| Abdominal Hysterectomy | $3,543$917$6.2k | — | — |
| ACL Reconstruction (Arthroscopic) | $9,832$688$18k | — | — |
| Allergy Skin Testing | $1,437$4$2.6k | — | — |
| Basic Metabolic Panel | $9$4$638 | $402 | $402 |
| Bone Marrow Biopsy | $2,512$200$4.1k | $4,370 | $4,370 |
| Breast Biopsy (Ultrasound-guided) | $2,130$626$4.1k | $2,734 | $2,734 |
| Bunion Correction Surgery | $4,449$409$8.1k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $32,642$898$59k | — | — |
| Cardiac Catheterization (Left Heart) | $4,478$969$8.1k | — | — |
| Cardiac Stress Test (Treadmill) | $98 | — | — |
| Carpal Tunnel Release Surgery | $2,654$323$4.8k | — | — |
| Cataract Surgery with Lens Implant | $3,203$1.0k$5.8k | — | — |
| Cervical Spinal Fusion (Anterior) | $18,088$1.5k$33k | — | — |
| Cesarean Delivery (Global Package) | $3,639$2.3k$4.9k | — | — |
| Chemotherapy Infusion (First Hour) | $465$29$846 | — | — |
| Chest X-ray (2 Views) | $147$28$474 | $592 | $592 |
| Colonoscopy with Biopsy | $1,622$337$2.9k | — | — |
| Complete Abdominal Ultrasound | $178$85$1.2k | $1,483 | $1,483 |
| Complete Blood Count (CBC) with Differential | $8$2$240 | $5 | $5 |
| Comprehensive Metabolic Panel | $19$4$799 | $570 | $570 |
| Coronary Angioplasty with Stent | $15,120$493$27k | — | — |
| Critical Care, First Hour | $1,411$124$4.0k | $5,045 | $5,045 |
| CT Abdomen and Pelvis with Contrast | $624$287$5.9k | $7,367 | $7,367 |
| CT Cardiac Calcium Scoring | $147$83$749 | $239 | $239 |
| CT Chest without Contrast | $178$130$3.5k | $4,435 | $4,435 |
| CT Head without Contrast | $178$103$3.7k | $4,675 | $4,675 |
| DEXA Bone Density Scan | $151$35$275 | — | — |
| Diagnostic Colonoscopy | $1,278$301$2.3k | — | — |
| Diagnostic Mammogram (Both Breasts) | $147$107$266 | — | — |
| Ear Tube Placement (Tympanostomy) | $2,096$123$3.8k | — | — |
| Echocardiogram (Complete with Doppler) | $895$245$3.8k | $4,701 | $4,701 |
| EKG (Electrocardiogram, 12-lead) | $29 | — | — |
| Emergency Room Visit (Level 3) | $463$45$1.4k | $1,780 | $1,780 |
| Group Therapy Session | $123$24$223 | — | — |
| Hemodialysis Treatment | $2,280$156$3.5k | $4,318 | $4,318 |
| Hemoglobin A1c (Diabetes Test) | $10$2$160 | $10 | $10 |
| HIV Antibody Test | $31$4$102 | $92 | $92 |
| Holter Monitor (24-48 Hour Heart Monitor) | $113 | — | — |
| Home Sleep Study | $215$84$390 | — | — |
| Individual Therapy Session (45 Minutes) | $219$91$398 | — | — |
| Inguinal Hernia Repair (Open) | $4,755$351$8.6k | — | — |
| Initial Hospital Admission (Level 1) | $35 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $254$166$1.3k | $474 | $474 |
| Initial Psychiatric Evaluation with Medication Management | $219$179$398 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $809$713$1.5k | — | — |
| IUD Insertion | $173$172$174 | — | — |
| IUD Removal | $520$50$1.9k | $1,495 | $1,495 |
| Knee Arthroscopy with Meniscectomy | $4,449$562$8.1k | — | — |
| Laparoscopic Appendectomy | $7,930$279$14k | — | — |
| Laparoscopic Gallbladder Removal | $7,930$475$14k | — | — |
