| Abdominal Hysterectomy | $8,253$1.9k$27k | — | — |
| ACL Reconstruction (Arthroscopic) | $11,456$2.4k$21k | — | — |
| Allergy Skin Testing | $52$5$101 | — | — |
| Basic Metabolic Panel | $208$8$1.9k | $1,601 | $1,601 |
| Bone Marrow Biopsy | $4,492$1.9k$9.2k | — | — |
| Breast Biopsy (Ultrasound-guided) | $4,702$468$9.2k | — | — |
| Bunion Correction Surgery | $6,802$2.4k$19k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $17,341$1.4k$43k | — | — |
| Cardiac Catheterization (Left Heart) | $8,549$830$16k | — | — |
| Cardiac Stress Test (Treadmill) | $425$99$765 | — | — |
| Carpal Tunnel Release Surgery | $5,286$2.4k$10k | — | — |
| Cataract Surgery with Lens Implant | $5,647$1.9k$10k | — | — |
| Cervical Spinal Fusion (Anterior) | $12,727$2.4k$55k | — | — |
| Cesarean Delivery (Global Package) | $4,281$1.9k$9.2k | — | — |
| Chemotherapy Infusion (First Hour) | $629$153$1.1k | — | — |
| Chest X-ray (2 Views) | $471$174$2.4k | $2,028 | $2,028 |
| Colonoscopy with Biopsy | $3,790$1.9k$9.2k | — | — |
| Complete Abdominal Ultrasound | $1,463$245$7.6k | $6,361 | $6,361 |
| Complete Blood Count (CBC) with Differential | $8$8$163 | — | — |
| Comprehensive Metabolic Panel | $337$10$5.0k | $4,168 | $4,168 |
| Coronary Angioplasty with Stent | $17,341$723$43k | — | — |
| Critical Care, First Hour | $3,087$73$15k | $12,787 | $12,787 |
| CT Abdomen and Pelvis with Contrast | $5,011$550$39k | $32,279 | $32,279 |
| CT Cardiac Calcium Scoring | $364$31$12k | $355 | $355 |
| CT Chest without Contrast | $2,294$245$17k | $14,112 | $14,112 |
| CT Head without Contrast | $2,190$245$14k | $11,462 | $11,462 |
| DEXA Bone Density Scan | $686$221$3.7k | $3,117 | $3,117 |
| Diagnostic Colonoscopy | $2,887$1.3k$9.2k | — | — |
| Diagnostic Mammogram (Both Breasts) | $227$105$2.1k | $1,745 | $1,745 |
| Ear Tube Placement (Tympanostomy) | $4,702$1.9k$9.2k | — | — |
| Echocardiogram (Complete with Doppler) | $1,163$144$6.3k | $5,288 | $5,288 |
| EKG (Electrocardiogram, 12-lead) | $25$12$394 | — | — |
| Emergency Room Visit (Level 3) | $1,891$73$4.1k | $3,383 | $3,383 |
| Group Therapy Session | $133$30$241 | — | — |
| Hemodialysis Treatment | $219$84$4.5k | — | — |
| Hemoglobin A1c (Diabetes Test) | $65$10$600 | $500 | $500 |
| HIV Antibody Test | $13$7$550 | $83 | $83 |
| Holter Monitor (24-48 Hour Heart Monitor) | $154$57$558 | — | — |
| Home Sleep Study | $1,292$130$3.8k | — | — |
| Individual Therapy Session (45 Minutes) | $165$91$241 | — | — |
| Inguinal Hernia Repair (Open) | $8,253$2.4k$19k | — | — |
| Initial Hospital Admission (Level 1) | $117$115$117 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $198$137$261 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $173$153$194 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,895$1.9k$1.9k | — | — |
| IUD Insertion | $4,538$42$9.2k | — | — |
| IUD Removal | $4,075$1.4k$9.2k | — | — |
| Knee Arthroscopy with Meniscectomy | $9,796$2.4k$21k | — | — |
| Laparoscopic Appendectomy | $11,883$2.4k$21k | — | — |
| Laparoscopic Gallbladder Removal | $10,980$247$20k | — | — |
