| Abdominal Hysterectomy | $975$882$1.1k | — | — |
| ACL Reconstruction (Arthroscopic) | $7,776$912$17k | — | — |
| Allergy Skin Testing | $920$3$2.4k | — | — |
| Basic Metabolic Panel | $75$7$169 | $252 | $252 |
| Bone Marrow Biopsy | $1,770$62$5.3k | $3,402 | $3,402 |
| Breast Biopsy (Ultrasound-guided) | $2,040$130$5.3k | $5,513 | $5,513 |
| Bunion Correction Surgery | $3,506$470$7.7k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $28,010$1.0k$84k | $55,041 | $55,041 |
| Cardiac Catheterization (Left Heart) | $4,581$312$13k | $18,323 | $18,323 |
| Cardiac Stress Test (Treadmill) | $70$70$81 | — | — |
| Carpal Tunnel Release Surgery | $2,093$374$4.6k | — | — |
| Cataract Surgery with Lens Implant | $2,473$539$5.4k | — | — |
| Cervical Spinal Fusion (Anterior) | $13,758$1.6k$31k | — | — |
| Cesarean Delivery (Global Package) | $2,660$2.0k$3.1k | — | — |
| Chemotherapy Infusion (First Hour) | $354$130$1.1k | $693 | $693 |
| Chest X-ray (2 Views) | $108$9$366 | $546 | $546 |
| Colonoscopy with Biopsy | $1,282$194$2.8k | — | — |
| Complete Abdominal Ultrasound | $558$35$1.5k | $2,232 | $2,232 |
| Complete Blood Count (CBC) with Differential | $23$6$109 | $152 | $152 |
| Comprehensive Metabolic Panel | $105$9$239 | $349 | $349 |
| Coronary Angioplasty with Stent | $13,217$588$37k | $35,721 | $35,721 |
| Critical Care, First Hour | $1,355$152$3.1k | $4,515 | $4,515 |
| CT Abdomen and Pelvis with Contrast | $1,050$91$4.1k | $8,285 | $8,285 |
| CT Cardiac Calcium Scoring | $93$29$2.7k | $221 | $221 |
| CT Chest without Contrast | $336$54$2.7k | $5,208 | $5,208 |
| CT Head without Contrast | $252$42$2.7k | $4,557 | $4,557 |
| DEXA Bone Density Scan | $130$9$570 | $851 | $851 |
| Diagnostic Colonoscopy | $997$179$2.2k | — | — |
| Diagnostic Mammogram (Both Breasts) | $171$43$584 | $872 | $872 |
| Ear Tube Placement (Tympanostomy) | $1,663$139$3.5k | — | — |
| Echocardiogram (Complete with Doppler) | $1,577$72$3.3k | $4,720 | $4,720 |
| EKG (Electrocardiogram, 12-lead) | $15$15$17 | — | — |
| Emergency Room Visit (Level 3) | $378$52$1.0k | $1,185 | $1,185 |
| Group Therapy Session | $126$23$1.9k | $1,507 | $1,507 |
| Hemodialysis Treatment | $454$90$1.2k | $1,817 | $1,817 |
| Hemoglobin A1c (Diabetes Test) | $29$8$145 | $216 | $216 |
| HIV Antibody Test | $27$8$113 | $168 | $168 |
| Holter Monitor (24-48 Hour Heart Monitor) | $66$66$77 | — | — |
| Home Sleep Study | $231$87$371 | — | — |
| Individual Therapy Session (45 Minutes) | $190$88$382 | — | — |
| Inguinal Hernia Repair (Open) | $3,837$523$8.4k | — | — |
| Initial Hospital Admission (Level 1) | $66$33$231 | $131 | $131 |
| Initial Psychiatric Diagnostic Evaluation | $221$150$571 | $693 | $693 |
| Initial Psychiatric Evaluation with Medication Management | $206$139$571 | $557 | $557 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,690$297$3.1k | $4,568 | $4,568 |
| IUD Insertion | $102$44$118 | — | — |
| IUD Removal | $354$58$980 | $956 | $956 |
| Knee Arthroscopy with Meniscectomy | $3,506$505$7.7k | — | — |
| Laparoscopic Appendectomy | $6,479$603$14k | — | — |
