| Abdominal Hysterectomy | $15,831$1.9k$30k | — | — |
| ACL Reconstruction (Arthroscopic) | $20,669$2.4k$37k | — | — |
| Allergy Skin Testing | $47$5$88 | — | — |
| Basic Metabolic Panel | $13$8$198 | $332 | $332 |
| Bone Marrow Biopsy | $7,708$1.9k$15k | — | — |
| Breast Biopsy (Ultrasound-guided) | $6,069$417$16k | — | — |
| Bunion Correction Surgery | $15,153$2.1k$28k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $27,000$1.3k$58k | — | — |
| Cardiac Catheterization (Left Heart) | $19,079$796$38k | — | — |
| Cardiac Stress Test (Treadmill) | $385$101$669 | — | — |
| Carpal Tunnel Release Surgery | $9,818$2.4k$26k | — | — |
| Cataract Surgery with Lens Implant | $9,818$1.9k$26k | — | — |
| Cervical Spinal Fusion (Anterior) | $23,689$2.4k$67k | — | — |
| Cesarean Delivery (Global Package) | $7,724$1.9k$15k | — | — |
| Chemotherapy Infusion (First Hour) | $565$146$983 | — | — |
| Chest X-ray (2 Views) | $183$61$412 | $705 | $705 |
| Colonoscopy with Biopsy | $5,163$1.9k$16k | — | — |
| Complete Abdominal Ultrasound | $416$138$1.3k | $1,599 | $1,599 |
| Complete Blood Count (CBC) with Differential | $8$8$142 | — | — |
| Comprehensive Metabolic Panel | $17$11$294 | $424 | $424 |
| Coronary Angioplasty with Stent | $24,383$689$58k | — | — |
| Critical Care, First Hour | $5,318$245$9.3k | $6,748 | $6,748 |
| CT Abdomen and Pelvis with Contrast | $3,533$828$6.9k | $13,836 | $13,836 |
| CT Cardiac Calcium Scoring | $3,533$102$14k | $2,512 | $2,512 |
| CT Chest without Contrast | $2,239$245$3.9k | $5,668 | $5,668 |
| CT Head without Contrast | $2,567$245$3.9k | $6,499 | $6,499 |
| DEXA Bone Density Scan | $197$60$352 | $703 | $703 |
| Diagnostic Colonoscopy | $5,163$1.1k$16k | — | — |
| Diagnostic Mammogram (Both Breasts) | $127$106$1.3k | $2,672 | $2,672 |
| Ear Tube Placement (Tympanostomy) | $6,069$1.9k$16k | — | — |
| Echocardiogram (Complete with Doppler) | $1,492$138$2.9k | $5,737 | $5,737 |
| EKG (Electrocardiogram, 12-lead) | $185$25$345 | — | — |
| Emergency Room Visit (Level 3) | $4,029$72$8.2k | $3,044 | $3,044 |
| Group Therapy Session | $121$31$211 | — | — |
| Hemodialysis Treatment | $2,068$219$3.9k | — | — |
| Hemoglobin A1c (Diabetes Test) | $154$10$406 | $778 | $778 |
| HIV Antibody Test | $10$1$897 | $898 | $898 |
| Holter Monitor (24-48 Hour Heart Monitor) | $321$154$488 | — | — |
| Home Sleep Study | $1,153$133$8.3k | — | — |
| Individual Therapy Session (45 Minutes) | $151$91$211 | — | — |
| Inguinal Hernia Repair (Open) | $15,153$2.4k$28k | — | — |
| Initial Hospital Admission (Level 1) | $113 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $183$137$228 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $161$153$169 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,656 | — | — |
| IUD Insertion | $4,281$2.4k$15k | — | — |
| IUD Removal | $3,791$2.4k$15k | — | — |
| Knee Arthroscopy with Meniscectomy | $22,332$2.4k$30k | — | — |
| Laparoscopic Appendectomy | $23,011$2.4k$37k | — | — |
| Laparoscopic Gallbladder Removal | $21,197$220$37k | — | — |
| Laparoscopic Tubal Ligation | $16,947$2.4k$37k | — | — |
