| Abdominal Hysterectomy | $4,874$1.1k$7.5k | — | — |
| ACL Reconstruction (Arthroscopic) | $6,713$1.7k$14k | — | — |
| Allergy Skin Testing | $2,612$2.6k$2.7k | — | — |
| Basic Metabolic Panel | $9$7$108 | $119 | $119 |
| Bone Marrow Biopsy | $2,595$364$7.5k | — | — |
| Breast Biopsy (Ultrasound-guided) | $2,635$581$7.5k | — | — |
| Bunion Correction Surgery | $3,132$2.0k$8.7k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $17,870$1.7k$101k | $112,131 | $112,131 |
| Cardiac Catheterization (Left Heart) | $7,124$2.5k$10k | — | — |
| Carpal Tunnel Release Surgery | $3,132$1.7k$7.5k | — | — |
| Cataract Surgery with Lens Implant | $3,132$1.1k$7.5k | — | — |
| Cervical Spinal Fusion (Anterior) | $5,800$776$20k | — | — |
| Cesarean Delivery (Global Package) | $2,542$1.1k$7.5k | — | — |
| Chemotherapy Infusion (First Hour) | $735$286$2.0k | $2,273 | $2,273 |
| Chest X-ray (2 Views) | $139$15$842 | $936 | $936 |
| Colonoscopy with Biopsy | $2,635$1.0k$7.5k | — | — |
| Complete Abdominal Ultrasound | $245$55$2.9k | $3,261 | $3,261 |
| Complete Blood Count (CBC) with Differential | $8$7$12 | — | — |
| Comprehensive Metabolic Panel | $11$9$150 | $167 | $167 |
| Coronary Angioplasty with Stent | $10,006$1.7k$19k | — | — |
| Critical Care, First Hour | $2,185$569$5.2k | $4,545 | $4,545 |
| CT Abdomen and Pelvis with Contrast | $599$122$15k | $16,564 | $16,564 |
| CT Cardiac Calcium Scoring | $163$34$888 | $276 | $276 |
| CT Chest without Contrast | $263$72$6.4k | $7,110 | $7,110 |
| CT Head without Contrast | $245$57$5.3k | $5,841 | $5,841 |
| DEXA Bone Density Scan | $225$14$1.4k | $1,585 | $1,585 |
| Diagnostic Colonoscopy | $2,550$1.0k$7.5k | — | — |
| Diagnostic Mammogram (Both Breasts) | $236$49$1.4k | $1,460 | $1,460 |
| Ear Tube Placement (Tympanostomy) | $2,825$1.0k$8.0k | — | — |
| Echocardiogram (Complete with Doppler) | $2,288$1.1k$9.0k | $9,539 | $9,539 |
| EKG (Electrocardiogram, 12-lead) | $11 | — | — |
| Emergency Room Visit (Level 3) | $1,352$165$2.0k | $1,988 | $1,988 |
| Group Therapy Session | $237$233$242 | — | — |
| Hemodialysis Treatment | $869$79$2.8k | $3,121 | $3,121 |
| Hemoglobin A1c (Diabetes Test) | $10$8$218 | $243 | $243 |
| HIV Antibody Test | $12$8$495 | $460 | $460 |
| Holter Monitor (24-48 Hour Heart Monitor) | $51 | — | — |
| Home Sleep Study | $2,260$100$2.9k | — | — |
| Individual Therapy Session (45 Minutes) | $412$404$421 | — | — |
| Inguinal Hernia Repair (Open) | $3,132$1.7k$8.7k | — | — |
| Initial Psychiatric Diagnostic Evaluation | $412$404$421 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $412$404$421 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,104$173$3.5k | $3,861 | $3,861 |
| IUD Insertion | $2,537$39$7.5k | — | — |
| IUD Removal | $2,456$364$7.5k | — | — |
| Knee Arthroscopy with Meniscectomy | $4,950$2.0k$9.4k | — | — |
| Laparoscopic Appendectomy | $5,808$2.0k$14k | — | — |
| Laparoscopic Gallbladder Removal | $5,834$1.0k$14k | — | — |
| Laparoscopic Tubal Ligation | $5,808$1.7k$14k | — | — |
