| Abdominal Hysterectomy | $8,484$1.6k$31k | — | — |
| ACL Reconstruction (Arthroscopic) | $11,506$3.7k$29k | — | — |
| Allergy Skin Testing | $89$89$91 | — | — |
| Basic Metabolic Panel | $142$8$2.2k | $2,361 | $2,361 |
| Bone Marrow Biopsy | $3,334$1.6k$12k | — | — |
| Breast Biopsy (Ultrasound-guided) | $3,430$1.6k$12k | — | — |
| Bunion Correction Surgery | $7,558$2.1k$16k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $24,037$5.0k$124k | $134,917 | $134,917 |
| Cardiac Catheterization (Left Heart) | $11,739$2.8k$33k | — | — |
| Cardiac Stress Test (Treadmill) | $674$674$689 | — | — |
| Carpal Tunnel Release Surgery | $4,346$1.9k$12k | — | — |
| Cataract Surgery with Lens Implant | $3,902$1.6k$12k | — | — |
| Cervical Spinal Fusion (Anterior) | $11,211$3.7k$37k | — | — |
| Cesarean Delivery (Global Package) | $1,902$1.6k$12k | — | — |
| Chemotherapy Infusion (First Hour) | $459$82$1.6k | $1,750 | $1,750 |
| Chest X-ray (2 Views) | $729$134$2.6k | $2,859 | $2,859 |
| Colonoscopy with Biopsy | $3,014$1.6k$12k | — | — |
| Complete Abdominal Ultrasound | $2,281$245$8.3k | $9,035 | $9,035 |
| Complete Blood Count (CBC) with Differential | $8$7$146 | — | — |
| Comprehensive Metabolic Panel | $269$10$4.1k | $4,487 | $4,487 |
| Coronary Angioplasty with Stent | $21,138$6.6k$45k | — | — |
| Critical Care, First Hour | $4,105$1.3k$9.2k | $7,809 | $7,809 |
| CT Abdomen and Pelvis with Contrast | $4,369$738$25k | $26,992 | $26,992 |
| CT Cardiac Calcium Scoring | $738$65$13k | $1,386 | $1,386 |
| CT Chest without Contrast | $2,032$245$17k | $18,194 | $18,194 |
| CT Head without Contrast | $1,971$245$21k | $23,134 | $23,134 |
| DEXA Bone Density Scan | $461$87$1.7k | $1,844 | $1,844 |
| Diagnostic Colonoscopy | $1,950$1.2k$12k | — | — |
| Diagnostic Mammogram (Both Breasts) | $113$57$1.1k | $1,203 | $1,203 |
| Ear Tube Placement (Tympanostomy) | $3,430$1.6k$12k | — | — |
| Echocardiogram (Complete with Doppler) | $1,761$368$7.2k | $7,824 | $7,824 |
| EKG (Electrocardiogram, 12-lead) | $347$11$355 | — | — |
| Emergency Room Visit (Level 3) | $2,845$563$5.5k | $4,780 | $4,780 |
| Group Therapy Session | $125$26$507 | $551 | $551 |
| Hemodialysis Treatment | $3,950$81$4.0k | — | — |
| Hemoglobin A1c (Diabetes Test) | $39$9$598 | $650 | $650 |
| HIV Antibody Test | $55$8$845 | $918 | $918 |
| Holter Monitor (24-48 Hour Heart Monitor) | $492$54$502 | — | — |
| Home Sleep Study | $1,175$1.2k$1.9k | — | — |
| Individual Therapy Session (45 Minutes) | $121$27$531 | $577 | $577 |
| Inguinal Hernia Repair (Open) | $9,467$1.9k$16k | — | — |
| Initial Psychiatric Diagnostic Evaluation | $230$230$235 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $171$171$174 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,670$1.7k$1.7k | — | — |
| IUD Insertion | $3,651$41$12k | — | — |
| IUD Removal | $2,231$1.3k$12k | — | — |
| Knee Arthroscopy with Meniscectomy | $11,211$1.9k$29k | — | — |
| Laparoscopic Appendectomy | $13,226$3.7k$29k | — | — |
| Laparoscopic Gallbladder Removal | $11,211$1.2k$25k | — | — |
