| Abdominal Hysterectomy | $25,044$1.9k$48k | — | — |
| ACL Reconstruction (Arthroscopic) | $12,808$4.0k$54k | — | — |
| Allergy Skin Testing | $46$5$92 | — | — |
| Basic Metabolic Panel | $204$8$1.3k | $1,094 | $1,094 |
| Bone Marrow Biopsy | $4,322$2.3k$41k | — | — |
| Breast Biopsy (Ultrasound-guided) | $3,440$415$41k | — | — |
| Bunion Correction Surgery | $8,971$2.1k$41k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $27,415$1.3k$90k | $99,928 | $99,928 |
| Cardiac Catheterization (Left Heart) | $11,134$780$45k | — | — |
| Cardiac Stress Test (Treadmill) | $665$99$10k | — | — |
| Carpal Tunnel Release Surgery | $5,578$2.7k$41k | — | — |
| Cataract Surgery with Lens Implant | $5,392$1.9k$41k | — | — |
| Cervical Spinal Fusion (Anterior) | $18,775$3.6k$46k | — | — |
| Cesarean Delivery (Global Package) | $8,570$1.9k$41k | — | — |
| Chemotherapy Infusion (First Hour) | $162$55$1.0k | $425 | $425 |
| Chest X-ray (2 Views) | $728$182$1.9k | $2,081 | $2,081 |
| Colonoscopy with Biopsy | $3,341$1.9k$41k | — | — |
| Complete Abdominal Ultrasound | $1,524$245$5.2k | $4,418 | $4,418 |
| Complete Blood Count (CBC) with Differential | $8$7$149 | — | — |
| Comprehensive Metabolic Panel | $274$10$1.7k | $1,346 | $1,346 |
| Coronary Angioplasty with Stent | $17,550$675$48k | — | — |
| Critical Care, First Hour | $3,732$240$11k | $7,464 | $7,464 |
| CT Abdomen and Pelvis with Contrast | $12,870$828$26k | $28,601 | $28,601 |
| CT Cardiac Calcium Scoring | $5,808$101$14k | $16,090 | $16,090 |
| CT Chest without Contrast | $6,190$245$12k | $13,755 | $13,755 |
| CT Head without Contrast | $4,527$245$11k | $11,803 | $11,803 |
| DEXA Bone Density Scan | $685$196$1.8k | $1,956 | $1,956 |
| Diagnostic Colonoscopy | $3,044$1.1k$41k | — | — |
| Diagnostic Mammogram (Both Breasts) | $122$99$845 | $939 | $939 |
| Ear Tube Placement (Tympanostomy) | $3,592$1.9k$41k | — | — |
| Echocardiogram (Complete with Doppler) | $1,726$135$10k | $5,246 | $5,246 |
| EKG (Electrocardiogram, 12-lead) | $184$11$10k | — | — |
| Emergency Room Visit (Level 3) | $2,731$70$11k | $5,463 | $5,463 |
| Group Therapy Session | $121$30$220 | — | — |
| Hemodialysis Treatment | $1,292$81$15k | $5,109 | $5,109 |
| Hemoglobin A1c (Diabetes Test) | $10$1$394 | $220 | $220 |
| HIV Antibody Test | $52$8$297 | $248 | $248 |
| Holter Monitor (24-48 Hour Heart Monitor) | $322$54$10k | — | — |
| Home Sleep Study | $1,159$130$2.1k | — | — |
| Individual Therapy Session (45 Minutes) | $152$89$220 | — | — |
| Inguinal Hernia Repair (Open) | $11,888$4.0k$41k | — | — |
| Initial Hospital Admission (Level 1) | $113$110$116 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $184$134$239 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $163$150$177 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,681$1.6k$1.7k | — | — |
| IUD Insertion | $5,242$41$41k | — | — |
| IUD Removal | $3,950$1.7k$41k | — | — |
| Knee Arthroscopy with Meniscectomy | $10,876$2.8k$54k | — | — |
| Laparoscopic Appendectomy | $18,775$4.0k$54k | — | — |
| Laparoscopic Gallbladder Removal | $13,099$219$53k | — | — |