| Laparoscopic Gallbladder Removal | $6,479$661$14k | — | — |
| Laparoscopic Tubal Ligation | $6,479$569$14k | — | — |
| Lipid Panel (Cholesterol Test) | $87$12$195 | $290 | $290 |
| Lumbar Epidural Steroid Injection | $756$84$1.6k | — | — |
| Lumbar Puncture (Spinal Tap) | $877$55$2.3k | $2,573 | $2,573 |
| Lumbar Spinal Fusion (Posterior) | $18,790$1.5k$44k | — | — |
| Lumpectomy (Partial Mastectomy) | $4,196$572$9.1k | — | — |
| MRI Abdomen with and without Contrast | $1,122$124$4.1k | $8,285 | $8,285 |
| MRI Brain with and without Contrast | $1,122$130$4.3k | $8,516 | $8,516 |
| MRI Brain with Contrast | $1,122$101$3.9k | $7,833 | $7,833 |
| MRI Brain without Contrast | $767$83$3.6k | $7,151 | $7,151 |
| MRI Cervical Spine (Neck) without Contrast | $767$83$3.6k | $7,151 | $7,151 |
| MRI Knee without Contrast | $767$77$3.6k | $7,151 | $7,151 |
| MRI Lower Back (Lumbar Spine) without Contrast | $767$83$3.6k | $7,151 | $7,151 |
| MRI Thoracic Spine (Mid-back) without Contrast | $767$83$3.6k | $7,172 | $7,172 |
| Newborn Circumcision | $2,240$97$4.9k | — | — |
| Nuclear Cardiac Stress Test | $1,494$68$4.2k | $5,975 | $5,975 |
| Office Visit, Established Patient (Level 3) | $93$46$107 | — | — |
| Office Visit, New Patient (Level 3) | $115$59$134 | — | — |
| Pacemaker Insertion (Dual Chamber) | $15,095$570$35k | $50,316 | $50,316 |
| PET/CT Scan, Whole Body | $3,103$100$8.1k | $12,411 | $12,411 |
| Pregnancy Ultrasound (Second or Third Trimester) | $130$43$1.1k | $1,617 | $1,617 |
| Prostate Biopsy | $133$129$4.9k | — | — |
| PSA Prostate Cancer Screening | $80$16$180 | $267 | $267 |
| Pulmonary Function Test with Bronchodilator | $400$10$1.2k | $872 | $872 |
| Rotator Cuff Repair (Arthroscopic) | $7,776$1000$17k | — | — |
| Screening Mammogram | $137$33$373 | $557 | $557 |
| Septoplasty (Deviated Septum Repair) | $3,553$599$7.7k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,563$292$16k | — | — |
| Skin Biopsy (Tangential) | $436$32$505 | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,770$68$3.9k | — | — |
| Sleep Study (In-lab Polysomnography) | $2,189$110$5.9k | $8,757 | $8,757 |
| Spinal Cord Stimulator Trial | $6,829$353$16k | — | — |
| Spirometry (Breathing Test) | $231$8$694 | $431 | $431 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,553$299$7.7k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,344$285$14k | — | — |
| Total Hip Replacement | $13,758$1.2k$31k | — | — |
| Total Knee Replacement | $13,758$1.2k$31k | — | — |
| Total Mastectomy | $7,116$831$16k | — | — |
| TSH Thyroid Function Test | $50$14$169 | $236 | $236 |
| TURP (Transurethral Prostate Resection) | $5,746$744$12k | — | — |
| Upper GI Endoscopy (EGD) | $972$118$2.2k | — | — |
| Urinalysis with Microscopy | $10$3$59 | $88 | $88 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,511$1.9k$2.9k | — | — |
| Vaginal Delivery (Global Package) | $2,358$1.8k$2.7k | — | — |
| Vaginal Hysterectomy | $5,361$731$12k | — | — |
| Vasectomy | $2,240$225$4.9k | — | — |
| Vitamin D Blood Test | $46$25$208 | $214 | $214 |