| Abdominal Hysterectomy | $14,306$1.9k$62k | — | — |
| ACL Reconstruction (Arthroscopic) | $12,484$2.3k$43k | — | — |
| Allergy Skin Testing | $49$5$96 | — | — |
| Basic Metabolic Panel | $11$7$3.0k | $3,292 | $3,292 |
| Bone Marrow Biopsy | $3,417$1.9k$14k | — | — |
| Breast Biopsy (Ultrasound-guided) | $3,177$446$14k | — | — |
| Bunion Correction Surgery | $9,551$2.3k$43k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $23,121$1.3k$101k | $111,981 | $111,981 |
| Cardiac Catheterization (Left Heart) | $10,893$780$30k | — | — |
| Cardiac Stress Test (Treadmill) | $407$99$729 | — | — |
| Carpal Tunnel Release Surgery | $5,616$2.3k$14k | — | — |
| Cataract Surgery with Lens Implant | $5,610$1.9k$14k | — | — |
| Cervical Spinal Fusion (Anterior) | $14,306$3.9k$43k | — | — |
| Cesarean Delivery (Global Package) | $2,576$1.9k$14k | — | — |
| Chemotherapy Infusion (First Hour) | $392$113$1.2k | $1,344 | $1,344 |
| Chest X-ray (2 Views) | $1,149$182$2.9k | $3,238 | $3,238 |
| Colonoscopy with Biopsy | $3,224$1.9k$14k | — | — |
| Complete Abdominal Ultrasound | $4,198$245$11k | $11,825 | $11,825 |
| Complete Blood Count (CBC) with Differential | $8$6$155 | — | — |
| Comprehensive Metabolic Panel | $13$8$2.8k | $3,142 | $3,142 |
| Coronary Angioplasty with Stent | $18,500$675$39k | — | — |
| Critical Care, First Hour | $5,157$240$14k | $15,475 | $15,475 |
| CT Abdomen and Pelvis with Contrast | $3,365$716$10k | $11,217 | $11,217 |
| CT Cardiac Calcium Scoring | $362$36$13k | $426 | $426 |
| CT Chest without Contrast | $4,327$245$15k | $16,968 | $16,968 |
| CT Head without Contrast | $4,846$245$15k | $16,152 | $16,152 |
| DEXA Bone Density Scan | $979$210$2.5k | $2,759 | $2,759 |
| Diagnostic Colonoscopy | $2,987$1.2k$14k | — | — |
| Diagnostic Mammogram (Both Breasts) | $129$85$1.4k | $1,556 | $1,556 |
| Ear Tube Placement (Tympanostomy) | $3,364$1.9k$14k | — | — |
| Echocardiogram (Complete with Doppler) | $3,248$135$10k | $11,478 | $11,478 |
| EKG (Electrocardiogram, 12-lead) | $25$12$375 | — | — |
| Emergency Room Visit (Level 3) | $3,601$70$6.0k | $5,484 | $5,484 |
| Group Therapy Session | $151$30$481 | $535 | $535 |
| Hemodialysis Treatment | $219$84$4.3k | — | — |
| Hemoglobin A1c (Diabetes Test) | $12$8$499 | $555 | $555 |
| HIV Antibody Test | $9$2$138 | $23 | $23 |
| Holter Monitor (24-48 Hour Heart Monitor) | $154$56$532 | — | — |
| Home Sleep Study | $1,200$130$1.3k | — | — |
| Individual Therapy Session (45 Minutes) | $594$89$2.1k | $2,334 | $2,334 |
| Inguinal Hernia Repair (Open) | $11,916$2.3k$43k | — | — |
| Initial Hospital Admission (Level 1) | $111$110$113 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $190$134$249 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $309$108$1.2k | $1,286 | $1,286 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,786$1.8k$1.8k | — | — |
| IUD Insertion | $2,733$42$14k | — | — |
| IUD Removal | $2,550$1.4k$14k | — | — |
| Knee Arthroscopy with Meniscectomy | $11,204$2.3k$43k | — | — |
| Laparoscopic Appendectomy | $14,110$4.0k$43k | — | — |
| Laparoscopic Gallbladder Removal | $13,706$235$43k | — | — |
