| Abdominal Hysterectomy | $7,779$1.9k$51k | — | — |
| ACL Reconstruction (Arthroscopic) | $11,554$4.0k$30k | — | — |
| Allergy Skin Testing | $50$5$99 | — | — |
| Basic Metabolic Panel | $13$8$1.7k | $1,942 | $1,942 |
| Bone Marrow Biopsy | $4,361$1.9k$13k | — | — |
| Breast Biopsy (Ultrasound-guided) | $4,121$446$9.0k | — | — |
| Bunion Correction Surgery | $7,321$2.3k$29k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $19,324$1.3k$51k | — | — |
| Cardiac Catheterization (Left Heart) | $11,565$780$25k | — | — |
| Cardiac Stress Test (Treadmill) | $715$99$10k | — | — |
| Carpal Tunnel Release Surgery | $4,993$2.9k$9.0k | — | — |
| Cataract Surgery with Lens Implant | $4,852$1.9k$9.0k | — | — |
| Cervical Spinal Fusion (Anterior) | $14,192$3.9k$46k | — | — |
| Cesarean Delivery (Global Package) | $4,121$1.9k$9.0k | — | — |
| Chemotherapy Infusion (First Hour) | $396$102$1.2k | $1,414 | $1,414 |
| Chest X-ray (2 Views) | $793$182$2.5k | $2,787 | $2,787 |
| Colonoscopy with Biopsy | $3,364$1.9k$13k | — | — |
| Complete Abdominal Ultrasound | $1,334$245$3.9k | $4,464 | $4,464 |
| Complete Blood Count (CBC) with Differential | $8$7$160 | — | — |
| Comprehensive Metabolic Panel | $14$3$2.1k | $1,231 | $1,231 |
| Coronary Angioplasty with Stent | $18,540$675$51k | — | — |
| Critical Care, First Hour | $6,650$240$15k | $16,699 | $16,699 |
| CT Abdomen and Pelvis with Contrast | $8,186$828$23k | $25,988 | $25,988 |
| CT Cardiac Calcium Scoring | $5,800$109$20k | $22,119 | $22,119 |
| CT Chest without Contrast | $6,899$245$20k | $21,901 | $21,901 |
| CT Head without Contrast | $6,899$245$20k | $21,901 | $21,901 |
| DEXA Bone Density Scan | $1,338$211$4.2k | $4,704 | $4,704 |
| Diagnostic Colonoscopy | $2,702$1.2k$13k | — | — |
| Diagnostic Mammogram (Both Breasts) | $154$99$2.7k | $3,234 | $3,234 |
| Ear Tube Placement (Tympanostomy) | $4,121$1.9k$9.0k | — | — |
| Echocardiogram (Complete with Doppler) | $2,836$135$10k | $12,331 | $12,331 |
| EKG (Electrocardiogram, 12-lead) | $197$11$10k | — | — |
| Emergency Room Visit (Level 3) | $2,763$70$5.7k | $5,751 | $5,751 |
| Group Therapy Session | $129$30$237 | — | — |
| Hemodialysis Treatment | $226$81$4.4k | — | — |
| Hemoglobin A1c (Diabetes Test) | $15$9$470 | $553 | $553 |
| HIV Antibody Test | $10$1$468 | $279 | $279 |
| Holter Monitor (24-48 Hour Heart Monitor) | $340$54$10k | — | — |
| Home Sleep Study | $1,233$130$2.0k | — | — |
| Individual Therapy Session (45 Minutes) | $160$89$237 | — | — |
| Inguinal Hernia Repair (Open) | $8,168$4.0k$29k | — | — |
| Initial Hospital Admission (Level 1) | $113$110$116 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $193$134$257 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $169$150$190 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,808$1.8k$1.9k | — | — |
| IUD Insertion | $4,423$41$9.0k | — | — |
| IUD Removal | $3,950$1.1k$9.0k | — | — |
| Knee Arthroscopy with Meniscectomy | $9,252$3.0k$30k | — | — |
| Laparoscopic Appendectomy | $13,099$4.0k$30k | — | — |
| Laparoscopic Gallbladder Removal | $12,195$236$29k | — | — |
