| Abdominal Hysterectomy | $5,488$3.4k$18k | — | — |
| ACL Reconstruction (Arthroscopic) | $11,012$1.6k$26k | — | — |
| Allergy Skin Testing | $1,325$35$3.1k | $2,585 | $2,585 |
| Basic Metabolic Panel | $14$6$111 | $693 | $693 |
| Bone Marrow Biopsy | $2,528$1.3k$8.8k | $6,571 | $6,571 |
| Breast Biopsy (Ultrasound-guided) | $4,212$1.4k$9.0k | $3,972 | $3,972 |
| Bunion Correction Surgery | $6,818$1.6k$18k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $40,341$3.8k$95k | $66,126 | $66,126 |
| Cardiac Catheterization (Left Heart) | $10,299$2.7k$23k | $30,656 | $30,656 |
| Cardiac Stress Test (Treadmill) | $798$680$1.0k | — | — |
| Carpal Tunnel Release Surgery | $5,375$1.4k$13k | — | — |
| Cataract Surgery with Lens Implant | $6,352$1.9k$20k | — | — |
| Cervical Spinal Fusion (Anterior) | $18,392$3.2k$47k | — | — |
| Cesarean Delivery (Global Package) | $8,208$6.5k$10k | — | — |
| Chemotherapy Infusion (First Hour) | $956$276$1.8k | $2,253 | $2,253 |
| Chest X-ray (2 Views) | $205$73$359 | $1,166 | $1,166 |
| Colonoscopy with Biopsy | $3,398$1.0k$9.0k | $6,270 | $6,270 |
| Complete Abdominal Ultrasound | $311$87$1.0k | $1,387 | $1,387 |
| Complete Blood Count (CBC) with Differential | $12$5$102 | $62 | $62 |
| Comprehensive Metabolic Panel | $17$7$139 | $883 | $883 |
| Coronary Angioplasty with Stent | $20,698$9.1k$42k | $31,202 | $31,202 |
| Critical Care, First Hour | — | $7,502 | $7,502 |
| CT Abdomen and Pelvis with Contrast | $1,010$292$3.6k | $10,055 | $10,055 |
| CT Cardiac Calcium Scoring | $240$73$1.2k | $1,760 | $1,760 |
| CT Chest without Contrast | $303$87$3.0k | $5,830 | $5,830 |
| CT Head without Contrast | $303$87$2.4k | $5,215 | $5,215 |
| DEXA Bone Density Scan | $301$87$483 | $1,115 | $1,115 |
| Diagnostic Colonoscopy | $2,830$777$9.0k | $4,077 | $4,077 |
| Diagnostic Mammogram (Both Breasts) | $279$79$1.5k | $1,319 | $1,319 |
| Ear Tube Placement (Tympanostomy) | $3,747$1.3k$10k | — | — |
| Echocardiogram (Complete with Doppler) | $1,321$457$2.9k | $4,158 | $4,158 |
| EKG (Electrocardiogram, 12-lead) | $206$175$259 | — | — |
| Emergency Room Visit (Level 3) | — | $2,498 | $2,498 |
| Group Therapy Session | $157$68$371 | $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 | $625$181$1.7k | — | — |
| Individual Therapy Session (45 Minutes) | $360$148$648 | $621 | $621 |
| Inguinal Hernia Repair (Open) | $7,983$2.0k$18k | — | — |
| Initial Psychiatric Diagnostic Evaluation | $360$148$648 | $602 | $602 |
| Initial Psychiatric Evaluation with Medication Management | $360$148$648 | $888 | $888 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | — | $10,284 | $10,284 |
| IUD Insertion | $1,573$63$2.2k | $2,632 | $2,632 |
| IUD Removal | $1,052$255$2.6k | $773 | $773 |
| Knee Arthroscopy with Meniscectomy | $7,983$2.0k$18k | — | — |
| Laparoscopic Appendectomy | $11,935$2.0k$25k | — | — |
