| Abdominal Hysterectomy | $32,688$1.9k$66k | — | — |
| ACL Reconstruction (Arthroscopic) | $17,003$4.0k$54k | — | — |
| Allergy Skin Testing | $50$5$100 | — | — |
| Basic Metabolic Panel | $214$8$3.5k | $3,470 | $3,470 |
| Bone Marrow Biopsy | $5,440$2.3k$41k | — | — |
| Breast Biopsy (Ultrasound-guided) | $4,694$450$41k | — | — |
| Bunion Correction Surgery | $9,112$2.3k$49k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $33,325$1.3k$96k | $95,841 | $95,841 |
| Cardiac Catheterization (Left Heart) | $12,111$780$45k | — | — |
| Cardiac Stress Test (Treadmill) | $722$99$10k | — | — |
| Carpal Tunnel Release Surgery | $5,944$3.0k$41k | — | — |
| Cataract Surgery with Lens Implant | $5,375$1.9k$41k | — | — |
| Cervical Spinal Fusion (Anterior) | $20,393$3.9k$71k | — | — |
| Cesarean Delivery (Global Package) | $8,570$1.9k$41k | — | — |
| Chemotherapy Infusion (First Hour) | $517$143$1.2k | $1,195 | $1,195 |
| Chest X-ray (2 Views) | $182$56$468 | $364 | $364 |
| Colonoscopy with Biopsy | $3,395$1.9k$41k | — | — |
| Complete Abdominal Ultrasound | $4,094$245$8.3k | $8,224 | $8,224 |
| Complete Blood Count (CBC) with Differential | $8$7$161 | — | — |
| Comprehensive Metabolic Panel | $317$10$3.3k | $3,265 | $3,265 |
| Coronary Angioplasty with Stent | $19,084$675$48k | — | — |
| Critical Care, First Hour | $3,072$240$29k | $5,176 | $5,176 |
| CT Abdomen and Pelvis with Contrast | $17,538$828$35k | $35,077 | $35,077 |
| CT Cardiac Calcium Scoring | $2,543$110$13k | — | — |
| CT Chest without Contrast | $7,150$245$14k | $14,299 | $14,299 |
| CT Head without Contrast | $7,630$245$15k | $15,260 | $15,260 |
| DEXA Bone Density Scan | $220$213$245 | — | — |
| Diagnostic Colonoscopy | $3,285$1.2k$41k | — | — |
| Diagnostic Mammogram (Both Breasts) | $248$99$1.5k | $1,511 | $1,511 |
| Ear Tube Placement (Tympanostomy) | $4,694$1.9k$41k | — | — |
| Echocardiogram (Complete with Doppler) | $5,387$135$14k | $14,176 | $14,176 |
| EKG (Electrocardiogram, 12-lead) | $199$11$10k | — | — |
| Emergency Room Visit (Level 3) | $2,897$70$11k | $4,457 | $4,457 |
| Group Therapy Session | $112$30$244 | $272 | $272 |
| Hemodialysis Treatment | $226$81$4.4k | — | — |
| Hemoglobin A1c (Diabetes Test) | $11$6$128 | $41 | $41 |
| HIV Antibody Test | $20$8$144 | $129 | $129 |
| Holter Monitor (24-48 Hour Heart Monitor) | $343$54$10k | — | — |
| Home Sleep Study | $900$130$1.3k | — | — |
| Individual Therapy Session (45 Minutes) | $203$59$533 | $533 | $533 |
| Inguinal Hernia Repair (Open) | $13,033$4.0k$49k | — | — |
| Initial Hospital Admission (Level 1) | $113$110$116 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $201$57$533 | $528 | $528 |
| Initial Psychiatric Evaluation with Medication Management | $184$59$533 | $533 | $533 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,825$1.8k$1.9k | — | — |
| IUD Insertion | $6,243$41$41k | — | — |
| IUD Removal | $3,950$1.7k$41k | — | — |
| Knee Arthroscopy with Meniscectomy | $17,003$3.0k$54k | — | — |
| Laparoscopic Appendectomy | $20,498$4.0k$54k | — | — |
| Laparoscopic Gallbladder Removal | $20,173$238$53k | — | — |
