| Abdominal Hysterectomy | $14,306$1.9k$62k | — | — |
| ACL Reconstruction (Arthroscopic) | $11,137$4.0k$43k | — | — |
| Allergy Skin Testing | $49$5$96 | — | — |
| Basic Metabolic Panel | $12$7$1.9k | $2,097 | $2,097 |
| Bone Marrow Biopsy | $4,043$1.9k$14k | — | — |
| Breast Biopsy (Ultrasound-guided) | $3,631$446$14k | — | — |
| Bunion Correction Surgery | $7,512$2.3k$43k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $23,121$1.3k$108k | $120,110 | $120,110 |
| Cardiac Catheterization (Left Heart) | $10,014$780$30k | — | — |
| Cardiac Stress Test (Treadmill) | $407$99$729 | — | — |
| Carpal Tunnel Release Surgery | $5,516$2.5k$14k | — | — |
| Cataract Surgery with Lens Implant | $5,516$1.9k$14k | — | — |
| Cervical Spinal Fusion (Anterior) | $14,208$3.9k$43k | — | — |
| Cesarean Delivery (Global Package) | $5,516$1.9k$14k | — | — |
| Chemotherapy Infusion (First Hour) | $556$143$1.8k | $1,965 | $1,965 |
| Chest X-ray (2 Views) | $491$138$1.6k | $1,704 | $1,704 |
| Colonoscopy with Biopsy | $3,258$1.9k$14k | — | — |
| Complete Abdominal Ultrasound | $1,367$245$4.2k | $4,686 | $4,686 |
| Complete Blood Count (CBC) with Differential | $8$6$155 | — | — |
| Comprehensive Metabolic Panel | $15$8$2.2k | $2,443 | $2,443 |
| Coronary Angioplasty with Stent | $17,127$675$39k | — | — |
| Critical Care, First Hour | $6,171$240$15k | $16,982 | $16,982 |
| CT Abdomen and Pelvis with Contrast | $4,530$716$14k | $15,409 | $15,409 |
| CT Cardiac Calcium Scoring | $2,727$109$13k | $6,060 | $6,060 |
| CT Chest without Contrast | $2,933$245$12k | $13,333 | $13,333 |
| CT Head without Contrast | $3,190$245$13k | $14,499 | $14,499 |
| DEXA Bone Density Scan | $646$190$2.0k | $2,265 | $2,265 |
| Diagnostic Colonoscopy | $3,238$1.2k$14k | — | — |
| Diagnostic Mammogram (Both Breasts) | $121$85$1.2k | $1,366 | $1,366 |
| Ear Tube Placement (Tympanostomy) | $3,631$1.9k$14k | — | — |
| Echocardiogram (Complete with Doppler) | $1,824$135$5.8k | $6,474 | $6,474 |
| EKG (Electrocardiogram, 12-lead) | $25$12$375 | — | — |
| Emergency Room Visit (Level 3) | $2,842$70$6.0k | $5,928 | $5,928 |
| Group Therapy Session | $174$30$561 | $623 | $623 |
| Hemodialysis Treatment | $219$84$4.3k | — | — |
| Hemoglobin A1c (Diabetes Test) | $14$8$328 | $364 | $364 |
| HIV Antibody Test | $9$1$138 | $40 | $40 |
| Holter Monitor (24-48 Hour Heart Monitor) | $154$56$532 | — | — |
| Home Sleep Study | $1,200$130$1.3k | — | — |
| Individual Therapy Session (45 Minutes) | $158$89$229 | — | — |
| Inguinal Hernia Repair (Open) | $11,204$2.5k$43k | — | — |
| Initial Hospital Admission (Level 1) | $110$110$113 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $190$134$249 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $167$150$184 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,768$1.8k$1.8k | — | — |
| IUD Insertion | $4,575$42$14k | — | — |
| IUD Removal | $3,016$1.4k$14k | — | — |
| Knee Arthroscopy with Meniscectomy | $9,205$3.0k$43k | — | — |
| Laparoscopic Appendectomy | $13,706$4.0k$43k | — | — |
| Laparoscopic Gallbladder Removal | $11,217$235$43k | — | — |
