| Abdominal Hysterectomy | $6,054$1.1k$11k | — | — |
| ACL Reconstruction (Arthroscopic) | $9,398$2.4k$17k | — | — |
| Allergy Skin Testing | $2,612$2.6k$2.7k | — | — |
| Basic Metabolic Panel | $9$7$1.1k | $1,205 | $1,205 |
| Bone Marrow Biopsy | $3,633$1.1k$7.5k | — | — |
| Breast Biopsy (Ultrasound-guided) | $3,633$1.1k$7.5k | — | — |
| Bunion Correction Surgery | $6,316$2.1k$8.0k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $17,870$1.9k$100k | $110,804 | $110,804 |
| Cardiac Catheterization (Left Heart) | $7,367$2.3k$14k | — | — |
| Carpal Tunnel Release Surgery | $4,299$1.8k$7.5k | — | — |
| Cataract Surgery with Lens Implant | $4,829$1.1k$7.5k | — | — |
| Cervical Spinal Fusion (Anterior) | $6,761$2.4k$20k | — | — |
| Cesarean Delivery (Global Package) | $4,299$1.1k$7.7k | — | — |
| Chemotherapy Infusion (First Hour) | $598$190$1.7k | $1,542 | $1,542 |
| Chest X-ray (2 Views) | $231$14$1.4k | $1,553 | $1,553 |
| Colonoscopy with Biopsy | $3,089$1.1k$7.5k | — | — |
| Complete Abdominal Ultrasound | $279$51$5.0k | $5,526 | $5,526 |
| Complete Blood Count (CBC) with Differential | $8$7$14 | — | — |
| Comprehensive Metabolic Panel | $11$9$1.3k | $1,444 | $1,444 |
| Coronary Angioplasty with Stent | $11,644$1.9k$25k | — | — |
| Critical Care, First Hour | $2,534$614$7.1k | $5,630 | $5,630 |
| CT Abdomen and Pelvis with Contrast | $917$113$14k | $15,781 | $15,781 |
| CT Cardiac Calcium Scoring | $103$14$851 | $108 | $108 |
| CT Chest without Contrast | $273$67$6.7k | $7,425 | $7,425 |
| CT Head without Contrast | $273$53$7.2k | $8,042 | $8,042 |
| DEXA Bone Density Scan | $276$13$1.4k | $1,524 | $1,524 |
| Diagnostic Colonoscopy | $2,595$1.1k$7.5k | — | — |
| Diagnostic Mammogram (Both Breasts) | $176$63$790 | $878 | $878 |
| Ear Tube Placement (Tympanostomy) | $3,740$1.1k$8.0k | — | — |
| Echocardiogram (Complete with Doppler) | $3,659$1.4k$11k | $12,197 | $12,197 |
| EKG (Electrocardiogram, 12-lead) | $11 | — | — |
| Emergency Room Visit (Level 3) | $1,226$165$3.4k | $2,035 | $2,035 |
| Group Therapy Session | $237$233$242 | — | — |
| Hemodialysis Treatment | $79 | — | — |
| Hemoglobin A1c (Diabetes Test) | $10$8$713 | $793 | $793 |
| HIV Antibody Test | $9$8$968 | $1,076 | $1,076 |
| Holter Monitor (24-48 Hour Heart Monitor) | $51 | — | — |
| Home Sleep Study | $1,091$393$3.0k | $3,006 | $3,006 |
| Individual Therapy Session (45 Minutes) | $412$404$421 | — | — |
| Inguinal Hernia Repair (Open) | $6,316$2.1k$8.2k | — | — |
| Initial Psychiatric Diagnostic Evaluation | $412$404$421 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $412$404$421 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,485$683$1.5k | — | — |
| IUD Insertion | $3,633$39$7.5k | — | — |
| IUD Removal | $3,224$765$7.5k | — | — |
| Knee Arthroscopy with Meniscectomy | $7,401$2.1k$9.9k | — | — |
| Laparoscopic Appendectomy | $7,966$2.4k$17k | — | — |
| Laparoscopic Gallbladder Removal | $7,966$2.4k$17k | — | — |
| Laparoscopic Tubal Ligation | $7,966$2.4k$17k | — | — |
