| Abdominal Hysterectomy | $6,802$1.9k$32k | — | — |
| ACL Reconstruction (Arthroscopic) | $9,145$2.4k$21k | — | — |
| Allergy Skin Testing | $54$6$105 | — | — |
| Basic Metabolic Panel | $20$8$612 | $510 | $510 |
| Bone Marrow Biopsy | $3,777$1.9k$9.2k | — | — |
| Breast Biopsy (Ultrasound-guided) | $3,639$486$9.2k | — | — |
| Bunion Correction Surgery | $6,152$2.4k$19k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $20,248$1.5k$128k | $106,571 | $106,571 |
| Cardiac Catheterization (Left Heart) | $7,134$848$16k | — | — |
| Cardiac Stress Test (Treadmill) | $440$99$795 | — | — |
| Carpal Tunnel Release Surgery | $4,963$2.4k$9.2k | — | — |
| Cataract Surgery with Lens Implant | $4,809$1.9k$9.2k | — | — |
| Cervical Spinal Fusion (Anterior) | $9,215$2.4k$55k | — | — |
| Cesarean Delivery (Global Package) | $2,576$1.9k$9.2k | — | — |
| Chemotherapy Infusion (First Hour) | $84$28$1.2k | $324 | $324 |
| Chest X-ray (2 Views) | $301$26$3.5k | $1,592 | $1,592 |
| Colonoscopy with Biopsy | $3,552$1.9k$9.2k | — | — |
| Complete Abdominal Ultrasound | $1,126$245$5.2k | $4,330 | $4,330 |
| Complete Blood Count (CBC) with Differential | $8$8$169 | — | — |
| Comprehensive Metabolic Panel | $138$10$3.2k | $1,617 | $1,617 |
| Coronary Angioplasty with Stent | $17,341$795$43k | — | — |
| Critical Care, First Hour | $3,463$73$21k | $17,424 | $17,424 |
| CT Abdomen and Pelvis with Contrast | $9,255$809$45k | $37,242 | $37,242 |
| CT Cardiac Calcium Scoring | $2,751$118$13k | $10,582 | $10,582 |
| CT Chest without Contrast | $3,454$245$17k | $13,900 | $13,900 |
| CT Head without Contrast | $4,021$245$19k | $16,182 | $16,182 |
| DEXA Bone Density Scan | $470$49$6.9k | $3,176 | $3,176 |
| Diagnostic Colonoscopy | $2,820$1.3k$9.2k | — | — |
| Diagnostic Mammogram (Both Breasts) | $189$101$1.4k | $1,180 | $1,180 |
| Ear Tube Placement (Tympanostomy) | $3,898$1.9k$9.2k | — | — |
| Echocardiogram (Complete with Doppler) | $3,410$147$18k | $14,826 | $14,826 |
| EKG (Electrocardiogram, 12-lead) | $25$12$409 | — | — |
| Emergency Room Visit (Level 3) | $2,551$78$7.0k | $5,859 | $5,859 |
| Group Therapy Session | $51$19$258 | $215 | $215 |
| Hemodialysis Treatment | $219$87$4.7k | — | — |
| Hemoglobin A1c (Diabetes Test) | $12$4$134 | $61 | $61 |
| HIV Antibody Test | $12$4$151 | $81 | $81 |
| Holter Monitor (24-48 Hour Heart Monitor) | $154$59$580 | — | — |
| Home Sleep Study | $1,342$130$3.8k | — | — |
| Individual Therapy Session (45 Minutes) | $171$94$250 | — | — |
| Inguinal Hernia Repair (Open) | $6,802$2.4k$19k | — | — |
| Initial Hospital Admission (Level 1) | $123$121$123 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $205$141$272 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $178$157$201 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,968$1.9k$2.0k | — | — |
| IUD Insertion | $4,150$45$9.2k | — | — |
| IUD Removal | $3,645$1.4k$9.2k | — | — |
| Knee Arthroscopy with Meniscectomy | $7,988$2.4k$21k | — | — |
| Laparoscopic Appendectomy | $11,605$2.4k$21k | — | — |
