| Abdominal Hysterectomy | $7,558$1.6k$31k | — | — |
| ACL Reconstruction (Arthroscopic) | $8,771$3.8k$29k | — | — |
| Allergy Skin Testing | $49$5$95 | — | — |
| Basic Metabolic Panel | $91$8$1.1k | $1,172 | $1,172 |
| Bone Marrow Biopsy | $3,448$1.6k$12k | — | — |
| Breast Biopsy (Ultrasound-guided) | $3,292$438$12k | — | — |
| Bunion Correction Surgery | $5,550$2.2k$16k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $22,272$1.3k$82k | $89,088 | $89,088 |
| Cardiac Catheterization (Left Heart) | $10,659$780$30k | — | — |
| Cardiac Stress Test (Treadmill) | $402$99$717 | — | — |
| Carpal Tunnel Release Surgery | $4,032$1.9k$12k | — | — |
| Cataract Surgery with Lens Implant | $4,032$1.6k$12k | — | — |
| Cervical Spinal Fusion (Anterior) | $8,275$3.8k$42k | — | — |
| Cesarean Delivery (Global Package) | $2,100$1.6k$12k | — | — |
| Chemotherapy Infusion (First Hour) | $326$64$1.2k | $1,357 | $1,357 |
| Chest X-ray (2 Views) | $460$90$1.8k | $1,911 | $1,911 |
| Colonoscopy with Biopsy | $3,139$1.6k$12k | — | — |
| Complete Abdominal Ultrasound | $1,784$245$6.6k | $7,135 | $7,135 |
| Complete Blood Count (CBC) with Differential | $8$7$152 | — | — |
| Comprehensive Metabolic Panel | $15$2$2.4k | $1,327 | $1,327 |
| Coronary Angioplasty with Stent | $19,839$675$45k | — | — |
| Critical Care, First Hour | $4,561$240$15k | $18,166 | $18,166 |
| CT Abdomen and Pelvis with Contrast | $4,550$738$32k | $34,634 | $34,634 |
| CT Cardiac Calcium Scoring | $3,354$107$16k | $17,651 | $17,651 |
| CT Chest without Contrast | $2,116$245$16k | $17,651 | $17,651 |
| CT Head without Contrast | $2,052$245$15k | $16,594 | $16,594 |
| DEXA Bone Density Scan | $504$91$1.9k | $1,998 | $1,998 |
| Diagnostic Colonoscopy | $2,049$1.2k$12k | — | — |
| Diagnostic Mammogram (Both Breasts) | $119$72$1.4k | $1,525 | $1,525 |
| Ear Tube Placement (Tympanostomy) | $3,369$1.6k$12k | — | — |
| Echocardiogram (Complete with Doppler) | $3,173$135$16k | $17,435 | $17,435 |
| EKG (Electrocardiogram, 12-lead) | $25$11$369 | — | — |
| Emergency Room Visit (Level 3) | $2,666$70$6.0k | $7,031 | $7,031 |
| Group Therapy Session | $126$30$226 | — | — |
| Hemodialysis Treatment | $217$81$4.2k | — | — |
| Hemoglobin A1c (Diabetes Test) | $22$3$1.8k | $1,030 | $1,030 |
| HIV Antibody Test | $38$1$667 | $296 | $296 |
| Holter Monitor (24-48 Hour Heart Monitor) | $153$54$523 | — | — |
| Home Sleep Study | $1,211$130$1.9k | — | — |
| Individual Therapy Session (45 Minutes) | $156$89$226 | — | — |
| Inguinal Hernia Repair (Open) | $8,253$1.9k$16k | — | — |
| Initial Hospital Admission (Level 1) | $110$110$113 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $188$134$245 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $165$150$181 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,739$1.7k$1.8k | — | — |
| IUD Insertion | $3,950$41$12k | — | — |
| IUD Removal | $2,887$1.4k$12k | — | — |
| Knee Arthroscopy with Meniscectomy | $8,346$1.9k$29k | — | — |
| Laparoscopic Appendectomy | $9,682$3.8k$29k | — | — |
| Laparoscopic Gallbladder Removal | $8,771$231$25k | — | — |
