| Abdominal Hysterectomy | $6,802$1.9k$32k | — | — |
| ACL Reconstruction (Arthroscopic) | $9,145$2.4k$21k | — | — |
| Allergy Skin Testing | $54$6$105 | — | — |
| Basic Metabolic Panel | $135$8$1.9k | $1,571 | $1,571 |
| Bone Marrow Biopsy | $3,848$1.9k$9.2k | — | — |
| Breast Biopsy (Ultrasound-guided) | $3,639$486$9.2k | — | — |
| Bunion Correction Surgery | $6,152$2.4k$19k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $19,763$1.5k$116k | $96,958 | $96,958 |
| Cardiac Catheterization (Left Heart) | $7,134$848$16k | — | — |
| Cardiac Stress Test (Treadmill) | $440$99$795 | — | — |
| Carpal Tunnel Release Surgery | $4,963$2.4k$9.2k | — | — |
| Cataract Surgery with Lens Implant | $4,809$1.9k$9.2k | — | — |
| Cervical Spinal Fusion (Anterior) | $9,215$2.4k$55k | — | — |
| Cesarean Delivery (Global Package) | $2,576$1.9k$9.2k | — | — |
| Chemotherapy Infusion (First Hour) | $432$143$2.2k | $1,728 | $1,728 |
| Chest X-ray (2 Views) | $396$131$1.8k | $1,524 | $1,524 |
| Colonoscopy with Biopsy | $3,552$1.9k$9.2k | — | — |
| Complete Abdominal Ultrasound | $818$245$3.8k | $3,147 | $3,147 |
| Complete Blood Count (CBC) with Differential | $8$8$169 | — | — |
| Comprehensive Metabolic Panel | $141$10$2.0k | $1,643 | $1,643 |
| Coronary Angioplasty with Stent | $17,341$795$43k | — | — |
| Critical Care, First Hour | $3,599$73$12k | $9,941 | $9,941 |
| CT Abdomen and Pelvis with Contrast | $4,742$809$22k | $18,238 | $18,238 |
| CT Cardiac Calcium Scoring | $3,917$118$18k | $15,067 | $15,067 |
| CT Chest without Contrast | $1,990$245$9.2k | $7,652 | $7,652 |
| CT Head without Contrast | $1,979$245$9.1k | $7,611 | $7,611 |
| DEXA Bone Density Scan | $399$132$1.8k | $1,533 | $1,533 |
| Diagnostic Colonoscopy | $2,750$1.3k$9.2k | — | — |
| Diagnostic Mammogram (Both Breasts) | $196$109$2.2k | $1,861 | $1,861 |
| Ear Tube Placement (Tympanostomy) | $3,898$1.9k$9.2k | — | — |
| Echocardiogram (Complete with Doppler) | $2,751$147$14k | $11,959 | $11,959 |
| EKG (Electrocardiogram, 12-lead) | $25$12$409 | — | — |
| Emergency Room Visit (Level 3) | $1,760$78$4.2k | $3,520 | $3,520 |
| Group Therapy Session | $103$30$517 | $431 | $431 |
| Hemodialysis Treatment | $219$87$4.7k | — | — |
| Hemoglobin A1c (Diabetes Test) | $14$9$134 | $109 | $109 |
| HIV Antibody Test | $32$9$450 | $375 | $375 |
| Holter Monitor (24-48 Hour Heart Monitor) | $154$59$580 | — | — |
| Home Sleep Study | $1,342$130$4.0k | — | — |
| Individual Therapy Session (45 Minutes) | $138$46$908 | $644 | $644 |
| Inguinal Hernia Repair (Open) | $6,802$2.4k$19k | — | — |
| Initial Hospital Admission (Level 1) | $123$121$123 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $127$46$637 | $531 | $531 |
| Initial Psychiatric Evaluation with Medication Management | $178$157$201 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,968$1.9k$2.0k | — | — |
| IUD Insertion | $4,150$45$9.2k | — | — |
| IUD Removal | $3,645$1.4k$9.2k | — | — |
| Knee Arthroscopy with Meniscectomy | $7,988$2.4k$21k | — | — |
| Laparoscopic Appendectomy | $11,605$2.4k$21k | — | — |
| Laparoscopic Gallbladder Removal | $9,174$256$20k | — | — |
