| Abdominal Hysterectomy | $32,688$1.9k$66k | — | — |
| ACL Reconstruction (Arthroscopic) | $17,003$4.0k$54k | — | — |
| Allergy Skin Testing | $50$5$100 | — | — |
| Basic Metabolic Panel | $214$8$2.1k | $2,294 | $2,294 |
| Bone Marrow Biopsy | $5,440$2.3k$41k | — | — |
| Breast Biopsy (Ultrasound-guided) | $4,694$450$41k | — | — |
| Bunion Correction Surgery | $9,112$2.3k$49k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $24,592$1.3k$48k | — | — |
| Cardiac Catheterization (Left Heart) | $12,111$780$45k | — | — |
| Cardiac Stress Test (Treadmill) | $722$99$10k | — | — |
| Carpal Tunnel Release Surgery | $5,944$3.0k$41k | — | — |
| Cataract Surgery with Lens Implant | $5,375$1.9k$41k | — | — |
| Cervical Spinal Fusion (Anterior) | $19,500$3.9k$71k | — | — |
| Cesarean Delivery (Global Package) | $8,570$1.9k$41k | — | — |
| Chemotherapy Infusion (First Hour) | $763$143$1.7k | $1,838 | $1,838 |
| Chest X-ray (2 Views) | $1,221$182$2.9k | $3,212 | $3,212 |
| Colonoscopy with Biopsy | $3,395$1.9k$41k | — | — |
| Complete Abdominal Ultrasound | $3,294$245$7.8k | $8,669 | $8,669 |
| Complete Blood Count (CBC) with Differential | $8$7$161 | — | — |
| Comprehensive Metabolic Panel | $317$10$2.8k | $3,104 | $3,104 |
| Coronary Angioplasty with Stent | $19,084$675$48k | — | — |
| Critical Care, First Hour | $5,099$240$29k | $12,095 | $12,095 |
| CT Abdomen and Pelvis with Contrast | $10,763$828$32k | $35,875 | $35,875 |
| CT Cardiac Calcium Scoring | $1,726$110$13k | $2,700 | $2,700 |
| CT Chest without Contrast | $4,763$245$14k | $15,876 | $15,876 |
| CT Head without Contrast | $4,502$245$14k | $15,006 | $15,006 |
| DEXA Bone Density Scan | $886$213$2.1k | $2,331 | $2,331 |
| Diagnostic Colonoscopy | $3,285$1.2k$41k | — | — |
| Diagnostic Mammogram (Both Breasts) | $258$99$1.5k | $1,646 | $1,646 |
| Ear Tube Placement (Tympanostomy) | $4,694$1.9k$41k | — | — |
| Echocardiogram (Complete with Doppler) | $4,530$135$12k | $12,943 | $12,943 |
| EKG (Electrocardiogram, 12-lead) | $199$11$10k | — | — |
| Emergency Room Visit (Level 3) | $3,089$70$11k | $6,178 | $6,178 |
| Group Therapy Session | $130$30$239 | — | — |
| Hemodialysis Treatment | $226$81$4.4k | — | — |
| Hemoglobin A1c (Diabetes Test) | $121$9$842 | $936 | $936 |
| HIV Antibody Test | $137$8$1.0k | $1,133 | $1,133 |
| Holter Monitor (24-48 Hour Heart Monitor) | $343$54$10k | — | — |
| Home Sleep Study | $1,244$130$2.1k | — | — |
| Individual Therapy Session (45 Minutes) | $161$89$239 | — | — |
| Inguinal Hernia Repair (Open) | $13,033$4.0k$49k | — | — |
| Initial Hospital Admission (Level 1) | $113$110$116 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $194$134$260 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $170$150$192 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,825$1.8k$1.9k | — | — |
| IUD Insertion | $6,243$41$41k | — | — |
| IUD Removal | $3,950$1.7k$41k | — | — |
| Knee Arthroscopy with Meniscectomy | $17,003$3.0k$54k | — | — |
| Laparoscopic Appendectomy | $20,498$4.0k$54k | — | — |
| Laparoscopic Gallbladder Removal | $19,883$238$53k | — | — |