| Lipid Panel (Cholesterol Test) | $14$11$228 | $253 | $253 |
| Lumbar Epidural Steroid Injection | $2,481$229$7.5k | — | — |
| Lumbar Puncture (Spinal Tap) | $2,412$364$7.5k | — | — |
| Lumbar Spinal Fusion (Posterior) | $6,761$1.0k$20k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,132$1.0k$9.9k | — | — |
| MRI Abdomen with and without Contrast | $828$148$12k | $12,906 | $12,906 |
| MRI Brain with and without Contrast | $828$153$12k | $13,274 | $13,274 |
| MRI Brain with Contrast | $828$119$10.0k | $11,061 | $11,061 |
| MRI Brain without Contrast | $518$99$8.1k | $8,954 | $8,954 |
| MRI Cervical Spine (Neck) without Contrast | $518$99$8.5k | $9,402 | $9,402 |
| MRI Knee without Contrast | $1,106$92$10.0k | $5,531 | $5,531 |
| MRI Lower Back (Lumbar Spine) without Contrast | $518$100$8.5k | $9,402 | $9,402 |
| MRI Thoracic Spine (Mid-back) without Contrast | $518$99$8.5k | $9,402 | $9,402 |
| Newborn Circumcision | $2,635$1.0k$7.5k | — | — |
| Nuclear Cardiac Stress Test | $3,682$109$18k | $19,962 | $19,962 |
| Office Visit, Established Patient (Level 3) | $167$75$551 | $603 | $603 |
| Office Visit, New Patient (Level 3) | $209$94$688 | $753 | $753 |
| Pacemaker Insertion (Dual Chamber) | $11,961$2.0k$39k | — | — |
| PET/CT Scan, Whole Body | $3,673$133$12k | $13,139 | $13,139 |
| Pregnancy Ultrasound (Second or Third Trimester) | $473$69$2.3k | $2,509 | $2,509 |
| Prostate Biopsy | $2,825$1.0k$5.0k | — | — |
| PSA Prostate Cancer Screening | $19$16$331 | $367 | $367 |
| Pulmonary Function Test with Bronchodilator | $1,101$501$3.6k | $3,977 | $3,977 |
| Rotator Cuff Repair (Arthroscopic) | $6,713$1.7k$14k | — | — |
| Screening Mammogram | $205$42$1.2k | $1,313 | $1,313 |
| Septoplasty (Deviated Septum Repair) | $3,132$1.0k$8.4k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $5,775$2.0k$17k | — | — |
| Skin Biopsy (Tangential) | $2,412$92$7.5k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,595$1.0k$7.5k | — | — |
| Sleep Study (In-lab Polysomnography) | $2,764$448$13k | $11,094 | $11,094 |
| Spinal Cord Stimulator Trial | $4,950$1.7k$41k | — | — |
| Spirometry (Breathing Test) | $575$257$1.9k | $2,057 | $2,057 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $2,825$1.1k$8.4k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $4,613$1.1k$15k | — | — |
| Total Hip Replacement | $6,761$1.1k$39k | — | — |
| Total Knee Replacement | $7,137$1.1k$39k | — | — |
| Total Mastectomy | $5,128$1.7k$17k | — | — |
| TSH Thyroid Function Test | $17$14$300 | $333 | $333 |
| TURP (Transurethral Prostate Resection) | $4,950$2.0k$12k | — | — |
| Umbilical Hernia Repair | $4,063$2.3k$8.7k | — | — |
| Upper GI Endoscopy (EGD) | $2,550$1.0k$7.5k | — | — |
| Urinalysis with Microscopy | $3$3$108 | $119 | $119 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,542$1.1k$7.5k | — | — |
| Vaginal Delivery (Global Package) | $2,542$1.1k$7.5k | — | — |
| Vaginal Hysterectomy | $4,816$2.0k$11k | — | — |
| Vasectomy | $2,635$1.0k$7.5k | — | — |
| Vitamin D Blood Test | $39$25$450 | $444 | $444 |