| Abdominal Hysterectomy | $13,160$1.5k$30k | — | — |
| ACL Reconstruction (Arthroscopic) | $16,947$2.4k$37k | — | — |
| Allergy Skin Testing | $47$5$90 | — | — |
| Basic Metabolic Panel | $123$8$1.2k | $1,430 | $1,430 |
| Bone Marrow Biopsy | $7,858$1.5k$15k | — | — |
| Breast Biopsy (Ultrasound-guided) | $5,163$419$16k | — | — |
| Bunion Correction Surgery | $5,309$2.1k$28k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $26,272$1.3k$58k | — | — |
| Cardiac Catheterization (Left Heart) | $14,238$780$38k | — | — |
| Cardiac Stress Test (Treadmill) | $386$99$686 | — | — |
| Carpal Tunnel Release Surgery | $5,211$2.4k$26k | — | — |
| Cataract Surgery with Lens Implant | $4,281$1.5k$26k | — | — |
| Cervical Spinal Fusion (Anterior) | $16,500$2.4k$67k | — | — |
| Cesarean Delivery (Global Package) | $2,350$1.5k$15k | — | — |
| Chemotherapy Infusion (First Hour) | $165$55$1.0k | $635 | $635 |
| Chest X-ray (2 Views) | $408$133$1.3k | $1,547 | $1,547 |
| Colonoscopy with Biopsy | $4,281$1.5k$16k | — | — |
| Complete Abdominal Ultrasound | $1,044$245$3.3k | $3,940 | $3,940 |
| Complete Blood Count (CBC) with Differential | $8$7$146 | — | — |
| Comprehensive Metabolic Panel | $11$2$1.3k | $772 | $772 |
| Coronary Angioplasty with Stent | $22,052$675$58k | — | — |
| Critical Care, First Hour | $4,679$240$9.3k | $5,371 | $5,371 |
| CT Abdomen and Pelvis with Contrast | $3,944$828$18k | $21,100 | $21,100 |
| CT Cardiac Calcium Scoring | $4,728$102$21k | $24,886 | $24,886 |
| CT Chest without Contrast | $2,410$245$7.2k | $8,456 | $8,456 |
| CT Head without Contrast | $2,321$245$6.9k | $8,145 | $8,145 |
| DEXA Bone Density Scan | $118$37$365 | $429 | $429 |
| Diagnostic Colonoscopy | $4,281$1.2k$16k | — | — |
| Diagnostic Mammogram (Both Breasts) | $154$101$1.3k | $1,482 | $1,482 |
| Ear Tube Placement (Tympanostomy) | $5,163$1.5k$16k | — | — |
| Echocardiogram (Complete with Doppler) | $3,479$135$11k | $13,379 | $13,379 |
| EKG (Electrocardiogram, 12-lead) | $25$12$353 | — | — |
| Emergency Room Visit (Level 3) | $2,968$70$8.2k | $2,071 | $2,071 |
| Group Therapy Session | $121$30$216 | — | — |
| Hemodialysis Treatment | $219$83$4.0k | — | — |
| Hemoglobin A1c (Diabetes Test) | $10$2$115 | $23 | $23 |
| HIV Antibody Test | $9$1$130 | $10 | $10 |
| Holter Monitor (24-48 Hour Heart Monitor) | $154$55$500 | — | — |
| Home Sleep Study | $1,158$130$8.3k | — | — |
| Individual Therapy Session (45 Minutes) | $151$89$216 | — | — |
| Inguinal Hernia Repair (Open) | $11,524$2.4k$28k | — | — |
| Initial Hospital Admission (Level 1) | $113$110$113 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $183$134$234 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $162$150$173 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,698$1.7k$1.7k | — | — |
| IUD Insertion | $4,200$42$15k | — | — |
| IUD Removal | $3,950$2.4k$15k | — | — |
| Knee Arthroscopy with Meniscectomy | $15,227$2.4k$30k | — | — |
| Laparoscopic Appendectomy | $21,742$2.4k$37k | — | — |
