| Abdominal Hysterectomy | $7,906$1.6k$31k | — | — |
| ACL Reconstruction (Arthroscopic) | $8,771$3.8k$29k | — | — |
| Allergy Skin Testing | $50$5$98 | — | — |
| Basic Metabolic Panel | $81$8$955 | $1,038 | $1,038 |
| Bone Marrow Biopsy | $3,452$1.6k$12k | — | — |
| Breast Biopsy (Ultrasound-guided) | $3,455$452$12k | — | — |
| Bunion Correction Surgery | $5,719$2.3k$16k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $19,114$1.3k$45k | — | — |
| Cardiac Catheterization (Left Heart) | $10,844$780$30k | — | — |
| Cardiac Stress Test (Treadmill) | $413$99$740 | — | — |
| Carpal Tunnel Release Surgery | $4,359$1.9k$12k | — | — |
| Cataract Surgery with Lens Implant | $4,139$1.6k$12k | — | — |
| Cervical Spinal Fusion (Anterior) | $8,491$3.8k$42k | — | — |
| Cesarean Delivery (Global Package) | $2,100$1.6k$12k | — | — |
| Chemotherapy Infusion (First Hour) | $191$36$1.1k | $758 | $758 |
| Chest X-ray (2 Views) | $769$143$2.8k | $3,047 | $3,047 |
| Colonoscopy with Biopsy | $3,148$1.6k$12k | — | — |
| Complete Abdominal Ultrasound | $1,795$245$6.5k | $7,041 | $7,041 |
| Complete Blood Count (CBC) with Differential | $8$7$157 | — | — |
| Comprehensive Metabolic Panel | $115$10$1.4k | $1,473 | $1,473 |
| Coronary Angioplasty with Stent | $19,734$675$45k | — | — |
| Critical Care, First Hour | $3,951$240$9.2k | $9,186 | $9,186 |
| CT Abdomen and Pelvis with Contrast | $4,599$738$22k | $23,779 | $23,779 |
| CT Cardiac Calcium Scoring | $910$86$13k | $1,820 | $1,820 |
| CT Chest without Contrast | $2,957$245$18k | $19,203 | $19,203 |
| CT Head without Contrast | $2,774$245$17k | $18,013 | $18,013 |
| DEXA Bone Density Scan | $344$64$1.3k | $1,363 | $1,363 |
| Diagnostic Colonoscopy | $2,058$1.2k$12k | — | — |
| Diagnostic Mammogram (Both Breasts) | $115$37$715 | $777 | $777 |
| Ear Tube Placement (Tympanostomy) | $3,455$1.6k$12k | — | — |
| Echocardiogram (Complete with Doppler) | $2,063$135$9.3k | $10,061 | $10,061 |
| EKG (Electrocardiogram, 12-lead) | $25$11$381 | — | — |
| Emergency Room Visit (Level 3) | $1,861$70$5.5k | $3,667 | $3,667 |
| Group Therapy Session | $131$27$534 | $580 | $580 |
| Hemodialysis Treatment | $217$81$4.3k | — | — |
| Hemoglobin A1c (Diabetes Test) | $19$9$223 | $242 | $242 |
| HIV Antibody Test | $9$1$140 | $7 | $7 |
| Holter Monitor (24-48 Hour Heart Monitor) | $153$54$540 | — | — |
| Home Sleep Study | $1,250$130$1.9k | — | — |
| Individual Therapy Session (45 Minutes) | $118$24$479 | $521 | $521 |
| Inguinal Hernia Repair (Open) | $8,253$1.9k$16k | — | — |
| Initial Hospital Admission (Level 1) | $110$110$113 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $139$33$644 | $700 | $700 |
| 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 | $2,726$1.4k$12k | — | — |
| Knee Arthroscopy with Meniscectomy | $8,417$1.9k$29k | — | — |
| Laparoscopic Appendectomy | $10,037$3.8k$29k | — | — |
| Laparoscopic Gallbladder Removal | $8,771$239$25k | — | — |
| Laparoscopic Tubal Ligation | $9,017$3.8k$16k | — | — |
