| Abdominal Hysterectomy | $7,480$1.6k$1519k | — | — |
| ACL Reconstruction (Arthroscopic) | $11,211$3.8k$987k | — | — |
| Allergy Skin Testing | $50$5$98 | — | — |
| Basic Metabolic Panel | $12$8$2.4k | $2,594 | $2,594 |
| Bone Marrow Biopsy | $3,430$1.6k$302k | — | — |
| Breast Biopsy (Ultrasound-guided) | $3,430$452$302k | — | — |
| Bunion Correction Surgery | $5,727$2.3k$987k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $24,000$1.3k$1191k | $113,058 | $113,058 |
| Cardiac Catheterization (Left Heart) | $11,911$780$33k | — | — |
| Cardiac Stress Test (Treadmill) | $413$99$740 | — | — |
| Carpal Tunnel Release Surgery | $4,575$1.9k$343k | — | — |
| Cataract Surgery with Lens Implant | $4,385$1.6k$343k | — | — |
| Cervical Spinal Fusion (Anterior) | $11,211$3.8k$987k | — | — |
| Cesarean Delivery (Global Package) | $1,950$1.6k$12k | — | — |
| Chemotherapy Infusion (First Hour) | $570$112$2.2k | $2,377 | $2,377 |
| Chest X-ray (2 Views) | $381$65$1.3k | $1,386 | $1,386 |
| Colonoscopy with Biopsy | $2,891$1.6k$254k | — | — |
| Complete Abdominal Ultrasound | $2,154$245$7.9k | $8,618 | $8,618 |
| Complete Blood Count (CBC) with Differential | $8$7$157 | — | — |
| Comprehensive Metabolic Panel | $12$2$4.5k | $2,481 | $2,481 |
| Coronary Angioplasty with Stent | $21,138$675$1191k | — | — |
| Critical Care, First Hour | $4,138$240$345k | $7,053 | $7,053 |
| CT Abdomen and Pelvis with Contrast | $4,599$738$25k | $27,518 | $27,518 |
| CT Cardiac Calcium Scoring | $2,795$110$13k | $10,761 | $10,761 |
| CT Chest without Contrast | $2,520$245$17k | $18,550 | $18,550 |
| CT Head without Contrast | $2,875$245$22k | $23,586 | $23,586 |
| DEXA Bone Density Scan | $422$83$1.6k | $1,760 | $1,760 |
| Diagnostic Colonoscopy | $2,067$1.2k$169k | — | — |
| Diagnostic Mammogram (Both Breasts) | $115$48$944 | $1,026 | $1,026 |
| Ear Tube Placement (Tympanostomy) | $3,430$1.6k$302k | — | — |
| Echocardiogram (Complete with Doppler) | $2,640$135$13k | $14,271 | $14,271 |
| EKG (Electrocardiogram, 12-lead) | $25$11$381 | — | — |
| Emergency Room Visit (Level 3) | $2,823$70$218k | $5,042 | $5,042 |
| Group Therapy Session | $109$23$458 | $497 | $497 |
| Hemodialysis Treatment | $217$81$4.3k | — | — |
| Hemoglobin A1c (Diabetes Test) | $14$9$486 | $528 | $528 |
| HIV Antibody Test | $11$3$140 | $77 | $77 |
| Holter Monitor (24-48 Hour Heart Monitor) | $153$54$540 | — | — |
| Home Sleep Study | $1,250$130$1.9k | — | — |
| Individual Therapy Session (45 Minutes) | $182$39$762 | $829 | $829 |
| Inguinal Hernia Repair (Open) | $7,480$1.9k$987k | — | — |
| Initial Hospital Admission (Level 1) | $110$110$113 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $174$44$865 | $940 | $940 |
| 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 | $2,660$1.4k$122k | — | — |
| Knee Arthroscopy with Meniscectomy | $10,339$1.9k$987k | — | — |
| Laparoscopic Appendectomy | $11,651$3.8k$987k | — | — |
| Laparoscopic Gallbladder Removal | $11,211$239$987k | — | — |