| Laparoscopic Tubal Ligation | $13,706$4.0k$43k | — | — |
| Lipid Panel (Cholesterol Test) | $17$11$1.2k | $1,315 | $1,315 |
| Lumbar Epidural Steroid Injection | $3,238$1.9k$14k | — | — |
| Lumbar Puncture (Spinal Tap) | $3,238$886$14k | — | — |
| Lumbar Spinal Fusion (Posterior) | $14,306$4.0k$60k | — | — |
| Lumpectomy (Partial Mastectomy) | $11,859$2.3k$43k | — | — |
| MRI Abdomen with and without Contrast | $7,308$828$22k | $24,251 | $24,251 |
| MRI Brain with and without Contrast | $3,979$828$14k | $15,604 | $15,604 |
| MRI Brain with Contrast | $4,681$828$14k | $15,534 | $15,534 |
| MRI Brain without Contrast | $3,967$518$14k | $15,559 | $15,559 |
| MRI Cervical Spine (Neck) without Contrast | $3,400$518$11k | $12,594 | $12,594 |
| MRI Knee without Contrast | $11,190$518$30k | $24,866 | $24,866 |
| MRI Lower Back (Lumbar Spine) without Contrast | $3,782$518$13k | $14,830 | $14,830 |
| MRI Thoracic Spine (Mid-back) without Contrast | $3,782$518$13k | $14,830 | $14,830 |
| Newborn Circumcision | $6,398$1.9k$14k | — | — |
| Nuclear Cardiac Stress Test | $8,735$2.1k$22k | $24,605 | $24,605 |
| Office Visit, Established Patient (Level 3) | $270$53$15k | $1,038 | $1,038 |
| Office Visit, New Patient (Level 3) | $501$53$15k | $2,178 | $2,178 |
| Pacemaker Insertion (Dual Chamber) | $18,783$1.9k$43k | — | — |
| PET/CT Scan, Whole Body | $3,331$2.0k$5.2k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $1,460$237$4.6k | $5,013 | $5,013 |
| Prostate Biopsy | $4,049$2.7k$4.8k | — | — |
| PSA Prostate Cancer Screening | $104$15$1.2k | $830 | $830 |
| Pulmonary Function Test with Bronchodilator | $1,767$47$5.9k | $6,545 | $6,545 |
| Rotator Cuff Repair (Arthroscopic) | $12,484$2.3k$43k | — | — |
| Screening Mammogram | $160$50$1.1k | $903 | $903 |
| Septoplasty (Deviated Septum Repair) | $7,400$539$43k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $11,204$446$43k | — | — |
| Skin Biopsy (Tangential) | $2,622$1.2k$14k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $3,302$1.2k$14k | — | — |
| Sleep Study (In-lab Polysomnography) | $1,200$493$5.4k | — | — |
| Spinal Cord Stimulator Trial | $12,484$2.2k$43k | — | — |
| Spirometry (Breathing Test) | $364$28$1.2k | $1,347 | $1,347 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $12,571$1.9k$43k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $12,571$1.9k$43k | — | — |
| Total Hip Replacement | $17,429$1.1k$46k | — | — |
| Total Knee Replacement | $18,951$1.9k$46k | — | — |
| Total Mastectomy | $11,859$2.3k$43k | — | — |
| TSH Thyroid Function Test | $21$13$2.1k | $2,332 | $2,332 |
| TURP (Transurethral Prostate Resection) | $11,896$3.2k$43k | — | — |
| Umbilical Hernia Repair | $6,618$3.6k$11k | — | — |
| Upper GI Endoscopy (EGD) | $2,987$1.8k$14k | — | — |
| Urinalysis with Microscopy | $4$3$1.6k | $1,812 | $1,812 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,576$1.9k$14k | — | — |
| Vaginal Delivery (Global Package) | $2,576$1.9k$14k | — | — |
| Vaginal Hysterectomy | $12,755$2.3k$43k | — | — |
| Vasectomy | $6,398$1.9k$14k | — | — |
| Vitamin D Blood Test | $29$1$117 | $14 | $14 |