| Lipid Panel (Cholesterol Test) | $69$12$816 | $568 | $568 |
| Lumbar Epidural Steroid Injection | $2,400$1.6k$12k | — | — |
| Lumbar Puncture (Spinal Tap) | $2,201$900$8.3k | — | — |
| Lumbar Spinal Fusion (Posterior) | $8,403$3.8k$68k | — | — |
| Lumpectomy (Partial Mastectomy) | $5,950$3.8k$29k | — | — |
| MRI Abdomen with and without Contrast | $3,418$598$12k | $12,726 | $12,726 |
| MRI Brain with and without Contrast | $3,418$598$12k | $12,726 | $12,726 |
| MRI Brain with Contrast | $3,110$519$10k | $11,045 | $11,045 |
| MRI Brain without Contrast | $2,540$479$9.4k | $10,193 | $10,193 |
| MRI Cervical Spine (Neck) without Contrast | $2,424$479$9.4k | $10,193 | $10,193 |
| MRI Knee without Contrast | $3,136$479$19k | $10,193 | $10,193 |
| MRI Lower Back (Lumbar Spine) without Contrast | $2,583$479$9.4k | $10,193 | $10,193 |
| MRI Thoracic Spine (Mid-back) without Contrast | $2,563$479$9.4k | $10,193 | $10,193 |
| Newborn Circumcision | $4,032$1.6k$12k | — | — |
| Nuclear Cardiac Stress Test | $5,381$1.0k$20k | $21,309 | $21,309 |
| Office Visit, Established Patient (Level 3) | $187$51$1.0k | $1,082 | $1,082 |
| Office Visit, New Patient (Level 3) | $245$63$1.2k | $1,346 | $1,346 |
| Pacemaker Insertion (Dual Chamber) | $10,638$1.6k$66k | — | — |
| PET/CT Scan, Whole Body | $3,699$2.0k$6.7k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $1,984$245$7.2k | $7,781 | $7,781 |
| Prostate Biopsy | $4,779$3.1k$5.1k | — | — |
| PSA Prostate Cancer Screening | $69$8$746 | $548 | $548 |
| Pulmonary Function Test with Bronchodilator | $614$47$2.6k | $2,791 | $2,791 |
| Rotator Cuff Repair (Arthroscopic) | $10,037$3.8k$29k | — | — |
| Screening Mammogram | $93$23$453 | $492 | $492 |
| Septoplasty (Deviated Septum Repair) | $5,313$547$16k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $8,417$453$29k | — | — |
| Skin Biopsy (Tangential) | $2,100$1.3k$12k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $3,452$1.3k$12k | — | — |
| Sleep Study (In-lab Polysomnography) | $1,757$377$9.3k | $9,059 | $9,059 |
| Spinal Cord Stimulator Trial | $8,771$2.2k$49k | — | — |
| Spirometry (Breathing Test) | $104$11$622 | $454 | $454 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $7,056$1.6k$16k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $7,056$1.6k$16k | — | — |
| Total Hip Replacement | $10,206$1.1k$44k | — | — |
| Total Knee Replacement | $10,638$1.6k$44k | — | — |
| Total Mastectomy | $8,253$3.8k$29k | — | — |
| TSH Thyroid Function Test | $111$15$1.3k | $1,422 | $1,422 |
| TURP (Transurethral Prostate Resection) | $8,976$3.3k$29k | — | — |
| Umbilical Hernia Repair | $6,648$3.7k$10k | — | — |
| Upper GI Endoscopy (EGD) | $2,049$1.6k$12k | — | — |
| Urinalysis with Microscopy | $59$3$702 | $763 | $763 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,100$1.6k$12k | — | — |
| Vaginal Delivery (Global Package) | $2,100$1.6k$12k | — | — |
| Vaginal Hysterectomy | $8,253$3.8k$16k | — | — |
| Vasectomy | $4,032$1.6k$12k | — | — |
| Vitamin D Blood Test | $33$17$328 | $356 | $356 |