| Abdominal Hysterectomy | $7,480$800$30k | — | — |
| ACL Reconstruction (Arthroscopic) | $8,128$975$29k | — | — |
| Allergy Skin Testing | $50$5$98 | — | — |
| Basic Metabolic Panel | $161$8$2.1k | $2,235 | $2,235 |
| Bone Marrow Biopsy | $2,751$1.4k$12k | — | — |
| Breast Biopsy (Ultrasound-guided) | $2,727$452$12k | — | — |
| Bunion Correction Surgery | $5,711$1.1k$15k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $19,934$1.3k$45k | — | — |
| Cardiac Catheterization (Left Heart) | $11,739$780$29k | — | — |
| Cardiac Stress Test (Treadmill) | $413$99$740 | — | — |
| Carpal Tunnel Release Surgery | $4,058$1.3k$12k | — | — |
| Cataract Surgery with Lens Implant | $4,096$1.3k$12k | — | — |
| Cervical Spinal Fusion (Anterior) | $8,128$975$35k | — | — |
| Cesarean Delivery (Global Package) | $1,950$1.6k$12k | — | — |
| Chemotherapy Infusion (First Hour) | $691$44$4.2k | $3,461 | $3,461 |
| Chest X-ray (2 Views) | $234$4$2.7k | $2,734 | $2,734 |
| Colonoscopy with Biopsy | $2,443$1.5k$12k | — | — |
| Complete Abdominal Ultrasound | $1,403$245$5.6k | $5,700 | $5,700 |
| Complete Blood Count (CBC) with Differential | $8$7$157 | — | — |
| Comprehensive Metabolic Panel | $12$2$2.5k | $1,376 | $1,376 |
| Coronary Angioplasty with Stent | $20,417$675$45k | — | — |
| Critical Care, First Hour | $2,511$240$9.2k | $5,281 | $5,281 |
| CT Abdomen and Pelvis with Contrast | $4,647$738$33k | $36,372 | $36,372 |
| CT Cardiac Calcium Scoring | $1,404$110$13k | $3,298 | $3,298 |
| CT Chest without Contrast | $2,161$245$15k | $16,108 | $16,108 |
| CT Head without Contrast | $2,096$245$14k | $14,797 | $14,797 |
| DEXA Bone Density Scan | $647$120$2.7k | $2,737 | $2,737 |
| Diagnostic Colonoscopy | $2,024$1.2k$12k | — | — |
| Diagnostic Mammogram (Both Breasts) | $259$49$954 | $1,037 | $1,037 |
| Ear Tube Placement (Tympanostomy) | $2,751$1.4k$12k | — | — |
| Echocardiogram (Complete with Doppler) | $2,149$135$11k | $10,712 | $10,712 |
| EKG (Electrocardiogram, 12-lead) | $25$11$381 | — | — |
| Emergency Room Visit (Level 3) | $2,108$70$7.7k | $9,036 | $9,036 |
| Group Therapy Session | $130$30$233 | — | — |
| Hemodialysis Treatment | $219$81$4.3k | — | — |
| Hemoglobin A1c (Diabetes Test) | $11$1$124 | $66 | $66 |
| HIV Antibody Test | $10$1$1.3k | $700 | $700 |
| Holter Monitor (24-48 Hour Heart Monitor) | $154$54$540 | — | — |
| Home Sleep Study | $1,250$130$1.9k | — | — |
| Individual Therapy Session (45 Minutes) | $160$89$233 | — | — |
| Inguinal Hernia Repair (Open) | $7,480$975$15k | — | — |
| Initial Hospital Admission (Level 1) | $110$110$113 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $192$134$253 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $168$150$187 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,794$1.8k$1.8k | — | — |
| IUD Insertion | $3,950$41$12k | — | — |
| IUD Removal | $2,564$1.3k$12k | — | — |
| Knee Arthroscopy with Meniscectomy | $7,843$1.1k$29k | — | — |
| Laparoscopic Appendectomy | $9,480$975$29k | — | — |
| Laparoscopic Gallbladder Removal | $8,128$239$25k | — | — |
