| Abdominal Hysterectomy | $25,044$1.9k$48k | — | — |
| ACL Reconstruction (Arthroscopic) | $13,099$4.0k$54k | — | — |
| Allergy Skin Testing | $46$5$92 | — | — |
| Basic Metabolic Panel | $14$8$1.3k | $1,293 | $1,293 |
| Bone Marrow Biopsy | $4,403$2.3k$41k | — | — |
| Breast Biopsy (Ultrasound-guided) | $3,440$414$41k | — | — |
| Bunion Correction Surgery | $9,016$2.1k$41k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $24,785$1.3k$64k | $64,059 | $64,059 |
| Cardiac Catheterization (Left Heart) | $11,146$780$45k | — | — |
| Cardiac Stress Test (Treadmill) | $664$99$10k | — | — |
| Carpal Tunnel Release Surgery | $5,578$2.7k$41k | — | — |
| Cataract Surgery with Lens Implant | $4,827$1.9k$41k | — | — |
| Cervical Spinal Fusion (Anterior) | $19,136$3.6k$46k | — | — |
| Cesarean Delivery (Global Package) | $8,570$1.9k$41k | — | — |
| Chemotherapy Infusion (First Hour) | $782$143$2.0k | $1,928 | $1,928 |
| Chest X-ray (2 Views) | $539$182$1.7k | $1,684 | $1,684 |
| Colonoscopy with Biopsy | $3,242$1.9k$41k | — | — |
| Complete Abdominal Ultrasound | $704$217$2.2k | $1,791 | $1,791 |
| Complete Blood Count (CBC) with Differential | $8$7$149 | — | — |
| Comprehensive Metabolic Panel | $17$10$1.6k | $1,596 | $1,596 |
| Coronary Angioplasty with Stent | $17,695$675$48k | — | — |
| Critical Care, First Hour | $4,020$240$11k | $8,115 | $8,115 |
| CT Abdomen and Pelvis with Contrast | $5,313$828$11k | $10,694 | $10,694 |
| CT Cardiac Calcium Scoring | $1,693$101$13k | $2,116 | $2,116 |
| CT Chest without Contrast | $4,962$245$11k | $10,320 | $10,320 |
| CT Head without Contrast | $4,011$245$9.0k | $8,499 | $8,499 |
| DEXA Bone Density Scan | $203$196$245 | — | — |
| Diagnostic Colonoscopy | $3,044$1.1k$41k | — | — |
| Diagnostic Mammogram (Both Breasts) | $112$99$263 | — | — |
| Ear Tube Placement (Tympanostomy) | $3,440$1.9k$41k | — | — |
| Echocardiogram (Complete with Doppler) | $1,697$135$10k | $4,349 | $4,349 |
| EKG (Electrocardiogram, 12-lead) | $184$11$10k | — | — |
| Emergency Room Visit (Level 3) | $2,146$70$11k | $4,293 | $4,293 |
| Group Therapy Session | $132$30$371 | $413 | $413 |
| Hemodialysis Treatment | $226$81$4.1k | — | — |
| Hemoglobin A1c (Diabetes Test) | $11$1$521 | $262 | $262 |
| HIV Antibody Test | $14$8$180 | $180 | $180 |
| Holter Monitor (24-48 Hour Heart Monitor) | $322$54$10k | — | — |
| Home Sleep Study | $1,145$130$1.3k | — | — |
| Individual Therapy Session (45 Minutes) | $211$89$662 | $736 | $736 |
| Inguinal Hernia Repair (Open) | $11,748$4.0k$41k | — | — |
| Initial Hospital Admission (Level 1) | $113$110$116 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $187$85$736 | $736 | $736 |
| Initial Psychiatric Evaluation with Medication Management | $163$150$177 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,679$1.6k$1.7k | — | — |
| IUD Insertion | $6,243$41$41k | — | — |
| IUD Removal | $3,668$1.7k$41k | — | — |
| Knee Arthroscopy with Meniscectomy | $9,252$2.8k$54k | — | — |
| Laparoscopic Appendectomy | $16,115$4.0k$54k | — | — |
| Laparoscopic Gallbladder Removal | $13,231$219$53k | — | — |
