| Abdominal Hysterectomy | $6,802$1.9k$27k | — | — |
| ACL Reconstruction (Arthroscopic) | $8,736$2.4k$21k | — | — |
| Allergy Skin Testing | $54$6$105 | — | — |
| Basic Metabolic Panel | $190$8$2.6k | $2,205 | $2,205 |
| Bone Marrow Biopsy | $3,894$1.9k$9.2k | — | — |
| Breast Biopsy (Ultrasound-guided) | $3,916$486$9.2k | — | — |
| Bunion Correction Surgery | $6,088$2.4k$19k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $20,566$1.5k$121k | $100,606 | $100,606 |
| Cardiac Catheterization (Left Heart) | $7,126$848$16k | — | — |
| Cardiac Stress Test (Treadmill) | $440$99$795 | — | — |
| Carpal Tunnel Release Surgery | $4,857$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) | $471$156$2.2k | $1,813 | $1,813 |
| Chest X-ray (2 Views) | $490$162$2.3k | $1,886 | $1,886 |
| Colonoscopy with Biopsy | $3,515$1.9k$9.2k | — | — |
| Complete Abdominal Ultrasound | $1,395$245$6.4k | $5,365 | $5,365 |
| Complete Blood Count (CBC) with Differential | $8$8$169 | — | — |
| Comprehensive Metabolic Panel | $201$10$2.8k | $2,334 | $2,334 |
| Coronary Angioplasty with Stent | $17,140$795$43k | — | — |
| Critical Care, First Hour | $3,126$73$8.4k | $6,960 | $6,960 |
| CT Abdomen and Pelvis with Contrast | $6,685$809$32k | $26,903 | $26,903 |
| CT Cardiac Calcium Scoring | $1,034$118$12k | $3,448 | $3,448 |
| CT Chest without Contrast | $3,025$245$15k | $12,174 | $12,174 |
| CT Head without Contrast | $3,196$245$15k | $12,860 | $12,860 |
| DEXA Bone Density Scan | $639$211$2.9k | $2,457 | $2,457 |
| Diagnostic Colonoscopy | $2,776$1.3k$9.2k | — | — |
| Diagnostic Mammogram (Both Breasts) | $125$50$700 | $583 | $583 |
| Ear Tube Placement (Tympanostomy) | $3,916$1.9k$9.2k | — | — |
| Echocardiogram (Complete with Doppler) | $3,329$147$17k | $14,259 | $14,259 |
| EKG (Electrocardiogram, 12-lead) | $25$12$409 | — | — |
| Emergency Room Visit (Level 3) | $2,403$78$5.8k | $4,806 | $4,806 |
| Group Therapy Session | $133$30$671 | $559 | $559 |
| Hemodialysis Treatment | $219$87$4.7k | — | — |
| Hemoglobin A1c (Diabetes Test) | $85$10$1.2k | $990 | $990 |
| HIV Antibody Test | $149$9$2.8k | $2,309 | $2,309 |
| Holter Monitor (24-48 Hour Heart Monitor) | $154$59$580 | — | — |
| Home Sleep Study | $1,342$130$3.8k | — | — |
| Individual Therapy Session (45 Minutes) | $228$87$1.2k | $1,009 | $1,009 |
| Inguinal Hernia Repair (Open) | $6,802$2.4k$19k | — | — |
| Initial Hospital Admission (Level 1) | $123$121$123 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $205$141$272 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $178$157$201 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $801$265$3.7k | $3,079 | $3,079 |
| IUD Insertion | $4,188$45$9.2k | — | — |
| IUD Removal | $3,657$1.6k$9.2k | — | — |
| Knee Arthroscopy with Meniscectomy | $8,392$2.4k$21k | — | — |
| Laparoscopic Appendectomy | $11,754$2.4k$21k | — | — |
| Laparoscopic Gallbladder Removal | $9,149$256$20k | — | — |
