| Abdominal Hysterectomy | $8,777$1.4k$14k | — | — |
| ACL Reconstruction (Arthroscopic) | $11,472$1.7k$17k | — | — |
| Allergy Skin Testing | $1,677$1.6k$1.7k | — | — |
| Basic Metabolic Panel | $22$5$1.2k | $1,346 | $1,346 |
| Bone Marrow Biopsy | $2,600$983$8.5k | — | — |
| Breast Biopsy (Ultrasound-guided) | $2,600$1.7k$8.5k | — | — |
| Bunion Correction Surgery | $5,190$1.7k$10k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $19,421$9.5k$45k | — | — |
| Cardiac Catheterization (Left Heart) | $13,556$4.3k$30k | — | — |
| Carpal Tunnel Release Surgery | $3,096$1.1k$8.5k | — | — |
| Cataract Surgery with Lens Implant | $3,737$3.3k$12k | — | — |
| Cervical Spinal Fusion (Anterior) | $21,105$8.1k$43k | — | — |
| Cesarean Delivery (Global Package) | $7,872$4.8k$10k | — | — |
| Chemotherapy Infusion (First Hour) | $1,732$499$3.0k | $3,280 | $3,280 |
| Chest X-ray (2 Views) | $389$25$2.3k | $2,561 | $2,561 |
| Colonoscopy with Biopsy | $1,892$1.1k$8.5k | — | — |
| Complete Abdominal Ultrasound | $1,855$92$5.1k | $5,666 | $5,666 |
| Complete Blood Count (CBC) with Differential | $8$4$37 | — | — |
| Comprehensive Metabolic Panel | $27$6$1.5k | $1,636 | $1,636 |
| Coronary Angioplasty with Stent | $27,816$12k$75k | — | — |
| Critical Care, First Hour | $12,941$1.1k$26k | $28,758 | $28,758 |
| CT Abdomen and Pelvis with Contrast | $9,192$207$20k | $21,049 | $21,049 |
| CT Cardiac Calcium Scoring | $667$66$3.3k | $3,717 | $3,717 |
| CT Chest without Contrast | $7,521$122$16k | $17,223 | $17,223 |
| CT Head without Contrast | $7,938$97$17k | $18,179 | $18,179 |
| DEXA Bone Density Scan | $173$23$431 | — | — |
| Diagnostic Colonoscopy | $1,466$1.1k$6.2k | — | — |
| Diagnostic Mammogram (Both Breasts) | $120$115$816 | — | — |
| Ear Tube Placement (Tympanostomy) | $2,445$1.7k$8.5k | — | — |
| Echocardiogram (Complete with Doppler) | $3,911$849$8.7k | $9,716 | $9,716 |
| Emergency Room Visit (Level 3) | $3,899$439$7.8k | $8,664 | $8,664 |
| Group Therapy Session | $143$137$300 | — | — |
| Hemoglobin A1c (Diabetes Test) | $25$6$880 | $978 | $978 |
| HIV Antibody Test | $23$5$745 | $828 | $828 |
| Home Sleep Study | $2,456$240$5.6k | — | — |
| Individual Therapy Session (45 Minutes) | $256$245$256 | — | — |
| Inguinal Hernia Repair (Open) | $5,548$2.6k$10k | — | — |
| Initial Psychiatric Diagnostic Evaluation | $1,861$245$4.2k | $4,687 | $4,687 |
| Initial Psychiatric Evaluation with Medication Management | $256$245$256 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $6,919$906$16k | $17,429 | $17,429 |
| IUD Insertion | $2,718$524$4.8k | — | — |
| IUD Removal | $514$494$4.8k | — | — |
| Knee Arthroscopy with Meniscectomy | $5,190$2.6k$10k | — | — |
| Laparoscopic Appendectomy | $9,252$2.6k$14k | — | — |
| Laparoscopic Gallbladder Removal | $9,252$4.5k$14k | — | — |
| Laparoscopic Tubal Ligation | $9,252$2.6k$14k | — | — |
| Lipid Panel (Cholesterol Test) | $35$8$1.6k | $1,792 | $1,792 |
| Lumbar Epidural Steroid Injection | $1,109$983$4.8k | — | — |