| Lipid Panel (Cholesterol Test) | $14$11$812 | $902 | $902 |
| Lumbar Epidural Steroid Injection | $2,910$1.1k$7.5k | — | — |
| Lumbar Puncture (Spinal Tap) | $2,550$1.1k$7.5k | — | — |
| Lumbar Spinal Fusion (Posterior) | $6,761$2.4k$29k | — | — |
| Lumpectomy (Partial Mastectomy) | $4,950$1.8k$9.9k | — | — |
| MRI Abdomen with and without Contrast | $917$137$12k | $13,388 | $13,388 |
| MRI Brain with and without Contrast | $917$142$12k | $13,388 | $13,388 |
| MRI Brain with Contrast | $917$111$11k | $12,324 | $12,324 |
| MRI Brain without Contrast | $621$92$9.3k | $10,308 | $10,308 |
| MRI Cervical Spine (Neck) without Contrast | $621$92$9.7k | $10,816 | $10,816 |
| MRI Knee without Contrast | $2,629$85$14k | $9,391 | $9,391 |
| MRI Lower Back (Lumbar Spine) without Contrast | $621$93$9.4k | $10,411 | $10,411 |
| MRI Thoracic Spine (Mid-back) without Contrast | $621$92$8.6k | $9,610 | $9,610 |
| Newborn Circumcision | $3,633$1.1k$7.5k | — | — |
| Nuclear Cardiac Stress Test | $2,520$101$11k | $11,999 | $11,999 |
| Office Visit, Established Patient (Level 3) | $294$109$878 | $893 | $893 |
| Office Visit, New Patient (Level 3) | $294$109$878 | $893 | $893 |
| Pacemaker Insertion (Dual Chamber) | $11,961$2.2k$40k | — | — |
| PET/CT Scan, Whole Body | $4,298$133$14k | $15,350 | $15,350 |
| Pregnancy Ultrasound (Second or Third Trimester) | $279$64$3.0k | $3,376 | $3,376 |
| Prostate Biopsy | $3,633$1.2k$7.4k | — | — |
| PSA Prostate Cancer Screening | $19$16$1.1k | $1,249 | $1,249 |
| Pulmonary Function Test with Bronchodilator | $729$269$1.8k | $2,008 | $2,008 |
| Rotator Cuff Repair (Arthroscopic) | $9,398$2.4k$17k | — | — |
| Screening Mammogram | $178$48$730 | $811 | $811 |
| Septoplasty (Deviated Septum Repair) | $4,950$1.8k$8.4k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,076$2.1k$17k | — | — |
| Skin Biopsy (Tangential) | $3,224$500$7.5k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $3,633$1.1k$7.5k | — | — |
| Sleep Study (In-lab Polysomnography) | $2,590$638$8.6k | $7,142 | $7,142 |
| Spinal Cord Stimulator Trial | $6,170$2.4k$47k | — | — |
| Spirometry (Breathing Test) | $595$232$1.6k | $1,729 | $1,729 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $4,829$1.1k$8.4k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $4,613$1.1k$15k | — | — |
| Total Hip Replacement | $6,761$1.1k$40k | — | — |
| Total Knee Replacement | $7,137$1.1k$40k | — | — |
| Total Mastectomy | $6,761$2.1k$17k | — | — |
| TSH Thyroid Function Test | $18$14$762 | $846 | $846 |
| TURP (Transurethral Prostate Resection) | $7,076$2.1k$12k | — | — |
| Umbilical Hernia Repair | $6,689$2.1k$7.7k | — | — |
| Upper GI Endoscopy (EGD) | $2,595$1.1k$7.5k | — | — |
| Urinalysis with Microscopy | $3$3$502 | $558 | $558 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $4,299$1.1k$7.7k | — | — |
| Vaginal Delivery (Global Package) | $4,299$1.1k$7.7k | — | — |
| Vaginal Hysterectomy | $6,761$2.1k$11k | — | — |
| Vasectomy | $3,633$1.1k$7.5k | — | — |
| Vitamin D Blood Test | $102$25$492 | $529 | $529 |