| Abdominal Hysterectomy | $13,160$1.5k$33k | — | — |
| ACL Reconstruction (Arthroscopic) | $16,947$2.4k$39k | — | — |
| Allergy Skin Testing | $51$5$100 | — | — |
| Basic Metabolic Panel | $143$8$1.4k | $1,665 | $1,665 |
| Bone Marrow Biopsy | $7,858$1.5k$15k | — | — |
| Breast Biopsy (Ultrasound-guided) | $5,163$464$17k | — | — |
| Bunion Correction Surgery | $5,879$2.4k$33k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $30,343$1.4k$90k | $105,610 | $105,610 |
| Cardiac Catheterization (Left Heart) | $14,238$830$38k | — | — |
| Cardiac Stress Test (Treadmill) | $422$99$759 | — | — |
| Carpal Tunnel Release Surgery | $5,211$2.4k$31k | — | — |
| Cataract Surgery with Lens Implant | $4,596$1.5k$31k | — | — |
| Cervical Spinal Fusion (Anterior) | $16,500$2.4k$67k | — | — |
| Cesarean Delivery (Global Package) | $2,350$1.5k$15k | — | — |
| Chemotherapy Infusion (First Hour) | $494$153$1.6k | $1,880 | $1,880 |
| Chest X-ray (2 Views) | $656$182$2.1k | $2,523 | $2,523 |
| Colonoscopy with Biopsy | $4,281$1.5k$17k | — | — |
| Complete Abdominal Ultrasound | $982$245$3.0k | $3,571 | $3,571 |
| Complete Blood Count (CBC) with Differential | $8$8$161 | — | — |
| Comprehensive Metabolic Panel | $148$11$1.5k | $1,717 | $1,717 |
| Coronary Angioplasty with Stent | $22,052$723$58k | — | — |
| Critical Care, First Hour | $4,296$250$9.3k | $8,592 | $8,592 |
| CT Abdomen and Pelvis with Contrast | $4,644$828$20k | $24,040 | $24,040 |
| CT Cardiac Calcium Scoring | $3,533$113$14k | $5,304 | $5,304 |
| CT Chest without Contrast | $3,499$245$9.8k | $11,551 | $11,551 |
| CT Head without Contrast | $3,242$245$8.5k | $9,975 | $9,975 |
| DEXA Bone Density Scan | $218$67$660 | $777 | $777 |
| Diagnostic Colonoscopy | $4,281$1.3k$17k | — | — |
| Diagnostic Mammogram (Both Breasts) | $114$32$312 | $367 | $367 |
| Ear Tube Placement (Tympanostomy) | $5,163$1.5k$17k | — | — |
| Echocardiogram (Complete with Doppler) | $4,657$144$15k | $17,912 | $17,912 |
| EKG (Electrocardiogram, 12-lead) | $25$12$391 | — | — |
| Emergency Room Visit (Level 3) | $2,713$73$8.2k | $4,499 | $4,499 |
| Group Therapy Session | $105$30$343 | $403 | $403 |
| Hemodialysis Treatment | $219$84$4.4k | — | — |
| Hemoglobin A1c (Diabetes Test) | $22$10$199 | $234 | $234 |
| HIV Antibody Test | $20$9$162 | $190 | $190 |
| Holter Monitor (24-48 Hour Heart Monitor) | $154$57$554 | — | — |
| Home Sleep Study | $1,283$130$8.3k | — | — |
| Individual Therapy Session (45 Minutes) | $347$91$1.2k | $1,439 | $1,439 |
| Inguinal Hernia Repair (Open) | $11,969$2.4k$33k | — | — |
| Initial Hospital Admission (Level 1) | $117$115$117 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $197$137$259 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $172$153$192 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,881$1.8k$1.9k | — | — |
| IUD Insertion | $4,200$42$15k | — | — |
| IUD Removal | $3,950$2.4k$15k | — | — |
| Knee Arthroscopy with Meniscectomy | $15,227$2.4k$33k | — | — |
| Laparoscopic Appendectomy | $21,742$2.4k$39k | — | — |
| Laparoscopic Gallbladder Removal | $18,994$245$39k | — | — |
