| Abdominal Hysterectomy | $975$882$975 | — | — |
| ACL Reconstruction (Arthroscopic) | $7,776$912$7.8k | — | — |
| Allergy Skin Testing | $920$3$2.3k | $3,052 | $3,052 |
| Basic Metabolic Panel | $15$7$80 | $107 | $107 |
| Bone Marrow Biopsy | $1,770$62$3.6k | $4,861 | $4,861 |
| Breast Biopsy (Ultrasound-guided) | $1,770$130$3.8k | $5,102 | $5,102 |
| Bunion Correction Surgery | $3,506$470$3.5k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $21,259$1.0k$28k | $32,432 | $32,432 |
| Cardiac Catheterization (Left Heart) | $3,474$1.1k$11k | $14,618 | $14,618 |
| Cardiac Stress Test (Treadmill) | $70$70$75 | — | — |
| Carpal Tunnel Release Surgery | $2,093$374$2.1k | — | — |
| Cataract Surgery with Lens Implant | $2,473$539$2.5k | — | — |
| Cervical Spinal Fusion (Anterior) | $13,758$1.6k$14k | — | — |
| Cesarean Delivery (Global Package) | $2,660$2.0k$2.7k | — | — |
| Chemotherapy Infusion (First Hour) | $354$130$886 | $1,181 | $1,181 |
| Chest X-ray (2 Views) | $93$22$255 | $340 | $340 |
| Colonoscopy with Biopsy | $1,282$82$2.4k | $3,172 | $3,172 |
| Complete Abdominal Ultrasound | $153$99$725 | $966 | $966 |
| Complete Blood Count (CBC) with Differential | $40$7$62 | $75 | $75 |
| Comprehensive Metabolic Panel | $72$9$242 | $144 | $144 |
| Coronary Angioplasty with Stent | $8,832$588$12k | $13,474 | $13,474 |
| Critical Care, First Hour | $885$152$1.5k | $2,028 | $2,028 |
| CT Abdomen and Pelvis with Contrast | $487$322$4.9k | $6,523 | $6,523 |
| CT Cardiac Calcium Scoring | $118$93$1.7k | $644 | $644 |
| CT Chest without Contrast | $373$112$2.5k | $3,399 | $3,399 |
| CT Head without Contrast | $116$85$2.5k | $3,303 | $3,303 |
| DEXA Bone Density Scan | $112$20$582 | $776 | $776 |
| Diagnostic Colonoscopy | $997$82$1.8k | $2,409 | $2,409 |
| Diagnostic Mammogram (Both Breasts) | $148$93$349 | $465 | $465 |
| Ear Tube Placement (Tympanostomy) | $1,663$139$1.7k | — | — |
| Echocardiogram (Complete with Doppler) | $586$201$1.3k | $1,705 | $1,705 |
| EKG (Electrocardiogram, 12-lead) | $15$15$16 | — | — |
| Emergency Room Visit (Level 3) | $293$52$626 | $835 | $835 |
| Group Therapy Session | $109$23$188 | $250 | $250 |
| Hemodialysis Treatment | $90$90$103 | — | — |
| Hemoglobin A1c (Diabetes Test) | $18$5$135 | $80 | $80 |
| HIV Antibody Test | $46$8$98 | $76 | $76 |
| Holter Monitor (24-48 Hour Heart Monitor) | $66$66$76 | — | — |
| Home Sleep Study | $231$81$5.4k | $7,143 | $7,143 |
| Individual Therapy Session (45 Minutes) | $190$58$219 | $292 | $292 |
| Inguinal Hernia Repair (Open) | $3,837$523$3.8k | — | — |
| Initial Hospital Admission (Level 1) | $61$19$77 | $93 | $93 |
| Initial Psychiatric Diagnostic Evaluation | $254$82$359 | $446 | $446 |
| Initial Psychiatric Evaluation with Medication Management | $190$93$349 | $465 | $465 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $306$297$376 | — | — |
| IUD Insertion | $323$44$456 | $567 | $567 |
| IUD Removal | $317$58$362 | $483 | $483 |
| Knee Arthroscopy with Meniscectomy | $3,506$505$3.5k | — | — |
| Laparoscopic Appendectomy | $6,479$603$6.5k | — | — |
| Laparoscopic Gallbladder Removal | $6,479$661$6.5k | — | — |
