| Abdominal Hysterectomy | $11,704$55$24k | — | — |
| ACL Reconstruction (Arthroscopic) | $11,422$95$25k | — | — |
| Allergy Skin Testing | $27$2$73 | — | — |
| Basic Metabolic Panel | $108$8$1.7k | $880 | $880 |
| Bone Marrow Biopsy | $5,119$13$7.9k | — | — |
| Breast Biopsy (Ultrasound-guided) | $6,675$13$21k | — | — |
| Bunion Correction Surgery | $10,705$63$24k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $93,500$969$186k | $159,905 | $159,905 |
| Cardiac Catheterization (Left Heart) | $21,589$763$46k | — | — |
| Cardiac Stress Test (Treadmill) | $549$121$1.4k | — | — |
| Carpal Tunnel Release Surgery | $7,044$47$21k | — | — |
| Cataract Surgery with Lens Implant | $7,044$189$45k | — | — |
| Cervical Spinal Fusion (Anterior) | $18,113$77$68k | — | — |
| Cesarean Delivery (Global Package) | $7,693$95$24k | — | — |
| Chemotherapy Infusion (First Hour) | $644$31$2.5k | $858 | $858 |
| Chest X-ray (2 Views) | $281$20$2.2k | $1,266 | $1,266 |
| Colonoscopy with Biopsy | $6,675$16$21k | — | — |
| Complete Abdominal Ultrasound | $892$91$2.9k | $2,693 | $2,693 |
| Complete Blood Count (CBC) with Differential | $8$8$164 | — | — |
| Comprehensive Metabolic Panel | $139$10$2.9k | $1,481 | $1,481 |
| Coronary Angioplasty with Stent | $20,824$531$46k | — | — |
| Critical Care, First Hour | $12,434$192$24k | $23,774 | $23,774 |
| CT Abdomen and Pelvis with Contrast | $5,321$223$14k | $12,603 | $12,603 |
| CT Cardiac Calcium Scoring | $1,239$65$2.7k | $2,671 | $2,671 |
| CT Chest without Contrast | $2,280$147$7.9k | $7,338 | $7,338 |
| CT Head without Contrast | $1,824$104$6.9k | $6,424 | $6,424 |
| DEXA Bone Density Scan | $517$29$2.4k | $1,762 | $1,762 |
| Diagnostic Colonoscopy | $6,240$32$21k | — | — |
| Diagnostic Mammogram (Both Breasts) | $155$84$2.0k | $557 | $557 |
| Ear Tube Placement (Tympanostomy) | $6,675$71$24k | — | — |
| Echocardiogram (Complete with Doppler) | $5,899$195$15k | $14,572 | $14,572 |
| EKG (Electrocardiogram, 12-lead) | $36$13$360 | — | — |
| Emergency Room Visit (Level 3) | $3,953$1.4k$5.8k | $5,473 | $5,473 |
| Group Therapy Session | $51$4$140 | — | — |
| Hemodialysis Treatment | $242$88$691 | — | — |
| Hemoglobin A1c (Diabetes Test) | $21$1$205 | $63 | $63 |
| HIV Antibody Test | $9$1$188 | $7 | $7 |
| Holter Monitor (24-48 Hour Heart Monitor) | $175$67$2.6k | — | — |
| Home Sleep Study | $4,906$1.3k$5.3k | — | — |
| Individual Therapy Session (45 Minutes) | $74 | — | — |
| Inguinal Hernia Repair (Open) | $10,705$55$29k | — | — |
| Initial Hospital Admission (Level 1) | $54 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $141 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $114 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $2,271 | — | — |
| IUD Insertion | $4,768$8$7.9k | — | — |
| IUD Removal | $4,768$8$7.9k | — | — |
| Knee Arthroscopy with Meniscectomy | $10,705$103$29k | — | — |
| Laparoscopic Appendectomy | $11,422$197$38k | — | — |
| Laparoscopic Gallbladder Removal | $12,600$197$46k | — | — |