| Laparoscopic Tubal Ligation | $13,302$4.0k$43k | — | — |
| Lipid Panel (Cholesterol Test) | $19$11$1.6k | $1,723 | $1,723 |
| Lumbar Epidural Steroid Injection | $3,278$1.9k$14k | — | — |
| Lumbar Puncture (Spinal Tap) | $3,278$886$14k | — | — |
| Lumbar Spinal Fusion (Posterior) | $14,208$4.0k$60k | — | — |
| Lumpectomy (Partial Mastectomy) | $10,835$2.5k$43k | — | — |
| MRI Abdomen with and without Contrast | $4,155$828$16k | $18,157 | $18,157 |
| MRI Brain with and without Contrast | $3,900$828$16k | $17,728 | $17,728 |
| MRI Brain with Contrast | $3,963$828$16k | $18,013 | $18,013 |
| MRI Brain without Contrast | $3,418$518$13k | $14,234 | $14,234 |
| MRI Cervical Spine (Neck) without Contrast | $3,418$518$13k | $14,562 | $14,562 |
| MRI Knee without Contrast | $4,941$518$15k | $13,585 | $13,585 |
| MRI Lower Back (Lumbar Spine) without Contrast | $3,418$518$12k | $13,530 | $13,530 |
| MRI Thoracic Spine (Mid-back) without Contrast | $3,418$518$12k | $13,644 | $13,644 |
| Newborn Circumcision | $6,776$1.9k$14k | — | — |
| Nuclear Cardiac Stress Test | $2,462$556$6.0k | $6,622 | $6,622 |
| Office Visit, Established Patient (Level 3) | $357$55$15k | $1,832 | $1,832 |
| Office Visit, New Patient (Level 3) | $673$82$15k | $3,453 | $3,453 |
| Pacemaker Insertion (Dual Chamber) | $18,404$1.9k$43k | — | — |
| PET/CT Scan, Whole Body | $4,383$1.2k$13k | $14,609 | $14,609 |
| Pregnancy Ultrasound (Second or Third Trimester) | $1,383$245$4.4k | $4,852 | $4,852 |
| Prostate Biopsy | $4,708$2.7k$4.8k | — | — |
| PSA Prostate Cancer Screening | $27$15$482 | $535 | $535 |
| Pulmonary Function Test with Bronchodilator | $1,148$47$3.9k | $4,372 | $4,372 |
| Rotator Cuff Repair (Arthroscopic) | $11,482$3.8k$43k | — | — |
| Screening Mammogram | $282$70$1.1k | $1,227 | $1,227 |
| Septoplasty (Deviated Septum Repair) | $6,776$539$43k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $9,205$446$43k | — | — |
| Skin Biopsy (Tangential) | $2,649$1.2k$14k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $3,642$1.2k$14k | — | — |
| Sleep Study (In-lab Polysomnography) | $1,200$493$5.4k | — | — |
| Spinal Cord Stimulator Trial | $11,137$2.2k$43k | — | — |
| Spirometry (Breathing Test) | $424$28$1.5k | $1,615 | $1,615 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $10,835$1.9k$43k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $10,835$1.9k$43k | — | — |
| Total Hip Replacement | $16,759$1.1k$46k | — | — |
| Total Knee Replacement | $17,429$1.9k$46k | — | — |
| Total Mastectomy | $11,204$2.5k$43k | — | — |
| TSH Thyroid Function Test | $24$13$971 | $1,079 | $1,079 |
| TURP (Transurethral Prostate Resection) | $11,137$3.2k$43k | — | — |
| Umbilical Hernia Repair | $6,549$3.6k$11k | — | — |
| Upper GI Endoscopy (EGD) | $3,238$1.8k$14k | — | — |
| Urinalysis with Microscopy | $5$3$554 | $616 | $616 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $5,516$1.9k$14k | — | — |
| Vaginal Delivery (Global Package) | $5,516$1.9k$14k | — | — |
| Vaginal Hysterectomy | $11,204$2.3k$43k | — | — |
| Vasectomy | $6,776$1.9k$14k | — | — |
| Vitamin D Blood Test | $23$1$117 | $29 | $29 |