| Abdominal Hysterectomy | $8,168$1.9k$51k | — | — |
| ACL Reconstruction (Arthroscopic) | $12,027$4.0k$30k | — | — |
| Allergy Skin Testing | $50$5$96 | — | — |
| Basic Metabolic Panel | $11$8$1.8k | $1,962 | $1,962 |
| Bone Marrow Biopsy | $4,361$2.3k$13k | — | — |
| Breast Biopsy (Ultrasound-guided) | $4,361$446$9.0k | — | — |
| Bunion Correction Surgery | $7,389$2.3k$29k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $23,916$1.3k$110k | $122,662 | $122,662 |
| Cardiac Catheterization (Left Heart) | $11,745$780$25k | — | — |
| Cardiac Stress Test (Treadmill) | $715$99$10k | — | — |
| Carpal Tunnel Release Surgery | $5,456$2.9k$9.0k | — | — |
| Cataract Surgery with Lens Implant | $4,993$1.9k$9.0k | — | — |
| Cervical Spinal Fusion (Anterior) | $15,026$3.9k$46k | — | — |
| Cesarean Delivery (Global Package) | $4,271$1.9k$9.0k | — | — |
| Chemotherapy Infusion (First Hour) | $599$143$1.1k | — | — |
| Chest X-ray (2 Views) | $841$182$2.7k | $3,003 | $3,003 |
| Colonoscopy with Biopsy | $3,480$1.9k$13k | — | — |
| Complete Abdominal Ultrasound | $1,322$245$4.1k | $4,558 | $4,558 |
| Complete Blood Count (CBC) with Differential | $8$7$155 | — | — |
| Comprehensive Metabolic Panel | $14$10$2.2k | $2,453 | $2,453 |
| Coronary Angioplasty with Stent | $18,584$675$51k | — | — |
| Critical Care, First Hour | $4,708$240$15k | $17,150 | $17,150 |
| CT Abdomen and Pelvis with Contrast | $4,992$828$24k | $26,274 | $26,274 |
| CT Cardiac Calcium Scoring | $4,073$109$20k | $22,141 | $22,141 |
| CT Chest without Contrast | $4,207$245$20k | $22,141 | $22,141 |
| CT Head without Contrast | $4,207$245$20k | $22,141 | $22,141 |
| DEXA Bone Density Scan | $1,425$211$4.6k | $5,088 | $5,088 |
| Diagnostic Colonoscopy | $3,160$1.2k$13k | — | — |
| Diagnostic Mammogram (Both Breasts) | $121$77$864 | $960 | $960 |
| Ear Tube Placement (Tympanostomy) | $4,361$1.9k$9.0k | — | — |
| Echocardiogram (Complete with Doppler) | $3,384$135$13k | $14,399 | $14,399 |
| EKG (Electrocardiogram, 12-lead) | $197$11$10k | — | — |
| Emergency Room Visit (Level 3) | $2,668$70$5.7k | $6,239 | $6,239 |
| Group Therapy Session | $128$30$230 | — | — |
| Hemodialysis Treatment | $219$81$4.3k | — | — |
| Hemoglobin A1c (Diabetes Test) | $11$2$138 | $88 | $88 |
| HIV Antibody Test | $10$3$138 | $42 | $42 |
| Holter Monitor (24-48 Hour Heart Monitor) | $338$54$10k | — | — |
| Home Sleep Study | $1,233$130$2.0k | — | — |
| Individual Therapy Session (45 Minutes) | $158$89$230 | — | — |
| Inguinal Hernia Repair (Open) | $8,570$4.0k$29k | — | — |
| Initial Hospital Admission (Level 1) | $111$110$113 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $191$134$249 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $167$150$185 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,798$530$6.0k | $6,622 | $6,622 |
| IUD Insertion | $4,196$41$9.0k | — | — |
| IUD Removal | $3,394$1.2k$9.0k | — | — |
| Knee Arthroscopy with Meniscectomy | $11,554$3.0k$30k | — | — |
| Laparoscopic Appendectomy | $13,646$4.0k$30k | — | — |
