| Abdominal Hysterectomy | $5,060$3.5k$18k | — | — |
| ACL Reconstruction (Arthroscopic) | $10,639$1.7k$25k | — | — |
| Allergy Skin Testing | $1,314$30$3.0k | $2,585 | $2,585 |
| Basic Metabolic Panel | $13$8$102 | $693 | $693 |
| Bone Marrow Biopsy | $2,516$1.2k$8.8k | $6,571 | $6,571 |
| Breast Biopsy (Ultrasound-guided) | $3,461$1.8k$8.8k | $3,972 | $3,972 |
| Bunion Correction Surgery | $6,145$1.7k$18k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $40,005$3.5k$92k | $66,126 | $66,126 |
| Cardiac Catheterization (Left Heart) | $9,435$3.8k$23k | $30,656 | $30,656 |
| Cardiac Stress Test (Treadmill) | $647$580$780 | — | — |
| Carpal Tunnel Release Surgery | $4,148$1.5k$13k | — | — |
| Cataract Surgery with Lens Implant | $6,067$2.7k$15k | — | — |
| Cervical Spinal Fusion (Anterior) | $18,164$3.0k$45k | — | — |
| Cesarean Delivery (Global Package) | $6,760$6.1k$8.1k | — | — |
| Chemotherapy Infusion (First Hour) | $731$382$1.4k | $2,253 | $2,253 |
| Chest X-ray (2 Views) | $161$96$363 | $1,166 | $1,166 |
| Colonoscopy with Biopsy | $3,065$1.4k$7.1k | $6,270 | $6,270 |
| Complete Abdominal Ultrasound | $288$121$1.0k | $1,387 | $1,387 |
| Complete Blood Count (CBC) with Differential | $12$7$94 | $62 | $62 |
| Comprehensive Metabolic Panel | $16$10$128 | $883 | $883 |
| Coronary Angioplasty with Stent | $17,669$3.6k$41k | $31,202 | $31,202 |
| Critical Care, First Hour | $1,434$956$2.9k | $7,502 | $7,502 |
| CT Abdomen and Pelvis with Contrast | $772$404$2.8k | $10,055 | $10,055 |
| CT Cardiac Calcium Scoring | $193$96$963 | $1,760 | $1,760 |
| CT Chest without Contrast | $231$121$2.3k | $5,830 | $5,830 |
| CT Head without Contrast | $231$121$1.9k | $5,215 | $5,215 |
| DEXA Bone Density Scan | $246$121$657 | $1,115 | $1,115 |
| Diagnostic Colonoscopy | $2,713$1.1k$7.1k | $4,077 | $4,077 |
| Diagnostic Mammogram (Both Breasts) | $208$109$1.2k | $1,319 | $1,319 |
| Ear Tube Placement (Tympanostomy) | $3,628$1.7k$8.1k | — | — |
| Echocardiogram (Complete with Doppler) | $1,039$633$2.9k | $4,158 | $4,158 |
| EKG (Electrocardiogram, 12-lead) | $167$150$201 | — | — |
| Emergency Room Visit (Level 3) | $474$316$959 | $2,498 | $2,498 |
| Group Therapy Session | $155$58$357 | $416 | $416 |
| Hemodialysis Treatment | $321$287$386 | — | — |
| Hemoglobin A1c (Diabetes Test) | $15$9$117 | $38 | $38 |
| HIV Antibody Test | $14$8$107 | $38 | $38 |
| Holter Monitor (24-48 Hour Heart Monitor) | $1,191$1.1k$1.4k | — | — |
| Home Sleep Study | $478$250$1.3k | — | — |
| Individual Therapy Session (45 Minutes) | — | $621 | $621 |
| Inguinal Hernia Repair (Open) | $7,113$2.1k$18k | — | — |
| 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 | $1,419$78$2.5k | $2,632 | $2,632 |
| IUD Removal | $892$353$3.2k | $773 | $773 |
| Knee Arthroscopy with Meniscectomy | $6,500$2.1k$18k | — | — |
| Laparoscopic Appendectomy | $10,497$2.3k$25k | — | — |
| Laparoscopic Gallbladder Removal | $13,196$7.0k$25k | — | — |
| Laparoscopic Tubal Ligation | $9,612$2.3k$25k | — | — |
| Lipid Panel (Cholesterol Test) | $21$12$162 | $530 | $530 |