| Laparoscopic Tubal Ligation | $15,196$4.0k$54k | — | — |
| Lipid Panel (Cholesterol Test) | $17$12$914 | $1,015 | $1,015 |
| Lumbar Epidural Steroid Injection | $3,044$1.9k$41k | — | — |
| Lumbar Puncture (Spinal Tap) | $3,044$826$41k | — | — |
| Lumbar Spinal Fusion (Posterior) | $18,775$4.0k$75k | — | — |
| Lumpectomy (Partial Mastectomy) | $17,004$3.8k$41k | — | — |
| MRI Abdomen with and without Contrast | $3,791$828$8.3k | $9,226 | $9,226 |
| MRI Brain with and without Contrast | $3,494$828$10k | $11,645 | $11,645 |
| MRI Brain with Contrast | $3,180$828$9.5k | $10,601 | $10,601 |
| MRI Brain without Contrast | $3,110$518$9.2k | $10,211 | $10,211 |
| MRI Cervical Spine (Neck) without Contrast | $3,418$518$12k | $12,937 | $12,937 |
| MRI Knee without Contrast | $4,115$518$8.2k | $9,144 | $9,144 |
| MRI Lower Back (Lumbar Spine) without Contrast | $3,418$518$12k | $12,937 | $12,937 |
| MRI Thoracic Spine (Mid-back) without Contrast | $3,418$518$12k | $12,937 | $12,937 |
| Newborn Circumcision | $6,539$1.9k$41k | — | — |
| Nuclear Cardiac Stress Test | $4,240$1.9k$11k | $12,115 | $12,115 |
| Office Visit, Established Patient (Level 3) | $267$55$15k | $1,176 | $1,176 |
| Office Visit, New Patient (Level 3) | $267$69$15k | $1,176 | $1,176 |
| Pacemaker Insertion (Dual Chamber) | $18,723$2.3k$42k | — | — |
| PET/CT Scan, Whole Body | $7,499$1.9k$21k | $23,434 | $23,434 |
| Pregnancy Ultrasound (Second or Third Trimester) | $1,727$245$4.1k | $4,545 | $4,545 |
| Prostate Biopsy | $4,432$3.4k$5.7k | — | — |
| PSA Prostate Cancer Screening | $70$17$422 | $340 | $340 |
| Pulmonary Function Test with Bronchodilator | $1,306$47$4.4k | $4,882 | $4,882 |
| Rotator Cuff Repair (Arthroscopic) | $12,808$3.5k$54k | — | — |
| Screening Mammogram | $195$82$690 | $767 | $767 |
| Septoplasty (Deviated Septum Repair) | $8,480$502$41k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $10,876$416$54k | — | — |
| Skin Biopsy (Tangential) | $2,506$1.1k$41k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $3,433$1.1k$41k | — | — |
| Sleep Study (In-lab Polysomnography) | $879$287$5.2k | $2,210 | $2,210 |
| Spinal Cord Stimulator Trial | $13,099$2.0k$54k | — | — |
| Spirometry (Breathing Test) | $514$28$1.7k | $1,920 | $1,920 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $15,850$1.9k$41k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $15,850$1.9k$41k | — | — |
| Total Hip Replacement | $18,413$985$41k | — | — |
| Total Knee Replacement | $19,136$1.9k$41k | — | — |
| Total Mastectomy | $17,004$3.8k$41k | — | — |
| TSH Thyroid Function Test | $167$15$851 | $772 | $772 |
| TURP (Transurethral Prostate Resection) | $13,099$3.0k$54k | — | — |
| Umbilical Hernia Repair | $6,230$3.4k$9.3k | — | — |
| Upper GI Endoscopy (EGD) | $3,044$1.7k$41k | — | — |
| Urinalysis with Microscopy | $4$3$420 | $467 | $467 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $8,570$1.9k$41k | — | — |
| Vaginal Delivery (Global Package) | $8,570$1.9k$41k | — | — |
| Vaginal Hysterectomy | $15,850$4.0k$41k | — | — |
| Vasectomy | $6,539$1.9k$41k | — | — |
| Vitamin D Blood Test | $30$2$112 | $11 | $11 |