| Abdominal Hysterectomy | $6,802$1.9k$27k | — | — |
| ACL Reconstruction (Arthroscopic) | $9,796$2.4k$21k | — | — |
| Allergy Skin Testing | $54$5$106 | — | — |
| Basic Metabolic Panel | $189$8$1.9k | $2,192 | $2,192 |
| Bone Marrow Biopsy | $3,964$1.9k$9.2k | — | — |
| Breast Biopsy (Ultrasound-guided) | $3,916$490$9.2k | — | — |
| Bunion Correction Surgery | $6,203$2.4k$19k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $21,368$1.4k$79k | $93,512 | $93,512 |
| Cardiac Catheterization (Left Heart) | $7,323$830$16k | — | — |
| Cardiac Stress Test (Treadmill) | $443$99$801 | — | — |
| Carpal Tunnel Release Surgery | $5,084$2.4k$9.2k | — | — |
| Cataract Surgery with Lens Implant | $4,984$1.9k$9.2k | — | — |
| Cervical Spinal Fusion (Anterior) | $9,544$2.4k$55k | — | — |
| Cesarean Delivery (Global Package) | $2,702$1.9k$9.2k | — | — |
| Chemotherapy Infusion (First Hour) | $253$84$1.2k | $972 | $972 |
| Chest X-ray (2 Views) | $447$148$1.5k | $1,719 | $1,719 |
| Colonoscopy with Biopsy | $3,545$1.9k$9.2k | — | — |
| Complete Abdominal Ultrasound | $3,870$245$13k | $14,885 | $14,885 |
| Complete Blood Count (CBC) with Differential | $8$8$170 | — | — |
| Comprehensive Metabolic Panel | $211$10$2.1k | $2,457 | $2,457 |
| Coronary Angioplasty with Stent | $17,140$723$43k | — | — |
| Critical Care, First Hour | $2,013$73$6.6k | $3,753 | $3,753 |
| CT Abdomen and Pelvis with Contrast | $4,676$769$15k | $17,986 | $17,986 |
| CT Cardiac Calcium Scoring | $2,340$119$12k | $8,999 | $8,999 |
| CT Chest without Contrast | $2,337$245$7.6k | $8,990 | $8,990 |
| CT Head without Contrast | $1,694$245$5.5k | $6,467 | $6,467 |
| DEXA Bone Density Scan | $286$95$934 | $1,099 | $1,099 |
| Diagnostic Colonoscopy | $2,785$1.3k$9.2k | — | — |
| Diagnostic Mammogram (Both Breasts) | $131$68$673 | $792 | $792 |
| Ear Tube Placement (Tympanostomy) | $3,916$1.9k$9.2k | — | — |
| Echocardiogram (Complete with Doppler) | $3,686$144$14k | $16,025 | $16,025 |
| EKG (Electrocardiogram, 12-lead) | $25$12$413 | — | — |
| Emergency Room Visit (Level 3) | $1,102$73$3.5k | $1,718 | $1,718 |
| Group Therapy Session | $139$30$252 | — | — |
| Hemodialysis Treatment | $219$84$4.7k | — | — |
| Hemoglobin A1c (Diabetes Test) | $14$10$135 | $128 | $128 |
| HIV Antibody Test | $15$9$152 | $178 | $178 |
| Holter Monitor (24-48 Hour Heart Monitor) | $154$57$585 | — | — |
| Home Sleep Study | $1,353$130$4.0k | — | — |
| Individual Therapy Session (45 Minutes) | $170$91$252 | — | — |
| Inguinal Hernia Repair (Open) | $7,193$2.4k$19k | — | — |
| Initial Hospital Admission (Level 1) | $117$115$117 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $204$137$274 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $177$153$203 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,984$1.9k$2.0k | — | — |
| IUD Insertion | $4,241$42$9.2k | — | — |
| IUD Removal | $3,657$1.4k$9.2k | — | — |
| Knee Arthroscopy with Meniscectomy | $8,304$2.4k$21k | — | — |
| Laparoscopic Appendectomy | $11,754$2.4k$21k | — | — |