| Laparoscopic Tubal Ligation | $6,479$569$6.5k | — | — |
| Lipid Panel (Cholesterol Test) | $21$12$108 | $144 | $144 |
| Lumbar Epidural Steroid Injection | $891$82$1.3k | $1,592 | $1,592 |
| Lumbar Puncture (Spinal Tap) | $756$55$975 | $1,300 | $1,300 |
| Lumbar Spinal Fusion (Posterior) | $18,790$1.5k$19k | — | — |
| Lumpectomy (Partial Mastectomy) | $4,196$572$4.2k | — | — |
| MRI Abdomen with and without Contrast | $815$374$5.2k | $6,869 | $6,869 |
| MRI Brain with and without Contrast | $802$374$5.2k | $6,869 | $6,869 |
| MRI Brain with Contrast | $787$333$5.9k | $7,905 | $7,905 |
| MRI Brain without Contrast | $548$241$3.1k | $4,197 | $4,197 |
| MRI Cervical Spine (Neck) without Contrast | $595$235$3.5k | $4,675 | $4,675 |
| MRI Knee without Contrast | $611$248$3.6k | $4,830 | $4,830 |
| MRI Lower Back (Lumbar Spine) without Contrast | $586$235$3.4k | $4,579 | $4,579 |
| MRI Thoracic Spine (Mid-back) without Contrast | $568$235$3.3k | $4,401 | $4,401 |
| Newborn Circumcision | $2,142$82$2.5k | $3,267 | $3,267 |
| Nuclear Cardiac Stress Test | $1,387$366$3.2k | $4,245 | $4,245 |
| Office Visit, Established Patient (Level 3) | $93$46$224 | $299 | $299 |
| Office Visit, New Patient (Level 3) | $115$59$304 | $405 | $405 |
| Pacemaker Insertion (Dual Chamber) | $11,201$570$14k | $19,257 | $19,257 |
| PET/CT Scan, Whole Body | $1,579$1.3k$6.1k | $8,132 | $8,132 |
| Pregnancy Ultrasound (Second or Third Trimester) | $168$112$814 | $1,085 | $1,085 |
| Prostate Biopsy | $2,067$129$2.5k | $3,363 | $3,363 |
| PSA Prostate Cancer Screening | $55$4$167 | $111 | $111 |
| Pulmonary Function Test with Bronchodilator | $391$36$447 | $596 | $596 |
| Rotator Cuff Repair (Arthroscopic) | $7,776$1000$7.8k | — | — |
| Screening Mammogram | $119$106$398 | $530 | $530 |
| Septoplasty (Deviated Septum Repair) | $3,553$599$3.6k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,563$292$7.6k | — | — |
| Skin Biopsy (Tangential) | $436$32$528 | $704 | $704 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,524$68$1.8k | $2,325 | $2,325 |
| Sleep Study (In-lab Polysomnography) | $920$217$5.4k | $7,143 | $7,143 |
| Spinal Cord Stimulator Trial | $6,829$82$9.8k | $13,033 | $13,033 |
| Spirometry (Breathing Test) | $136$25$231 | $208 | $208 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,553$299$3.6k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,344$285$6.3k | — | — |
| Total Hip Replacement | $13,758$1.2k$14k | — | — |
| Total Knee Replacement | $13,758$1.2k$14k | — | — |
| Total Mastectomy | $7,116$831$7.1k | — | — |
| TSH Thyroid Function Test | $33$10$112 | $131 | $131 |
| TURP (Transurethral Prostate Resection) | $5,746$744$5.7k | — | — |
| Upper GI Endoscopy (EGD) | $966$82$1.1k | $1,478 | $1,478 |
| Urinalysis with Microscopy | $13$3$83 | $111 | $111 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,511$1.9k$2.5k | — | — |
| Vaginal Delivery (Global Package) | $2,358$1.8k$2.4k | — | — |
| Vaginal Hysterectomy | $5,361$731$5.4k | — | — |
| Vasectomy | $2,142$82$2.5k | $3,267 | $3,267 |
| Vitamin D Blood Test | $114$25$206 | $256 | $256 |