| Abdominal Hysterectomy | $5,118$3.5k$5.8k | — | — |
| ACL Reconstruction (Arthroscopic) | $5,602$815$11k | — | — |
| Allergy Skin Testing | $352$339$1.3k | — | — |
| Basic Metabolic Panel | $18$8$1.1k | $1,234 | $1,234 |
| Bone Marrow Biopsy | $1,233$525$2.7k | — | — |
| Breast Biopsy (Ultrasound-guided) | $1,486$475$2.7k | — | — |
| Bunion Correction Surgery | $1,613$815$5.8k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $10,955$6.3k$48k | $52,855 | $52,855 |
| Cardiac Catheterization (Left Heart) | $3,505$2.3k$12k | — | — |
| Cardiac Stress Test (Treadmill) | $177$115$999 | — | — |
| Carpal Tunnel Release Surgery | $1,153$625$4.4k | — | — |
| Cataract Surgery with Lens Implant | $2,063$755$4.9k | — | — |
| Cervical Spinal Fusion (Anterior) | $15,867$2.7k$28k | — | — |
| Chemotherapy Infusion (First Hour) | $315$114$1.5k | $1,665 | $1,665 |
| Chest X-ray (2 Views) | $386$30$2.1k | $2,382 | $2,382 |
| Colonoscopy with Biopsy | $1,153$382$2.8k | — | — |
| Complete Abdominal Ultrasound | $868$60$4.8k | $5,356 | $5,356 |
| Complete Blood Count (CBC) with Differential | $8$7$18 | — | — |
| Comprehensive Metabolic Panel | $22$11$1.3k | $1,429 | $1,429 |
| Coronary Angioplasty with Stent | $7,463$4.1k$20k | — | — |
| Critical Care, First Hour | $5,034$122$13k | $14,101 | $14,101 |
| CT Abdomen and Pelvis with Contrast | $4,895$207$27k | $30,217 | $30,217 |
| CT Cardiac Calcium Scoring | $69$15$626 | $99 | $99 |
| CT Chest without Contrast | $2,903$60$16k | $17,922 | $17,922 |
| CT Head without Contrast | $2,006$60$11k | $12,380 | $12,380 |
| DEXA Bone Density Scan | $247$49$1.4k | $1,111 | $1,111 |
| Diagnostic Colonoscopy | $1,030$296$2.8k | — | — |
| Diagnostic Mammogram (Both Breasts) | $150$60$714 | $793 | $793 |
| Ear Tube Placement (Tympanostomy) | $1,151$494$3.3k | — | — |
| Echocardiogram (Complete with Doppler) | $1,774$292$8.4k | $9,384 | $9,384 |
| EKG (Electrocardiogram, 12-lead) | $30$11$999 | — | — |
| Emergency Room Visit (Level 3) | $1,843$105$4.0k | $4,486 | $4,486 |
| Group Therapy Session | $71 | — | — |
| Hemodialysis Treatment | $119$80$1.3k | — | — |
| Hemoglobin A1c (Diabetes Test) | $21$10$347 | $385 | $385 |
| HIV Antibody Test | $19$8$161 | $179 | $179 |
| Holter Monitor (24-48 Hour Heart Monitor) | $228$53$999 | — | — |
| Home Sleep Study | $336$39$1.5k | — | — |
| Individual Therapy Session (45 Minutes) | $141 | — | — |
| Inguinal Hernia Repair (Open) | $2,167$1.0k$5.8k | — | — |
| Initial Hospital Admission (Level 1) | $136 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $187 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $181 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $736$487$3.7k | $4,155 | $4,155 |
| IUD Insertion | $162$39$1.9k | — | — |
| IUD Removal | $305$257$1.9k | — | — |
| Knee Arthroscopy with Meniscectomy | $5,127$1.0k$9.8k | — | — |
| Laparoscopic Appendectomy | $7,475$1.9k$10k | — | — |
| Laparoscopic Gallbladder Removal | $7,305$1.9k$16k | — | — |