| Laparoscopic Gallbladder Removal | $9,174$256$20k | — | — |
| Laparoscopic Tubal Ligation | $9,949$2.4k$19k | — | — |
| Lipid Panel (Cholesterol Test) | $32$13$1.2k | $1,015 | $1,015 |
| Lumbar Epidural Steroid Injection | $3,299$1.9k$9.2k | — | — |
| Lumbar Puncture (Spinal Tap) | $2,776$966$8.6k | — | — |
| Lumbar Spinal Fusion (Posterior) | $9,215$2.4k$69k | — | — |
| Lumpectomy (Partial Mastectomy) | $5,647$2.4k$21k | — | — |
| MRI Abdomen with and without Contrast | $3,370$828$16k | $12,963 | $12,963 |
| MRI Brain with and without Contrast | $4,543$828$22k | $18,280 | $18,280 |
| MRI Brain with Contrast | $3,637$828$18k | $14,590 | $14,590 |
| MRI Brain without Contrast | $4,180$518$20k | $16,822 | $16,822 |
| MRI Cervical Spine (Neck) without Contrast | $3,999$518$19k | $16,091 | $16,091 |
| MRI Knee without Contrast | $3,086$518$14k | $11,871 | $11,871 |
| MRI Lower Back (Lumbar Spine) without Contrast | $3,843$518$19k | $15,466 | $15,466 |
| MRI Thoracic Spine (Mid-back) without Contrast | $3,658$518$18k | $14,721 | $14,721 |
| Newborn Circumcision | $5,933$1.9k$9.2k | — | — |
| Nuclear Cardiac Stress Test | $342$113$4.0k | $1,315 | $1,315 |
| Office Visit, Established Patient (Level 3) | $87$20$520 | $414 | $414 |
| Office Visit, New Patient (Level 3) | $100$23$570 | $458 | $458 |
| Pacemaker Insertion (Dual Chamber) | $17,234$1.9k$55k | — | — |
| PET/CT Scan, Whole Body | $2,292$1.5k$4.6k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $370$122$1.7k | $1,422 | $1,422 |
| Prostate Biopsy | $5,187$2.8k$5.4k | — | — |
| PSA Prostate Cancer Screening | $27$13$187 | $156 | $156 |
| Pulmonary Function Test with Bronchodilator | $488$51$2.4k | $2,033 | $2,033 |
| Rotator Cuff Repair (Arthroscopic) | $11,605$2.4k$21k | — | — |
| Screening Mammogram | $124$56$782 | $652 | $652 |
| Septoplasty (Deviated Septum Repair) | $4,963$587$19k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,988$487$21k | — | — |
| Skin Biopsy (Tangential) | $2,782$1.3k$9.2k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $3,777$1.3k$9.2k | — | — |
| Sleep Study (In-lab Polysomnography) | $2,649$539$14k | $11,343 | $11,343 |
| Spinal Cord Stimulator Trial | $9,145$2.4k$68k | — | — |
| Spirometry (Breathing Test) | $534$30$2.9k | $2,429 | $2,429 |
| 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 | $15,300$1.2k$42k | — | — |
| Total Knee Replacement | $16,089$1.9k$42k | — | — |
| Total Mastectomy | $6,802$2.4k$21k | — | — |
| TSH Thyroid Function Test | $24$13$193 | $146 | $146 |
| TURP (Transurethral Prostate Resection) | $9,844$2.4k$21k | — | — |
| Umbilical Hernia Repair | $7,291$4.0k$9.5k | — | — |
| Upper GI Endoscopy (EGD) | $2,820$1.9k$9.2k | — | — |
| Urinalysis with Microscopy | $8$3$1.6k | $1,327 | $1,327 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,576$1.9k$9.2k | — | — |
| Vaginal Delivery (Global Package) | $2,576$1.9k$9.2k | — | — |
| Vaginal Hysterectomy | $6,802$2.4k$19k | — | — |
| Vasectomy | $5,933$1.9k$9.2k | — | — |
| Vitamin D Blood Test | $43$21$299 | $249 | $249 |