| Abdominal Hysterectomy | $7,480$1.6k$25k | — | — |
| ACL Reconstruction (Arthroscopic) | $10,559$3.8k$29k | — | — |
| Allergy Skin Testing | $50$5$98 | — | — |
| Basic Metabolic Panel | $103$8$2.0k | $2,199 | $2,199 |
| Bone Marrow Biopsy | $3,252$1.6k$12k | — | — |
| Breast Biopsy (Ultrasound-guided) | $3,252$452$12k | — | — |
| Bunion Correction Surgery | $5,727$2.3k$22k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $20,007$1.3k$45k | — | — |
| Cardiac Catheterization (Left Heart) | $11,739$780$30k | — | — |
| Cardiac Stress Test (Treadmill) | $413$99$740 | — | — |
| Carpal Tunnel Release Surgery | $4,143$1.9k$12k | — | — |
| Cataract Surgery with Lens Implant | $4,182$1.6k$12k | — | — |
| Cervical Spinal Fusion (Anterior) | $10,559$3.8k$35k | — | — |
| Cesarean Delivery (Global Package) | $1,950$1.6k$12k | — | — |
| Chemotherapy Infusion (First Hour) | $246$48$1.1k | $1,023 | $1,023 |
| Chest X-ray (2 Views) | $834$163$3.2k | $3,476 | $3,476 |
| Colonoscopy with Biopsy | $2,762$1.6k$12k | — | — |
| Complete Abdominal Ultrasound | $3,138$245$12k | $12,552 | $12,552 |
| Complete Blood Count (CBC) with Differential | $8$7$157 | — | — |
| Comprehensive Metabolic Panel | $170$10$3.3k | $3,620 | $3,620 |
| Coronary Angioplasty with Stent | $20,007$675$45k | — | — |
| Critical Care, First Hour | $3,301$240$9.2k | $6,602 | $6,602 |
| CT Abdomen and Pelvis with Contrast | $4,599$738$24k | $26,213 | $26,213 |
| CT Cardiac Calcium Scoring | $3,950$110$21k | $22,882 | $22,882 |
| CT Chest without Contrast | $2,152$245$12k | $13,199 | $13,199 |
| CT Head without Contrast | $2,074$245$11k | $11,614 | $11,614 |
| DEXA Bone Density Scan | $848$166$3.3k | $3,534 | $3,534 |
| Diagnostic Colonoscopy | $2,024$1.2k$12k | — | — |
| Diagnostic Mammogram (Both Breasts) | $205$99$4.0k | $4,370 | $4,370 |
| Ear Tube Placement (Tympanostomy) | $3,285$1.6k$12k | — | — |
| Echocardiogram (Complete with Doppler) | $2,037$135$10k | $11,010 | $11,010 |
| EKG (Electrocardiogram, 12-lead) | $25$11$381 | — | — |
| Emergency Room Visit (Level 3) | $2,347$70$5.5k | $5,215 | $5,215 |
| Group Therapy Session | $128$24$621 | $591 | $591 |
| Hemodialysis Treatment | $217$81$4.3k | — | — |
| Hemoglobin A1c (Diabetes Test) | $14$9$206 | $224 | $224 |
| HIV Antibody Test | $26$2$311 | $336 | $336 |
| Holter Monitor (24-48 Hour Heart Monitor) | $153$54$540 | — | — |
| Home Sleep Study | $1,250$130$1.9k | — | — |
| Individual Therapy Session (45 Minutes) | $113$29$561 | $609 | $609 |
| Inguinal Hernia Repair (Open) | $7,480$1.9k$22k | — | — |
| 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 | $2,564$1.3k$12k | — | — |
| Knee Arthroscopy with Meniscectomy | $9,753$1.9k$29k | — | — |
| Laparoscopic Appendectomy | $11,031$3.8k$29k | — | — |
| Laparoscopic Gallbladder Removal | $10,559$239$25k | — | — |
| Laparoscopic Tubal Ligation | $10,559$3.8k$22k | — | — |