| Laparoscopic Tubal Ligation | $12,600$197$33k | — | — |
| Lipid Panel (Cholesterol Test) | $66$13$804 | $140 | $140 |
| Lumbar Epidural Steroid Injection | $6,240$20$15k | — | — |
| Lumbar Puncture (Spinal Tap) | $6,240$28$15k | — | — |
| Lumbar Spinal Fusion (Posterior) | $18,573$110$68k | — | — |
| Lumpectomy (Partial Mastectomy) | $10,705$44$24k | — | — |
| MRI Abdomen with and without Contrast | $1,896$290$17k | $17,250 | $17,250 |
| MRI Brain with and without Contrast | $11,931$348$18k | $16,896 | $16,896 |
| MRI Brain with Contrast | $6,451$304$9.5k | $9,136 | $9,136 |
| MRI Brain without Contrast | $5,396$207$7.9k | $7,641 | $7,641 |
| MRI Cervical Spine (Neck) without Contrast | $5,396$199$7.9k | $7,641 | $7,641 |
| MRI Knee without Contrast | $6,280$227$16k | $7,850 | $7,850 |
| MRI Lower Back (Lumbar Spine) without Contrast | $5,971$200$8.8k | $8,457 | $8,457 |
| MRI Thoracic Spine (Mid-back) without Contrast | $5,971$202$8.8k | $8,457 | $8,457 |
| Newborn Circumcision | $7,275$2.7k$15k | — | — |
| Nuclear Cardiac Stress Test | $4,870$325$28k | $27,515 | $27,515 |
| Office Visit, Established Patient (Level 3) | $491$30$903 | $903 | $903 |
| Office Visit, New Patient (Level 3) | $613$90$1.1k | $1,129 | $1,129 |
| Pacemaker Insertion (Dual Chamber) | $16,213$142$83k | — | — |
| PET/CT Scan, Whole Body | $1,989$549$26k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $749$100$2.4k | $1,765 | $1,765 |
| Prostate Biopsy | $6,675$32$21k | — | — |
| PSA Prostate Cancer Screening | $26$1$1.6k | $164 | $164 |
| Pulmonary Function Test with Bronchodilator | $889$34$2.6k | $2,584 | $2,584 |
| Rotator Cuff Repair (Arthroscopic) | $15,445$66$33k | — | — |
| Screening Mammogram | $176$47$2.1k | $388 | $388 |
| Septoplasty (Deviated Septum Repair) | $7,044$39$29k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $12,903$24$33k | — | — |
| Skin Biopsy (Tangential) | $6,240$13$21k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $6,675$22$15k | — | — |
| Sleep Study (In-lab Polysomnography) | $4,906$302$11k | — | — |
| Spinal Cord Stimulator Trial | $7,968$55$44k | — | — |
| Spirometry (Breathing Test) | $587$19$1.7k | $1,707 | $1,707 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $7,044$57$33k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $10,705$57$24k | — | — |
| Total Hip Replacement | $16,160$158$43k | — | — |
| Total Knee Replacement | $16,160$95$43k | — | — |
| Total Mastectomy | $12,903$44$29k | — | — |
| TSH Thyroid Function Test | $30$3$1.5k | $159 | $159 |
| TURP (Transurethral Prostate Resection) | $10,705$47$29k | — | — |
| Umbilical Hernia Repair | $10,705$55$38k | — | — |
| Upper GI Endoscopy (EGD) | $6,240$24$15k | — | — |
| Urinalysis with Microscopy | $71$3$943 | $506 | $506 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $7,693$55$21k | — | — |
| Vaginal Delivery (Global Package) | $7,693$55$21k | — | — |
| Vaginal Hysterectomy | $10,705$47$19k | — | — |
| Vasectomy | $7,044$39$21k | — | — |
| Vitamin D Blood Test | $35$1$625 | $208 | $208 |