| Abdominal Hysterectomy | $13,445$4.3k$25k | — | — |
| ACL Reconstruction (Arthroscopic) | $7,108$1.7k$13k | — | — |
| Allergy Skin Testing | $81$16$1.9k | $105 | $105 |
| Basic Metabolic Panel | $63$8$337 | $383 | $383 |
| Bone Marrow Biopsy | $2,026$855$5.6k | $5,780 | $5,780 |
| Breast Biopsy (Ultrasound-guided) | $2,702$148$6.2k | $7,720 | $7,720 |
| Bunion Correction Surgery | $3,390$576$6.8k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $24,409$6.0k$57k | $71,012 | $71,012 |
| Cardiac Catheterization (Left Heart) | $5,398$1.8k$20k | $25,390 | $25,390 |
| Cardiac Stress Test (Treadmill) | $126$71$181 | — | — |
| Carpal Tunnel Release Surgery | $2,320$311$5.6k | — | — |
| Cataract Surgery with Lens Implant | $3,213$2.3k$8.8k | — | — |
| Cervical Spinal Fusion (Anterior) | $12,802$5.0k$24k | — | — |
| Cesarean Delivery (Global Package) | $6,593$1.6k$6.8k | — | — |
| Chemotherapy Infusion (First Hour) | $486$218$1.2k | $1,473 | $1,473 |
| Chest X-ray (2 Views) | $154$49$630 | $787 | $787 |
| Colonoscopy with Biopsy | $1,475$232$5.6k | — | — |
| Complete Abdominal Ultrasound | $250$106$1.7k | $2,181 | $2,181 |
| Complete Blood Count (CBC) with Differential | $42$8$226 | $238 | $238 |
| Comprehensive Metabolic Panel | $85$11$459 | $523 | $523 |
| Coronary Angioplasty with Stent | $11,848$4.9k$26k | $32,850 | $32,850 |
| Critical Care, First Hour | $1,551$160$7.2k | $8,998 | $8,998 |
| CT Abdomen and Pelvis with Contrast | $1,533$355$8.2k | $10,272 | $10,272 |
| CT Cardiac Calcium Scoring | $697$88$3.8k | $4,693 | $4,693 |
| CT Chest without Contrast | $645$106$3.5k | $4,341 | $4,341 |
| CT Head without Contrast | $598$106$3.2k | $4,026 | $4,026 |
| DEXA Bone Density Scan | $189$67$893 | $1,116 | $1,116 |
| Diagnostic Colonoscopy | $1,296$215$4.3k | — | — |
| Diagnostic Mammogram (Both Breasts) | $260$108$917 | $1,146 | $1,146 |
| Ear Tube Placement (Tympanostomy) | $2,053$1.5k$5.6k | — | — |
| Echocardiogram (Complete with Doppler) | $857$345$4.1k | $5,169 | $5,169 |
| EKG (Electrocardiogram, 12-lead) | $26$14$38 | — | — |
| Emergency Room Visit (Level 3) | $1,145$275$2.8k | $2,779 | $2,779 |
| Group Therapy Session | $92$27$170 | — | — |
| Hemodialysis Treatment | $99$95$218 | — | — |
| Hemoglobin A1c (Diabetes Test) | $16$10$204 | $255 | $255 |
| HIV Antibody Test | $48$9$258 | $303 | $303 |
| Holter Monitor (24-48 Hour Heart Monitor) | $135$68$203 | — | — |
| Home Sleep Study | $156$94$288 | — | — |
| Individual Therapy Session (45 Minutes) | $215$80$433 | $541 | $541 |
| Inguinal Hernia Repair (Open) | $3,923$2.4k$6.8k | — | — |
| Initial Hospital Admission (Level 1) | $80 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $235$99$640 | $800 | $800 |
| Initial Psychiatric Evaluation with Medication Management | $208$85$461 | $576 | $576 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,185$576$6.4k | $7,975 | $7,975 |
| IUD Insertion | $1,326$50$4.3k | $2,041 | $2,041 |
| IUD Removal | $869$54$4.3k | $1,953 | $1,953 |
| Knee Arthroscopy with Meniscectomy | $3,923$2.4k$6.8k | — | — |
| Laparoscopic Appendectomy | $5,814$2.4k$11k | — | — |
| Laparoscopic Gallbladder Removal | $6,095$4.3k$11k | — | — |
