| Abdominal Hysterectomy | $7,779$1.9k$51k | — | — |
| ACL Reconstruction (Arthroscopic) | $11,554$4.0k$30k | — | — |
| Allergy Skin Testing | $50$5$99 | — | — |
| Basic Metabolic Panel | $144$8$2.0k | $2,006 | $2,006 |
| Bone Marrow Biopsy | $4,361$1.9k$13k | — | — |
| Breast Biopsy (Ultrasound-guided) | $4,121$446$9.0k | — | — |
| Bunion Correction Surgery | $7,321$2.3k$29k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $26,260$1.3k$154k | $154,307 | $154,307 |
| Cardiac Catheterization (Left Heart) | $11,565$780$25k | — | — |
| Cardiac Stress Test (Treadmill) | $715$99$10k | — | — |
| Carpal Tunnel Release Surgery | $4,993$2.9k$9.0k | — | — |
| Cataract Surgery with Lens Implant | $4,852$1.9k$9.0k | — | — |
| Cervical Spinal Fusion (Anterior) | $14,192$3.9k$46k | — | — |
| Cesarean Delivery (Global Package) | $4,121$1.9k$9.0k | — | — |
| Chemotherapy Infusion (First Hour) | $468$116$1.6k | $1,614 | $1,614 |
| Chest X-ray (2 Views) | $1,000$182$3.4k | $3,169 | $3,169 |
| Colonoscopy with Biopsy | $3,364$1.9k$13k | — | — |
| Complete Abdominal Ultrasound | $1,836$245$5.5k | $5,062 | $5,062 |
| Complete Blood Count (CBC) with Differential | $8$7$160 | — | — |
| Comprehensive Metabolic Panel | $17$3$2.5k | $1,273 | $1,273 |
| Coronary Angioplasty with Stent | $18,540$675$51k | — | — |
| Critical Care, First Hour | $8,173$240$16k | $17,654 | $17,654 |
| CT Abdomen and Pelvis with Contrast | $11,975$828$28k | $25,867 | $25,867 |
| CT Cardiac Calcium Scoring | $898$9$6.8k | $1,845 | $1,845 |
| CT Chest without Contrast | $10,092$245$24k | $21,799 | $21,799 |
| CT Head without Contrast | $10,092$245$24k | $21,799 | $21,799 |
| DEXA Bone Density Scan | $1,676$211$5.8k | $5,780 | $5,780 |
| Diagnostic Colonoscopy | $2,702$1.2k$13k | — | — |
| Diagnostic Mammogram (Both Breasts) | $231$99$3.2k | $3,212 | $3,212 |
| Ear Tube Placement (Tympanostomy) | $4,121$1.9k$9.0k | — | — |
| Echocardiogram (Complete with Doppler) | $4,233$135$15k | $15,392 | $15,392 |
| EKG (Electrocardiogram, 12-lead) | $197$11$10k | — | — |
| Emergency Room Visit (Level 3) | $3,097$70$5.7k | $5,912 | $5,912 |
| Group Therapy Session | $137$30$439 | $488 | $488 |
| Hemodialysis Treatment | $226$81$4.4k | — | — |
| Hemoglobin A1c (Diabetes Test) | $41$9$572 | $572 | $572 |
| HIV Antibody Test | $12$1$570 | $40 | $40 |
| Holter Monitor (24-48 Hour Heart Monitor) | $340$54$10k | — | — |
| Home Sleep Study | $1,233$130$2.0k | — | — |
| Individual Therapy Session (45 Minutes) | $175$52$728 | $728 | $728 |
| Inguinal Hernia Repair (Open) | $8,168$4.0k$29k | — | — |
| Initial Hospital Admission (Level 1) | $113$110$116 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $199$60$831 | $831 | $831 |
| Initial Psychiatric Evaluation with Medication Management | $188$60$831 | $831 | $831 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,808$1.8k$1.9k | — | — |
| IUD Insertion | $4,423$41$9.0k | — | — |
| IUD Removal | $3,950$1.1k$9.0k | — | — |
| Knee Arthroscopy with Meniscectomy | $9,252$3.0k$30k | — | — |
| Laparoscopic Appendectomy | $13,099$4.0k$30k | — | — |
| Laparoscopic Gallbladder Removal | $12,195$236$29k | — | — |
