| Abdominal Hysterectomy | $7,480$800$25k | — | — |
| ACL Reconstruction (Arthroscopic) | $10,559$975$29k | — | — |
| Allergy Skin Testing | $50$5$98 | — | — |
| Basic Metabolic Panel | $134$8$2.6k | $2,846 | $2,846 |
| Bone Marrow Biopsy | $3,215$1.4k$12k | — | — |
| Breast Biopsy (Ultrasound-guided) | $3,252$452$12k | — | — |
| Bunion Correction Surgery | $5,719$1.1k$22k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $24,154$1.3k$183k | $198,832 | $198,832 |
| Cardiac Catheterization (Left Heart) | $11,739$780$29k | — | — |
| Cardiac Stress Test (Treadmill) | $413$99$740 | — | — |
| Carpal Tunnel Release Surgery | $4,100$1.3k$12k | — | — |
| Cataract Surgery with Lens Implant | $4,139$1.3k$12k | — | — |
| Cervical Spinal Fusion (Anterior) | $9,569$975$35k | — | — |
| Cesarean Delivery (Global Package) | $1,950$1.6k$12k | — | — |
| Chemotherapy Infusion (First Hour) | $47$8$1.1k | $180 | $180 |
| Chest X-ray (2 Views) | $300$4$4.6k | $2,569 | $2,569 |
| Colonoscopy with Biopsy | $2,762$1.5k$12k | — | — |
| Complete Abdominal Ultrasound | $1,388$245$4.8k | $5,258 | $5,258 |
| Complete Blood Count (CBC) with Differential | $8$7$157 | — | — |
| Comprehensive Metabolic Panel | $12$2$3.2k | $1,740 | $1,740 |
| Coronary Angioplasty with Stent | $20,007$675$45k | — | — |
| Critical Care, First Hour | $3,638$240$10k | $12,168 | $12,168 |
| CT Abdomen and Pelvis with Contrast | $4,647$738$39k | $42,284 | $42,284 |
| CT Cardiac Calcium Scoring | $2,566$110$13k | $12,034 | $12,034 |
| CT Chest without Contrast | $2,161$245$23k | $25,237 | $25,237 |
| CT Head without Contrast | $2,096$245$19k | $20,725 | $20,725 |
| DEXA Bone Density Scan | $216$213$245 | — | — |
| Diagnostic Colonoscopy | $2,024$1.2k$12k | — | — |
| Diagnostic Mammogram (Both Breasts) | $111$99$263 | — | — |
| Ear Tube Placement (Tympanostomy) | $3,252$1.4k$12k | — | — |
| Echocardiogram (Complete with Doppler) | $3,734$135$19k | $20,745 | $20,745 |
| EKG (Electrocardiogram, 12-lead) | $25$11$381 | — | — |
| Emergency Room Visit (Level 3) | $1,875$70$5.5k | $3,329 | $3,329 |
| Group Therapy Session | $130$30$233 | — | — |
| Hemodialysis Treatment | $217$81$4.3k | — | — |
| Hemoglobin A1c (Diabetes Test) | $10$1$124 | $47 | $47 |
| HIV Antibody Test | $10$1$1.5k | $822 | $822 |
| Holter Monitor (24-48 Hour Heart Monitor) | $153$54$540 | — | — |
| Home Sleep Study | $1,250$130$1.9k | — | — |
| Individual Therapy Session (45 Minutes) | $160$89$233 | — | — |
| Inguinal Hernia Repair (Open) | $7,480$975$22k | — | — |
| Initial Hospital Admission (Level 1) | $110$110$113 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $192$134$253 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $168$150$187 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,794$1.8k$1.8k | — | — |
| IUD Insertion | $3,897$41$12k | — | — |
| IUD Removal | $2,532$1.3k$12k | — | — |
| Knee Arthroscopy with Meniscectomy | $9,081$1.1k$29k | — | — |
| Laparoscopic Appendectomy | $10,559$975$29k | — | — |
| Laparoscopic Gallbladder Removal | $10,559$239$25k | — | — |