| Lumbar Epidural Steroid Injection | $2,044$817$5.3k | $8,754 | $8,754 |
| Lumbar Puncture (Spinal Tap) | $2,043$817$5.3k | $2,622 | $2,622 |
| Lumbar Spinal Fusion (Posterior) | $23,679$3.0k$62k | — | — |
| Lumpectomy (Partial Mastectomy) | $6,760$2.3k$15k | — | — |
| MRI Abdomen with and without Contrast | $772$404$9.7k | $11,509 | $11,509 |
| MRI Brain with and without Contrast | $772$404$9.8k | $11,782 | $11,782 |
| MRI Brain with Contrast | $772$404$5.3k | $8,128 | $8,128 |
| MRI Brain without Contrast | $528$276$4.4k | $7,384 | $7,384 |
| MRI Cervical Spine (Neck) without Contrast | $528$276$4.4k | $6,864 | $6,864 |
| MRI Knee without Contrast | $528$276$4.3k | $6,253 | $6,253 |
| MRI Lower Back (Lumbar Spine) without Contrast | $528$276$4.9k | $7,633 | $7,633 |
| MRI Thoracic Spine (Mid-back) without Contrast | $528$276$4.9k | $7,338 | $7,338 |
| Newborn Circumcision | $3,972$1.1k$13k | $6,381 | $6,381 |
| Nuclear Cardiac Stress Test | $2,425$1.5k$5.6k | $8,597 | $8,597 |
| Office Visit, Established Patient (Level 3) | — | $459 | $459 |
| Office Visit, New Patient (Level 3) | — | $523 | $523 |
| Pacemaker Insertion (Dual Chamber) | $17,759$3.5k$55k | $31,709 | $31,709 |
| PET/CT Scan, Whole Body | $3,163$1.7k$15k | $15,256 | $15,256 |
| Pregnancy Ultrasound (Second or Third Trimester) | $288$121$1.0k | $2,350 | $2,350 |
| Prostate Biopsy | $5,308$1.5k$8.8k | $7,720 | $7,720 |
| PSA Prostate Cancer Screening | $28$17$222 | $52 | $52 |
| Pulmonary Function Test with Bronchodilator | $571$299$1.3k | $1,550 | $1,550 |
| Rotator Cuff Repair (Arthroscopic) | $11,106$2.3k$25k | — | — |
| Screening Mammogram | $187$98$1.2k | $965 | $965 |
| Septoplasty (Deviated Septum Repair) | $6,586$2.1k$15k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $10,511$2.3k$25k | — | — |
| Skin Biopsy (Tangential) | $957$78$7.1k | $1,897 | $1,897 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $3,165$1.8k$8.8k | $4,117 | $4,117 |
| Sleep Study (In-lab Polysomnography) | $1,900$994$6.1k | $3,538 | $3,538 |
| Spinal Cord Stimulator Trial | $10,656$1.5k$25k | $18,572 | $18,572 |
| Spirometry (Breathing Test) | $330$178$758 | $821 | $821 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $6,745$2.3k$15k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $8,259$1.7k$21k | — | — |
| Total Hip Replacement | $19,485$3.0k$53k | — | — |
| Total Knee Replacement | $19,485$3.0k$53k | — | — |
| Total Mastectomy | $10,078$2.6k$23k | — | — |
| TSH Thyroid Function Test | $26$15$203 | $45 | $45 |
| TURP (Transurethral Prostate Resection) | $8,490$2.1k$23k | — | — |
| Umbilical Hernia Repair | $10,220$2.1k$15k | — | — |
| Upper GI Endoscopy (EGD) | $2,418$1.0k$6.0k | $3,049 | $3,049 |
| Urinalysis with Microscopy | $5$3$38 | $24 | $24 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $5,915$5.3k$7.1k | — | — |
| Vaginal Delivery (Global Package) | $5,915$5.3k$7.1k | — | — |
| Vaginal Hysterectomy | $8,686$2.9k$19k | — | — |
| Vasectomy | $4,291$1.5k$13k | $3,655 | $3,655 |
| Vitamin D Blood Test | $46$27$358 | $195 | $195 |