| Lipid Panel (Cholesterol Test) | $120$12$2.3k | $2,547 | $2,547 |
| Lumbar Epidural Steroid Injection | $2,250$1.6k$12k | — | — |
| Lumbar Puncture (Spinal Tap) | $2,007$900$8.0k | — | — |
| Lumbar Spinal Fusion (Posterior) | $9,569$3.8k$57k | — | — |
| Lumpectomy (Partial Mastectomy) | $6,596$3.8k$29k | — | — |
| MRI Abdomen with and without Contrast | $3,030$514$10k | $10,930 | $10,930 |
| MRI Brain with and without Contrast | $3,633$828$20k | $21,275 | $21,275 |
| MRI Brain with Contrast | $1,889$306$6.0k | $6,508 | $6,508 |
| MRI Brain without Contrast | $2,514$500$9.8k | $10,643 | $10,643 |
| MRI Cervical Spine (Neck) without Contrast | $2,399$500$9.8k | $10,643 | $10,643 |
| MRI Knee without Contrast | $3,075$476$21k | $10,135 | $10,135 |
| MRI Lower Back (Lumbar Spine) without Contrast | $2,556$476$9.3k | $10,135 | $10,135 |
| MRI Thoracic Spine (Mid-back) without Contrast | $2,536$500$9.8k | $10,643 | $10,643 |
| Newborn Circumcision | $3,336$1.6k$12k | — | — |
| Nuclear Cardiac Stress Test | $5,304$1.0k$20k | $22,101 | $22,101 |
| Office Visit, Established Patient (Level 3) | $235$55$1.4k | $1,501 | $1,501 |
| Office Visit, New Patient (Level 3) | $304$82$1.8k | $1,943 | $1,943 |
| Pacemaker Insertion (Dual Chamber) | $12,837$1.6k$66k | — | — |
| PET/CT Scan, Whole Body | $3,856$2.0k$6.7k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $1,945$245$7.2k | $7,779 | $7,779 |
| Prostate Biopsy | $4,514$2.6k$4.9k | — | — |
| PSA Prostate Cancer Screening | $27$17$390 | $424 | $424 |
| Pulmonary Function Test with Bronchodilator | $618$47$3.0k | $3,255 | $3,255 |
| Rotator Cuff Repair (Arthroscopic) | $10,800$3.8k$29k | — | — |
| Screening Mammogram | $134$82$2.6k | $2,840 | $2,840 |
| Septoplasty (Deviated Septum Repair) | $4,931$547$22k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $9,753$453$29k | — | — |
| Skin Biopsy (Tangential) | $1,950$1.3k$12k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $3,252$1.3k$12k | — | — |
| Sleep Study (In-lab Polysomnography) | $1,886$493$5.5k | — | — |
| Spinal Cord Stimulator Trial | $10,559$2.2k$49k | — | — |
| Spirometry (Breathing Test) | $106$28$188 | — | — |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $7,480$1.6k$22k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $7,480$1.6k$22k | — | — |
| Total Hip Replacement | $11,152$1.1k$44k | — | — |
| Total Knee Replacement | $11,304$1.6k$44k | — | — |
| Total Mastectomy | $7,480$3.8k$29k | — | — |
| TSH Thyroid Function Test | $105$15$2.0k | $2,228 | $2,228 |
| TURP (Transurethral Prostate Resection) | $10,434$3.3k$29k | — | — |
| Umbilical Hernia Repair | $6,648$3.7k$9.5k | — | — |
| Upper GI Endoscopy (EGD) | $2,007$1.6k$12k | — | — |
| Urinalysis with Microscopy | $45$3$872 | $947 | $947 |
| 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$22k | — | — |
| Vasectomy | $3,336$1.6k$12k | — | — |
| Vitamin D Blood Test | $32$2$627 | $360 | $360 |