| Abdominal Hysterectomy | $3,945$3.8k$6.2k | — | — |
| ACL Reconstruction (Arthroscopic) | $4,439$1.6k$15k | — | — |
| Allergy Skin Testing | $40$24$2.1k | — | — |
| Anesthesia for Screening Colonoscopy | $15$14$23 | — | — |
| Anesthesia for Upper Endoscopy | $15$14$23 | — | — |
| Basic Metabolic Panel | $31$2$312 | $21 | $139 |
| Bone Marrow Biopsy | $1,266$358$3.4k | — | — |
| Breast Biopsy (Ultrasound-guided) | $894$358$3.4k | — | — |
| Bunion Correction Surgery | $3,717$717$6.8k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $11,464$5.4k$52k | — | — |
| Cardiac Catheterization (Left Heart) | $2,052$710$11k | — | — |
| Cardiac Stress Test (Treadmill) | $115$110$180 | — | — |
| Carpal Tunnel Release Surgery | $1,129$431$4.1k | — | — |
| Cataract Surgery with Lens Implant | $1,165$504$4.8k | — | — |
| Cervical Spinal Fusion (Anterior) | $6,783$2.8k$27k | — | — |
| Cesarean Delivery (Global Package) | $1,787$1.7k$2.8k | — | — |
| Chemotherapy Infusion (First Hour) | $191$73$699 | — | — |
| Chest X-ray (2 Views) | $90$19$381 | $57 | $381 |
| Colonoscopy with Biopsy | $673$260$2.5k | — | — |
| Complete Abdominal Ultrasound | $166$23$700 | $105 | $700 |
| Complete Blood Count (CBC) with Differential | $22$2$312 | $15 | $100 |
| Comprehensive Metabolic Panel | $38$2$312 | $26 | $172 |
| Coronary Angioplasty with Stent | $5,758$2.5k$24k | — | — |
| Critical Care, First Hour | $795$160$2.1k | $322 | $2,149 |
| CT Abdomen and Pelvis with Contrast | $374$79$4.1k | $255 | $1,700 |
| CT Cardiac Calcium Scoring | $72$19$186 | — | — |
| CT Chest without Contrast | $339$23$1.9k | $231 | $1,539 |
| CT Head without Contrast | $339$23$1.9k | $231 | $1,539 |
| DEXA Bone Density Scan | $109$23$488 | $66 | $437 |
| Diagnostic Colonoscopy | $673$201$1.9k | — | — |
| Diagnostic Mammogram (Both Breasts) | $46$30$437 | — | — |
| Ear Tube Placement (Tympanostomy) | $959$327$3.1k | — | — |
| Echocardiogram (Complete with Doppler) | $561$121$2.0k | $300 | $2,000 |
| EKG (Electrocardiogram, 12-lead) | $18$17$27 | — | — |
| Emergency Room Visit (Level 3) | $284$47$2.0k | $180 | $1,200 |
| Group Therapy Session | $162$20$265 | — | — |
| Hemodialysis Treatment | $598$569$934 | — | — |
| Hemoglobin A1c (Diabetes Test) | $10$2$312 | $3 | $21 |
| HIV Antibody Test | $9$2$122 | — | — |
| Holter Monitor (24-48 Hour Heart Monitor) | $40$38$62 | — | — |
| Home Sleep Study | $103$35$330 | — | — |
| Individual Therapy Session (45 Minutes) | $98$35$339 | — | — |
| Inguinal Hernia Repair (Open) | $2,762$779$7.4k | — | — |
| Initial Hospital Admission (Level 1) | $31$11$7.1k | $7 | $48 |
| Initial Psychiatric Diagnostic Evaluation | $162$35$339 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $162$35$339 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $320$128$1.2k | — | — |
| IUD Insertion | $147$140$230 | — | — |
| IUD Removal | $147$67$641 | — | — |
| Knee Arthroscopy with Meniscectomy | $1,800$717$6.8k | — | — |
| Laparoscopic Appendectomy | $2,730$1.3k$12k | — | — |