| Laparoscopic Tubal Ligation | $8,338$2.4k$19k | — | — |
| Lipid Panel (Cholesterol Test) | $129$13$1.2k | $994 | $994 |
| Lumbar Epidural Steroid Injection | $2,978$1.9k$9.2k | — | — |
| Lumbar Puncture (Spinal Tap) | $2,726$931$8.3k | — | — |
| Lumbar Spinal Fusion (Posterior) | $12,727$2.4k$69k | — | — |
| Lumpectomy (Partial Mastectomy) | $6,802$2.4k$21k | — | — |
| MRI Abdomen with and without Contrast | $4,264$550$24k | $19,981 | $19,981 |
| MRI Brain with and without Contrast | $3,816$550$24k | $19,981 | $19,981 |
| MRI Brain with Contrast | $3,317$550$20k | $16,617 | $16,617 |
| MRI Brain without Contrast | $2,627$518$18k | $15,173 | $15,173 |
| MRI Cervical Spine (Neck) without Contrast | $2,583$518$20k | $16,617 | $16,617 |
| MRI Knee without Contrast | $3,338$518$18k | $15,173 | $15,173 |
| MRI Lower Back (Lumbar Spine) without Contrast | $2,671$518$18k | $15,173 | $15,173 |
| MRI Thoracic Spine (Mid-back) without Contrast | $2,651$518$18k | $15,173 | $15,173 |
| Newborn Circumcision | $6,357$1.9k$10k | — | — |
| Nuclear Cardiac Stress Test | $2,830$550$14k | $11,790 | $11,790 |
| Office Visit, Established Patient (Level 3) | $74$24$550 | $343 | $343 |
| Office Visit, New Patient (Level 3) | $97$31$550 | $450 | $450 |
| Pacemaker Insertion (Dual Chamber) | $17,832$1.9k$55k | — | — |
| PET/CT Scan, Whole Body | $2,127$1.5k$4.6k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $1,108$245$6.0k | $5,036 | $5,036 |
| Prostate Biopsy | $4,995$2.8k$6.3k | — | — |
| PSA Prostate Cancer Screening | $27$17$550 | $201 | $201 |
| Pulmonary Function Test with Bronchodilator | $274$50$506 | — | — |
| Rotator Cuff Repair (Arthroscopic) | $11,660$2.4k$21k | — | — |
| Screening Mammogram | $317$87$1.9k | $1,500 | $1,500 |
| Septoplasty (Deviated Septum Repair) | $5,647$566$19k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $9,796$469$21k | — | — |
| Skin Biopsy (Tangential) | $2,702$1.3k$9.2k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $3,904$1.3k$9.2k | — | — |
| Sleep Study (In-lab Polysomnography) | $3,800$525$5.7k | — | — |
| Spinal Cord Stimulator Trial | $11,456$2.3k$68k | — | — |
| Spirometry (Breathing Test) | $110$29$195 | — | — |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $7,641$1.9k$19k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $7,641$1.9k$19k | — | — |
| Total Hip Replacement | $16,788$1.1k$42k | — | — |
| Total Knee Replacement | $16,818$1.9k$42k | — | — |
| Total Mastectomy | $8,392$2.4k$21k | — | — |
| TSH Thyroid Function Test | $134$17$1.2k | $1,027 | $1,027 |
| TURP (Transurethral Prostate Resection) | $11,456$2.4k$21k | — | — |
| Umbilical Hernia Repair | $7,021$3.8k$11k | — | — |
| Upper GI Endoscopy (EGD) | $2,887$1.9k$9.2k | — | — |
| Urinalysis with Microscopy | $115$3$1.4k | $1,147 | $1,147 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $4,281$1.9k$9.2k | — | — |
| Vaginal Delivery (Global Package) | $4,281$1.9k$9.2k | — | — |
| Vaginal Hysterectomy | $8,253$2.4k$19k | — | — |
| Vasectomy | $6,357$1.9k$10k | — | — |
| Vitamin D Blood Test | $45$29$550 | $348 | $348 |