| Abdominal Hysterectomy | $4,514$1.6k$18k | — | — |
| ACL Reconstruction (Arthroscopic) | $6,090$261$18k | — | — |
| Allergy Skin Testing | $342$11$352 | — | — |
| Basic Metabolic Panel | $18$4$477 | $596 | $596 |
| Bone Marrow Biopsy | $1,941$525$4.1k | — | — |
| Breast Biopsy (Ultrasound-guided) | $1,941$475$7.5k | — | — |
| Bunion Correction Surgery | $3,788$1.0k$9.5k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $26,707$6.5k$91k | $113,141 | $113,141 |
| Cardiac Catheterization (Left Heart) | $4,823$2.3k$16k | — | — |
| Cardiac Stress Test (Treadmill) | $118$115$119 | — | — |
| Carpal Tunnel Release Surgery | $2,326$625$6.5k | — | — |
| Cataract Surgery with Lens Implant | $3,068$755$11k | — | — |
| Cervical Spinal Fusion (Anterior) | $5,417$2.7k$40k | — | — |
| Cesarean Delivery (Global Package) | $3,738$2.0k$7.4k | — | — |
| Chemotherapy Infusion (First Hour) | $484$107$1.1k | $1,299 | $1,299 |
| Chest X-ray (2 Views) | $284$25$1.2k | $1,508 | $1,508 |
| Colonoscopy with Biopsy | $1,770$382$4.6k | — | — |
| Complete Abdominal Ultrasound | $227$60$4.1k | $5,150 | $5,150 |
| Complete Blood Count (CBC) with Differential | $8$4$19 | — | — |
| Comprehensive Metabolic Panel | $22$5$974 | $1,218 | $1,218 |
| Coronary Angioplasty with Stent | $4,764$1.6k$34k | — | — |
| Critical Care, First Hour | $6,340$122$13k | $15,771 | $15,771 |
| CT Abdomen and Pelvis with Contrast | $651$207$9.9k | $12,400 | $12,400 |
| CT Cardiac Calcium Scoring | $42$7$811 | $55 | $55 |
| CT Chest without Contrast | $486$60$7.7k | $9,565 | $9,565 |
| CT Head without Contrast | $486$60$5.4k | $6,718 | $6,718 |
| DEXA Bone Density Scan | $603$42$2.2k | $2,713 | $2,713 |
| Diagnostic Colonoscopy | $1,367$296$4.6k | — | — |
| Diagnostic Mammogram (Both Breasts) | $226$60$1.4k | $1,756 | $1,756 |
| Ear Tube Placement (Tympanostomy) | $2,191$494$8.0k | — | — |
| Echocardiogram (Complete with Doppler) | $1,511$292$4.6k | $4,731 | $4,731 |
| EKG (Electrocardiogram, 12-lead) | $28$11$29 | — | — |
| Emergency Room Visit (Level 3) | $1,481$105$2.9k | $3,612 | $3,612 |
| Group Therapy Session | $83$79$225 | — | — |
| Hemodialysis Treatment | $116$80$119 | — | — |
| Hemoglobin A1c (Diabetes Test) | $20$5$174 | $217 | $217 |
| HIV Antibody Test | $19$5$232 | $290 | $290 |
| Holter Monitor (24-48 Hour Heart Monitor) | $182$53$187 | — | — |
| Home Sleep Study | $896$39$2.3k | $2,662 | $2,662 |
| Individual Therapy Session (45 Minutes) | $159$137$555 | — | — |
| Inguinal Hernia Repair (Open) | $4,578$1.1k$12k | — | — |
| Initial Psychiatric Diagnostic Evaluation | $140$137$144 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $137$81$144 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,316$461$4.0k | $4,967 | $4,967 |
| IUD Insertion | $197$39$5.0k | — | — |
| IUD Removal | $318$257$5.0k | — | — |
| Knee Arthroscopy with Meniscectomy | $4,303$1.0k$14k | — | — |
| Laparoscopic Appendectomy | $4,950$261$18k | — | — |
| Laparoscopic Gallbladder Removal | $4,950$261$18k | — | — |
| Laparoscopic Tubal Ligation | $4,974$261$18k | — | — |
