| Abdominal Hysterectomy | $7,480$1.6k$31k | — | — |
| ACL Reconstruction (Arthroscopic) | $9,559$3.8k$29k | — | — |
| Allergy Skin Testing | $50$5$98 | — | — |
| Basic Metabolic Panel | $12$8$1.0k | $1,140 | $1,140 |
| Bone Marrow Biopsy | $4,377$1.6k$12k | — | — |
| Breast Biopsy (Ultrasound-guided) | $3,783$452$12k | — | — |
| Bunion Correction Surgery | $5,727$2.3k$16k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $23,865$1.3k$122k | $132,343 | $132,343 |
| Cardiac Catheterization (Left Heart) | $11,911$780$33k | — | — |
| Cardiac Stress Test (Treadmill) | $413$99$740 | — | — |
| Carpal Tunnel Release Surgery | $5,253$1.9k$12k | — | — |
| Cataract Surgery with Lens Implant | $4,922$1.6k$12k | — | — |
| Cervical Spinal Fusion (Anterior) | $9,559$3.8k$37k | — | — |
| Cesarean Delivery (Global Package) | $1,950$1.6k$12k | — | — |
| Chemotherapy Infusion (First Hour) | $200$40$1.1k | $891 | $891 |
| Chest X-ray (2 Views) | $650$136$2.7k | $2,890 | $2,890 |
| Colonoscopy with Biopsy | $3,307$1.6k$12k | — | — |
| Complete Abdominal Ultrasound | $1,166$203$4.0k | $4,317 | $4,317 |
| Complete Blood Count (CBC) with Differential | $8$7$157 | — | — |
| Comprehensive Metabolic Panel | $12$2$881 | $497 | $497 |
| Coronary Angioplasty with Stent | $20,733$675$45k | — | — |
| Critical Care, First Hour | $4,314$240$9.2k | $10,867 | $10,867 |
| CT Abdomen and Pelvis with Contrast | $4,647$738$35k | $38,483 | $38,483 |
| CT Cardiac Calcium Scoring | $3,950$110$23k | $24,842 | $24,842 |
| CT Chest without Contrast | $2,161$245$19k | $20,852 | $20,852 |
| CT Head without Contrast | $2,096$245$15k | $16,838 | $16,838 |
| DEXA Bone Density Scan | $216$213$245 | — | — |
| Diagnostic Colonoscopy | $2,455$1.2k$12k | — | — |
| Diagnostic Mammogram (Both Breasts) | $110$99$263 | — | — |
| Ear Tube Placement (Tympanostomy) | $3,783$1.6k$12k | — | — |
| Echocardiogram (Complete with Doppler) | $1,814$135$7.7k | $8,361 | $8,361 |
| EKG (Electrocardiogram, 12-lead) | $25$11$381 | — | — |
| Emergency Room Visit (Level 3) | $3,019$70$5.5k | $6,037 | $6,037 |
| Group Therapy Session | $130$30$233 | — | — |
| Hemodialysis Treatment | $217$81$4.3k | — | — |
| Hemoglobin A1c (Diabetes Test) | $14$9$938 | $1,020 | $1,020 |
| HIV Antibody Test | $68$1$2.7k | $870 | $870 |
| Holter Monitor (24-48 Hour Heart Monitor) | $153$54$540 | — | — |
| Home Sleep Study | $1,741$130$11k | $11,451 | $11,451 |
| Individual Therapy Session (45 Minutes) | $160$89$233 | — | — |
| Inguinal Hernia Repair (Open) | $7,480$1.9k$16k | — | — |
| 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 | $2,564$1.4k$12k | — | — |
| Knee Arthroscopy with Meniscectomy | $9,513$1.9k$29k | — | — |
| Laparoscopic Appendectomy | $10,648$3.8k$29k | — | — |
| Laparoscopic Gallbladder Removal | $9,559$239$25k | — | — |
| Laparoscopic Tubal Ligation | $10,437$3.8k$20k | — | — |
