| Abdominal Hysterectomy | $8,253$1.9k$32k | — | — |
| ACL Reconstruction (Arthroscopic) | $11,456$2.4k$23k | — | — |
| Allergy Skin Testing | $52$5$101 | — | — |
| Basic Metabolic Panel | $190$8$2.2k | $1,848 | $1,848 |
| Bone Marrow Biopsy | $5,413$1.9k$9.2k | — | — |
| Breast Biopsy (Ultrasound-guided) | $5,413$468$9.2k | — | — |
| Bunion Correction Surgery | $6,802$2.4k$20k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $21,597$550$125k | $104,062 | $104,062 |
| Cardiac Catheterization (Left Heart) | $8,549$830$19k | — | — |
| Cardiac Stress Test (Treadmill) | $425$99$765 | — | — |
| Carpal Tunnel Release Surgery | $5,613$2.4k$18k | — | — |
| Cataract Surgery with Lens Implant | $5,900$1.9k$18k | — | — |
| Cervical Spinal Fusion (Anterior) | $12,750$2.4k$55k | — | — |
| Cesarean Delivery (Global Package) | $4,281$1.9k$9.2k | — | — |
| Chemotherapy Infusion (First Hour) | $629$153$1.1k | — | — |
| Chest X-ray (2 Views) | $796$182$4.3k | $3,616 | $3,616 |
| Colonoscopy with Biopsy | $4,031$1.9k$9.2k | — | — |
| Complete Abdominal Ultrasound | $1,608$245$8.8k | $7,310 | $7,310 |
| Complete Blood Count (CBC) with Differential | $8$7$163 | — | — |
| Comprehensive Metabolic Panel | $337$10$5.0k | $4,206 | $4,206 |
| Coronary Angioplasty with Stent | $17,475$723$43k | — | — |
| Critical Care, First Hour | $3,599$73$12k | $10,164 | $10,164 |
| CT Abdomen and Pelvis with Contrast | $5,955$550$45k | $37,221 | $37,221 |
| CT Cardiac Calcium Scoring | $334$34$12k | $393 | $393 |
| CT Chest without Contrast | $2,580$245$19k | $16,122 | $16,122 |
| CT Head without Contrast | $2,476$245$19k | $15,478 | $15,478 |
| DEXA Bone Density Scan | $314$120$1.7k | $1,395 | $1,395 |
| Diagnostic Colonoscopy | $3,210$1.3k$9.2k | — | — |
| Diagnostic Mammogram (Both Breasts) | $131$57$791 | $659 | $659 |
| Ear Tube Placement (Tympanostomy) | $5,413$1.9k$9.2k | — | — |
| Echocardiogram (Complete with Doppler) | $1,286$144$7.0k | $5,845 | $5,845 |
| EKG (Electrocardiogram, 12-lead) | $25$12$394 | — | — |
| Emergency Room Visit (Level 3) | $1,885$73$4.5k | $3,769 | $3,769 |
| Group Therapy Session | $133$30$241 | — | — |
| Hemodialysis Treatment | $219$84$4.5k | — | — |
| Hemoglobin A1c (Diabetes Test) | $29$9$550 | $273 | $273 |
| HIV Antibody Test | $36$8$550 | $334 | $334 |
| Holter Monitor (24-48 Hour Heart Monitor) | $154$57$558 | — | — |
| Home Sleep Study | $1,292$130$4.0k | — | — |
| Individual Therapy Session (45 Minutes) | $165$91$241 | — | — |
| Inguinal Hernia Repair (Open) | $8,253$2.4k$20k | — | — |
| Initial Hospital Admission (Level 1) | $117$115$117 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $198$137$261 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $173$153$194 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,739$550$8.8k | $7,337 | $7,337 |
| IUD Insertion | $4,663$42$9.2k | — | — |
| IUD Removal | $4,241$1.4k$9.2k | — | — |
| Knee Arthroscopy with Meniscectomy | $9,796$2.4k$21k | — | — |
| Laparoscopic Appendectomy | $11,883$2.4k$23k | — | — |
| Laparoscopic Gallbladder Removal | $10,980$247$23k | — | — |