| Laparoscopic Tubal Ligation | $10,559$975$22k | — | — |
| Lipid Panel (Cholesterol Test) | $15$5$222 | $108 | $108 |
| Lumbar Epidural Steroid Injection | $2,165$1.6k$12k | — | — |
| Lumbar Puncture (Spinal Tap) | $2,007$900$8.0k | — | — |
| Lumbar Spinal Fusion (Posterior) | $8,580$975$57k | — | — |
| Lumpectomy (Partial Mastectomy) | $5,711$975$29k | — | — |
| MRI Abdomen with and without Contrast | $4,131$828$30k | $32,547 | $32,547 |
| MRI Brain with and without Contrast | $3,671$828$37k | $40,066 | $40,066 |
| MRI Brain with Contrast | $3,329$828$25k | $27,608 | $27,608 |
| MRI Brain without Contrast | $2,103$377$7.4k | $8,013 | $8,013 |
| MRI Cervical Spine (Neck) without Contrast | $2,103$377$7.4k | $8,013 | $8,013 |
| MRI Knee without Contrast | $2,398$377$15k | $8,013 | $8,013 |
| MRI Lower Back (Lumbar Spine) without Contrast | $2,103$377$7.4k | $8,013 | $8,013 |
| MRI Thoracic Spine (Mid-back) without Contrast | $2,103$377$7.4k | $8,013 | $8,013 |
| Newborn Circumcision | $3,336$1.3k$12k | — | — |
| Nuclear Cardiac Stress Test | $4,881$1.0k$20k | $21,695 | $21,695 |
| Office Visit, Established Patient (Level 3) | $60$15$357 | $352 | $352 |
| Office Visit, New Patient (Level 3) | $72$18$405 | $388 | $388 |
| Pacemaker Insertion (Dual Chamber) | $11,933$975$60k | — | — |
| PET/CT Scan, Whole Body | $3,856$2.0k$6.7k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $699$122$2.4k | $2,588 | $2,588 |
| Prostate Biopsy | $4,249$1.3k$4.9k | — | — |
| PSA Prostate Cancer Screening | $18$1$1.3k | $53 | $53 |
| Pulmonary Function Test with Bronchodilator | $381$47$1.6k | $1,685 | $1,685 |
| Rotator Cuff Repair (Arthroscopic) | $10,559$975$29k | — | — |
| Screening Mammogram | $92$82$217 | — | — |
| Septoplasty (Deviated Septum Repair) | $4,927$547$22k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $9,081$453$29k | — | — |
| Skin Biopsy (Tangential) | $2,100$1.3k$12k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $3,215$1.3k$12k | — | — |
| Sleep Study (In-lab Polysomnography) | $983$257$5.5k | $5,460 | $5,460 |
| Spinal Cord Stimulator Trial | $10,559$975$49k | — | — |
| Spirometry (Breathing Test) | $44$2$775 | $446 | $446 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $6,578$1.1k$22k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,578$975$22k | — | — |
| Total Hip Replacement | $11,000$975$44k | — | — |
| Total Knee Replacement | $11,152$975$44k | — | — |
| Total Mastectomy | $7,480$975$29k | — | — |
| TSH Thyroid Function Test | $162$15$3.2k | $3,441 | $3,441 |
| TURP (Transurethral Prostate Resection) | $10,309$975$29k | — | — |
| Umbilical Hernia Repair | $6,648$975$9.5k | — | — |
| Upper GI Endoscopy (EGD) | $2,007$1.6k$12k | — | — |
| Urinalysis with Microscopy | $5$2$1.1k | $594 | $594 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $1,950$1.6k$12k | — | — |
| Vaginal Delivery (Global Package) | $1,950$1.6k$12k | — | — |
| Vaginal Hysterectomy | $7,480$975$22k | — | — |
| Vasectomy | $3,336$1.3k$12k | — | — |
| Vitamin D Blood Test | $30$3$141 | $107 | $107 |