| Abdominal Hysterectomy | $5,136$1.1k$9.2k | — | — |
| ACL Reconstruction (Arthroscopic) | $7,042$1.7k$14k | — | — |
| Allergy Skin Testing | $2,585$2.6k$2.6k | — | — |
| Basic Metabolic Panel | $9$6$207 | $230 | $230 |
| Bone Marrow Biopsy | $2,804$364$7.5k | — | — |
| Breast Biopsy (Ultrasound-guided) | $3,141$581$7.5k | — | — |
| Bunion Correction Surgery | $3,442$1.9k$7.8k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $17,870$1.7k$109k | $90,235 | $90,235 |
| Cardiac Catheterization (Left Heart) | $5,759$2.0k$10k | — | — |
| Carpal Tunnel Release Surgery | $3,442$1.6k$7.5k | — | — |
| Cataract Surgery with Lens Implant | $3,755$1.1k$7.5k | — | — |
| Cervical Spinal Fusion (Anterior) | $4,318$776$20k | — | — |
| Cesarean Delivery (Global Package) | $3,442$1.1k$7.5k | — | — |
| Chemotherapy Infusion (First Hour) | $397$209$1.3k | $1,433 | $1,433 |
| Chest X-ray (2 Views) | $83$5$753 | $837 | $837 |
| Colonoscopy with Biopsy | $3,043$1.0k$7.5k | — | — |
| Complete Abdominal Ultrasound | $141$20$1.9k | $2,159 | $2,159 |
| Complete Blood Count (CBC) with Differential | $8$6$13 | — | — |
| Comprehensive Metabolic Panel | $11$8$244 | $271 | $271 |
| Coronary Angioplasty with Stent | $10,052$1.7k$25k | — | — |
| Critical Care, First Hour | $2,110$878$7.0k | $7,817 | $7,817 |
| CT Abdomen and Pelvis with Contrast | $416$45$5.4k | $5,959 | $5,959 |
| CT Cardiac Calcium Scoring | $73$14$833 | $262 | $262 |
| CT Chest without Contrast | $155$27$1.7k | $1,904 | $1,904 |
| CT Head without Contrast | $124$21$1.7k | $1,904 | $1,904 |
| DEXA Bone Density Scan | $102$5$1.2k | $1,293 | $1,293 |
| Diagnostic Colonoscopy | $2,370$1.0k$7.5k | — | — |
| Diagnostic Mammogram (Both Breasts) | $104$25$937 | $1,041 | $1,041 |
| Ear Tube Placement (Tympanostomy) | $3,141$1.0k$8.0k | — | — |
| Echocardiogram (Complete with Doppler) | $663$370$2.3k | $2,536 | $2,536 |
| EKG (Electrocardiogram, 12-lead) | $11 | — | — |
| Emergency Room Visit (Level 3) | $1,410$120$3.4k | $3,731 | $3,731 |
| Group Therapy Session | $137$72$446 | $496 | $496 |
| Hemodialysis Treatment | $643$79$2.6k | $2,614 | $2,614 |
| Hemoglobin A1c (Diabetes Test) | $10$7$140 | $156 | $156 |
| HIV Antibody Test | $9$7$148 | $164 | $164 |
| Holter Monitor (24-48 Hour Heart Monitor) | $51 | — | — |
| Home Sleep Study | $518$100$2.9k | $1,679 | $1,679 |
| Individual Therapy Session (45 Minutes) | $408$404$412 | — | — |
| Inguinal Hernia Repair (Open) | $3,442$1.7k$8.1k | — | — |
| Initial Psychiatric Diagnostic Evaluation | $408$404$412 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $408$404$412 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,620$173$6.0k | $6,653 | $6,653 |
| IUD Insertion | $2,370$39$7.5k | — | — |
| IUD Removal | $2,365$364$7.5k | — | — |
| Knee Arthroscopy with Meniscectomy | $4,979$1.9k$9.4k | — | — |
| Laparoscopic Appendectomy | $5,136$2.0k$14k | — | — |
| Laparoscopic Gallbladder Removal | $5,431$1.0k$14k | — | — |
| Laparoscopic Tubal Ligation | $5,136$1.7k$14k | — | — |
