| Abdominal Hysterectomy | $7,480$800$30k | — | — |
| ACL Reconstruction (Arthroscopic) | $8,128$975$29k | — | — |
| Allergy Skin Testing | $50$5$98 | — | — |
| Basic Metabolic Panel | $116$8$2.3k | $2,458 | $2,458 |
| Bone Marrow Biopsy | $2,751$1.4k$12k | — | — |
| Breast Biopsy (Ultrasound-guided) | $2,751$452$12k | — | — |
| Bunion Correction Surgery | $5,719$1.1k$15k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $20,257$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) | $257$4$3.0k | $3,008 | $3,008 |
| Colonoscopy with Biopsy | $2,519$1.5k$12k | — | — |
| Complete Abdominal Ultrasound | $1,481$245$6.2k | $6,270 | $6,270 |
| Complete Blood Count (CBC) with Differential | $8$7$157 | — | — |
| Comprehensive Metabolic Panel | $12$2$2.7k | $1,511 | $1,511 |
| Coronary Angioplasty with Stent | $20,257$675$45k | — | — |
| Critical Care, First Hour | $2,511$240$9.2k | $5,809 | $5,809 |
| CT Abdomen and Pelvis with Contrast | $4,647$738$34k | $37,381 | $37,381 |
| CT Cardiac Calcium Scoring | $1,404$110$13k | $3,389 | $3,389 |
| CT Chest without Contrast | $2,161$245$15k | $16,555 | $16,555 |
| CT Head without Contrast | $2,096$245$14k | $15,208 | $15,208 |
| DEXA Bone Density Scan | $711$132$3.0k | $3,010 | $3,010 |
| Diagnostic Colonoscopy | $2,024$1.2k$12k | — | — |
| Diagnostic Mammogram (Both Breasts) | $114$54$1.0k | $1,141 | $1,141 |
| Ear Tube Placement (Tympanostomy) | $2,751$1.4k$12k | — | — |
| Echocardiogram (Complete with Doppler) | $2,364$135$12k | $11,783 | $11,783 |
| EKG (Electrocardiogram, 12-lead) | $25$11$381 | — | — |
| Emergency Room Visit (Level 3) | $2,081$70$8.4k | $9,940 | $9,940 |
| Group Therapy Session | $130$30$233 | — | — |
| Hemodialysis Treatment | $217$81$4.3k | — | — |
| Hemoglobin A1c (Diabetes Test) | $11$1$127 | $72 | $72 |
| HIV Antibody Test | $10$1$1.4k | $769 | $769 |
| Holter Monitor (24-48 Hour Heart Monitor) | $153$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 | $3,897$41$12k | — | — |
| IUD Removal | $2,532$1.3k$12k | — | — |
| Knee Arthroscopy with Meniscectomy | $8,128$1.1k$29k | — | — |
| Laparoscopic Appendectomy | $9,878$975$29k | — | — |
| Laparoscopic Gallbladder Removal | $8,128$239$25k | — | — |
| Laparoscopic Tubal Ligation | $9,081$975$15k | — | — |
| Lipid Panel (Cholesterol Test) | $14$1$222 | $52 | $52 |
| Lumbar Epidural Steroid Injection | $2,165$1.6k$12k | — | — |
| Lumbar Puncture (Spinal Tap) | $1,950$900$8.0k | — | — |
| Lumbar Spinal Fusion (Posterior) | $8,128$975$57k | — | — |
| Lumpectomy (Partial Mastectomy) | $5,711$975$29k | — | — |
| MRI Abdomen with and without Contrast | $3,418$828$18k | $19,498 | $19,498 |
| MRI Brain with and without Contrast | $3,671$828$23k | $25,236 | $25,236 |
| MRI Brain with Contrast | $1,826$315$6.2k | $6,701 | $6,701 |
| MRI Brain without Contrast | $3,105$518$19k | $20,124 | $20,124 |
| MRI Cervical Spine (Neck) without Contrast | $2,460$518$14k | $15,216 | $15,216 |
| MRI Knee without Contrast | $2,735$518$13k | $14,392 | $14,392 |
| MRI Lower Back (Lumbar Spine) without Contrast | $2,928$518$17k | $18,415 | $18,415 |
| MRI Thoracic Spine (Mid-back) without Contrast | $2,548$518$14k | $15,450 | $15,450 |
| Newborn Circumcision | $2,787$1.3k$12k | — | — |
| Nuclear Cardiac Stress Test | $7,969$1.7k$33k | $35,420 | $35,420 |
| Office Visit, Established Patient (Level 3) | $172$45$1.0k | $1,037 | $1,037 |
| Office Visit, New Patient (Level 3) | $209$53$1.1k | $1,212 | $1,212 |
| Pacemaker Insertion (Dual Chamber) | $10,488$975$60k | — | — |
| PET/CT Scan, Whole Body | $4,313$782$15k | $16,645 | $16,645 |
| Pregnancy Ultrasound (Second or Third Trimester) | $1,083$199$4.5k | $4,587 | $4,587 |
| Prostate Biopsy | $4,026$1.3k$4.9k | — | — |
| PSA Prostate Cancer Screening | $20$2$2.5k | $144 | $144 |
| Pulmonary Function Test with Bronchodilator | $81$17$490 | $359 | $359 |
| Rotator Cuff Repair (Arthroscopic) | $9,878$975$29k | — | — |
| Screening Mammogram | $89$13$246 | $267 | $267 |
| Septoplasty (Deviated Septum Repair) | $4,927$547$15k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $8,128$453$29k | — | — |
| Skin Biopsy (Tangential) | $2,100$1.3k$12k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,751$1.3k$12k | — | — |
| Sleep Study (In-lab Polysomnography) | $2,717$493$15k | $16,565 | $16,565 |
| Spinal Cord Stimulator Trial | $8,128$975$49k | — | — |
| Spirometry (Breathing Test) | $47$2$631 | $370 | $370 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $6,578$1.1k$15k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,578$975$15k | — | — |
| Total Hip Replacement | $10,312$975$44k | — | — |
| Total Knee Replacement | $10,800$975$44k | — | — |
| Total Mastectomy | $7,480$975$29k | — | — |
| TSH Thyroid Function Test | $177$15$3.1k | $2,071 | $2,071 |
| 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$1.1k | $579 | $579 |
| 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 | $27$1$608 | $32 | $32 |