| Laparoscopic Tubal Ligation | $16,124$2.4k$39k | — | — |
| Lipid Panel (Cholesterol Test) | $83$13$819 | $964 | $964 |
| Lumbar Epidural Steroid Injection | $5,523$1.5k$15k | — | — |
| Lumbar Puncture (Spinal Tap) | $6,033$923$15k | — | — |
| Lumbar Spinal Fusion (Posterior) | $16,500$2.4k$109k | — | — |
| Lumpectomy (Partial Mastectomy) | $13,160$2.4k$31k | — | — |
| MRI Abdomen with and without Contrast | $3,706$828$13k | $15,254 | $15,254 |
| MRI Brain with and without Contrast | $3,533$828$9.9k | $11,636 | $11,636 |
| MRI Brain with Contrast | $3,293$637$6.3k | $7,408 | $7,408 |
| MRI Brain without Contrast | $3,232$518$8.5k | $9,945 | $9,945 |
| MRI Cervical Spine (Neck) without Contrast | $3,533$518$12k | $14,036 | $14,036 |
| MRI Knee without Contrast | $3,533$518$10k | $11,813 | $11,813 |
| MRI Lower Back (Lumbar Spine) without Contrast | $2,651$518$6.0k | $7,057 | $7,057 |
| MRI Thoracic Spine (Mid-back) without Contrast | $3,533$518$11k | $12,816 | $12,816 |
| Newborn Circumcision | $10,230$1.5k$31k | — | — |
| Nuclear Cardiac Stress Test | $3,084$964$9.5k | $11,214 | $11,214 |
| Office Visit, Established Patient (Level 3) | $142$35$615 | $616 | $616 |
| Office Visit, New Patient (Level 3) | $145$35$615 | $616 | $616 |
| Pacemaker Insertion (Dual Chamber) | $23,866$1.5k$60k | — | — |
| PET/CT Scan, Whole Body | $3,533$1.5k$5.0k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $830$245$2.6k | $3,019 | $3,019 |
| Prostate Biopsy | $5,008$4.9k$5.3k | — | — |
| PSA Prostate Cancer Screening | $90$18$893 | $1,050 | $1,050 |
| Pulmonary Function Test with Bronchodilator | $906$50$3.0k | $3,485 | $3,485 |
| Rotator Cuff Repair (Arthroscopic) | $16,947$2.4k$39k | — | — |
| Screening Mammogram | $95$32$312 | $367 | $367 |
| Septoplasty (Deviated Septum Repair) | $4,893$561$31k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $15,153$465$33k | — | — |
| Skin Biopsy (Tangential) | $2,760$1.3k$15k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $3,875$1.3k$15k | — | — |
| Sleep Study (In-lab Polysomnography) | $5,555$525$8.3k | — | — |
| Spinal Cord Stimulator Trial | $16,947$2.3k$46k | — | — |
| Spirometry (Breathing Test) | $435$29$1.4k | $1,673 | $1,673 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $11,166$1.5k$31k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $11,166$1.5k$31k | — | — |
| Total Hip Replacement | $22,438$1.1k$52k | — | — |
| Total Knee Replacement | $21,761$1.5k$52k | — | — |
| Total Mastectomy | $14,288$2.4k$33k | — | — |
| TSH Thyroid Function Test | $97$17$957 | $1,126 | $1,126 |
| TURP (Transurethral Prostate Resection) | $16,947$2.4k$37k | — | — |
| Umbilical Hernia Repair | $6,896$3.8k$13k | — | — |
| Upper GI Endoscopy (EGD) | $4,281$1.5k$17k | — | — |
| Urinalysis with Microscopy | $82$3$807 | $949 | $949 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,350$1.5k$15k | — | — |
| Vaginal Delivery (Global Package) | $2,350$1.5k$15k | — | — |
| Vaginal Hysterectomy | $11,969$2.4k$33k | — | — |
| Vasectomy | $10,230$1.5k$31k | — | — |
| Vitamin D Blood Test | $30$1$122 | $8 | $8 |