| Abdominal Hysterectomy | $8,253$1.6k$31k | — | — |
| ACL Reconstruction (Arthroscopic) | $9,559$3.8k$29k | — | — |
| Allergy Skin Testing | $50$5$98 | — | — |
| Basic Metabolic Panel | $192$8$2.4k | $2,660 | $2,660 |
| Bone Marrow Biopsy | $4,130$1.6k$12k | — | — |
| Breast Biopsy (Ultrasound-guided) | $3,871$452$12k | — | — |
| Bunion Correction Surgery | $5,719$2.3k$16k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $15,716$1.3k$45k | $31,433 | $31,433 |
| Cardiac Catheterization (Left Heart) | $10,844$780$30k | — | — |
| Cardiac Stress Test (Treadmill) | $413$99$740 | — | — |
| Carpal Tunnel Release Surgery | $4,986$1.9k$12k | — | — |
| Cataract Surgery with Lens Implant | $4,922$1.6k$12k | — | — |
| Cervical Spinal Fusion (Anterior) | $8,799$3.8k$42k | — | — |
| Cesarean Delivery (Global Package) | $1,950$1.6k$12k | — | — |
| Chemotherapy Infusion (First Hour) | $214$42$1.1k | $891 | $891 |
| Chest X-ray (2 Views) | $701$137$2.7k | $2,921 | $2,921 |
| Colonoscopy with Biopsy | $3,307$1.6k$12k | — | — |
| Complete Abdominal Ultrasound | $2,106$245$7.7k | $8,423 | $8,423 |
| Complete Blood Count (CBC) with Differential | $8$7$157 | — | — |
| Comprehensive Metabolic Panel | $14$2$2.8k | $1,528 | $1,528 |
| Coronary Angioplasty with Stent | $20,733$675$45k | — | — |
| Critical Care, First Hour | $3,988$240$9.2k | $8,185 | $8,185 |
| CT Abdomen and Pelvis with Contrast | $4,695$738$38k | $41,714 | $41,714 |
| CT Cardiac Calcium Scoring | $91$5$13k | $107 | $107 |
| CT Chest without Contrast | $1,863$245$7.6k | $8,275 | $8,275 |
| CT Head without Contrast | $2,118$245$14k | $15,304 | $15,304 |
| DEXA Bone Density Scan | $230$43$839 | $912 | $912 |
| Diagnostic Colonoscopy | $2,455$1.2k$12k | — | — |
| Diagnostic Mammogram (Both Breasts) | $112$22$435 | $473 | $473 |
| Ear Tube Placement (Tympanostomy) | $3,871$1.6k$12k | — | — |
| Echocardiogram (Complete with Doppler) | $2,084$135$11k | $11,451 | $11,451 |
| EKG (Electrocardiogram, 12-lead) | $25$11$381 | — | — |
| Emergency Room Visit (Level 3) | $2,287$70$5.5k | $3,811 | $3,811 |
| Group Therapy Session | $130$30$233 | — | — |
| Hemodialysis Treatment | $217$81$4.3k | — | — |
| Hemoglobin A1c (Diabetes Test) | $27$2$544 | $318 | $318 |
| HIV Antibody Test | $10$1$140 | $49 | $49 |
| 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) | $8,253$1.9k$16k | — | — |
| 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 | $3,950$41$12k | — | — |
| IUD Removal | $2,726$1.4k$12k | — | — |
| Knee Arthroscopy with Meniscectomy | $9,017$1.9k$29k | — | — |
| Laparoscopic Appendectomy | $10,350$3.8k$29k | — | — |
| Laparoscopic Gallbladder Removal | $9,559$239$25k | — | — |
| Laparoscopic Tubal Ligation | $9,559$3.8k$16k | — | — |
| Lipid Panel (Cholesterol Test) | $101$12$1.3k | $1,401 | $1,401 |
| Lumbar Epidural Steroid Injection | $2,550$1.6k$12k | — | — |
| Lumbar Puncture (Spinal Tap) | $2,455$900$8.3k | — | — |
| Lumbar Spinal Fusion (Posterior) | $8,580$3.8k$68k | — | — |
| Lumpectomy (Partial Mastectomy) | $5,950$3.8k$29k | — | — |
| MRI Abdomen with and without Contrast | $1,913$333$6.5k | $7,086 | $7,086 |
| MRI Brain with and without Contrast | $2,295$400$7.8k | $8,501 | $8,501 |
| MRI Brain with Contrast | $2,022$352$6.9k | $7,489 | $7,489 |
| MRI Brain without Contrast | $1,837$320$6.3k | $6,805 | $6,805 |
| MRI Cervical Spine (Neck) without Contrast | $1,913$333$6.5k | $7,086 | $7,086 |
| MRI Knee without Contrast | $1,826$228$8.9k | $4,852 | $4,852 |
| MRI Lower Back (Lumbar Spine) without Contrast | $1,951$340$6.6k | $7,226 | $7,226 |
| MRI Thoracic Spine (Mid-back) without Contrast | $2,001$348$6.8k | $7,410 | $7,410 |
| Newborn Circumcision | $5,323$1.6k$12k | — | — |
| Nuclear Cardiac Stress Test | $3,705$698$14k | $14,842 | $14,842 |
| Office Visit, Established Patient (Level 3) | $86$6$1.1k | $467 | $467 |
| Office Visit, New Patient (Level 3) | $81$8$1.3k | $222 | $222 |
| Pacemaker Insertion (Dual Chamber) | $10,951$1.6k$66k | — | — |
| PET/CT Scan, Whole Body | $3,699$2.0k$6.7k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $1,034$194$3.8k | $4,135 | $4,135 |
| Prostate Biopsy | $4,779$3.1k$6.1k | — | — |
| PSA Prostate Cancer Screening | $19$2$154 | $45 | $45 |
| Pulmonary Function Test with Bronchodilator | $563$47$2.7k | $2,961 | $2,961 |
| Rotator Cuff Repair (Arthroscopic) | $10,350$3.8k$29k | — | — |
| Screening Mammogram | $93$18$360 | $391 | $391 |
| Septoplasty (Deviated Septum Repair) | $5,313$547$16k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $9,017$453$29k | — | — |
| Skin Biopsy (Tangential) | $2,069$1.3k$12k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $3,697$1.3k$12k | — | — |
| Sleep Study (In-lab Polysomnography) | $1,158$299$5.9k | $6,363 | $6,363 |
| Spinal Cord Stimulator Trial | $9,559$2.2k$49k | — | — |
| Spirometry (Breathing Test) | $39$2$499 | $294 | $294 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $8,162$1.6k$16k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $8,162$1.6k$16k | — | — |
| Total Hip Replacement | $10,561$1.1k$44k | — | — |
| Total Knee Replacement | $11,000$1.6k$44k | — | — |
| Total Mastectomy | $8,253$3.8k$29k | — | — |
| TSH Thyroid Function Test | $147$15$1.9k | $2,041 | $2,041 |
| TURP (Transurethral Prostate Resection) | $9,559$3.3k$29k | — | — |
| Umbilical Hernia Repair | $6,648$3.7k$10k | — | — |
| Upper GI Endoscopy (EGD) | $2,455$1.6k$12k | — | — |
| Urinalysis with Microscopy | $6$1$1.0k | $555 | $555 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $1,950$1.6k$12k | — | — |
| Vaginal Delivery (Global Package) | $1,950$1.6k$12k | — | — |
| Vaginal Hysterectomy | $8,253$3.8k$16k | — | — |
| Vasectomy | $5,323$1.6k$12k | — | — |
| Vitamin D Blood Test | $28$1$118 | $65 | $65 |