| Lumbar Puncture (Spinal Tap) | $1,109$983$4.8k | — | — |
| Lumbar Spinal Fusion (Posterior) | $29,884$8.1k$68k | — | — |
| Lumpectomy (Partial Mastectomy) | $6,112$1.7k$10k | — | — |
| MRI Abdomen with and without Contrast | $1,820$250$22k | $24,397 | $24,397 |
| MRI Brain with and without Contrast | $1,770$260$22k | $24,441 | $24,441 |
| MRI Brain with Contrast | $1,723$202$20k | $22,018 | $22,018 |
| MRI Brain without Contrast | $1,723$167$18k | $19,541 | $19,541 |
| MRI Cervical Spine (Neck) without Contrast | $1,723$168$18k | $19,454 | $19,454 |
| MRI Knee without Contrast | $8,721$155$17k | $19,381 | $19,381 |
| MRI Lower Back (Lumbar Spine) without Contrast | $1,723$169$18k | $19,472 | $19,472 |
| MRI Thoracic Spine (Mid-back) without Contrast | $1,723$168$17k | $19,356 | $19,356 |
| Newborn Circumcision | $3,266$983$8.5k | — | — |
| Nuclear Cardiac Stress Test | $5,350$185$28k | $30,607 | $30,607 |
| Office Visit, Established Patient (Level 3) | $299$68$965 | $467 | $467 |
| Office Visit, New Patient (Level 3) | $751$163$1.3k | $1,216 | $1,216 |
| Pacemaker Insertion (Dual Chamber) | $17,123$1.4k$60k | — | — |
| PET/CT Scan, Whole Body | $25,258$270$36k | $39,466 | $39,466 |
| Pregnancy Ultrasound (Second or Third Trimester) | $1,025$117$2.6k | $2,889 | $2,889 |
| Prostate Biopsy | $3,266$3.1k$8.5k | — | — |
| PSA Prostate Cancer Screening | $32$11$1.1k | $1,177 | $1,177 |
| Pulmonary Function Test with Bronchodilator | $1,394$483$3.2k | $3,511 | $3,511 |
| Rotator Cuff Repair (Arthroscopic) | $11,472$2.6k$17k | — | — |
| Screening Mammogram | $99$87$658 | — | — |
| Septoplasty (Deviated Septum Repair) | $5,163$2.6k$8.8k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $10,708$2.6k$16k | — | — |
| Skin Biopsy (Tangential) | $321$308$4.8k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,600$983$8.5k | — | — |
| Sleep Study (In-lab Polysomnography) | $7,221$1.4k$22k | $24,070 | $24,070 |
| Spinal Cord Stimulator Trial | $10,967$1.4k$71k | — | — |
| Spirometry (Breathing Test) | $754$240$1.6k | $1,706 | $1,706 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $5,163$2.6k$12k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $9,011$1.7k$10k | — | — |
| Total Hip Replacement | $21,105$5.9k$44k | — | — |
| Total Knee Replacement | $21,105$5.9k$44k | — | — |
| Total Mastectomy | $10,034$2.6k$16k | — | — |
| TSH Thyroid Function Test | $43$10$1.3k | $1,417 | $1,417 |
| TURP (Transurethral Prostate Resection) | $8,297$2.6k$12k | — | — |
| Umbilical Hernia Repair | $10,063$4.8k$13k | — | — |
| Upper GI Endoscopy (EGD) | $1,454$983$5.3k | — | — |
| Urinalysis with Microscopy | $6$2$824 | $916 | $916 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $5,680$4.8k$10k | — | — |
| Vaginal Delivery (Global Package) | $7,872$4.8k$10k | — | — |
| Vaginal Hysterectomy | $7,976$4.0k$12k | — | — |
| Vasectomy | $3,266$1.1k$8.5k | — | — |
| Vitamin D Blood Test | $52$17$1.3k | $1,396 | $1,396 |