| Laparoscopic Tubal Ligation | $7,930$499$14k | — | — |
| Lipid Panel (Cholesterol Test) | $24$6$434 | $531 | $531 |
| Lumbar Epidural Steroid Injection | $968$224$1.9k | — | — |
| Lumbar Puncture (Spinal Tap) | $950$124$1.9k | $1,224 | $1,224 |
| Lumbar Spinal Fusion (Posterior) | $25,613$1.2k$47k | — | — |
| Lumpectomy (Partial Mastectomy) | $5,239$340$9.5k | — | — |
| MRI Abdomen with and without Contrast | $624$340$4.9k | $6,110 | $6,110 |
| MRI Brain with and without Contrast | $624$317$6.5k | $8,164 | $8,164 |
| MRI Brain with Contrast | $624$270$6.4k | $7,964 | $7,964 |
| MRI Brain without Contrast | $397$194$6.1k | $7,585 | $7,585 |
| MRI Cervical Spine (Neck) without Contrast | $397$189$2.7k | $3,341 | $3,341 |
| MRI Knee without Contrast | $543$297$7.9k | $8,197 | $8,197 |
| MRI Lower Back (Lumbar Spine) without Contrast | $397$190$2.7k | $3,371 | $3,371 |
| MRI Thoracic Spine (Mid-back) without Contrast | $397$189$3.0k | $3,743 | $3,743 |
| Newborn Circumcision | $2,799$986$5.1k | — | — |
| Nuclear Cardiac Stress Test | $2,259$355$3.5k | $4,271 | $4,271 |
| Office Visit, Established Patient (Level 3) | $205$78$310 | $388 | $388 |
| Office Visit, New Patient (Level 3) | $197$75$299 | $374 | $374 |
| Pacemaker Insertion (Dual Chamber) | $14,676$759$27k | — | — |
| PET/CT Scan, Whole Body | $2,160$1.9k$3.9k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $178$131$1.1k | $1,334 | $1,334 |
| Prostate Biopsy | $3,156$89$5.1k | $6,060 | $6,060 |
| PSA Prostate Cancer Screening | $9$3$246 | $11 | $11 |
| Pulmonary Function Test with Bronchodilator | $499$46$784 | $818 | $818 |
| Rotator Cuff Repair (Arthroscopic) | $9,832$504$18k | — | — |
| Screening Mammogram | $121$88$220 | — | — |
| Septoplasty (Deviated Septum Repair) | $4,425$380$8.0k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $9,407$366$17k | — | — |
| Skin Biopsy (Tangential) | $275$97$1.9k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,228$122$4.1k | — | — |
| Sleep Study (In-lab Polysomnography) | $1,437$355$2.6k | — | — |
| Spinal Cord Stimulator Trial | $9,400$445$17k | — | — |
| Spirometry (Breathing Test) | $248$26$390 | $431 | $431 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $4,425$207$8.0k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $8,049$172$15k | — | — |
| Total Hip Replacement | $18,088$1.5k$33k | — | — |
| Total Knee Replacement | $18,088$1.5k$33k | — | — |
| Total Mastectomy | $8,962$778$16k | — | — |
| TSH Thyroid Function Test | $17$2$294 | $5 | $5 |
| TURP (Transurethral Prostate Resection) | $7,112$759$13k | — | — |
| Upper GI Endoscopy (EGD) | $1,246$229$2.4k | — | — |
| Urinalysis with Microscopy | $5$1$145 | $94 | $94 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $3,302$2.2k$4.4k | — | — |
| Vaginal Delivery (Global Package) | $3,534$2.1k$4.9k | — | — |
| Vaginal Hysterectomy | $6,836$827$12k | — | — |
| Vasectomy | $2,799$266$5.1k | — | — |
| Vitamin D Blood Test | $19$3$60 | $12 | $12 |