| Laparoscopic Tubal Ligation | $20,446$4.0k$54k | — | — |
| Lipid Panel (Cholesterol Test) | $216$12$2.6k | $2,568 | $2,568 |
| Lumbar Epidural Steroid Injection | $3,487$1.9k$41k | — | — |
| Lumbar Puncture (Spinal Tap) | $3,285$896$41k | — | — |
| Lumbar Spinal Fusion (Posterior) | $20,393$4.0k$99k | — | — |
| Lumpectomy (Partial Mastectomy) | $18,699$4.0k$49k | — | — |
| MRI Abdomen with and without Contrast | $7,759$828$20k | $20,154 | $20,154 |
| MRI Brain with and without Contrast | $7,759$828$20k | $20,154 | $20,154 |
| MRI Brain with Contrast | $5,827$828$15k | $14,563 | $14,563 |
| MRI Brain without Contrast | $5,700$518$14k | $14,000 | $14,000 |
| MRI Cervical Spine (Neck) without Contrast | $5,700$518$14k | $14,000 | $14,000 |
| MRI Knee without Contrast | $8,679$518$28k | $14,000 | $14,000 |
| MRI Lower Back (Lumbar Spine) without Contrast | $5,700$518$14k | $14,000 | $14,000 |
| MRI Thoracic Spine (Mid-back) without Contrast | $5,700$518$14k | $14,000 | $14,000 |
| Newborn Circumcision | $6,307$1.9k$41k | — | — |
| Nuclear Cardiac Stress Test | $27,360$2.9k$61k | $60,800 | $60,800 |
| Office Visit, Established Patient (Level 3) | $139$18$15k | $366 | $366 |
| Office Visit, New Patient (Level 3) | $191$23$15k | $484 | $484 |
| Pacemaker Insertion (Dual Chamber) | $20,720$2.3k$51k | — | — |
| PET/CT Scan, Whole Body | $7,750$2.0k$16k | $15,501 | $15,501 |
| Pregnancy Ultrasound (Second or Third Trimester) | $4,084$245$8.2k | $8,203 | $8,203 |
| Prostate Biopsy | $4,759$3.4k$5.0k | — | — |
| PSA Prostate Cancer Screening | $20$1$2.1k | $54 | $54 |
| Pulmonary Function Test with Bronchodilator | $1,319$47$3.5k | $3,471 | $3,471 |
| Rotator Cuff Repair (Arthroscopic) | $17,003$3.8k$54k | — | — |
| Screening Mammogram | $203$82$1.2k | $1,219 | $1,219 |
| Septoplasty (Deviated Septum Repair) | $8,570$545$49k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $17,003$451$54k | — | — |
| Skin Biopsy (Tangential) | $2,719$1.2k$41k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $4,285$1.2k$41k | — | — |
| Sleep Study (In-lab Polysomnography) | $900$493$5.7k | — | — |
| Spinal Cord Stimulator Trial | $18,698$2.2k$54k | — | — |
| Spirometry (Breathing Test) | $460$28$1.2k | $1,211 | $1,211 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $17,004$1.9k$49k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $17,004$1.9k$49k | — | — |
| Total Hip Replacement | $20,153$1.1k$49k | — | — |
| Total Knee Replacement | $20,498$1.9k$49k | — | — |
| Total Mastectomy | $18,699$4.0k$49k | — | — |
| TSH Thyroid Function Test | $176$15$2.8k | $2,798 | $2,798 |
| TURP (Transurethral Prostate Resection) | $17,525$3.2k$54k | — | — |
| Umbilical Hernia Repair | $6,690$3.7k$9.3k | — | — |
| Upper GI Endoscopy (EGD) | $3,285$1.8k$41k | — | — |
| Urinalysis with Microscopy | $111$3$1.6k | $1,583 | $1,583 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $8,570$1.9k$41k | — | — |
| Vaginal Delivery (Global Package) | $8,570$1.9k$41k | — | — |
| Vaginal Hysterectomy | $17,004$4.0k$49k | — | — |
| Vasectomy | $6,307$1.9k$41k | — | — |
| Vitamin D Blood Test | $32$7$122 | $78 | $78 |