| Laparoscopic Tubal Ligation | $11,397$4.0k$29k | — | — |
| Lipid Panel (Cholesterol Test) | $21$12$1.6k | $1,915 | $1,915 |
| Lumbar Epidural Steroid Injection | $2,629$1.9k$9.0k | — | — |
| Lumbar Puncture (Spinal Tap) | $2,521$888$8.1k | — | — |
| Lumbar Spinal Fusion (Posterior) | $14,192$4.0k$75k | — | — |
| Lumpectomy (Partial Mastectomy) | $7,622$4.0k$30k | — | — |
| MRI Abdomen with and without Contrast | $4,909$828$22k | $25,837 | $25,837 |
| MRI Brain with and without Contrast | $3,773$828$16k | $19,282 | $19,282 |
| MRI Brain with Contrast | $3,418$828$15k | $17,891 | $17,891 |
| MRI Brain without Contrast | $3,418$518$13k | $15,311 | $15,311 |
| MRI Cervical Spine (Neck) without Contrast | $3,418$518$12k | $14,670 | $14,670 |
| MRI Knee without Contrast | $4,942$518$16k | $12,664 | $12,664 |
| MRI Lower Back (Lumbar Spine) without Contrast | $3,418$518$13k | $14,751 | $14,751 |
| MRI Thoracic Spine (Mid-back) without Contrast | $3,336$518$11k | $13,082 | $13,082 |
| Newborn Circumcision | $5,347$1.9k$9.0k | — | — |
| Nuclear Cardiac Stress Test | $7,647$2.0k$23k | $27,311 | $27,311 |
| Office Visit, Established Patient (Level 3) | $96$55$142 | — | — |
| Office Visit, New Patient (Level 3) | $169$82$266 | — | — |
| Pacemaker Insertion (Dual Chamber) | $21,882$1.9k$48k | — | — |
| PET/CT Scan, Whole Body | $3,641$2.0k$5.2k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $1,690$245$5.1k | $5,834 | $5,834 |
| Prostate Biopsy | $4,713$3.4k$5.0k | — | — |
| PSA Prostate Cancer Screening | $24$2$528 | $205 | $205 |
| Pulmonary Function Test with Bronchodilator | $905$47$3.4k | $3,968 | $3,968 |
| Rotator Cuff Repair (Arthroscopic) | $11,554$3.8k$30k | — | — |
| Screening Mammogram | $109$82$1.3k | $1,515 | $1,515 |
| Septoplasty (Deviated Septum Repair) | $6,606$540$29k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $9,252$447$30k | — | — |
| Skin Biopsy (Tangential) | $2,492$1.1k$9.0k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $3,977$1.2k$9.0k | — | — |
| Sleep Study (In-lab Polysomnography) | $1,997$493$5.6k | — | — |
| Spinal Cord Stimulator Trial | $11,554$2.2k$51k | — | — |
| Spirometry (Breathing Test) | $110$6$1.8k | $1,091 | $1,091 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $7,922$1.9k$29k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $7,922$1.9k$29k | — | — |
| Total Hip Replacement | $15,741$1.1k$40k | — | — |
| Total Knee Replacement | $15,741$1.9k$40k | — | — |
| Total Mastectomy | $9,131$4.0k$30k | — | — |
| TSH Thyroid Function Test | $26$15$1.8k | $2,084 | $2,084 |
| TURP (Transurethral Prostate Resection) | $11,055$3.2k$30k | — | — |
| Umbilical Hernia Repair | $6,629$3.6k$13k | — | — |
| Upper GI Endoscopy (EGD) | $2,702$1.8k$13k | — | — |
| Urinalysis with Microscopy | $7$2$770 | $465 | $465 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $4,121$1.9k$9.0k | — | — |
| Vaginal Delivery (Global Package) | $4,121$1.9k$9.0k | — | — |
| Vaginal Hysterectomy | $8,168$4.0k$29k | — | — |
| Vasectomy | $5,347$1.9k$9.0k | — | — |
| Vitamin D Blood Test | $15$1$120 | $21 | $21 |