| Laparoscopic Gallbladder Removal | $14,801$5.1k$25k | — | — |
| Laparoscopic Tubal Ligation | $10,646$2.3k$25k | — | — |
| Lipid Panel (Cholesterol Test) | $21$9$176 | $530 | $530 |
| Lumbar Epidural Steroid Injection | $2,086$590$6.8k | $8,754 | $8,754 |
| Lumbar Puncture (Spinal Tap) | $2,050$590$6.8k | $2,622 | $2,622 |
| Lumbar Spinal Fusion (Posterior) | $23,089$3.2k$64k | — | — |
| Lumpectomy (Partial Mastectomy) | $7,710$2.0k$15k | — | — |
| MRI Abdomen with and without Contrast | $1,010$292$12k | $11,509 | $11,509 |
| MRI Brain with and without Contrast | $1,010$292$13k | $11,782 | $11,782 |
| MRI Brain with Contrast | $1,010$292$6.8k | $8,128 | $8,128 |
| MRI Brain without Contrast | $657$199$5.7k | $7,384 | $7,384 |
| MRI Cervical Spine (Neck) without Contrast | $657$199$5.7k | $6,864 | $6,864 |
| MRI Knee without Contrast | $657$199$5.6k | $6,253 | $6,253 |
| MRI Lower Back (Lumbar Spine) without Contrast | $657$199$6.3k | $7,633 | $7,633 |
| MRI Thoracic Spine (Mid-back) without Contrast | $657$199$6.3k | $7,338 | $7,338 |
| Newborn Circumcision | $4,356$1.0k$13k | $6,381 | $6,381 |
| Nuclear Cardiac Stress Test | $3,116$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) | $21,119$3.4k$54k | $31,709 | $31,709 |
| PET/CT Scan, Whole Body | $4,138$1.2k$19k | $15,256 | $15,256 |
| Pregnancy Ultrasound (Second or Third Trimester) | $311$87$1.1k | $2,350 | $2,350 |
| Prostate Biopsy | $5,649$1.4k$9.0k | $7,720 | $7,720 |
| PSA Prostate Cancer Screening | $29$12$241 | $52 | $52 |
| Pulmonary Function Test with Bronchodilator | $576$312$1.4k | $1,550 | $1,550 |
| Rotator Cuff Repair (Arthroscopic) | $11,666$2.3k$26k | — | — |
| Screening Mammogram | $251$71$1.5k | $965 | $965 |
| Septoplasty (Deviated Septum Repair) | $7,675$2.0k$15k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $11,346$2.3k$26k | — | — |
| Skin Biopsy (Tangential) | $1,172$63$9.0k | $1,897 | $1,897 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $3,521$1.4k$8.8k | $4,117 | $4,117 |
| Sleep Study (In-lab Polysomnography) | $2,485$718$7.8k | $3,538 | $3,538 |
| Spinal Cord Stimulator Trial | $10,246$1.4k$25k | $18,572 | $18,572 |
| Spirometry (Breathing Test) | $333$181$789 | $821 | $821 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $7,675$2.3k$15k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $8,984$1.6k$22k | — | — |
| Total Hip Replacement | $19,650$3.2k$52k | — | — |
| Total Knee Replacement | $19,650$3.2k$52k | — | — |
| Total Mastectomy | $10,428$2.4k$24k | — | — |
| TSH Thyroid Function Test | $27$11$220 | $45 | $45 |
| TURP (Transurethral Prostate Resection) | $10,150$2.0k$23k | — | — |
| Umbilical Hernia Repair | $10,220$2.0k$15k | — | — |
| Upper GI Endoscopy (EGD) | $2,562$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 | $9,755$2.8k$18k | — | — |
| Vasectomy | $5,649$1.4k$13k | $3,655 | $3,655 |
| Vitamin D Blood Test | $47$19$388 | $195 | $195 |