| Abdominal Hysterectomy | $8,777$1.1k$14k | — | — |
| ACL Reconstruction (Arthroscopic) | $11,472$1.3k$17k | — | — |
| Allergy Skin Testing | $1,677$1.6k$1.7k | — | — |
| Basic Metabolic Panel | $381$4$1.7k | $1,849 | $1,849 |
| Bone Marrow Biopsy | $2,600$775$8.5k | — | — |
| Breast Biopsy (Ultrasound-guided) | $2,600$1.3k$8.5k | — | — |
| Bunion Correction Surgery | $5,190$1.3k$10k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $39,829$9.5k$200k | $222,291 | $222,291 |
| Cardiac Catheterization (Left Heart) | $13,638$5.0k$30k | — | — |
| Carpal Tunnel Release Surgery | $3,096$903$8.5k | — | — |
| Cataract Surgery with Lens Implant | $3,737$2.6k$12k | — | — |
| Cervical Spinal Fusion (Anterior) | $21,105$9.0k$43k | — | — |
| Cesarean Delivery (Global Package) | $7,872$4.8k$10k | — | — |
| Chemotherapy Infusion (First Hour) | $1,408$366$2.2k | $2,411 | $2,411 |
| Chest X-ray (2 Views) | $227$25$921 | $1,023 | $1,023 |
| Colonoscopy with Biopsy | $1,892$903$8.5k | — | — |
| Complete Abdominal Ultrasound | $822$92$4.2k | $4,672 | $4,672 |
| Complete Blood Count (CBC) with Differential | $8$4$37 | — | — |
| Comprehensive Metabolic Panel | $530$5$2.3k | $2,570 | $2,570 |
| Coronary Angioplasty with Stent | $31,041$12k$75k | — | — |
| Critical Care, First Hour | $12,766$1.4k$25k | $27,282 | $27,282 |
| CT Abdomen and Pelvis with Contrast | $1,663$207$20k | $22,183 | $22,183 |
| CT Cardiac Calcium Scoring | $206$48$1.8k | $319 | $319 |
| CT Chest without Contrast | $5,621$122$11k | $11,911 | $11,911 |
| CT Head without Contrast | $1,496$97$9.3k | $10,353 | $10,353 |
| DEXA Bone Density Scan | $631$23$3.2k | $3,583 | $3,583 |
| Diagnostic Colonoscopy | $1,466$903$6.2k | — | — |
| Diagnostic Mammogram (Both Breasts) | $379$115$2.4k | $2,652 | $2,652 |
| Ear Tube Placement (Tympanostomy) | $2,445$1.3k$8.5k | — | — |
| Echocardiogram (Complete with Doppler) | $4,171$849$8.3k | $9,269 | $9,269 |
| Emergency Room Visit (Level 3) | $2,510$439$5.9k | $6,555 | $6,555 |
| Group Therapy Session | $227$54$319 | $354 | $354 |
| Hemoglobin A1c (Diabetes Test) | $27$4$705 | $783 | $783 |
| HIV Antibody Test | $22$4$126 | $140 | $140 |
| Home Sleep Study | $899$214$5.6k | $1,405 | $1,405 |
| Individual Therapy Session (45 Minutes) | $256$245$256 | — | — |
| Inguinal Hernia Repair (Open) | $5,548$2.0k$10k | — | — |
| Initial Psychiatric Diagnostic Evaluation | $256$245$256 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $256$245$256 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $6,003$906$12k | $13,341 | $13,341 |
| IUD Insertion | $2,718$413$4.8k | — | — |
| IUD Removal | $514$494$4.8k | — | — |
| Knee Arthroscopy with Meniscectomy | $5,190$2.0k$10k | — | — |
| Laparoscopic Appendectomy | $9,252$2.0k$14k | — | — |
| Laparoscopic Gallbladder Removal | $9,252$3.6k$14k | — | — |
| Laparoscopic Tubal Ligation | $9,252$2.1k$14k | — | — |
| Lipid Panel (Cholesterol Test) | $37$6$915 | $1,017 | $1,017 |
| Lumbar Epidural Steroid Injection | $1,109$775$4.8k | — | — |