| Laparoscopic Tubal Ligation | $9,160$2.4k$19k | — | — |
| Lipid Panel (Cholesterol Test) | $192$13$2.7k | $2,237 | $2,237 |
| Lumbar Epidural Steroid Injection | $2,887$1.9k$9.2k | — | — |
| Lumbar Puncture (Spinal Tap) | $2,850$966$8.6k | — | — |
| Lumbar Spinal Fusion (Posterior) | $9,215$2.4k$69k | — | — |
| Lumpectomy (Partial Mastectomy) | $5,933$2.4k$21k | — | — |
| MRI Abdomen with and without Contrast | $4,209$828$19k | $16,188 | $16,188 |
| MRI Brain with and without Contrast | $4,725$828$23k | $19,013 | $19,013 |
| MRI Brain with Contrast | $2,038$674$9.4k | $7,840 | $7,840 |
| MRI Brain without Contrast | $1,986$518$9.0k | $7,539 | $7,539 |
| MRI Cervical Spine (Neck) without Contrast | $2,038$518$9.4k | $7,840 | $7,840 |
| MRI Knee without Contrast | $3,446$518$17k | $13,254 | $13,254 |
| MRI Lower Back (Lumbar Spine) without Contrast | $2,538$518$12k | $9,763 | $9,763 |
| MRI Thoracic Spine (Mid-back) without Contrast | $1,887$518$8.5k | $7,121 | $7,121 |
| Newborn Circumcision | $6,127$1.9k$9.2k | — | — |
| Nuclear Cardiac Stress Test | $3,786$1.3k$17k | $14,560 | $14,560 |
| Office Visit, Established Patient (Level 3) | $332$60$2.0k | $1,605 | $1,605 |
| Office Visit, New Patient (Level 3) | $332$89$2.0k | $1,605 | $1,605 |
| Pacemaker Insertion (Dual Chamber) | $16,818$1.9k$55k | — | — |
| PET/CT Scan, Whole Body | $2,461$814$11k | $9,464 | $9,464 |
| Pregnancy Ultrasound (Second or Third Trimester) | $1,025$245$4.7k | $3,944 | $3,944 |
| Prostate Biopsy | $5,241$3.1k$5.4k | — | — |
| PSA Prostate Cancer Screening | $54$18$758 | $632 | $632 |
| Pulmonary Function Test with Bronchodilator | $896$51$4.8k | $3,980 | $3,980 |
| Rotator Cuff Repair (Arthroscopic) | $11,754$2.4k$21k | — | — |
| Screening Mammogram | $105$47$658 | $548 | $548 |
| Septoplasty (Deviated Septum Repair) | $4,870$587$19k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $8,392$487$21k | — | — |
| Skin Biopsy (Tangential) | $2,590$1.3k$9.2k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $3,894$1.3k$9.2k | — | — |
| Sleep Study (In-lab Polysomnography) | $6,082$539$33k | $27,646 | $27,646 |
| Spinal Cord Stimulator Trial | $8,736$2.4k$68k | — | — |
| Spirometry (Breathing Test) | $396$30$2.1k | $1,758 | $1,758 |
| 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 | $14,436$1.2k$42k | — | — |
| Total Knee Replacement | $14,830$1.9k$42k | — | — |
| Total Mastectomy | $6,802$2.4k$21k | — | — |
| TSH Thyroid Function Test | $191$17$3.4k | $2,801 | $2,801 |
| TURP (Transurethral Prostate Resection) | $9,844$2.4k$21k | — | — |
| Umbilical Hernia Repair | $7,216$4.0k$9.5k | — | — |
| Upper GI Endoscopy (EGD) | $2,776$1.9k$9.2k | — | — |
| Urinalysis with Microscopy | $83$3$1.2k | $963 | $963 |
| 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 | $6,127$1.9k$9.2k | — | — |
| Vitamin D Blood Test | $102$29$1.2k | $706 | $706 |