| Abdominal Hysterectomy | $8,484$1.6k$31k | — | — |
| ACL Reconstruction (Arthroscopic) | $11,211$3.8k$29k | — | — |
| Allergy Skin Testing | $50$5$98 | — | — |
| Basic Metabolic Panel | $36$8$557 | $606 | $606 |
| Bone Marrow Biopsy | $3,430$1.6k$12k | — | — |
| Breast Biopsy (Ultrasound-guided) | $3,430$452$12k | — | — |
| Bunion Correction Surgery | $5,727$2.3k$16k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $23,847$1.3k$142k | $154,852 | $154,852 |
| Cardiac Catheterization (Left Heart) | $11,911$780$33k | — | — |
| Cardiac Stress Test (Treadmill) | $413$99$740 | — | — |
| Carpal Tunnel Release Surgery | $4,143$1.9k$12k | — | — |
| Cataract Surgery with Lens Implant | $4,182$1.6k$12k | — | — |
| Cervical Spinal Fusion (Anterior) | $11,211$3.8k$37k | — | — |
| Cesarean Delivery (Global Package) | $1,950$1.6k$12k | — | — |
| Chemotherapy Infusion (First Hour) | $458$96$1.9k | $2,037 | $2,037 |
| Chest X-ray (2 Views) | $551$115$2.3k | $2,450 | $2,450 |
| Colonoscopy with Biopsy | $2,891$1.6k$12k | — | — |
| Complete Abdominal Ultrasound | $3,556$245$15k | $16,164 | $16,164 |
| Complete Blood Count (CBC) with Differential | $8$7$157 | — | — |
| Comprehensive Metabolic Panel | $12$1$1.5k | $849 | $849 |
| Coronary Angioplasty with Stent | $19,944$675$45k | — | — |
| Critical Care, First Hour | $4,289$240$9.6k | $11,263 | $11,263 |
| CT Abdomen and Pelvis with Contrast | $4,647$738$41k | $44,521 | $44,521 |
| CT Cardiac Calcium Scoring | $1,780$110$13k | — | — |
| CT Chest without Contrast | $2,161$245$18k | $19,891 | $19,891 |
| CT Head without Contrast | $2,096$245$15k | $16,594 | $16,594 |
| DEXA Bone Density Scan | $883$184$3.6k | $3,924 | $3,924 |
| Diagnostic Colonoscopy | $2,024$1.2k$12k | — | — |
| Diagnostic Mammogram (Both Breasts) | $113$46$891 | $968 | $968 |
| Ear Tube Placement (Tympanostomy) | $3,430$1.6k$12k | — | — |
| Echocardiogram (Complete with Doppler) | $2,470$135$13k | $14,193 | $14,193 |
| EKG (Electrocardiogram, 12-lead) | $25$11$381 | — | — |
| Emergency Room Visit (Level 3) | $2,477$70$5.5k | $4,074 | $4,074 |
| Group Therapy Session | $130$30$233 | — | — |
| Hemodialysis Treatment | $217$81$4.3k | — | — |
| Hemoglobin A1c (Diabetes Test) | $11$1$734 | $401 | $401 |
| HIV Antibody Test | $37$4$662 | $385 | $385 |
| 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) | $8,484$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 | $10,339$1.9k$29k | — | — |
| Laparoscopic Appendectomy | $12,513$3.8k$29k | — | — |
| Laparoscopic Gallbladder Removal | $11,211$239$25k | — | — |
| Laparoscopic Tubal Ligation | $11,258$3.8k$20k | — | — |
| Lipid Panel (Cholesterol Test) | $83$12$1.3k | $1,398 | $1,398 |
| Lumbar Epidural Steroid Injection | $2,250$1.6k$12k | — | — |
| Lumbar Puncture (Spinal Tap) | $1,950$900$8.5k | — | — |
| Lumbar Spinal Fusion (Posterior) | $9,895$3.8k$60k | — | — |
| Lumpectomy (Partial Mastectomy) | $6,617$3.8k$29k | — | — |
| MRI Abdomen with and without Contrast | $2,690$482$9.4k | $10,247 | $10,247 |
| MRI Brain with and without Contrast | $3,264$667$13k | $14,186 | $14,186 |
| MRI Brain with Contrast | $3,142$617$12k | $13,135 | $13,135 |
| MRI Brain without Contrast | $2,487$518$11k | $12,087 | $12,087 |
| MRI Cervical Spine (Neck) without Contrast | $2,374$518$11k | $12,087 | $12,087 |
| MRI Knee without Contrast | $2,767$482$19k | $10,247 | $10,247 |
| MRI Lower Back (Lumbar Spine) without Contrast | $2,529$518$11k | $12,087 | $12,087 |
| MRI Thoracic Spine (Mid-back) without Contrast | $2,510$518$11k | $12,087 | $12,087 |
| Newborn Circumcision | $3,902$1.6k$12k | — | — |
| Nuclear Cardiac Stress Test | $5,797$1.2k$24k | $25,766 | $25,766 |
| Office Visit, Established Patient (Level 3) | $112$14$2.7k | $493 | $493 |
| Office Visit, New Patient (Level 3) | $181$14$2.7k | $999 | $999 |
| Pacemaker Insertion (Dual Chamber) | $13,728$1.6k$60k | — | — |
| PET/CT Scan, Whole Body | $3,480$2.0k$6.7k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $1,414$245$5.9k | $6,425 | $6,425 |
| Prostate Biopsy | $4,779$2.8k$5.4k | — | — |
| PSA Prostate Cancer Screening | $18$1$951 | $34 | $34 |
| Pulmonary Function Test with Bronchodilator | $756$47$4.0k | $4,346 | $4,346 |
| Rotator Cuff Repair (Arthroscopic) | $11,211$3.8k$29k | — | — |
| Screening Mammogram | $93$23$453 | $492 | $492 |
| Septoplasty (Deviated Septum Repair) | $5,253$547$16k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $10,339$453$29k | — | — |
| Skin Biopsy (Tangential) | $1,950$1.3k$12k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $3,430$1.3k$12k | — | — |
| Sleep Study (In-lab Polysomnography) | $5,413$493$31k | $33,448 | $33,448 |
| Spinal Cord Stimulator Trial | $11,211$2.2k$49k | — | — |
| Spirometry (Breathing Test) | $61$1$1.8k | $1,019 | $1,019 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $7,522$1.6k$16k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $7,522$1.6k$16k | — | — |
| Total Hip Replacement | $11,258$1.1k$44k | — | — |
| Total Knee Replacement | $11,304$1.6k$44k | — | — |
| Total Mastectomy | $8,021$3.8k$29k | — | — |
| TSH Thyroid Function Test | $90$15$1.4k | $1,517 | $1,517 |
| TURP (Transurethral Prostate Resection) | $11,211$3.3k$29k | — | — |
| Umbilical Hernia Repair | $6,648$3.7k$9.5k | — | — |
| Upper GI Endoscopy (EGD) | $1,950$1.6k$12k | — | — |
| Urinalysis with Microscopy | $56$3$872 | $948 | $948 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $1,950$1.6k$12k | — | — |
| Vaginal Delivery (Global Package) | $1,950$1.6k$12k | — | — |
| Vaginal Hysterectomy | $8,484$3.8k$16k | — | — |
| Vasectomy | $3,902$1.6k$12k | — | — |
| Vitamin D Blood Test | $9$1$118 | $15 | $15 |