| Laparoscopic Gallbladder Removal | $9,433$259$20k | — | — |
| Laparoscopic Tubal Ligation | $10,737$2.4k$19k | — | — |
| Lipid Panel (Cholesterol Test) | $69$13$678 | $798 | $798 |
| Lumbar Epidural Steroid Injection | $2,887$1.9k$9.2k | — | — |
| Lumbar Puncture (Spinal Tap) | $2,750$974$8.7k | — | — |
| Lumbar Spinal Fusion (Posterior) | $9,544$2.4k$69k | — | — |
| Lumpectomy (Partial Mastectomy) | $5,933$2.4k$21k | — | — |
| MRI Abdomen with and without Contrast | $5,631$828$19k | $22,658 | $22,658 |
| MRI Brain with and without Contrast | $4,726$828$16k | $19,019 | $19,019 |
| MRI Brain with Contrast | $3,608$828$12k | $14,260 | $14,260 |
| MRI Brain without Contrast | $2,840$518$9.6k | $11,264 | $11,264 |
| MRI Cervical Spine (Neck) without Contrast | $2,799$518$9.6k | $11,264 | $11,264 |
| MRI Knee without Contrast | $3,249$518$15k | $11,816 | $11,816 |
| MRI Lower Back (Lumbar Spine) without Contrast | $2,863$518$9.6k | $11,264 | $11,264 |
| MRI Thoracic Spine (Mid-back) without Contrast | $2,852$518$9.6k | $11,264 | $11,264 |
| Newborn Circumcision | $6,127$1.9k$9.2k | — | — |
| Nuclear Cardiac Stress Test | $4,711$1.6k$15k | $18,120 | $18,120 |
| Office Visit, Established Patient (Level 3) | $127$28$893 | $564 | $564 |
| Office Visit, New Patient (Level 3) | $166$37$1.4k | $718 | $718 |
| Pacemaker Insertion (Dual Chamber) | $17,625$1.9k$55k | — | — |
| PET/CT Scan, Whole Body | $4,730$1.5k$16k | $18,789 | $18,789 |
| Pregnancy Ultrasound (Second or Third Trimester) | $980$245$3.2k | $3,769 | $3,769 |
| Prostate Biopsy | $5,230$2.8k$5.4k | — | — |
| PSA Prostate Cancer Screening | $27$18$190 | $223 | $223 |
| Pulmonary Function Test with Bronchodilator | $308$50$1.1k | $1,283 | $1,283 |
| Rotator Cuff Repair (Arthroscopic) | $11,754$2.4k$21k | — | — |
| Screening Mammogram | $111$64$636 | $748 | $748 |
| Septoplasty (Deviated Septum Repair) | $5,130$592$19k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $8,304$491$21k | — | — |
| Skin Biopsy (Tangential) | $2,627$1.4k$9.2k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $3,960$1.4k$9.2k | — | — |
| Sleep Study (In-lab Polysomnography) | $3,662$525$13k | $15,682 | $15,682 |
| Spinal Cord Stimulator Trial | $9,796$2.4k$68k | — | — |
| Spirometry (Breathing Test) | $407$29$2.1k | $1,981 | $1,981 |
| 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 | $15,694$1.2k$42k | — | — |
| Total Knee Replacement | $16,424$1.9k$42k | — | — |
| Total Mastectomy | $6,802$2.4k$21k | — | — |
| TSH Thyroid Function Test | $64$17$637 | $749 | $749 |
| TURP (Transurethral Prostate Resection) | $9,925$2.4k$21k | — | — |
| Umbilical Hernia Repair | $7,351$4.0k$9.5k | — | — |
| Upper GI Endoscopy (EGD) | $2,785$1.9k$9.2k | — | — |
| Urinalysis with Microscopy | $122$3$1.3k | $1,498 | $1,498 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,702$1.9k$9.2k | — | — |
| Vaginal Delivery (Global Package) | $2,702$1.9k$9.2k | — | — |
| Vaginal Hysterectomy | $7,193$2.4k$19k | — | — |
| Vasectomy | $6,127$1.9k$9.2k | — | — |
| Vitamin D Blood Test | $128$29$602 | $649 | $649 |