| Laparoscopic Gallbladder Removal | $18,994$221$37k | — | — |
| Laparoscopic Tubal Ligation | $16,124$2.4k$37k | — | — |
| Lipid Panel (Cholesterol Test) | $14$1$961 | $573 | $573 |
| Lumbar Epidural Steroid Injection | $5,523$1.5k$15k | — | — |
| Lumbar Puncture (Spinal Tap) | $6,033$834$15k | — | — |
| Lumbar Spinal Fusion (Posterior) | $16,500$2.4k$109k | — | — |
| Lumpectomy (Partial Mastectomy) | $13,160$2.4k$26k | — | — |
| MRI Abdomen with and without Contrast | $3,533$828$12k | $14,217 | $14,217 |
| MRI Brain with and without Contrast | $3,533$828$12k | $13,866 | $13,866 |
| MRI Brain with Contrast | $3,312$828$9.9k | $11,620 | $11,620 |
| MRI Brain without Contrast | $2,745$518$8.2k | $9,633 | $9,633 |
| MRI Cervical Spine (Neck) without Contrast | $3,325$518$9.9k | $11,666 | $11,666 |
| MRI Knee without Contrast | $3,533$518$18k | $10,786 | $10,786 |
| MRI Lower Back (Lumbar Spine) without Contrast | $3,302$518$9.8k | $11,587 | $11,587 |
| MRI Thoracic Spine (Mid-back) without Contrast | $3,176$518$9.5k | $11,143 | $11,143 |
| Newborn Circumcision | $10,230$1.5k$26k | — | — |
| Nuclear Cardiac Stress Test | $5,083$1.7k$17k | $19,549 | $19,549 |
| Office Visit, Established Patient (Level 3) | $301$55$1.3k | $1,499 | $1,499 |
| Office Visit, New Patient (Level 3) | $301$82$1.3k | $1,499 | $1,499 |
| 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) | $849$245$2.8k | $3,258 | $3,258 |
| Prostate Biopsy | $4,523$4.4k$5.3k | — | — |
| PSA Prostate Cancer Screening | $72$17$708 | $833 | $833 |
| Pulmonary Function Test with Bronchodilator | $548$47$1.8k | $2,128 | $2,128 |
| Rotator Cuff Repair (Arthroscopic) | $16,947$2.4k$37k | — | — |
| Screening Mammogram | $127$84$1.0k | $1,185 | $1,185 |
| Septoplasty (Deviated Septum Repair) | $4,893$507$26k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $15,153$420$30k | — | — |
| Skin Biopsy (Tangential) | $2,702$1.2k$15k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $3,509$1.2k$15k | — | — |
| Sleep Study (In-lab Polysomnography) | $4,566$493$15k | $17,561 | $17,561 |
| Spinal Cord Stimulator Trial | $16,947$2.0k$46k | — | — |
| Spirometry (Breathing Test) | $79$7$854 | $545 | $545 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $11,166$1.5k$26k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $11,166$1.5k$26k | — | — |
| Total Hip Replacement | $22,438$995$52k | — | — |
| Total Knee Replacement | $19,671$1.5k$52k | — | — |
| Total Mastectomy | $14,288$2.4k$28k | — | — |
| TSH Thyroid Function Test | $101$16$998 | $1,174 | $1,174 |
| TURP (Transurethral Prostate Resection) | $16,947$2.4k$34k | — | — |
| Umbilical Hernia Repair | $6,228$3.4k$13k | — | — |
| Upper GI Endoscopy (EGD) | $4,281$1.5k$16k | — | — |
| Urinalysis with Microscopy | $49$3$489 | $575 | $575 |
| 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$28k | — | — |
| Vasectomy | $10,230$1.5k$26k | — | — |
| Vitamin D Blood Test | $32$7$320 | $227 | $227 |