| Abdominal Hysterectomy | $9,160$1.9k$27k | — | — |
| ACL Reconstruction (Arthroscopic) | $11,754$3.8k$21k | — | — |
| Allergy Skin Testing | $55$5$106 | — | — |
| Basic Metabolic Panel | $12$8$1.1k | $2,276 | $2,276 |
| Bone Marrow Biopsy | $4,492$1.9k$9.2k | — | — |
| Breast Biopsy (Ultrasound-guided) | $4,702$500$9.2k | — | — |
| Bunion Correction Surgery | $7,583$2.5k$19k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $17,832$1.4k$43k | $72,149 | $72,149 |
| Cardiac Catheterization (Left Heart) | $8,178$848$16k | — | — |
| Cardiac Stress Test (Treadmill) | $451$101$801 | — | — |
| Carpal Tunnel Release Surgery | $5,933$2.4k$9.2k | — | — |
| Cataract Surgery with Lens Implant | $6,127$1.9k$9.2k | — | — |
| Cervical Spinal Fusion (Anterior) | $14,140$3.8k$55k | — | — |
| Cesarean Delivery (Global Package) | $4,281$1.9k$9.2k | — | — |
| Chemotherapy Infusion (First Hour) | $235$77$1.2k | $1,057 | $1,057 |
| Chest X-ray (2 Views) | $497$165$961 | $1,922 | $1,922 |
| Colonoscopy with Biopsy | $4,144$1.9k$9.2k | — | — |
| Complete Abdominal Ultrasound | $1,459$245$2.8k | $5,611 | $5,611 |
| Complete Blood Count (CBC) with Differential | $8$8$170 | — | — |
| Comprehensive Metabolic Panel | $15$10$1.2k | $2,408 | $2,408 |
| Coronary Angioplasty with Stent | $17,140$738$43k | — | — |
| Critical Care, First Hour | $2,501$73$6.6k | $6,889 | $6,889 |
| CT Abdomen and Pelvis with Contrast | $5,391$809$13k | $25,310 | $25,310 |
| CT Cardiac Calcium Scoring | $930$122$12k | $3,236 | $3,236 |
| CT Chest without Contrast | $2,439$245$5.7k | $11,450 | $11,450 |
| CT Head without Contrast | $2,576$245$6.0k | $12,096 | $12,096 |
| DEXA Bone Density Scan | $236$236$245 | — | — |
| Diagnostic Colonoscopy | $2,933$1.4k$9.2k | — | — |
| Diagnostic Mammogram (Both Breasts) | $124$52$303 | $606 | $606 |
| Ear Tube Placement (Tympanostomy) | $4,702$1.9k$9.2k | — | — |
| Echocardiogram (Complete with Doppler) | $2,467$147$5.9k | $11,746 | $11,746 |
| EKG (Electrocardiogram, 12-lead) | $219$25$413 | — | — |
| Emergency Room Visit (Level 3) | $2,023$75$3.5k | $4,781 | $4,781 |
| Group Therapy Session | $72$29$252 | $340 | $340 |
| Hemodialysis Treatment | $2,456$219$4.7k | — | — |
| Hemoglobin A1c (Diabetes Test) | $69$10$511 | $654 | $654 |
| HIV Antibody Test | $13$9$1.2k | $2,381 | $2,381 |
| Holter Monitor (24-48 Hour Heart Monitor) | $369$154$585 | — | — |
| Home Sleep Study | $1,382$133$4.0k | — | — |
| Individual Therapy Session (45 Minutes) | $173$93$252 | — | — |
| Inguinal Hernia Repair (Open) | $8,392$3.8k$19k | — | — |
| Initial Hospital Admission (Level 1) | $117 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $207$140$274 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $179$156$203 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,984 | — | — |
| IUD Insertion | $4,075$1.4k$9.2k | — | — |
| IUD Removal | $3,522$1.4k$9.2k | — | — |
| Knee Arthroscopy with Meniscectomy | $9,948$2.4k$21k | — | — |
| Laparoscopic Appendectomy | $12,512$3.8k$21k | — | — |