| Lipid Panel (Cholesterol Test) | $14$2$574 | $583 | $583 |
| Lumbar Epidural Steroid Injection | $5,415$1.9k$15k | — | — |
| Lumbar Puncture (Spinal Tap) | $6,542$830$15k | — | — |
| Lumbar Spinal Fusion (Posterior) | $23,689$2.4k$109k | — | — |
| Lumpectomy (Partial Mastectomy) | $15,535$2.4k$26k | — | — |
| MRI Abdomen with and without Contrast | $3,533$828$7.7k | $15,351 | $15,351 |
| MRI Brain with and without Contrast | $3,031$586$3.9k | $6,812 | $6,812 |
| MRI Brain with Contrast | $2,156$417$3.9k | $4,846 | $4,846 |
| MRI Brain without Contrast | $2,175$420$3.9k | $4,887 | $4,887 |
| MRI Cervical Spine (Neck) without Contrast | $2,309$474$3.9k | $5,513 | $5,513 |
| MRI Knee without Contrast | $2,505$490$4.6k | $5,693 | $5,693 |
| MRI Lower Back (Lumbar Spine) without Contrast | $3,421$518$4.7k | $9,454 | $9,454 |
| MRI Thoracic Spine (Mid-back) without Contrast | $1,939$357$3.9k | $4,147 | $4,147 |
| Newborn Circumcision | $10,657$1.9k$26k | — | — |
| Nuclear Cardiac Stress Test | $1,854$569$3.3k | $6,622 | $6,622 |
| Office Visit, Established Patient (Level 3) | $174$56$389 | $865 | $865 |
| Office Visit, New Patient (Level 3) | $237$81$530 | $1,177 | $1,177 |
| Pacemaker Insertion (Dual Chamber) | $27,002$1.9k$60k | — | — |
| PET/CT Scan, Whole Body | $3,640$1.5k$14k | $27,507 | $27,507 |
| Pregnancy Ultrasound (Second or Third Trimester) | $992$245$1.9k | $3,816 | $3,816 |
| Prostate Biopsy | $4,989$4.4k$5.3k | — | — |
| PSA Prostate Cancer Screening | $29$18$280 | $560 | $560 |
| Pulmonary Function Test with Bronchodilator | $232$48$446 | $891 | $891 |
| Rotator Cuff Repair (Arthroscopic) | $20,669$2.4k$37k | — | — |
| Screening Mammogram | $105$87$748 | $1,496 | $1,496 |
| Septoplasty (Deviated Septum Repair) | $15,153$505$26k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $19,640$418$30k | — | — |
| Skin Biopsy (Tangential) | $4,477$1.2k$15k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $6,069$1.2k$15k | — | — |
| Sleep Study (In-lab Polysomnography) | $4,995$503$8.3k | — | — |
| Spinal Cord Stimulator Trial | $20,669$2.0k$46k | — | — |
| Spirometry (Breathing Test) | $171$28$330 | $659 | $659 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $15,344$1.9k$26k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $15,344$1.9k$26k | — | — |
| Total Hip Replacement | $23,689$991$52k | — | — |
| Total Knee Replacement | $23,689$1.9k$52k | — | — |
| Total Mastectomy | $15,535$2.4k$28k | — | — |
| TSH Thyroid Function Test | $26$17$582 | $1,163 | $1,163 |
| TURP (Transurethral Prostate Resection) | $20,669$2.4k$34k | — | — |
| Umbilical Hernia Repair | $9,454$3.4k$13k | — | — |
| Upper GI Endoscopy (EGD) | $5,163$1.7k$16k | — | — |
| Urinalysis with Microscopy | $5$3$220 | $440 | $440 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $7,724$1.9k$15k | — | — |
| Vaginal Delivery (Global Package) | $7,724$1.9k$15k | — | — |
| Vaginal Hysterectomy | $15,153$2.4k$28k | — | — |
| Vasectomy | $10,657$1.9k$26k | — | — |
| Vitamin D Blood Test | $30$1$125 | $19 | $19 |