| Lipid Panel (Cholesterol Test) | $19$12$2.5k | $2,729 | $2,729 |
| Lumbar Epidural Steroid Injection | $2,455$1.6k$12k | — | — |
| Lumbar Puncture (Spinal Tap) | $2,455$900$8.0k | — | — |
| Lumbar Spinal Fusion (Posterior) | $9,069$3.8k$60k | — | — |
| Lumpectomy (Partial Mastectomy) | $6,596$3.8k$29k | — | — |
| MRI Abdomen with and without Contrast | $2,237$401$7.8k | $8,523 | $8,523 |
| MRI Brain with and without Contrast | $2,744$491$9.6k | $10,452 | $10,452 |
| MRI Brain with Contrast | $2,688$481$9.4k | $10,241 | $10,241 |
| MRI Brain without Contrast | $2,151$385$7.5k | $8,195 | $8,195 |
| MRI Cervical Spine (Neck) without Contrast | $2,151$385$7.5k | $8,195 | $8,195 |
| MRI Knee without Contrast | $2,237$401$7.8k | $8,523 | $8,523 |
| MRI Lower Back (Lumbar Spine) without Contrast | $2,151$385$7.5k | $8,195 | $8,195 |
| MRI Thoracic Spine (Mid-back) without Contrast | $2,151$385$7.5k | $8,195 | $8,195 |
| Newborn Circumcision | $5,323$1.6k$12k | — | — |
| Nuclear Cardiac Stress Test | $4,665$975$19k | $20,734 | $20,734 |
| Office Visit, Established Patient (Level 3) | $86$16$781 | $386 | $386 |
| Office Visit, New Patient (Level 3) | $132$16$1.0k | $933 | $933 |
| Pacemaker Insertion (Dual Chamber) | $10,951$1.6k$60k | — | — |
| PET/CT Scan, Whole Body | $3,480$2.0k$6.7k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $937$185$3.6k | $3,927 | $3,927 |
| Prostate Biopsy | $4,779$2.8k$6.1k | — | — |
| PSA Prostate Cancer Screening | $19$1$3.7k | $32 | $32 |
| Pulmonary Function Test with Bronchodilator | $1,122$47$5.7k | $6,231 | $6,231 |
| Rotator Cuff Repair (Arthroscopic) | $10,648$3.8k$29k | — | — |
| Screening Mammogram | $90$82$217 | — | — |
| Septoplasty (Deviated Septum Repair) | $5,253$547$16k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $9,513$453$29k | — | — |
| Skin Biopsy (Tangential) | $2,069$1.3k$12k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $3,697$1.3k$12k | — | — |
| Sleep Study (In-lab Polysomnography) | $2,401$493$13k | $13,957 | $13,957 |
| Spinal Cord Stimulator Trial | $9,559$2.2k$49k | — | — |
| Spirometry (Breathing Test) | $73$7$545 | $375 | $375 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $7,480$1.6k$16k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $7,480$1.6k$16k | — | — |
| Total Hip Replacement | $10,561$1.1k$44k | — | — |
| Total Knee Replacement | $11,000$1.6k$44k | — | — |
| Total Mastectomy | $7,480$3.8k$29k | — | — |
| TSH Thyroid Function Test | $18$1$1.6k | $866 | $866 |
| TURP (Transurethral Prostate Resection) | $9,559$3.3k$29k | — | — |
| Umbilical Hernia Repair | $6,648$3.7k$9.5k | — | — |
| Upper GI Endoscopy (EGD) | $2,455$1.6k$12k | — | — |
| Urinalysis with Microscopy | $5$1$1.6k | $875 | $875 |
| 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$16k | — | — |
| Vasectomy | $5,323$1.6k$12k | — | — |
| Vitamin D Blood Test | $13$1$118 | $18 | $18 |