| Laparoscopic Gallbladder Removal | $11,255$264$20k | — | — |
| Laparoscopic Tubal Ligation | $11,754$3.8k$19k | — | — |
| Lipid Panel (Cholesterol Test) | $19$13$1.2k | $2,308 | $2,308 |
| Lumbar Epidural Steroid Injection | $2,978$1.9k$9.2k | — | — |
| Lumbar Puncture (Spinal Tap) | $2,887$995$8.7k | — | — |
| Lumbar Spinal Fusion (Posterior) | $14,140$3.8k$69k | — | — |
| Lumpectomy (Partial Mastectomy) | $7,059$3.8k$21k | — | — |
| MRI Abdomen with and without Contrast | $4,214$828$8.1k | $16,208 | $16,208 |
| MRI Brain with and without Contrast | $4,056$828$9.5k | $19,041 | $19,041 |
| MRI Brain with Contrast | $2,041$675$3.9k | $7,850 | $7,850 |
| MRI Brain without Contrast | $1,962$518$3.8k | $7,545 | $7,545 |
| MRI Cervical Spine (Neck) without Contrast | $2,041$518$3.9k | $7,850 | $7,850 |
| MRI Knee without Contrast | $2,193$518$6.6k | $8,435 | $8,435 |
| MRI Lower Back (Lumbar Spine) without Contrast | $2,541$518$4.9k | $9,773 | $9,773 |
| MRI Thoracic Spine (Mid-back) without Contrast | $1,854$518$3.6k | $7,130 | $7,130 |
| Newborn Circumcision | $6,357$1.9k$9.2k | — | — |
| Nuclear Cardiac Stress Test | $3,198$1.1k$6.2k | $12,301 | $12,301 |
| Office Visit, Established Patient (Level 3) | $257$58$774 | $1,547 | $1,547 |
| Office Visit, New Patient (Level 3) | $185$86$283 | — | — |
| Pacemaker Insertion (Dual Chamber) | $18,507$1.9k$55k | — | — |
| PET/CT Scan, Whole Body | $2,574$851$5.0k | $9,900 | $9,900 |
| Pregnancy Ultrasound (Second or Third Trimester) | $1,043$245$2.1k | $4,126 | $4,126 |
| Prostate Biopsy | $5,284$2.8k$5.4k | — | — |
| PSA Prostate Cancer Screening | $26$18$325 | $649 | $649 |
| Pulmonary Function Test with Bronchodilator | $882$51$2.1k | $4,202 | $4,202 |
| Rotator Cuff Repair (Arthroscopic) | $12,045$3.8k$21k | — | — |
| Screening Mammogram | $104$49$285 | $570 | $570 |
| Septoplasty (Deviated Septum Repair) | $6,802$605$19k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $9,948$501$21k | — | — |
| Skin Biopsy (Tangential) | $2,627$1.4k$9.2k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $4,088$1.4k$9.2k | — | — |
| Sleep Study (In-lab Polysomnography) | $4,000$536$6.0k | — | — |
| Spinal Cord Stimulator Trial | $11,754$2.4k$68k | — | — |
| Spirometry (Breathing Test) | $389$30$925 | $1,850 | $1,850 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $7,699$1.9k$19k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $7,699$1.9k$19k | — | — |
| Total Hip Replacement | $16,818$1.2k$42k | — | — |
| Total Knee Replacement | $17,124$1.9k$42k | — | — |
| Total Mastectomy | $9,539$3.8k$21k | — | — |
| TSH Thyroid Function Test | $24$17$1.4k | $2,890 | $2,890 |
| TURP (Transurethral Prostate Resection) | $11,754$3.6k$21k | — | — |
| Umbilical Hernia Repair | $7,351$4.1k$9.5k | — | — |
| Upper GI Endoscopy (EGD) | $2,933$1.9k$9.2k | — | — |
| Urinalysis with Microscopy | $5$3$496 | $991 | $991 |
| 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 | $8,392$3.8k$19k | — | — |
| Vasectomy | $6,357$1.9k$9.2k | — | — |
| Vitamin D Blood Test | $41$29$229 | $458 | $458 |