| Laparoscopic Tubal Ligation | $18,698$4.0k$54k | — | — |
| Lipid Panel (Cholesterol Test) | $15$1$1.6k | $897 | $897 |
| Lumbar Epidural Steroid Injection | $3,487$1.9k$41k | — | — |
| Lumbar Puncture (Spinal Tap) | $3,285$896$41k | — | — |
| Lumbar Spinal Fusion (Posterior) | $19,500$4.0k$99k | — | — |
| Lumpectomy (Partial Mastectomy) | $18,699$4.0k$49k | — | — |
| MRI Abdomen with and without Contrast | $3,270$775$5.1k | $5,030 | $5,030 |
| MRI Brain with and without Contrast | $3,270$775$5.1k | $5,030 | $5,030 |
| MRI Brain with Contrast | $3,110$620$5.1k | $4,024 | $4,024 |
| MRI Brain without Contrast | $2,477$517$5.1k | $3,354 | $3,354 |
| MRI Cervical Spine (Neck) without Contrast | $2,364$517$5.1k | $3,354 | $3,354 |
| MRI Knee without Contrast | $2,388$517$6.0k | $3,354 | $3,354 |
| MRI Lower Back (Lumbar Spine) without Contrast | $2,519$517$5.1k | $3,354 | $3,354 |
| MRI Thoracic Spine (Mid-back) without Contrast | $2,499$517$5.1k | $3,354 | $3,354 |
| Newborn Circumcision | $6,307$1.9k$41k | — | — |
| Nuclear Cardiac Stress Test | $9,654$2.9k$23k | $25,404 | $25,404 |
| Office Visit, Established Patient (Level 3) | $97$55$143 | — | — |
| Office Visit, New Patient (Level 3) | $171$82$269 | — | — |
| Pacemaker Insertion (Dual Chamber) | $20,720$2.3k$51k | — | — |
| PET/CT Scan, Whole Body | $4,735$2.0k$8.5k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $1,459$245$3.5k | $3,840 | $3,840 |
| Prostate Biopsy | $4,759$3.4k$5.0k | — | — |
| PSA Prostate Cancer Screening | $37$1$698 | $243 | $243 |
| Pulmonary Function Test with Bronchodilator | $1,307$47$3.4k | $3,734 | $3,734 |
| Rotator Cuff Repair (Arthroscopic) | $17,003$3.8k$54k | — | — |
| Screening Mammogram | $156$82$817 | $908 | $908 |
| Septoplasty (Deviated Septum Repair) | $8,570$545$49k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $17,003$451$54k | — | — |
| Skin Biopsy (Tangential) | $2,719$1.2k$41k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $4,285$1.2k$41k | — | — |
| Sleep Study (In-lab Polysomnography) | $2,064$493$5.7k | — | — |
| Spinal Cord Stimulator Trial | $17,239$2.2k$54k | — | — |
| Spirometry (Breathing Test) | $349$28$897 | $997 | $997 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $17,004$1.9k$49k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $17,004$1.9k$49k | — | — |
| Total Hip Replacement | $20,393$1.1k$49k | — | — |
| Total Knee Replacement | $20,498$1.9k$49k | — | — |
| Total Mastectomy | $18,699$4.0k$49k | — | — |
| TSH Thyroid Function Test | $176$15$1.8k | $1,950 | $1,950 |
| TURP (Transurethral Prostate Resection) | $17,003$3.2k$54k | — | — |
| Umbilical Hernia Repair | $6,690$3.7k$9.3k | — | — |
| Upper GI Endoscopy (EGD) | $3,285$1.8k$41k | — | — |
| Urinalysis with Microscopy | $111$3$986 | $1,095 | $1,095 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $8,570$1.9k$41k | — | — |
| Vaginal Delivery (Global Package) | $8,570$1.9k$41k | — | — |
| Vaginal Hysterectomy | $17,004$4.0k$49k | — | — |
| Vasectomy | $6,307$1.9k$41k | — | — |
| Vitamin D Blood Test | $42$2$247 | $273 | $273 |