| Abdominal Hysterectomy | $7,480$1.6k$25k | — | — |
| ACL Reconstruction (Arthroscopic) | $10,559$3.8k$29k | — | — |
| Allergy Skin Testing | $50$5$98 | — | — |
| Basic Metabolic Panel | $57$8$2.0k | $2,166 | $2,166 |
| Bone Marrow Biopsy | $3,215$1.6k$12k | — | — |
| Breast Biopsy (Ultrasound-guided) | $3,252$452$12k | — | — |
| Bunion Correction Surgery | $5,719$2.3k$22k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $21,205$1.3k$45k | $44,055 | $44,055 |
| Cardiac Catheterization (Left Heart) | $11,739$780$30k | — | — |
| Cardiac Stress Test (Treadmill) | $413$99$740 | — | — |
| Carpal Tunnel Release Surgery | $4,100$1.9k$12k | — | — |
| Cataract Surgery with Lens Implant | $4,139$1.6k$12k | — | — |
| Cervical Spinal Fusion (Anterior) | $9,569$3.8k$35k | — | — |
| Cesarean Delivery (Global Package) | $1,950$1.6k$12k | — | — |
| Chemotherapy Infusion (First Hour) | $85$6$1.1k | $368 | $368 |
| Chest X-ray (2 Views) | $905$177$3.5k | $3,771 | $3,771 |
| Colonoscopy with Biopsy | $2,762$1.6k$12k | — | — |
| Complete Abdominal Ultrasound | $2,879$245$11k | $11,517 | $11,517 |
| Complete Blood Count (CBC) with Differential | $8$7$157 | — | — |
| Comprehensive Metabolic Panel | $91$10$3.3k | $3,561 | $3,561 |
| Coronary Angioplasty with Stent | $20,285$675$45k | — | — |
| Critical Care, First Hour | $3,650$240$9.2k | $7,849 | $7,849 |
| CT Abdomen and Pelvis with Contrast | $4,816$738$29k | $32,060 | $32,060 |
| CT Cardiac Calcium Scoring | $3,998$110$26k | $27,984 | $27,984 |
| CT Chest without Contrast | $2,335$245$15k | $16,140 | $16,140 |
| CT Head without Contrast | $2,153$245$13k | $14,205 | $14,205 |
| DEXA Bone Density Scan | $216$213$245 | — | — |
| Diagnostic Colonoscopy | $2,024$1.2k$12k | — | — |
| Diagnostic Mammogram (Both Breasts) | $110$18$360 | $391 | $391 |
| Ear Tube Placement (Tympanostomy) | $3,252$1.6k$12k | — | — |
| Echocardiogram (Complete with Doppler) | $2,013$135$10k | $10,883 | $10,883 |
| EKG (Electrocardiogram, 12-lead) | $25$11$381 | — | — |
| Emergency Room Visit (Level 3) | $2,478$70$5.5k | $5,560 | $5,560 |
| Group Therapy Session | $110$24$460 | $500 | $500 |
| Hemodialysis Treatment | $217$81$4.3k | — | — |
| Hemoglobin A1c (Diabetes Test) | $10$2$124 | $11 | $11 |
| HIV Antibody Test | $9$1$140 | $18 | $18 |
| 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$1.9k$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 | $2,612$1.3k$12k | — | — |
| Knee Arthroscopy with Meniscectomy | $9,467$1.9k$29k | — | — |
| Laparoscopic Appendectomy | $10,559$3.8k$29k | — | — |
| Laparoscopic Gallbladder Removal | $10,559$239$25k | — | — |
| Laparoscopic Tubal Ligation | $10,559$3.8k$22k | — | — |
| Lipid Panel (Cholesterol Test) | $69$12$2.3k | $2,507 | $2,507 |
| Lumbar Epidural Steroid Injection | $2,165$1.6k$12k | — | — |
| Lumbar Puncture (Spinal Tap) | $2,007$900$8.0k | — | — |
| Lumbar Spinal Fusion (Posterior) | $8,580$3.8k$57k | — | — |
| Lumpectomy (Partial Mastectomy) | $5,711$3.8k$29k | — | — |
| MRI Abdomen with and without Contrast | $2,492$411$8.0k | $8,744 | $8,744 |
| MRI Brain with and without Contrast | $3,525$800$16k | $17,016 | $17,016 |
| MRI Brain with Contrast | $1,826$245$4.8k | $5,209 | $5,209 |
| MRI Brain without Contrast | $2,393$400$7.8k | $8,516 | $8,516 |
| MRI Cervical Spine (Neck) without Contrast | $2,337$400$7.8k | $8,516 | $8,516 |
| MRI Knee without Contrast | $2,472$381$15k | $8,106 | $8,106 |
| MRI Lower Back (Lumbar Spine) without Contrast | $2,310$381$7.5k | $8,106 | $8,106 |
| MRI Thoracic Spine (Mid-back) without Contrast | $2,405$400$7.8k | $8,516 | $8,516 |
| Newborn Circumcision | $3,336$1.6k$12k | — | — |
| Nuclear Cardiac Stress Test | $5,789$1.1k$22k | $24,119 | $24,119 |
| Office Visit, Established Patient (Level 3) | $112$20$982 | $528 | $528 |
| Office Visit, New Patient (Level 3) | $120$21$1.3k | $528 | $528 |
| Pacemaker Insertion (Dual Chamber) | $11,933$1.6k$66k | — | — |
| PET/CT Scan, Whole Body | $3,856$2.0k$6.7k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $1,786$245$6.6k | $7,142 | $7,142 |
| Prostate Biopsy | $4,779$2.6k$4.9k | — | — |
| PSA Prostate Cancer Screening | $18$2$154 | $12 | $12 |
| Pulmonary Function Test with Bronchodilator | $490$47$2.2k | $2,340 | $2,340 |
| Rotator Cuff Repair (Arthroscopic) | $10,559$3.8k$29k | — | — |
| Screening Mammogram | $92$18$360 | $391 | $391 |
| Septoplasty (Deviated Septum Repair) | $4,927$547$22k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $9,467$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) | $1,886$493$5.5k | — | — |
| Spinal Cord Stimulator Trial | $10,559$2.2k$49k | — | — |
| Spirometry (Breathing Test) | $226$28$1.1k | $1,189 | $1,189 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $6,578$1.6k$22k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,578$1.6k$22k | — | — |
| Total Hip Replacement | $11,000$1.1k$44k | — | — |
| Total Knee Replacement | $11,152$1.6k$44k | — | — |
| Total Mastectomy | $7,480$3.8k$29k | — | — |
| TSH Thyroid Function Test | $18$2$2.0k | $1,104 | $1,104 |
| TURP (Transurethral Prostate Resection) | $10,309$3.3k$29k | — | — |
| Umbilical Hernia Repair | $6,648$3.7k$9.5k | — | — |
| Upper GI Endoscopy (EGD) | $2,007$1.6k$12k | — | — |
| Urinalysis with Microscopy | $24$3$858 | $933 | $933 |
| 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$3.8k$22k | — | — |
| Vasectomy | $3,336$1.6k$12k | — | — |
| Vitamin D Blood Test | $9$1$118 | $13 | $13 |