| Abdominal Hysterectomy | $7,984$1.9k$15k | — | — |
| ACL Reconstruction (Arthroscopic) | $7,080$4.0k$23k | — | — |
| Allergy Skin Testing | $47$5$93 | — | — |
| Basic Metabolic Panel | $10$8$244 | $287 | $287 |
| Bone Marrow Biopsy | $4,164$1.9k$15k | — | — |
| Breast Biopsy (Ultrasound-guided) | $3,931$419$15k | — | — |
| Bunion Correction Surgery | $5,474$2.1k$15k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $18,393$1.3k$40k | — | — |
| Cardiac Catheterization (Left Heart) | $11,158$780$22k | — | — |
| Cardiac Stress Test (Treadmill) | $672$99$10k | — | — |
| Carpal Tunnel Release Surgery | $5,201$2.8k$15k | — | — |
| Cataract Surgery with Lens Implant | $5,148$1.9k$15k | — | — |
| Cervical Spinal Fusion (Anterior) | $7,871$3.6k$37k | — | — |
| Cesarean Delivery (Global Package) | $4,207$1.9k$15k | — | — |
| Chemotherapy Infusion (First Hour) | $569$143$1.0k | — | — |
| Chest X-ray (2 Views) | $138$42$436 | $354 | $354 |
| Colonoscopy with Biopsy | $3,480$1.9k$15k | — | — |
| Complete Abdominal Ultrasound | $1,287$245$3.4k | $3,967 | $3,967 |
| Complete Blood Count (CBC) with Differential | $8$7$150 | — | — |
| Comprehensive Metabolic Panel | $11$6$311 | $48 | $48 |
| Coronary Angioplasty with Stent | $17,580$675$40k | — | — |
| Critical Care, First Hour | $2,315$240$9.0k | $10,596 | $10,596 |
| CT Abdomen and Pelvis with Contrast | $5,250$828$20k | $23,578 | $23,578 |
| CT Cardiac Calcium Scoring | $1,863$102$12k | — | — |
| CT Chest without Contrast | $2,292$245$8.3k | $9,792 | $9,792 |
| CT Head without Contrast | $2,475$245$9.5k | $11,126 | $11,126 |
| DEXA Bone Density Scan | $471$198$1.6k | $1,941 | $1,941 |
| Diagnostic Colonoscopy | $3,219$1.2k$15k | — | — |
| Diagnostic Mammogram (Both Breasts) | $117$99$790 | $929 | $929 |
| Ear Tube Placement (Tympanostomy) | $3,931$1.9k$15k | — | — |
| Echocardiogram (Complete with Doppler) | $1,128$135$10k | $3,759 | $3,759 |
| EKG (Electrocardiogram, 12-lead) | $186$11$10k | — | — |
| Emergency Room Visit (Level 3) | $1,810$70$6.8k | $5,299 | $5,299 |
| Group Therapy Session | $122$30$223 | — | — |
| Hemodialysis Treatment | $226$81$4.1k | — | — |
| Hemoglobin A1c (Diabetes Test) | $12$9$119 | $119 | $119 |
| HIV Antibody Test | $11$8$218 | $256 | $256 |
| Holter Monitor (24-48 Hour Heart Monitor) | $325$54$10k | — | — |
| Home Sleep Study | $903$130$1.2k | — | — |
| Individual Therapy Session (45 Minutes) | $153$89$223 | — | — |
| Inguinal Hernia Repair (Open) | $5,909$4.0k$15k | — | — |
| Initial Hospital Admission (Level 1) | $113$110$116 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $185$134$242 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $164$150$179 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,698$1.7k$1.8k | — | — |
| IUD Insertion | $4,589$41$15k | — | — |
| IUD Removal | $3,950$1.4k$15k | — | — |
| Knee Arthroscopy with Meniscectomy | $7,037$2.8k$23k | — | — |
| Laparoscopic Appendectomy | $8,862$4.0k$23k | — | — |
| Laparoscopic Gallbladder Removal | $6,641$221$49k | — | — |