| Laparoscopic Tubal Ligation | $11,397$4.0k$29k | — | — |
| Lipid Panel (Cholesterol Test) | $36$6$2.0k | $1,030 | $1,030 |
| Lumbar Epidural Steroid Injection | $2,644$1.9k$9.0k | — | — |
| Lumbar Puncture (Spinal Tap) | $2,521$888$8.1k | — | — |
| Lumbar Spinal Fusion (Posterior) | $14,192$4.0k$75k | — | — |
| Lumpectomy (Partial Mastectomy) | $7,622$4.0k$30k | — | — |
| MRI Abdomen with and without Contrast | $12,366$828$28k | $27,480 | $27,480 |
| MRI Brain with and without Contrast | $9,229$828$21k | $20,508 | $20,508 |
| MRI Brain with Contrast | $8,563$828$19k | $19,029 | $19,029 |
| MRI Brain without Contrast | $7,329$518$16k | $16,286 | $16,286 |
| MRI Cervical Spine (Neck) without Contrast | $7,021$518$16k | $15,602 | $15,602 |
| MRI Knee without Contrast | $6,765$518$21k | $13,530 | $13,530 |
| MRI Lower Back (Lumbar Spine) without Contrast | $7,059$518$16k | $15,688 | $15,688 |
| MRI Thoracic Spine (Mid-back) without Contrast | $6,261$518$14k | $13,914 | $13,914 |
| Newborn Circumcision | $5,347$1.9k$9.0k | — | — |
| Nuclear Cardiac Stress Test | $8,153$2.0k$28k | $28,115 | $28,115 |
| Office Visit, Established Patient (Level 3) | $135$15$15k | $822 | $822 |
| Office Visit, New Patient (Level 3) | $227$19$15k | $1,084 | $1,084 |
| Pacemaker Insertion (Dual Chamber) | $21,882$1.9k$48k | — | — |
| PET/CT Scan, Whole Body | $3,641$2.0k$5.2k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $2,210$245$6.6k | $6,112 | $6,112 |
| Prostate Biopsy | $4,713$3.4k$5.0k | — | — |
| PSA Prostate Cancer Screening | $28$1$642 | $223 | $223 |
| Pulmonary Function Test with Bronchodilator | $1,277$47$5.0k | $5,006 | $5,006 |
| Rotator Cuff Repair (Arthroscopic) | $11,554$3.8k$30k | — | — |
| Screening Mammogram | $108$82$1.5k | $1,505 | $1,505 |
| Septoplasty (Deviated Septum Repair) | $6,606$540$29k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $9,252$447$30k | — | — |
| Skin Biopsy (Tangential) | $2,492$1.1k$9.0k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $3,977$1.2k$9.0k | — | — |
| Sleep Study (In-lab Polysomnography) | $2,021$493$5.6k | — | — |
| Spinal Cord Stimulator Trial | $11,554$2.2k$52k | — | — |
| Spirometry (Breathing Test) | $139$7$2.7k | $1,373 | $1,373 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $7,922$1.9k$29k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $7,922$1.9k$29k | — | — |
| Total Hip Replacement | $15,741$1.1k$40k | — | — |
| Total Knee Replacement | $15,741$1.9k$40k | — | — |
| Total Mastectomy | $9,131$4.0k$30k | — | — |
| TSH Thyroid Function Test | $18$1$2.2k | $61 | $61 |
| TURP (Transurethral Prostate Resection) | $11,055$3.2k$30k | — | — |
| Umbilical Hernia Repair | $6,629$3.6k$13k | — | — |
| Upper GI Endoscopy (EGD) | $2,702$1.8k$13k | — | — |
| Urinalysis with Microscopy | $11$2$936 | $481 | $481 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $4,121$1.9k$9.0k | — | — |
| Vaginal Delivery (Global Package) | $4,121$1.9k$9.0k | — | — |
| Vaginal Hysterectomy | $8,168$4.0k$29k | — | — |
| Vasectomy | $5,347$1.9k$9.0k | — | — |
| Vitamin D Blood Test | $30$2$230 | $38 | $38 |