tubal Ligation | $10,237$2.3k$28k | — | — |
| Lipid Panel (Cholesterol Test) | $24$9$142 | $530 | $530 |
| Lumbar Epidural Steroid Injection | $2,044$590$5.2k | $8,754 | $8,754 |
| Lumbar Puncture (Spinal Tap) | $2,043$590$5.2k | $2,622 | $2,622 |
| Lumbar Spinal Fusion (Posterior) | $23,627$3.0k$82k | — | — |
| Lumpectomy (Partial Mastectomy) | $7,197$2.2k$18k | — | — |
| MRI Abdomen with and without Contrast | $846$292$12k | $11,509 | $11,509 |
| MRI Brain with and without Contrast | $846$292$12k | $11,782 | $11,782 |
| MRI Brain with Contrast | $846$292$6.5k | $8,128 | $8,128 |
| MRI Brain without Contrast | $579$199$5.4k | $7,384 | $7,384 |
| MRI Cervical Spine (Neck) without Contrast | $579$199$5.4k | $6,864 | $6,864 |
| MRI Knee without Contrast | $579$199$5.4k | $6,253 | $6,253 |
| MRI Lower Back (Lumbar Spine) without Contrast | $579$199$6.0k | $7,633 | $7,633 |
| MRI Thoracic Spine (Mid-back) without Contrast | $579$199$6.0k | $7,338 | $7,338 |
| Newborn Circumcision | $4,172$1.1k$13k | $6,381 | $6,381 |
| Nuclear Cardiac Stress Test | $2,699$1.1k$6.1k | $8,597 | $8,597 |
| Office Visit, Established Patient (Level 3) | — | $459 | $459 |
| Office Visit, New Patient (Level 3) | — | $523 | $523 |
| Pacemaker Insertion (Dual Chamber) | $18,148$3.5k$54k | $31,709 | $31,709 |
| PET/CT Scan, Whole Body | $3,468$1.2k$18k | $15,256 | $15,256 |
| Pregnancy Ultrasound (Second or Third Trimester) | $276$87$1.0k | $2,350 | $2,350 |
| Prostate Biopsy | $5,831$1.5k$8.8k | $7,720 | $7,720 |
| PSA Prostate Cancer Screening | $33$12$195 | $52 | $52 |
| Pulmonary Function Test with Bronchodilator | $547$312$1.7k | $1,550 | $1,550 |
| Rotator Cuff Repair (Arthroscopic) | $11,106$2.3k$34k | — | — |
| Screening Mammogram | $205$71$1.4k | $965 | $965 |
| Septoplasty (Deviated Septum Repair) | $7,695$2.1k$16k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $10,534$2.3k$33k | — | — |
| Skin Biopsy (Tangential) | $1,031$80$7.0k | $1,897 | $1,897 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $3,621$1.4k$8.8k | $4,117 | $4,117 |
| Sleep Study (In-lab Polysomnography) | $2,083$718$7.5k | $3,538 | $3,538 |
| Spinal Cord Stimulator Trial | $10,041$1.5k$30k | $18,572 | $18,572 |
| Spirometry (Breathing Test) | $317$181$1.0k | $821 | $821 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $7,695$2.3k$16k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $8,096$1.7k$28k | — | — |
| Total Hip Replacement | $18,164$3.0k$60k | — | — |
| Total Knee Replacement | $18,164$3.0k$60k | — | — |
| Total Mastectomy | $9,907$2.6k$31k | — | — |
| TSH Thyroid Function Test | $30$11$178 | $45 | $45 |
| TURP (Transurethral Prostate Resection) | $9,005$2.1k$25k | — | — |
| Umbilical Hernia Repair | $10,220$2.1k$15k | — | — |
| Upper GI Endoscopy (EGD) | $2,365$758$5.9k | $3,049 | $3,049 |
| Urinalysis with Microscopy | $6$2$34 | $24 | $24 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $6,446$5.6k$7.0k | — | — |
| Vaginal Delivery (Global Package) | $6,446$5.6k$7.0k | — | — |
| Vaginal Hysterectomy | $8,686$2.9k$23k | — | — |
| Vasectomy | $5,070$1.5k$13k | $3,655 | $3,655 |
| Vitamin D Blood Test | $53$19$314 | $195 | $195 |