| Laparoscopic Tubal Ligation | $7,305$1.1k$14k | — | — |
| Lipid Panel (Cholesterol Test) | $30$13$720 | $800 | $800 |
| Lumbar Epidural Steroid Injection | $392$377$2.0k | — | — |
| Lumbar Puncture (Spinal Tap) | $567$224$2.0k | — | — |
| Lumbar Spinal Fusion (Posterior) | $17,649$6.0k$34k | — | — |
| Lumpectomy (Partial Mastectomy) | $2,135$801$5.4k | — | — |
| MRI Abdomen with and without Contrast | $3,605$207$20k | $22,252 | $22,252 |
| MRI Brain with and without Contrast | $3,080$207$17k | $19,011 | $19,011 |
| MRI Brain with Contrast | $2,931$207$16k | $18,091 | $18,091 |
| MRI Brain without Contrast | $2,778$131$15k | $17,146 | $17,146 |
| MRI Cervical Spine (Neck) without Contrast | $3,038$131$17k | $18,753 | $18,753 |
| MRI Knee without Contrast | $5,663$131$31k | $17,477 | $17,477 |
| MRI Lower Back (Lumbar Spine) without Contrast | $2,983$131$17k | $18,416 | $18,416 |
| MRI Thoracic Spine (Mid-back) without Contrast | $2,942$131$16k | $18,158 | $18,158 |
| Newborn Circumcision | $960$531$4.4k | — | — |
| Nuclear Cardiac Stress Test | $1,777$640$9.2k | $10,240 | $10,240 |
| Office Visit, Established Patient (Level 3) | $252$54$841 | $934 | $934 |
| Office Visit, New Patient (Level 3) | $308$82$1.0k | $1,139 | $1,139 |
| Pacemaker Insertion (Dual Chamber) | $11,426$6.3k$20k | — | — |
| PET/CT Scan, Whole Body | $1,420$836$3.3k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $663$60$3.7k | $4,093 | $4,093 |
| Prostate Biopsy | $686$660$3.4k | — | — |
| PSA Prostate Cancer Screening | $40$18$734 | $815 | $815 |
| Pulmonary Function Test with Bronchodilator | $603$102$2.9k | $3,190 | $3,190 |
| Rotator Cuff Repair (Arthroscopic) | $5,590$1.1k$11k | — | — |
| Screening Mammogram | $86$54$320 | $355 | $355 |
| Septoplasty (Deviated Septum Repair) | $1,842$1.0k$4.9k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $3,170$1.1k$9.6k | — | — |
| Skin Biopsy (Tangential) | $131$126$1.9k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,337$525$2.7k | — | — |
| Sleep Study (In-lab Polysomnography) | $3,846$383$20k | $22,103 | $22,103 |
| Spinal Cord Stimulator Trial | $7,083$711$35k | — | — |
| Spirometry (Breathing Test) | $418$51$2.0k | $2,214 | $2,214 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $1,873$1.0k$4.9k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $2,054$815$8.6k | — | — |
| Total Hip Replacement | $14,000$8.5k$25k | — | — |
| Total Knee Replacement | $14,000$4.3k$25k | — | — |
| Total Mastectomy | $3,168$1.2k$9.5k | — | — |
| TSH Thyroid Function Test | $37$16$861 | $957 | $957 |
| TURP (Transurethral Prostate Resection) | $4,569$1.0k$9.8k | — | — |
| Umbilical Hernia Repair | $5,647$1.0k$5.8k | — | — |
| Upper GI Endoscopy (EGD) | $882$294$2.7k | — | — |
| Urinalysis with Microscopy | $7$3$362 | $402 | $402 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $1,428$1.4k$1.4k | — | — |
| Vaginal Hysterectomy | $3,170$1.6k$8.1k | — | — |
| Vasectomy | $1,153$660$4.4k | — | — |
| Vitamin D Blood Test | $66$25$2.1k | $2,358 | $2,358 |