| Laparoscopic Tubal Ligation | $5,898$2.6k$11k | — | — |
| Lipid Panel (Cholesterol Test) | $21$13$235 | $293 | $293 |
| Lumbar Epidural Steroid Injection | $1,621$88$4.3k | $3,743 | $3,743 |
| Lumbar Puncture (Spinal Tap) | $1,568$58$4.3k | $3,605 | $3,605 |
| Lumbar Spinal Fusion (Posterior) | $18,297$5.0k$34k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,810$1.7k$7.0k | — | — |
| MRI Abdomen with and without Contrast | $1,171$355$5.3k | $6,574 | $6,574 |
| MRI Brain with and without Contrast | $1,204$355$6.1k | $7,610 | $7,610 |
| MRI Brain with Contrast | $1,171$355$4.3k | $5,387 | $5,387 |
| MRI Brain without Contrast | $1,116$241$4.4k | $5,561 | $5,561 |
| MRI Cervical Spine (Neck) without Contrast | $1,116$241$3.8k | $4,773 | $4,773 |
| MRI Knee without Contrast | $1,116$241$4.0k | $5,035 | $5,035 |
| MRI Lower Back (Lumbar Spine) without Contrast | $1,116$241$3.8k | $4,804 | $4,804 |
| MRI Thoracic Spine (Mid-back) without Contrast | $1,116$241$3.8k | $4,778 | $4,778 |
| Newborn Circumcision | $2,742$95$5.6k | $5,758 | $5,758 |
| Nuclear Cardiac Stress Test | $2,279$928$7.5k | $9,411 | $9,411 |
| Office Visit, Established Patient (Level 3) | $329$59$450 | $562 | $562 |
| Office Visit, New Patient (Level 3) | $329$56$450 | $562 | $562 |
| Pacemaker Insertion (Dual Chamber) | $13,540$5.3k$29k | $35,762 | $35,762 |
| PET/CT Scan, Whole Body | $2,546$1.5k$8.4k | $10,477 | $10,477 |
| Pregnancy Ultrasound (Second or Third Trimester) | $245$106$1.2k | $1,553 | $1,553 |
| Prostate Biopsy | $2,880$73$6.1k | $7,635 | $7,635 |
| PSA Prostate Cancer Screening | $29$18$274 | $343 | $343 |
| Pulmonary Function Test with Bronchodilator | $496$242$1.3k | $1,633 | $1,633 |
| Rotator Cuff Repair (Arthroscopic) | $7,108$2.6k$13k | — | — |
| Screening Mammogram | $215$89$599 | $749 | $749 |
| Septoplasty (Deviated Septum Repair) | $3,388$2.4k$6.0k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,888$2.6k$13k | — | — |
| Skin Biopsy (Tangential) | $657$35$4.3k | $1,878 | $1,878 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,871$52$5.6k | $3,855 | $3,855 |
| Sleep Study (In-lab Polysomnography) | $1,679$1.0k$5.7k | $7,176 | $7,176 |
| Spinal Cord Stimulator Trial | $7,062$2.0k$14k | $13,513 | $13,513 |
| Spirometry (Breathing Test) | $297$79$701 | $704 | $704 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,388$2.6k$6.0k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,886$1.7k$11k | — | — |
| Total Hip Replacement | $12,802$5.0k$24k | — | — |
| Total Knee Replacement | $12,802$5.0k$24k | — | — |
| Total Mastectomy | $6,489$2.4k$12k | — | — |
| TSH Thyroid Function Test | $27$17$206 | $258 | $258 |
| TURP (Transurethral Prostate Resection) | $5,311$2.4k$9.4k | — | — |
| Umbilical Hernia Repair | $4,301$2.4k$5.6k | — | — |
| Upper GI Endoscopy (EGD) | $1,637$138$4.3k | $3,678 | $3,678 |
| Urinalysis with Microscopy | $5$3$170 | $213 | $213 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $6,593$1.7k$6.8k | — | — |
| Vaginal Delivery (Global Package) | $6,593$1.6k$6.8k | — | — |
| Vaginal Hysterectomy | $5,157$4.3k$9.6k | — | — |
| Vasectomy | $3,171$176$5.7k | $7,127 | $7,127 |
| Vitamin D Blood Test | $45$30$243 | $304 | $304 |