| Laparoscopic Tubal Ligation | $8,384$4.0k$20k | — | — |
| Lipid Panel (Cholesterol Test) | $14$2$212 | $32 | $32 |
| Lumbar Epidural Steroid Injection | $3,469$1.9k$15k | — | — |
| Lumbar Puncture (Spinal Tap) | $3,242$834$10k | — | — |
| Lumbar Spinal Fusion (Posterior) | $7,871$4.0k$60k | — | — |
| Lumpectomy (Partial Mastectomy) | $5,574$3.9k$23k | — | — |
| MRI Abdomen with and without Contrast | $3,418$828$8.6k | $9,660 | $9,660 |
| MRI Brain with and without Contrast | $3,336$828$8.6k | $10,076 | $10,076 |
| MRI Brain with Contrast | $3,103$828$8.6k | $10,076 | $10,076 |
| MRI Brain without Contrast | $2,542$518$7.0k | $8,200 | $8,200 |
| MRI Cervical Spine (Neck) without Contrast | $2,542$518$7.0k | $8,200 | $8,200 |
| MRI Knee without Contrast | $2,690$518$7.0k | $8,200 | $8,200 |
| MRI Lower Back (Lumbar Spine) without Contrast | $2,546$518$7.0k | $8,200 | $8,200 |
| MRI Thoracic Spine (Mid-back) without Contrast | $2,542$518$7.0k | $8,200 | $8,200 |
| Newborn Circumcision | $6,405$1.9k$15k | — | — |
| Nuclear Cardiac Stress Test | $5,489$2.7k$19k | $22,635 | $22,635 |
| Office Visit, Established Patient (Level 3) | $92$55$133 | — | — |
| Office Visit, New Patient (Level 3) | $162$82$250 | — | — |
| Pacemaker Insertion (Dual Chamber) | $12,500$2.3k$40k | — | — |
| PET/CT Scan, Whole Body | $4,735$1.9k$6.9k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $1,051$245$3.5k | $4,123 | $4,123 |
| Prostate Biopsy | $4,430$2.8k$4.7k | — | — |
| PSA Prostate Cancer Screening | $19$1$218 | $13 | $13 |
| Pulmonary Function Test with Bronchodilator | $465$47$2.3k | $2,718 | $2,718 |
| Rotator Cuff Repair (Arthroscopic) | $8,862$3.5k$23k | — | — |
| Screening Mammogram | $96$82$645 | $759 | $759 |
| Septoplasty (Deviated Septum Repair) | $5,181$507$15k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,037$420$23k | — | — |
| Skin Biopsy (Tangential) | $2,570$1.2k$15k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $3,931$1.2k$15k | — | — |
| Sleep Study (In-lab Polysomnography) | $903$493$5.3k | — | — |
| Spinal Cord Stimulator Trial | $6,641$2.0k$44k | — | — |
| Spirometry (Breathing Test) | $17$4$180 | $63 | $63 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $5,414$1.9k$15k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,414$1.9k$15k | — | — |
| Total Hip Replacement | $10,531$995$43k | — | — |
| Total Knee Replacement | $12,000$1.9k$43k | — | — |
| Total Mastectomy | $5,574$3.9k$23k | — | — |
| TSH Thyroid Function Test | $20$15$1.2k | $1,411 | $1,411 |
| TURP (Transurethral Prostate Resection) | $8,384$3.0k$23k | — | — |
| Umbilical Hernia Repair | $6,228$3.4k$8.1k | — | — |
| Upper GI Endoscopy (EGD) | $3,219$1.7k$15k | — | — |
| Urinalysis with Microscopy | $4$3$687 | $809 | $809 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $4,207$1.9k$15k | — | — |
| Vaginal Delivery (Global Package) | $4,207$1.9k$15k | — | — |
| Vaginal Hysterectomy | $5,909$4.0k$15k | — | — |
| Vasectomy | $6,405$1.9k$15k | — | — |
| Vitamin D Blood Test | $33$12$269 | $208 | $208 |