| Laparoscopic Tubal Ligation | $8,894$3.8k$16k | — | — |
| Lipid Panel (Cholesterol Test) | $15$1$1.7k | $936 | $936 |
| Lumbar Epidural Steroid Injection | $2,250$1.6k$12k | — | — |
| Lumbar Puncture (Spinal Tap) | $2,125$872$8.3k | — | — |
| Lumbar Spinal Fusion (Posterior) | $8,264$3.8k$68k | — | — |
| Lumpectomy (Partial Mastectomy) | $5,831$3.8k$29k | — | — |
| MRI Abdomen with and without Contrast | $4,003$828$20k | $21,256 | $21,256 |
| MRI Brain with and without Contrast | $3,520$828$19k | $20,846 | $20,846 |
| MRI Brain with Contrast | $3,210$828$19k | $20,846 | $20,846 |
| MRI Brain without Contrast | $2,461$518$12k | $13,254 | $13,254 |
| MRI Cervical Spine (Neck) without Contrast | $2,349$518$12k | $13,149 | $13,149 |
| MRI Knee without Contrast | $3,221$518$21k | $11,928 | $11,928 |
| MRI Lower Back (Lumbar Spine) without Contrast | $2,503$518$13k | $14,466 | $14,466 |
| MRI Thoracic Spine (Mid-back) without Contrast | $2,483$518$13k | $14,466 | $14,466 |
| Newborn Circumcision | $4,032$1.6k$12k | — | — |
| Nuclear Cardiac Stress Test | $4,660$913$18k | $19,415 | $19,415 |
| Office Visit, Established Patient (Level 3) | $157$18$1.8k | $1,207 | $1,207 |
| Office Visit, New Patient (Level 3) | $213$19$2.5k | $1,646 | $1,646 |
| Pacemaker Insertion (Dual Chamber) | $10,616$1.6k$66k | — | — |
| PET/CT Scan, Whole Body | $3,699$2.0k$6.7k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $1,428$245$5.3k | $5,714 | $5,714 |
| Prostate Biopsy | $4,461$3.1k$4.7k | — | — |
| PSA Prostate Cancer Screening | $27$1$1.3k | $150 | $150 |
| Pulmonary Function Test with Bronchodilator | $566$47$2.7k | $2,978 | $2,978 |
| Rotator Cuff Repair (Arthroscopic) | $9,682$3.7k$29k | — | — |
| Screening Mammogram | $94$43$842 | $915 | $915 |
| Septoplasty (Deviated Septum Repair) | $4,950$530$16k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $8,346$439$29k | — | — |
| Skin Biopsy (Tangential) | $2,250$1.2k$12k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $3,448$1.2k$12k | — | — |
| Sleep Study (In-lab Polysomnography) | $2,798$493$15k | $16,079 | $16,079 |
| Spinal Cord Stimulator Trial | $8,771$2.1k$49k | — | — |
| Spirometry (Breathing Test) | $52$2$1.3k | $725 | $725 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $5,950$1.6k$16k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,950$1.6k$16k | — | — |
| Total Hip Replacement | $9,993$1.0k$44k | — | — |
| Total Knee Replacement | $10,638$1.6k$44k | — | — |
| Total Mastectomy | $7,906$3.8k$29k | — | — |
| TSH Thyroid Function Test | $18$1$1.6k | $885 | $885 |
| TURP (Transurethral Prostate Resection) | $8,771$3.2k$29k | — | — |
| Umbilical Hernia Repair | $6,442$3.6k$10k | — | — |
| Upper GI Endoscopy (EGD) | $2,049$1.6k$12k | — | — |
| Urinalysis with Microscopy | $7$1$755 | $420 | $420 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,100$1.6k$12k | — | — |
| Vaginal Delivery (Global Package) | $2,100$1.6k$12k | — | — |
| Vaginal Hysterectomy | $8,253$3.8k$16k | — | — |
| Vasectomy | $4,032$1.6k$12k | — | — |
| Vitamin D Blood Test | $33$11$222 | $241 | $241 |