| Laparoscopic Tubal Ligation | $8,605$975$15k | — | — |
| Lipid Panel (Cholesterol Test) | $14$1$222 | $48 | $48 |
| Lumbar Epidural Steroid Injection | $2,080$1.6k$12k | — | — |
| Lumbar Puncture (Spinal Tap) | $1,950$900$8.0k | — | — |
| Lumbar Spinal Fusion (Posterior) | $8,128$975$57k | — | — |
| Lumpectomy (Partial Mastectomy) | $5,693$975$29k | — | — |
| MRI Abdomen with and without Contrast | $3,368$828$16k | $17,726 | $17,726 |
| MRI Brain with and without Contrast | $3,633$828$21k | $22,942 | $22,942 |
| MRI Brain with Contrast | $1,826$286$5.6k | $6,092 | $6,092 |
| MRI Brain without Contrast | $2,909$518$17k | $18,295 | $18,295 |
| MRI Cervical Spine (Neck) without Contrast | $2,399$518$13k | $13,833 | $13,833 |
| MRI Knee without Contrast | $2,486$518$12k | $13,084 | $13,084 |
| MRI Lower Back (Lumbar Spine) without Contrast | $2,664$518$15k | $16,741 | $16,741 |
| MRI Thoracic Spine (Mid-back) without Contrast | $2,536$518$13k | $14,046 | $14,046 |
| Newborn Circumcision | $2,787$1.3k$12k | — | — |
| Nuclear Cardiac Stress Test | $7,245$1.5k$30k | $32,200 | $32,200 |
| Office Visit, Established Patient (Level 3) | $179$48$1.0k | $1,037 | $1,037 |
| Office Visit, New Patient (Level 3) | $218$57$1.1k | $1,212 | $1,212 |
| Pacemaker Insertion (Dual Chamber) | $10,710$975$60k | — | — |
| PET/CT Scan, Whole Body | $3,972$711$14k | $15,132 | $15,132 |
| Pregnancy Ultrasound (Second or Third Trimester) | $985$181$4.1k | $4,170 | $4,170 |
| Prostate Biopsy | $4,367$1.3k$4.9k | — | — |
| PSA Prostate Cancer Screening | $20$2$2.2k | $133 | $133 |
| Pulmonary Function Test with Bronchodilator | $74$15$490 | $326 | $326 |
| Rotator Cuff Repair (Arthroscopic) | $9,480$975$29k | — | — |
| Screening Mammogram | $62$11$223 | $243 | $243 |
| Septoplasty (Deviated Septum Repair) | $4,922$547$15k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,843$453$29k | — | — |
| Skin Biopsy (Tangential) | $2,250$1.3k$12k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,751$1.3k$12k | — | — |
| Sleep Study (In-lab Polysomnography) | $2,590$493$14k | $15,059 | $15,059 |
| Spinal Cord Stimulator Trial | $8,128$975$49k | — | — |
| Spirometry (Breathing Test) | $45$2$574 | $338 | $338 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $5,675$1.1k$15k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,675$975$15k | — | — |
| Total Hip Replacement | $10,320$975$44k | — | — |
| Total Knee Replacement | $11,000$975$44k | — | — |
| Total Mastectomy | $7,229$975$29k | — | — |
| TSH Thyroid Function Test | $176$15$2.8k | $1,883 | $1,883 |
| TURP (Transurethral Prostate Resection) | $8,976$975$29k | — | — |
| Umbilical Hernia Repair | $6,648$975$9.5k | — | — |
| Upper GI Endoscopy (EGD) | $1,950$1.6k$12k | — | — |
| Urinalysis with Microscopy | $5$2$959 | $527 | $527 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $1,950$1.6k$12k | — | — |
| Vaginal Delivery (Global Package) | $1,950$1.6k$12k | — | — |
| Vaginal Hysterectomy | $7,480$975$15k | — | — |
| Vasectomy | $2,787$1.3k$12k | — | — |
| Vitamin D Blood Test | $24$1$552 | $32 | $32 |