| Abdominal Hysterectomy | $6,802$1.9k$32k | — | — |
| ACL Reconstruction (Arthroscopic) | $9,796$2.4k$21k | — | — |
| Allergy Skin Testing | $54$5$106 | — | — |
| Basic Metabolic Panel | $232$8$3.0k | $3,507 | $3,507 |
| Bone Marrow Biopsy | $3,985$1.9k$9.2k | — | — |
| Breast Biopsy (Ultrasound-guided) | $4,158$490$9.2k | — | — |
| Bunion Correction Surgery | $6,203$2.4k$19k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $17,438$1.4k$43k | — | — |
| Cardiac Catheterization (Left Heart) | $7,323$830$16k | — | — |
| Cardiac Stress Test (Treadmill) | $443$99$801 | — | — |
| Carpal Tunnel Release Surgery | $5,130$2.4k$9.2k | — | — |
| Cataract Surgery with Lens Implant | $5,104$1.9k$9.2k | — | — |
| Cervical Spinal Fusion (Anterior) | $9,544$2.4k$55k | — | — |
| Cesarean Delivery (Global Package) | $2,702$1.9k$9.2k | — | — |
| Chemotherapy Infusion (First Hour) | $275$88$1.2k | $1,164 | $1,164 |
| Chest X-ray (2 Views) | $442$146$1.4k | $1,699 | $1,699 |
| Colonoscopy with Biopsy | $3,581$1.9k$9.2k | — | — |
| Complete Abdominal Ultrasound | $1,394$245$4.6k | $5,363 | $5,363 |
| Complete Blood Count (CBC) with Differential | $8$8$170 | — | — |
| Comprehensive Metabolic Panel | $324$10$3.2k | $3,768 | $3,768 |
| Coronary Angioplasty with Stent | $17,438$723$43k | — | — |
| Critical Care, First Hour | $3,143$73$10k | $12,227 | $12,227 |
| CT Abdomen and Pelvis with Contrast | $5,281$769$18k | $21,068 | $21,068 |
| CT Cardiac Calcium Scoring | $2,119$119$12k | — | — |
| CT Chest without Contrast | $4,922$245$17k | $19,807 | $19,807 |
| CT Head without Contrast | $4,995$245$17k | $20,101 | $20,101 |
| DEXA Bone Density Scan | $392$130$1.3k | $1,508 | $1,508 |
| Diagnostic Colonoscopy | $2,785$1.3k$9.2k | — | — |
| Diagnostic Mammogram (Both Breasts) | $163$105$1.4k | $1,610 | $1,610 |
| Ear Tube Placement (Tympanostomy) | $4,158$1.9k$9.2k | — | — |
| Echocardiogram (Complete with Doppler) | $1,613$144$5.3k | $6,203 | $6,203 |
| EKG (Electrocardiogram, 12-lead) | $25$12$413 | — | — |
| Emergency Room Visit (Level 3) | $2,055$73$3.5k | $4,109 | $4,109 |
| Group Therapy Session | $121$30$432 | $509 | $509 |
| Hemodialysis Treatment | $219$84$4.7k | — | — |
| Hemoglobin A1c (Diabetes Test) | $42$8$377 | $198 | $198 |
| HIV Antibody Test | $121$9$1.2k | $1,405 | $1,405 |
| Holter Monitor (24-48 Hour Heart Monitor) | $154$57$585 | — | — |
| Home Sleep Study | $1,353$130$4.0k | — | — |
| Individual Therapy Session (45 Minutes) | $170$91$252 | — | — |
| Inguinal Hernia Repair (Open) | $7,193$2.4k$19k | — | — |
| Initial Hospital Admission (Level 1) | $117$115$117 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $204$137$274 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $177$153$203 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,984$1.9k$2.0k | — | — |
| IUD Insertion | $4,241$42$9.2k | — | — |
| IUD Removal | $3,719$1.4k$9.2k | — | — |
| Knee Arthroscopy with Meniscectomy | $8,304$2.4k$21k | — | — |
| Laparoscopic Appendectomy | $11,754$2.4k$21k | — | — |
| Laparoscopic Gallbladder Removal | $9,433$259$20k | — | — |