| Laparoscopic Tubal Ligation | $11,304$3.7k$20k | — | — |
| Lipid Panel (Cholesterol Test) | $158$12$2.4k | $2,637 | $2,637 |
| Lumbar Epidural Steroid Injection | $1,943$1.6k$12k | — | — |
| Lumbar Puncture (Spinal Tap) | $1,915$837$8.5k | — | — |
| Lumbar Spinal Fusion (Posterior) | $11,211$3.7k$60k | — | — |
| Lumpectomy (Partial Mastectomy) | $8,484$3.7k$29k | — | — |
| MRI Abdomen with and without Contrast | $3,110$497$9.7k | $10,584 | $10,584 |
| MRI Brain with and without Contrast | $2,452$384$7.5k | $8,172 | $8,172 |
| MRI Brain with Contrast | $2,390$828$3.4k | — | — |
| MRI Brain without Contrast | $2,142$336$6.6k | $7,141 | $7,141 |
| MRI Cervical Spine (Neck) without Contrast | $2,142$336$6.6k | $7,141 | $7,141 |
| MRI Knee without Contrast | $2,142$336$6.6k | $7,141 | $7,141 |
| MRI Lower Back (Lumbar Spine) without Contrast | $2,142$336$6.6k | $7,141 | $7,141 |
| MRI Thoracic Spine (Mid-back) without Contrast | $2,142$336$6.6k | $7,141 | $7,141 |
| Newborn Circumcision | $4,412$1.6k$12k | — | — |
| Nuclear Cardiac Stress Test | $8,307$1.6k$31k | $33,230 | $33,230 |
| Office Visit, Established Patient (Level 3) | $196$33$3.5k | $795 | $795 |
| Office Visit, New Patient (Level 3) | $235$36$3.5k | $907 | $907 |
| Pacemaker Insertion (Dual Chamber) | $14,331$1.6k$60k | — | — |
| PET/CT Scan, Whole Body | $4,735$857$17k | $18,236 | $18,236 |
| Pregnancy Ultrasound (Second or Third Trimester) | $1,161$216$4.2k | $4,600 | $4,600 |
| Prostate Biopsy | $3,819$2.8k$5.4k | — | — |
| PSA Prostate Cancer Screening | $27$17$415 | $451 | $451 |
| Pulmonary Function Test with Bronchodilator | $440$83$1.6k | $1,758 | $1,758 |
| Rotator Cuff Repair (Arthroscopic) | $11,506$3.7k$29k | — | — |
| Screening Mammogram | $93$28$545 | $592 | $592 |
| Septoplasty (Deviated Septum Repair) | $5,711$509$16k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $11,211$422$29k | — | — |
| Skin Biopsy (Tangential) | $1,853$1.2k$12k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $3,178$1.2k$12k | — | — |
| Sleep Study (In-lab Polysomnography) | $5,036$1.9k$5.1k | — | — |
| Spinal Cord Stimulator Trial | $12,219$2.1k$49k | — | — |
| Spirometry (Breathing Test) | $171$34$664 | $721 | $721 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $8,003$1.6k$16k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $8,003$1.6k$16k | — | — |
| Total Hip Replacement | $12,418$999$44k | — | — |
| Total Knee Replacement | $11,211$1.6k$44k | — | — |
| Total Mastectomy | $8,976$3.7k$29k | — | — |
| TSH Thyroid Function Test | $105$15$1.6k | $1,748 | $1,748 |
| TURP (Transurethral Prostate Resection) | $11,211$3.0k$29k | — | — |
| Umbilical Hernia Repair | $6,317$6.2k$9.5k | — | — |
| Upper GI Endoscopy (EGD) | $1,950$1.6k$12k | — | — |
| Urinalysis with Microscopy | $103$3$2.0k | $2,146 | $2,146 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $1,902$1.6k$12k | — | — |
| Vaginal Delivery (Global Package) | $1,902$1.6k$12k | — | — |
| Vaginal Hysterectomy | $8,484$3.7k$16k | — | — |
| Vasectomy | $4,412$1.6k$12k | — | — |
| Vitamin D Blood Test | $30$1$110 | $8 | $8 |