| Lipid Panel (Cholesterol Test) | $14$10$147 | $163 | $163 |
| Lumbar Epidural Steroid Injection | $2,540$229$7.5k | — | — |
| Lumbar Puncture (Spinal Tap) | $2,370$364$7.5k | — | — |
| Lumbar Spinal Fusion (Posterior) | $4,318$1.0k$29k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,442$1.0k$9.7k | — | — |
| MRI Abdomen with and without Contrast | $470$55$7.0k | $7,734 | $7,734 |
| MRI Brain with and without Contrast | $417$57$7.0k | $7,734 | $7,734 |
| MRI Brain with Contrast | $366$44$6.2k | $6,836 | $6,836 |
| MRI Brain without Contrast | $247$37$4.1k | $4,587 | $4,587 |
| MRI Cervical Spine (Neck) without Contrast | $239$37$4.1k | $4,587 | $4,587 |
| MRI Knee without Contrast | $917$34$5.7k | $4,587 | $4,587 |
| MRI Lower Back (Lumbar Spine) without Contrast | $239$37$4.1k | $4,587 | $4,587 |
| MRI Thoracic Spine (Mid-back) without Contrast | $239$37$3.6k | $3,950 | $3,950 |
| Newborn Circumcision | $3,250$1.0k$7.5k | — | — |
| Nuclear Cardiac Stress Test | $682$41$16k | $17,763 | $17,763 |
| Office Visit, Established Patient (Level 3) | $260$51$1.7k | $1,015 | $1,015 |
| Office Visit, New Patient (Level 3) | $199$72$990 | $743 | $743 |
| Pacemaker Insertion (Dual Chamber) | $11,835$2.0k$40k | — | — |
| PET/CT Scan, Whole Body | $4,798$59$19k | $20,591 | $20,591 |
| Pregnancy Ultrasound (Second or Third Trimester) | $157$26$2.2k | $2,478 | $2,478 |
| Prostate Biopsy | $3,059$1.0k$5.5k | — | — |
| PSA Prostate Cancer Screening | $19$14$470 | $522 | $522 |
| Pulmonary Function Test with Bronchodilator | $346$164$1.0k | $1,122 | $1,122 |
| Rotator Cuff Repair (Arthroscopic) | $7,042$1.7k$14k | — | — |
| Screening Mammogram | $86$19$764 | $849 | $849 |
| Septoplasty (Deviated Septum Repair) | $3,442$1.0k$8.2k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,058$1.9k$16k | — | — |
| Skin Biopsy (Tangential) | $2,550$92$7.5k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,804$1.0k$7.5k | — | — |
| Sleep Study (In-lab Polysomnography) | $2,423$448$8.7k | $9,665 | $9,665 |
| Spinal Cord Stimulator Trial | $4,318$1.7k$81k | — | — |
| Spirometry (Breathing Test) | $241$114$704 | $782 | $782 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,250$1.1k$8.2k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $3,442$1.1k$14k | — | — |
| Total Hip Replacement | $6,761$1.1k$59k | — | — |
| Total Knee Replacement | $6,761$1.1k$59k | — | — |
| Total Mastectomy | $3,442$1.7k$16k | — | — |
| TSH Thyroid Function Test | $17$13$342 | $380 | $380 |
| TURP (Transurethral Prostate Resection) | $5,974$1.9k$12k | — | — |
| Umbilical Hernia Repair | $3,977$1.9k$7.5k | — | — |
| Upper GI Endoscopy (EGD) | $2,390$1.0k$7.5k | — | — |
| Urinalysis with Microscopy | $3$2$59 | $66 | $66 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $3,442$1.1k$7.5k | — | — |
| Vaginal Delivery (Global Package) | $3,442$1.1k$7.5k | — | — |
| Vaginal Hysterectomy | $3,442$1.9k$11k | — | — |
| Vasectomy | $3,250$1.0k$7.5k | — | — |
| Vitamin D Blood Test | $31$22$540 | $600 | $600 |