| Laparoscopic Tubal Ligation | $14,739$4.0k$54k | — | — |
| Lipid Panel (Cholesterol Test) | $22$12$768 | $768 | $768 |
| Lumbar Epidural Steroid Injection | $3,044$1.9k$41k | — | — |
| Lumbar Puncture (Spinal Tap) | $3,038$825$41k | — | — |
| Lumbar Spinal Fusion (Posterior) | $19,136$4.0k$75k | — | — |
| Lumpectomy (Partial Mastectomy) | $17,709$3.8k$41k | — | — |
| MRI Abdomen with and without Contrast | $2,637$812$5.3k | $5,274 | $5,274 |
| MRI Brain with and without Contrast | $2,637$812$5.3k | $5,274 | $5,274 |
| MRI Brain with Contrast | $1,951$601$3.9k | $3,902 | $3,902 |
| MRI Brain without Contrast | $1,885$518$3.6k | $3,637 | $3,637 |
| MRI Cervical Spine (Neck) without Contrast | $1,885$518$3.6k | $3,637 | $3,637 |
| MRI Knee without Contrast | $2,221$518$5.4k | $3,637 | $3,637 |
| MRI Lower Back (Lumbar Spine) without Contrast | $1,885$518$3.6k | $3,637 | $3,637 |
| MRI Thoracic Spine (Mid-back) without Contrast | $1,885$518$3.6k | $3,637 | $3,637 |
| Newborn Circumcision | $6,059$1.9k$41k | — | — |
| Nuclear Cardiac Stress Test | $5,016$2.4k$16k | $15,676 | $15,676 |
| Office Visit, Established Patient (Level 3) | $184$31$15k | $728 | $728 |
| Office Visit, New Patient (Level 3) | $154$37$15k | $631 | $631 |
| Pacemaker Insertion (Dual Chamber) | $19,136$2.3k$42k | — | — |
| PET/CT Scan, Whole Body | $4,087$1.9k$6.1k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $704$217$2.2k | $1,791 | $1,791 |
| Prostate Biopsy | $4,380$3.4k$4.6k | — | — |
| PSA Prostate Cancer Screening | $30$17$309 | $309 | $309 |
| Pulmonary Function Test with Bronchodilator | $912$47$3.6k | $3,577 | $3,577 |
| Rotator Cuff Repair (Arthroscopic) | $13,099$3.5k$54k | — | — |
| Screening Mammogram | $92$82$217 | — | — |
| Septoplasty (Deviated Septum Repair) | $7,643$501$41k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $9,252$415$54k | — | — |
| Skin Biopsy (Tangential) | $2,503$1.1k$41k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $3,433$1.1k$41k | — | — |
| Sleep Study (In-lab Polysomnography) | $1,279$493$5.2k | — | — |
| Spinal Cord Stimulator Trial | $14,607$2.0k$54k | — | — |
| Spirometry (Breathing Test) | $534$28$2.1k | $2,096 | $2,096 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $17,004$1.9k$41k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $17,004$1.9k$41k | — | — |
| Total Hip Replacement | $18,413$984$43k | — | — |
| Total Knee Replacement | $19,091$1.9k$43k | — | — |
| Total Mastectomy | $17,709$3.8k$41k | — | — |
| TSH Thyroid Function Test | $5$1$170 | $5 | $5 |
| TURP (Transurethral Prostate Resection) | $12,808$3.0k$54k | — | — |
| Umbilical Hernia Repair | $6,157$3.4k$9.3k | — | — |
| Upper GI Endoscopy (EGD) | $3,044$1.7k$41k | — | — |
| Urinalysis with Microscopy | $5$3$817 | $817 | $817 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $8,570$1.9k$41k | — | — |
| Vaginal Delivery (Global Package) | $8,570$1.9k$41k | — | — |
| Vaginal Hysterectomy | $17,004$4.0k$41k | — | — |
| Vasectomy | $6,059$1.9k$41k | — | — |
| Vitamin D Blood Test | $30$2$112 | $13 | $13 |