| Lipid Panel (Cholesterol Test) | $28$7$1.4k | $1,692 | $1,692 |
| Lumbar Epidural Steroid Injection | $2,125$377$4.1k | — | — |
| Lumbar Puncture (Spinal Tap) | $981$224$4.1k | — | — |
| Lumbar Spinal Fusion (Posterior) | $6,279$3.7k$66k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,788$801$37k | — | — |
| MRI Abdomen with and without Contrast | $1,476$207$14k | $17,932 | $17,932 |
| MRI Brain with and without Contrast | $1,420$207$14k | $17,932 | $17,932 |
| MRI Brain with Contrast | $1,140$207$13k | $16,294 | $16,294 |
| MRI Brain without Contrast | $1,100$131$10k | $13,017 | $13,017 |
| MRI Cervical Spine (Neck) without Contrast | $1,100$131$10k | $13,017 | $13,017 |
| MRI Knee without Contrast | $5,207$131$16k | $13,017 | $13,017 |
| MRI Lower Back (Lumbar Spine) without Contrast | $1,100$131$10k | $13,017 | $13,017 |
| MRI Thoracic Spine (Mid-back) without Contrast | $1,100$131$10k | $13,017 | $13,017 |
| Newborn Circumcision | $1,941$660$6.5k | — | — |
| Nuclear Cardiac Stress Test | $1,906$539$5.3k | $6,017 | $6,017 |
| Office Visit, Established Patient (Level 3) | $311$11$1.2k | $1,177 | $1,177 |
| Office Visit, New Patient (Level 3) | $311$11$1.2k | $1,177 | $1,177 |
| Pacemaker Insertion (Dual Chamber) | $9,074$261$34k | — | — |
| PET/CT Scan, Whole Body | $7,079$219$28k | $35,397 | $35,397 |
| Pregnancy Ultrasound (Second or Third Trimester) | $234$60$2.4k | $3,056 | $3,056 |
| Prostate Biopsy | $1,802$660$5.7k | — | — |
| PSA Prostate Cancer Screening | $35$9$212 | $265 | $265 |
| Pulmonary Function Test with Bronchodilator | $509$102$1.4k | $1,696 | $1,696 |
| Rotator Cuff Repair (Arthroscopic) | $4,950$2.3k$14k | — | — |
| Screening Mammogram | $351$72$1.4k | $1,756 | $1,756 |
| Septoplasty (Deviated Septum Repair) | $3,958$1.0k$12k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $4,950$2.2k$14k | — | — |
| Skin Biopsy (Tangential) | $241$126$4.1k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,941$525$5.7k | — | — |
| Sleep Study (In-lab Polysomnography) | $3,217$383$10k | $12,593 | $12,593 |
| Spinal Cord Stimulator Trial | $4,950$261$49k | — | — |
| Spirometry (Breathing Test) | $259$51$690 | $862 | $862 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,291$1.0k$11k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $3,172$1.9k$8.6k | — | — |
| Total Hip Replacement | $12,140$2.0k$44k | — | — |
| Total Knee Replacement | $14,000$2.0k$44k | — | — |
| Total Mastectomy | $4,950$1.2k$37k | — | — |
| TSH Thyroid Function Test | $41$9$562 | $432 | $432 |
| TURP (Transurethral Prostate Resection) | $4,643$1.7k$14k | — | — |
| Umbilical Hernia Repair | $4,658$3.7k$6.9k | — | — |
| Upper GI Endoscopy (EGD) | $1,431$294$3.5k | — | — |
| Urinalysis with Microscopy | $7$2$373 | $467 | $467 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $1,715$1.4k$7.4k | — | — |
| Vaginal Delivery (Global Package) | $3,738$2.0k$7.4k | — | — |
| Vaginal Hysterectomy | $3,075$1.6k$13k | — | — |
| Vasectomy | $2,094$660$6.5k | — | — |
| Vitamin D Blood Test | $105$15$677 | $706 | $706 |