| Laparoscopic Tubal Ligation | $11,403$3.8k$987k | — | — |
| Lipid Panel (Cholesterol Test) | $15$1$2.7k | $1,450 | $1,450 |
| Lumbar Epidural Steroid Injection | $2,622$1.6k$169k | — | — |
| Lumbar Puncture (Spinal Tap) | $2,100$900$169k | — | — |
| Lumbar Spinal Fusion (Posterior) | $9,895$3.8k$987k | — | — |
| Lumpectomy (Partial Mastectomy) | $6,596$3.8k$987k | — | — |
| MRI Abdomen with and without Contrast | $3,356$607$12k | $12,916 | $12,916 |
| MRI Brain with and without Contrast | $2,842$469$9.2k | $9,973 | $9,973 |
| MRI Brain with Contrast | $2,620$432$8.5k | $9,193 | $9,193 |
| MRI Brain without Contrast | $2,420$410$8.0k | $8,714 | $8,714 |
| MRI Cervical Spine (Neck) without Contrast | $2,364$410$8.0k | $8,714 | $8,714 |
| MRI Knee without Contrast | $2,423$410$9.1k | $8,714 | $8,714 |
| MRI Lower Back (Lumbar Spine) without Contrast | $2,441$410$8.0k | $8,714 | $8,714 |
| MRI Thoracic Spine (Mid-back) without Contrast | $2,431$410$8.0k | $8,714 | $8,714 |
| Newborn Circumcision | $4,922$1.6k$343k | — | — |
| Nuclear Cardiac Stress Test | $8,920$1.7k$34k | $37,168 | $37,168 |
| Office Visit, Established Patient (Level 3) | $167$55$1.1k | $1,174 | $1,174 |
| Office Visit, New Patient (Level 3) | $241$63$1.2k | $1,339 | $1,339 |
| Pacemaker Insertion (Dual Chamber) | $14,127$1.6k$987k | — | — |
| PET/CT Scan, Whole Body | $3,480$2.0k$6.7k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $1,097$206$4.0k | $4,388 | $4,388 |
| Prostate Biopsy | $4,779$2.8k$5.4k | — | — |
| PSA Prostate Cancer Screening | $18$1$154 | $41 | $41 |
| Pulmonary Function Test with Bronchodilator | $487$47$2.0k | $2,215 | $2,215 |
| Rotator Cuff Repair (Arthroscopic) | $11,242$3.8k$987k | — | — |
| Screening Mammogram | $93$22$435 | $473 | $473 |
| Septoplasty (Deviated Septum Repair) | $5,253$547$987k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $10,339$453$987k | — | — |
| Skin Biopsy (Tangential) | $2,248$1.3k$149k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $3,430$1.3k$302k | — | — |
| Sleep Study (In-lab Polysomnography) | $1,812$460$9.0k | $9,793 | $9,793 |
| Spinal Cord Stimulator Trial | $11,211$2.2k$987k | — | — |
| Spirometry (Breathing Test) | $39$2$836 | $474 | $474 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $7,480$1.6k$987k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $7,480$1.6k$987k | — | — |
| Total Hip Replacement | $11,861$1.1k$987k | — | — |
| Total Knee Replacement | $12,418$1.6k$987k | — | — |
| Total Mastectomy | $7,480$3.8k$987k | — | — |
| TSH Thyroid Function Test | $18$1$1.8k | $961 | $961 |
| TURP (Transurethral Prostate Resection) | $11,211$3.3k$987k | — | — |
| Umbilical Hernia Repair | $6,648$3.7k$9.5k | — | — |
| Upper GI Endoscopy (EGD) | $1,950$1.6k$169k | — | — |
| Urinalysis with Microscopy | $4$1$2.2k | $1,183 | $1,183 |
| 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$3.8k$987k | — | — |
| Vasectomy | $4,922$1.6k$343k | — | — |
| Vitamin D Blood Test | $24$1$118 | $39 | $39 |