| Laparoscopic Tubal Ligation | $10,737$2.4k$19k | — | — |
| Lipid Panel (Cholesterol Test) | $235$13$2.5k | $2,954 | $2,954 |
| Lumbar Epidural Steroid Injection | $3,299$1.9k$9.2k | — | — |
| Lumbar Puncture (Spinal Tap) | $2,750$974$8.7k | — | — |
| Lumbar Spinal Fusion (Posterior) | $9,544$2.4k$69k | — | — |
| Lumpectomy (Partial Mastectomy) | $5,933$2.4k$21k | — | — |
| MRI Abdomen with and without Contrast | $3,626$828$12k | $13,948 | $13,948 |
| MRI Brain with and without Contrast | $5,002$828$17k | $20,131 | $20,131 |
| MRI Brain with Contrast | $4,490$828$15k | $18,069 | $18,069 |
| MRI Brain without Contrast | $4,490$518$15k | $18,069 | $18,069 |
| MRI Cervical Spine (Neck) without Contrast | $4,490$518$15k | $18,069 | $18,069 |
| MRI Knee without Contrast | $2,694$518$16k | $9,121 | $9,121 |
| MRI Lower Back (Lumbar Spine) without Contrast | $4,490$518$15k | $18,069 | $18,069 |
| MRI Thoracic Spine (Mid-back) without Contrast | $1,589$512$5.1k | $5,953 | $5,953 |
| Newborn Circumcision | $6,368$1.9k$9.2k | — | — |
| Nuclear Cardiac Stress Test | $4,262$1.4k$14k | $16,392 | $16,392 |
| Office Visit, Established Patient (Level 3) | $364$57$1.8k | $1,833 | $1,833 |
| Office Visit, New Patient (Level 3) | $362$85$1.7k | $1,846 | $1,846 |
| Pacemaker Insertion (Dual Chamber) | $17,548$1.9k$55k | — | — |
| PET/CT Scan, Whole Body | $4,403$1.5k$14k | $16,933 | $16,933 |
| Pregnancy Ultrasound (Second or Third Trimester) | $797$245$2.6k | $3,067 | $3,067 |
| Prostate Biopsy | $5,230$2.8k$5.4k | — | — |
| PSA Prostate Cancer Screening | $93$18$922 | $1,085 | $1,085 |
| Pulmonary Function Test with Bronchodilator | $1,879$50$7.5k | $8,821 | $8,821 |
| Rotator Cuff Repair (Arthroscopic) | $11,754$2.4k$21k | — | — |
| Screening Mammogram | $134$87$1.3k | $1,484 | $1,484 |
| Septoplasty (Deviated Septum Repair) | $5,130$592$19k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $8,304$491$21k | — | — |
| Skin Biopsy (Tangential) | $2,782$1.4k$9.2k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $3,908$1.4k$9.2k | — | — |
| Sleep Study (In-lab Polysomnography) | $3,415$525$12k | $14,625 | $14,625 |
| Spinal Cord Stimulator Trial | $9,796$2.4k$68k | — | — |
| Spirometry (Breathing Test) | $91$29$323 | $380 | $380 |
| 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 | $15,694$1.2k$42k | — | — |
| Total Knee Replacement | $16,424$1.9k$42k | — | — |
| Total Mastectomy | $6,802$2.4k$21k | — | — |
| TSH Thyroid Function Test | $147$17$1.5k | $1,711 | $1,711 |
| TURP (Transurethral Prostate Resection) | $9,925$2.4k$21k | — | — |
| Umbilical Hernia Repair | $7,351$4.0k$9.5k | — | — |
| Upper GI Endoscopy (EGD) | $2,785$1.9k$9.2k | — | — |
| Urinalysis with Microscopy | $103$3$1.0k | $1,194 | $1,194 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,702$1.9k$9.2k | — | — |
| Vaginal Delivery (Global Package) | $2,702$1.9k$9.2k | — | — |
| Vaginal Hysterectomy | $7,193$2.4k$19k | — | — |
| Vasectomy | $6,368$1.9k$9.2k | — | — |
| Vitamin D Blood Test | $43$29$418 | $492 | $492 |