| Abdominal Hysterectomy | $8,168$1.9k$33k | — | — |
| ACL Reconstruction (Arthroscopic) | $12,800$4.0k$30k | — | — |
| Allergy Skin Testing | $51$5$96 | — | — |
| Basic Metabolic Panel | $10$8$216 | $299 | $299 |
| Bone Marrow Biopsy | $4,202$1.9k$13k | — | — |
| Breast Biopsy (Ultrasound-guided) | $4,202$456$9.0k | — | — |
| Bunion Correction Surgery | $8,168$2.3k$29k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $20,848$1.3k$51k | $99,586 | $99,586 |
| Cardiac Catheterization (Left Heart) | $11,869$796$25k | — | — |
| Cardiac Stress Test (Treadmill) | $730$101$10k | — | — |
| Carpal Tunnel Release Surgery | $5,263$3.0k$9.0k | — | — |
| Cataract Surgery with Lens Implant | $4,826$1.9k$9.0k | — | — |
| Cervical Spinal Fusion (Anterior) | $14,130$3.9k$46k | — | — |
| Cesarean Delivery (Global Package) | $4,196$1.9k$9.0k | — | — |
| Chemotherapy Infusion (First Hour) | $286$103$1.1k | $1,430 | $1,430 |
| Chest X-ray (2 Views) | $403$124$858 | $1,717 | $1,717 |
| Colonoscopy with Biopsy | $3,480$1.9k$13k | — | — |
| Complete Abdominal Ultrasound | $1,231$245$2.8k | $5,594 | $5,594 |
| Complete Blood Count (CBC) with Differential | $8$7$155 | — | — |
| Comprehensive Metabolic Panel | $12$10$321 | $360 | $360 |
| Coronary Angioplasty with Stent | $18,991$689$51k | — | — |
| Critical Care, First Hour | $3,825$245$13k | $11,806 | $11,806 |
| CT Abdomen and Pelvis with Contrast | $1,863$828$12k | $23,406 | $23,406 |
| CT Cardiac Calcium Scoring | $1,186$73$7.2k | $1,007 | $1,007 |
| CT Chest without Contrast | $1,863$245$7.6k | $15,280 | $15,280 |
| CT Head without Contrast | $1,863$245$7.7k | $15,305 | $15,305 |
| DEXA Bone Density Scan | $196$57$396 | $793 | $793 |
| Diagnostic Colonoscopy | $3,196$1.3k$13k | — | — |
| Diagnostic Mammogram (Both Breasts) | $115$82$572 | $1,144 | $1,144 |
| Ear Tube Placement (Tympanostomy) | $4,202$1.9k$9.0k | — | — |
| Echocardiogram (Complete with Doppler) | $1,872$138$10k | $10,088 | $10,088 |
| EKG (Electrocardiogram, 12-lead) | $201$11$10k | — | — |
| Emergency Room Visit (Level 3) | $2,344$72$5.7k | $5,486 | $5,486 |
| Group Therapy Session | $130$31$230 | — | — |
| Hemodialysis Treatment | $219$81$4.3k | — | — |
| Hemoglobin A1c (Diabetes Test) | $10$2$123 | $86 | $86 |
| HIV Antibody Test | $9$1$138 | $20 | $20 |
| Holter Monitor (24-48 Hour Heart Monitor) | $343$54$10k | — | — |
| Home Sleep Study | $1,259$133$2.0k | — | — |
| Individual Therapy Session (45 Minutes) | $160$91$230 | — | — |
| Inguinal Hernia Repair (Open) | $8,570$4.0k$29k | — | — |
| Initial Hospital Admission (Level 1) | $113 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $193$137$249 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $169$153$185 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,808 | — | — |
| IUD Insertion | $4,271$41$9.0k | — | — |
| IUD Removal | $3,475$1.1k$9.0k | — | — |
| Knee Arthroscopy with Meniscectomy | $12,027$3.1k$30k | — | — |
| Laparoscopic Appendectomy | $13,216$4.0k$30k | — | — |
| Laparoscopic Gallbladder Removal | $13,332$241$29k | — | — |
| Laparoscopic Tubal Ligation | $11,554$4.0k$29k | — | — |