| Laparoscopic Gallbladder Removal | $13,099$236$29k | — | — |
| Laparoscopic Tubal Ligation | $11,554$4.0k$29k | — | — |
| Lipid Panel (Cholesterol Test) | $18$12$1.7k | $1,937 | $1,937 |
| Lumbar Epidural Steroid Injection | $3,063$1.9k$9.0k | — | — |
| Lumbar Puncture (Spinal Tap) | $2,629$888$7.9k | — | — |
| Lumbar Spinal Fusion (Posterior) | $15,026$4.0k$75k | — | — |
| Lumpectomy (Partial Mastectomy) | $8,466$4.0k$30k | — | — |
| MRI Abdomen with and without Contrast | $4,897$828$23k | $25,773 | $25,773 |
| MRI Brain with and without Contrast | $3,660$828$17k | $19,235 | $19,235 |
| MRI Brain with Contrast | $3,418$828$16k | $17,846 | $17,846 |
| MRI Brain without Contrast | $3,418$518$14k | $15,273 | $15,273 |
| MRI Cervical Spine (Neck) without Contrast | $3,418$518$13k | $14,632 | $14,632 |
| MRI Knee without Contrast | $3,418$518$11k | $12,632 | $12,632 |
| MRI Lower Back (Lumbar Spine) without Contrast | $3,418$518$13k | $14,713 | $14,713 |
| MRI Thoracic Spine (Mid-back) without Contrast | $3,328$518$12k | $13,050 | $13,050 |
| Newborn Circumcision | $6,539$1.9k$9.0k | — | — |
| Nuclear Cardiac Stress Test | $7,357$2.1k$24k | $26,275 | $26,275 |
| Office Visit, Established Patient (Level 3) | $71$22$15k | $316 | $316 |
| Office Visit, New Patient (Level 3) | $101$31$15k | $445 | $445 |
| Pacemaker Insertion (Dual Chamber) | $26,717$2.3k$48k | — | — |
| PET/CT Scan, Whole Body | $3,951$2.0k$5.2k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $1,668$245$5.4k | $5,956 | $5,956 |
| Prostate Biopsy | $4,080$3.4k$4.8k | — | — |
| PSA Prostate Cancer Screening | $24$7$339 | $232 | $232 |
| Pulmonary Function Test with Bronchodilator | $1,078$47$4.2k | $4,685 | $4,685 |
| Rotator Cuff Repair (Arthroscopic) | $12,027$3.8k$30k | — | — |
| Screening Mammogram | $100$77$864 | $960 | $960 |
| Septoplasty (Deviated Septum Repair) | $7,321$540$29k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $11,554$447$30k | — | — |
| Skin Biopsy (Tangential) | $2,598$1.2k$9.0k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $4,271$1.2k$9.0k | — | — |
| Sleep Study (In-lab Polysomnography) | $1,997$493$5.5k | — | — |
| Spinal Cord Stimulator Trial | $13,099$2.2k$51k | — | — |
| Spirometry (Breathing Test) | $571$28$2.2k | $2,481 | $2,481 |
| 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 | $16,424$1.1k$40k | — | — |
| Total Knee Replacement | $16,089$1.9k$40k | — | — |
| Total Mastectomy | $11,068$4.0k$30k | — | — |
| TSH Thyroid Function Test | $19$5$1.9k | $1,084 | $1,084 |
| TURP (Transurethral Prostate Resection) | $11,554$3.2k$30k | — | — |
| Umbilical Hernia Repair | $6,629$3.6k$13k | — | — |
| Upper GI Endoscopy (EGD) | $3,160$1.8k$13k | — | — |
| Urinalysis with Microscopy | $4$3$824 | $916 | $916 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $4,271$1.9k$9.0k | — | — |
| Vaginal Delivery (Global Package) | $4,271$1.9k$9.0k | — | — |
| Vaginal Hysterectomy | $8,570$4.0k$29k | — | — |
| Vasectomy | $6,539$1.9k$9.0k | — | — |
| Vitamin D Blood Test | $19$2$117 | $38 | $38 |