| Laparoscopic Tubal Ligation | $8,338$2.4k$23k | — | — |
| Lipid Panel (Cholesterol Test) | $65$13$726 | $605 | $605 |
| Lumbar Epidural Steroid Injection | $3,339$1.9k$9.2k | — | — |
| Lumbar Puncture (Spinal Tap) | $2,726$931$8.3k | — | — |
| Lumbar Spinal Fusion (Posterior) | $12,750$2.4k$69k | — | — |
| Lumpectomy (Partial Mastectomy) | $6,802$2.4k$21k | — | — |
| MRI Abdomen with and without Contrast | $2,350$550$13k | $10,680 | $10,680 |
| MRI Brain with and without Contrast | $2,329$550$12k | $10,300 | $10,300 |
| MRI Brain with Contrast | $2,097$550$9.7k | $8,055 | $8,055 |
| MRI Brain without Contrast | $2,097$518$8.3k | $6,935 | $6,935 |
| MRI Cervical Spine (Neck) without Contrast | $2,097$518$8.6k | $7,184 | $7,184 |
| MRI Knee without Contrast | $2,256$518$15k | $6,447 | $6,447 |
| MRI Lower Back (Lumbar Spine) without Contrast | $2,097$518$8.6k | $7,205 | $7,205 |
| MRI Thoracic Spine (Mid-back) without Contrast | $2,097$518$8.6k | $7,205 | $7,205 |
| Newborn Circumcision | $7,045$1.9k$18k | — | — |
| Nuclear Cardiac Stress Test | $5,154$550$28k | $23,425 | $23,425 |
| Office Visit, Established Patient (Level 3) | $90$24$868 | $386 | $386 |
| Office Visit, New Patient (Level 3) | $124$32$1.6k | $526 | $526 |
| Pacemaker Insertion (Dual Chamber) | $17,832$1.9k$55k | — | — |
| PET/CT Scan, Whole Body | $2,331$550$11k | $8,965 | $8,965 |
| Pregnancy Ultrasound (Second or Third Trimester) | $307$106$1.5k | $1,229 | $1,229 |
| Prostate Biopsy | $4,995$2.8k$6.3k | — | — |
| PSA Prostate Cancer Screening | $23$10$550 | $117 | $117 |
| Pulmonary Function Test with Bronchodilator | $908$50$5.0k | $4,195 | $4,195 |
| Rotator Cuff Repair (Arthroscopic) | $11,660$2.4k$23k | — | — |
| Screening Mammogram | $145$57$791 | $659 | $659 |
| Septoplasty (Deviated Septum Repair) | $5,647$566$19k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $9,796$469$21k | — | — |
| Skin Biopsy (Tangential) | $2,782$1.3k$9.2k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $4,031$1.3k$9.2k | — | — |
| Sleep Study (In-lab Polysomnography) | $3,228$525$18k | $14,674 | $14,674 |
| Spinal Cord Stimulator Trial | $11,456$2.3k$68k | — | — |
| Spirometry (Breathing Test) | $130$29$708 | $590 | $590 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $8,253$1.9k$19k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $8,253$1.9k$19k | — | — |
| Total Hip Replacement | $16,839$1.1k$42k | — | — |
| Total Knee Replacement | $16,920$1.9k$42k | — | — |
| Total Mastectomy | $8,392$2.4k$21k | — | — |
| TSH Thyroid Function Test | $35$16$550 | $322 | $322 |
| TURP (Transurethral Prostate Resection) | $11,456$2.4k$22k | — | — |
| Umbilical Hernia Repair | $7,021$3.8k$11k | — | — |
| Upper GI Endoscopy (EGD) | $3,210$1.9k$9.2k | — | — |
| Urinalysis with Microscopy | $117$3$1.9k | $1,555 | $1,555 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $4,281$1.9k$9.2k | — | — |
| Vaginal Delivery (Global Package) | $4,281$1.9k$9.2k | — | — |
| Vaginal Hysterectomy | $8,253$2.4k$20k | — | — |
| Vasectomy | $7,045$1.9k$18k | — | — |
| Vitamin D Blood Test | $49$28$550 | $417 | $417 |