| Lumbar Puncture (Spinal Tap) | $1,109$775$4.8k | — | — |
| Lumbar Spinal Fusion (Posterior) | $29,884$9.0k$68k | — | — |
| Lumpectomy (Partial Mastectomy) | $6,112$1.3k$10k | — | — |
| MRI Abdomen with and without Contrast | $7,174$250$14k | $15,203 | $15,203 |
| MRI Brain with and without Contrast | $8,401$260$17k | $17,802 | $17,802 |
| MRI Brain with Contrast | $6,418$202$13k | $13,600 | $13,600 |
| MRI Brain without Contrast | $5,601$167$11k | $11,868 | $11,868 |
| MRI Cervical Spine (Neck) without Contrast | $5,513$168$11k | $11,683 | $11,683 |
| MRI Knee without Contrast | $8,915$155$19k | $14,040 | $14,040 |
| MRI Lower Back (Lumbar Spine) without Contrast | $6,068$169$12k | $12,859 | $12,859 |
| MRI Thoracic Spine (Mid-back) without Contrast | $5,089$168$10k | $10,783 | $10,783 |
| Newborn Circumcision | $3,266$775$8.5k | — | — |
| Nuclear Cardiac Stress Test | $5,382$185$24k | $27,076 | $27,076 |
| Office Visit, Established Patient (Level 3) | $175$41$270 | $285 | $285 |
| Office Visit, New Patient (Level 3) | $402$93$617 | $651 | $651 |
| Pacemaker Insertion (Dual Chamber) | $17,123$1.1k$60k | — | — |
| PET/CT Scan, Whole Body | $26,793$270$38k | $41,864 | $41,864 |
| Pregnancy Ultrasound (Second or Third Trimester) | $860$117$2.9k | $3,066 | $3,066 |
| Prostate Biopsy | $3,266$3.1k$8.5k | — | — |
| PSA Prostate Cancer Screening | $45$8$1.1k | $1,275 | $1,275 |
| Pulmonary Function Test with Bronchodilator | $1,413$477$2.8k | $3,140 | $3,140 |
| Rotator Cuff Repair (Arthroscopic) | $11,472$2.1k$17k | — | — |
| Screening Mammogram | $416$87$1.6k | $1,762 | $1,762 |
| Septoplasty (Deviated Septum Repair) | $5,163$2.0k$8.8k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $10,708$2.1k$16k | — | — |
| Skin Biopsy (Tangential) | $321$308$4.8k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,600$775$8.5k | — | — |
| Sleep Study (In-lab Polysomnography) | $3,736$1.4k$8.3k | $9,188 | $9,188 |
| Spinal Cord Stimulator Trial | $10,967$1.1k$71k | — | — |
| Spirometry (Breathing Test) | $734$240$1.5k | $1,630 | $1,630 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $5,163$2.1k$12k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $9,011$1.3k$10k | — | — |
| Total Hip Replacement | $21,105$4.7k$44k | — | — |
| Total Knee Replacement | $21,105$4.7k$44k | — | — |
| Total Mastectomy | $10,034$2.0k$16k | — | — |
| TSH Thyroid Function Test | $46$8$1.0k | $1,115 | $1,115 |
| TURP (Transurethral Prostate Resection) | $8,297$2.0k$12k | — | — |
| Umbilical Hernia Repair | $10,063$4.8k$13k | — | — |
| Upper GI Endoscopy (EGD) | $1,454$775$5.3k | — | — |
| Urinalysis with Microscopy | $8$1$537 | $597 | $597 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $5,358$4.8k$10k | — | — |
| Vaginal Delivery (Global Package) | $7,872$4.8k$10k | — | — |
| Vaginal Hysterectomy | $7,976$3.1k$12k | — | — |
| Vasectomy | $3,266$903$8.5k | — | — |
| Vitamin D Blood Test | $72$13$2.0k | $2,271 | $2,271 |