| Abdominal Hysterectomy | $7,480$1.6k$30k | — | — |
| ACL Reconstruction (Arthroscopic) | $8,128$3.8k$29k | — | — |
| Allergy Skin Testing | $50$5$98 | — | — |
| Basic Metabolic Panel | $50$8$1.7k | $1,880 | $1,880 |
| Bone Marrow Biopsy | $2,751$1.6k$12k | — | — |
| Breast Biopsy (Ultrasound-guided) | $2,751$452$12k | — | — |
| Bunion Correction Surgery | $5,727$2.3k$15k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $20,257$1.3k$45k | — | — |
| Cardiac Catheterization (Left Heart) | $11,739$780$30k | — | — |
| Cardiac Stress Test (Treadmill) | $413$99$740 | — | — |
| Carpal Tunnel Release Surgery | $4,058$1.9k$12k | — | — |
| Cataract Surgery with Lens Implant | $4,096$1.6k$12k | — | — |
| Cervical Spinal Fusion (Anterior) | $8,128$3.8k$35k | — | — |
| Cesarean Delivery (Global Package) | $1,950$1.6k$12k | — | — |
| Chemotherapy Infusion (First Hour) | $398$78$1.8k | $1,771 | $1,771 |
| Chest X-ray (2 Views) | $469$98$1.9k | $2,082 | $2,082 |
| Colonoscopy with Biopsy | $2,594$1.6k$12k | — | — |
| Complete Abdominal Ultrasound | $1,505$245$5.6k | $6,022 | $6,022 |
| Complete Blood Count (CBC) with Differential | $8$7$157 | — | — |
| Comprehensive Metabolic Panel | $77$10$2.7k | $2,971 | $2,971 |
| Coronary Angioplasty with Stent | $20,257$675$45k | — | — |
| Critical Care, First Hour | $4,013$240$11k | $13,378 | $13,378 |
| CT Abdomen and Pelvis with Contrast | $5,431$738$31k | $32,815 | $32,815 |
| CT Cardiac Calcium Scoring | $1,780$110$13k | — | — |
| CT Chest without Contrast | $2,017$245$9.2k | $9,763 | $9,763 |
| CT Head without Contrast | $2,414$245$14k | $14,720 | $14,720 |
| DEXA Bone Density Scan | $218$41$804 | $874 | $874 |
| Diagnostic Colonoscopy | $2,024$1.2k$12k | — | — |
| Diagnostic Mammogram (Both Breasts) | $114$53$1.0k | $1,119 | $1,119 |
| Ear Tube Placement (Tympanostomy) | $3,034$1.6k$12k | — | — |
| Echocardiogram (Complete with Doppler) | $4,390$135$22k | $24,388 | $24,388 |
| EKG (Electrocardiogram, 12-lead) | $25$11$381 | — | — |
| Emergency Room Visit (Level 3) | $2,108$70$5.5k | $4,547 | $4,547 |
| Group Therapy Session | $130$30$233 | — | — |
| Hemodialysis Treatment | $217$81$4.3k | — | — |
| Hemoglobin A1c (Diabetes Test) | $10$1$124 | $9 | $9 |
| HIV Antibody Test | $9$1$140 | $46 | $46 |
| 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$15k | — | — |
| 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$1.3k$12k | — | — |
| Knee Arthroscopy with Meniscectomy | $8,128$1.9k$29k | — | — |
| Laparoscopic Appendectomy | $9,967$3.8k$29k | — | — |
| Laparoscopic Gallbladder Removal | $8,128$239$25k | — | — |
| Laparoscopic Tubal Ligation | $9,887$3.8k$15k | — | — |
| Lipid Panel (Cholesterol Test) | $69$12$2.3k | $2,522 | $2,522 |
| Lumbar Epidural Steroid Injection | $2,250$1.6k$12k | — | — |
| Lumbar Puncture (Spinal Tap) | $1,950$900$8.0k | — | — |
| Lumbar Spinal Fusion (Posterior) | $8,128$3.8k$57k | — | — |
| Lumpectomy (Partial Mastectomy) | $6,596$3.8k$29k | — | — |
| MRI Abdomen with and without Contrast | $3,515$828$17k | $19,013 | $19,013 |
| MRI Brain with and without Contrast | $3,515$828$17k | $19,013 | $19,013 |
| MRI Brain with Contrast | $3,174$828$17k | $18,358 | $18,358 |
| MRI Brain without Contrast | $2,762$518$16k | $17,373 | $17,373 |
| MRI Cervical Spine (Neck) without Contrast | $2,762$518$16k | $17,373 | $17,373 |
| MRI Knee without Contrast | $3,301$518$16k | $17,373 | $17,373 |
| MRI Lower Back (Lumbar Spine) without Contrast | $2,762$518$16k | $17,373 | $17,373 |
| MRI Thoracic Spine (Mid-back) without Contrast | $2,762$518$16k | $17,373 | $17,373 |
| Newborn Circumcision | $2,787$1.6k$12k | — | — |
| Nuclear Cardiac Stress Test | $1,815$310$6.1k | $6,601 | $6,601 |
| Office Visit, Established Patient (Level 3) | $121$22$1.3k | $913 | $913 |
| Office Visit, New Patient (Level 3) | $267$82$1.6k | $1,765 | $1,765 |
| Pacemaker Insertion (Dual Chamber) | $10,710$1.6k$66k | — | — |
| PET/CT Scan, Whole Body | $3,856$2.0k$6.7k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $1,564$245$5.8k | $6,256 | $6,256 |
| Prostate Biopsy | $4,402$2.6k$4.9k | — | — |
| PSA Prostate Cancer Screening | $18$1$154 | $35 | $35 |
| Pulmonary Function Test with Bronchodilator | $340$47$1.4k | $1,503 | $1,503 |
| Rotator Cuff Repair (Arthroscopic) | $9,967$3.8k$29k | — | — |
| Screening Mammogram | $94$48$945 | $1,027 | $1,027 |
| Septoplasty (Deviated Septum Repair) | $4,931$547$15k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $8,128$453$29k | — | — |
| Skin Biopsy (Tangential) | $1,950$1.3k$12k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,751$1.3k$12k | — | — |
| Sleep Study (In-lab Polysomnography) | $1,886$493$5.5k | — | — |
| Spinal Cord Stimulator Trial | $8,128$2.2k$49k | — | — |
| Spirometry (Breathing Test) | $59$4$691 | $424 | $424 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $7,480$1.6k$15k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $7,480$1.6k$15k | — | — |
| Total Hip Replacement | $10,320$1.1k$44k | — | — |
| Total Knee Replacement | $11,000$1.6k$44k | — | — |
| Total Mastectomy | $7,480$3.8k$29k | — | — |
| TSH Thyroid Function Test | $18$1$1.0k | $571 | $571 |
| TURP (Transurethral Prostate Resection) | $9,071$3.3k$29k | — | — |
| Umbilical Hernia Repair | $6,648$3.7k$9.5k | — | — |
| Upper GI Endoscopy (EGD) | $1,950$1.6k$12k | — | — |
| Urinalysis with Microscopy | $44$3$1.6k | $1,788 | $1,788 |
| 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$15k | — | — |
| Vasectomy | $2,787$1.6k$12k | — | — |
| Vitamin D Blood Test | $12$2$118 | $32 | $32 |