| Laparoscopic Tubal Ligation | $9,949$2.4k$19k | — | — |
| Lipid Panel (Cholesterol Test) | $130$13$1.8k | $1,509 | $1,509 |
| Lumbar Epidural Steroid Injection | $3,299$1.9k$9.2k | — | — |
| Lumbar Puncture (Spinal Tap) | $2,726$966$8.6k | — | — |
| Lumbar Spinal Fusion (Posterior) | $9,215$2.4k$69k | — | — |
| Lumpectomy (Partial Mastectomy) | $5,647$2.4k$21k | — | — |
| MRI Abdomen with and without Contrast | $3,312$828$15k | $12,738 | $12,738 |
| MRI Brain with and without Contrast | $3,312$828$15k | $12,738 | $12,738 |
| MRI Brain with Contrast | $1,929$626$8.7k | $7,279 | $7,279 |
| MRI Brain without Contrast | $1,929$518$8.7k | $7,279 | $7,279 |
| MRI Cervical Spine (Neck) without Contrast | $1,929$518$8.7k | $7,279 | $7,279 |
| MRI Knee without Contrast | $2,366$518$13k | $7,279 | $7,279 |
| MRI Lower Back (Lumbar Spine) without Contrast | $1,929$518$8.7k | $7,279 | $7,279 |
| MRI Thoracic Spine (Mid-back) without Contrast | $1,929$518$8.7k | $7,279 | $7,279 |
| Newborn Circumcision | $5,933$1.9k$9.2k | — | — |
| Nuclear Cardiac Stress Test | $2,714$898$13k | $10,440 | $10,440 |
| Office Visit, Established Patient (Level 3) | $199$24$1.5k | $1,206 | $1,206 |
| Office Visit, New Patient (Level 3) | $235$30$1.7k | $1,373 | $1,373 |
| Pacemaker Insertion (Dual Chamber) | $17,234$1.9k$55k | — | — |
| PET/CT Scan, Whole Body | $4,465$1.5k$21k | $17,173 | $17,173 |
| Pregnancy Ultrasound (Second or Third Trimester) | $996$245$1.0k | — | — |
| Prostate Biopsy | $5,187$2.8k$5.4k | — | — |
| PSA Prostate Cancer Screening | $25$16$228 | $190 | $190 |
| Pulmonary Function Test with Bronchodilator | $356$51$1.8k | $1,482 | $1,482 |
| Rotator Cuff Repair (Arthroscopic) | $11,605$2.4k$21k | — | — |
| Screening Mammogram | $158$90$1.8k | $1,479 | $1,479 |
| Septoplasty (Deviated Septum Repair) | $4,963$587$19k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,988$487$21k | — | — |
| Skin Biopsy (Tangential) | $2,766$1.3k$9.2k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $3,848$1.3k$9.2k | — | — |
| Sleep Study (In-lab Polysomnography) | $3,747$539$19k | $16,047 | $16,047 |
| Spinal Cord Stimulator Trial | $9,145$2.4k$68k | — | — |
| Spirometry (Breathing Test) | $403$30$2.2k | $1,833 | $1,833 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $6,802$1.9k$19k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,802$1.9k$19k | — | — |
| Total Hip Replacement | $15,300$1.2k$42k | — | — |
| Total Knee Replacement | $16,089$1.9k$42k | — | — |
| Total Mastectomy | $6,802$2.4k$21k | — | — |
| TSH Thyroid Function Test | $89$17$1.2k | $1,038 | $1,038 |
| TURP (Transurethral Prostate Resection) | $9,844$2.4k$21k | — | — |
| Umbilical Hernia Repair | $7,291$4.0k$9.5k | — | — |
| Upper GI Endoscopy (EGD) | $2,750$1.9k$9.2k | — | — |
| Urinalysis with Microscopy | $61$3$852 | $710 | $710 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,576$1.9k$9.2k | — | — |
| Vaginal Delivery (Global Package) | $2,576$1.9k$9.2k | — | — |
| Vaginal Hysterectomy | $6,802$2.4k$19k | — | — |
| Vasectomy | $5,933$1.9k$9.2k | — | — |
| Vitamin D Blood Test | $36$18$254 | $212 | $212 |