| Laparoscopic Gallbladder Removal | $2,451$1.3k$12k | — | — |
| Laparoscopic Tubal Ligation | $2,943$1.3k$12k | — | — |
| Lipid Panel (Cholesterol Test) | $16$3$312 | $5 | $32 |
| Lumbar Epidural Steroid Injection | $514$153$1.5k | — | — |
| Lumbar Puncture (Spinal Tap) | $514$153$1.5k | — | — |
| Lumbar Spinal Fusion (Posterior) | $6,783$4.1k$39k | — | — |
| Lumpectomy (Partial Mastectomy) | $2,222$846$8.1k | — | — |
| MRI Abdomen with and without Contrast | $272$79$753 | — | — |
| MRI Brain with and without Contrast | $469$79$3.2k | $320 | $2,131 |
| MRI Brain with Contrast | $272$79$753 | — | — |
| MRI Brain without Contrast | $469$53$2.2k | $320 | $2,131 |
| MRI Cervical Spine (Neck) without Contrast | $469$53$2.2k | $320 | $2,131 |
| MRI Knee without Contrast | $1,016$53$2.2k | $320 | $2,131 |
| MRI Lower Back (Lumbar Spine) without Contrast | $469$53$2.2k | $320 | $2,131 |
| MRI Thoracic Spine (Mid-back) without Contrast | $469$53$2.2k | $320 | $2,131 |
| Newborn Circumcision | $1,330$86$4.3k | — | — |
| Nuclear Cardiac Stress Test | $754$288$3.2k | — | — |
| Office Visit, Established Patient (Level 3) | $91$65$297 | $45 | $297 |
| Office Visit, New Patient (Level 3) | $91$65$297 | $45 | $297 |
| Pacemaker Insertion (Dual Chamber) | $5,333$2.3k$22k | — | — |
| PET/CT Scan, Whole Body | $940$322$3.1k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $92$23$813 | — | — |
| Prostate Biopsy | $1,156$86$4.3k | — | — |
| PSA Prostate Cancer Screening | $11$2$312 | $16 | $110 |
| Pulmonary Function Test with Bronchodilator | $257$68$938 | $141 | $938 |
| Rotator Cuff Repair (Arthroscopic) | $3,797$1.6k$15k | — | — |
| Screening Mammogram | $167$30$359 | $53 | $350 |
| Septoplasty (Deviated Septum Repair) | $1,786$716$6.8k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $3,005$1.5k$15k | — | — |
| Skin Biopsy (Tangential) | $277$44$454 | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $836$86$3.4k | — | — |
| Sleep Study (In-lab Polysomnography) | $636$225$2.4k | — | — |
| Spinal Cord Stimulator Trial | $4,201$1.4k$14k | — | — |
| Spirometry (Breathing Test) | $160$35$359 | $54 | $359 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $1,455$716$6.8k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $1,455$1.3k$12k | — | — |
| Total Hip Replacement | $6,356$2.8k$27k | — | — |
| Total Knee Replacement | $6,356$2.8k$27k | — | — |
| Total Mastectomy | $2,222$1.4k$14k | — | — |
| TSH Thyroid Function Test | $22$4$312 | $6 | $43 |
| TURP (Transurethral Prostate Resection) | $3,048$1.1k$11k | — | — |
| Umbilical Hernia Repair | $2,468$2.4k$3.9k | — | — |
| Upper GI Endoscopy (EGD) | $677$207$2.0k | — | — |
| Urinalysis with Microscopy | $19$2$312 | $13 | $88 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $1,616$1.5k$2.5k | — | — |
| Vaginal Delivery (Global Package) | $1,616$1.5k$2.5k | — | — |
| Vaginal Hysterectomy | $2,804$1.1k$10k | — | — |
| Vasectomy | $1,939$452$4.3k | — | — |
| Vitamin D Blood Test | $24$5$312 | $20 | $136 |