| Lipid Panel (Cholesterol Test) | $15$12$266 | $532 | $532 |
| Lumbar Epidural Steroid Injection | $2,555$1.9k$9.0k | — | — |
| Lumbar Puncture (Spinal Tap) | $2,470$906$7.9k | — | — |
| Lumbar Spinal Fusion (Posterior) | $14,130$4.0k$75k | — | — |
| Lumpectomy (Partial Mastectomy) | $9,010$4.0k$30k | — | — |
| MRI Abdomen with and without Contrast | $2,067$783$5.4k | $10,878 | $10,878 |
| MRI Brain with and without Contrast | $3,418$828$11k | $22,793 | $22,793 |
| MRI Brain with Contrast | $3,110$828$9.7k | $19,466 | $19,466 |
| MRI Brain without Contrast | $2,998$518$9.7k | $19,466 | $19,466 |
| MRI Cervical Spine (Neck) without Contrast | $1,749$420$3.4k | $5,830 | $5,830 |
| MRI Knee without Contrast | $2,910$518$7.7k | $15,318 | $15,318 |
| MRI Lower Back (Lumbar Spine) without Contrast | $1,749$420$3.4k | $5,830 | $5,830 |
| MRI Thoracic Spine (Mid-back) without Contrast | $1,722$413$3.4k | $5,741 | $5,741 |
| Newborn Circumcision | $5,700$1.9k$9.0k | — | — |
| Nuclear Cardiac Stress Test | $3,956$1.3k$9.2k | $18,400 | $18,400 |
| Office Visit, Established Patient (Level 3) | $167$45$15k | $1,080 | $1,080 |
| Office Visit, New Patient (Level 3) | $203$45$15k | $1,507 | $1,507 |
| Pacemaker Insertion (Dual Chamber) | $26,860$1.9k$48k | — | — |
| PET/CT Scan, Whole Body | $4,550$1.3k$8.9k | $17,845 | $17,845 |
| Pregnancy Ultrasound (Second or Third Trimester) | $852$245$1.9k | $3,895 | $3,895 |
| Prostate Biopsy | $3,999$3.4k$4.8k | — | — |
| PSA Prostate Cancer Screening | $19$3$152 | $69 | $69 |
| Pulmonary Function Test with Bronchodilator | $298$48$745 | $1,491 | $1,491 |
| Rotator Cuff Repair (Arthroscopic) | $12,800$3.8k$30k | — | — |
| Screening Mammogram | $94$82$572 | $1,144 | $1,144 |
| Septoplasty (Deviated Septum Repair) | $7,321$551$29k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $12,027$457$30k | — | — |
| Skin Biopsy (Tangential) | $2,510$1.1k$9.0k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $4,202$1.3k$9.0k | — | — |
| Sleep Study (In-lab Polysomnography) | $2,603$503$7.5k | $14,962 | $14,962 |
| Spinal Cord Stimulator Trial | $13,332$2.2k$51k | — | — |
| Spirometry (Breathing Test) | $34$6$186 | $155 | $155 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $8,045$1.9k$29k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $8,045$1.9k$29k | — | — |
| Total Hip Replacement | $16,759$1.1k$40k | — | — |
| Total Knee Replacement | $15,109$1.9k$40k | — | — |
| Total Mastectomy | $12,883$4.0k$30k | — | — |
| TSH Thyroid Function Test | $20$8$178 | $132 | $132 |
| TURP (Transurethral Prostate Resection) | $13,099$3.3k$30k | — | — |
| Umbilical Hernia Repair | $7,975$3.7k$13k | — | — |
| Upper GI Endoscopy (EGD) | $3,196$1.8k$13k | — | — |
| Urinalysis with Microscopy | $4$3$112 | $212 | $212 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $4,196$1.9k$9.0k | — | — |
| Vaginal Delivery (Global Package) | $4,196$1.9k$9.0k | — | — |
| Vaginal Hysterectomy | $8,570$4.0k$29k | — | — |
| Vasectomy | $5,700$1.9k$9.0k | — | — |
| Vitamin D Blood Test | $25$1$118 | $55 | $55 |