| Abdominal Hysterectomy | $2,569$1.5k$11k | — | — |
| ACL Reconstruction (Arthroscopic) | $3,528$1.3k$9.9k | — | — |
| Allergy Skin Testing | $5$5$8 | — | — |
| Basic Metabolic Panel | $17$4$886 | $944 | $944 |
| Bone Marrow Biopsy | $2,550$440$3.9k | — | — |
| Breast Biopsy (Ultrasound-guided) | $2,560$662$5.1k | — | — |
| Bunion Correction Surgery | $3,514$1.3k$7.7k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $9,398$2.7k$40k | — | — |
| Cardiac Catheterization (Left Heart) | $8,139$1.6k$18k | — | — |
| Cardiac Stress Test (Treadmill) | $291$173$4.7k | — | — |
| Carpal Tunnel Release Surgery | $2,614$870$6.3k | — | — |
| Cataract Surgery with Lens Implant | $4,594$1.3k$7.9k | — | — |
| Cervical Spinal Fusion (Anterior) | $6,095$2.2k$36k | — | — |
| Cesarean Delivery (Global Package) | $3,724$1.4k$4.4k | — | — |
| Chemotherapy Infusion (First Hour) | $247$228$384 | — | — |
| Chest X-ray (2 Views) | $85$17$919 | $1,045 | $1,045 |
| Colonoscopy with Biopsy | $2,550$662$5.1k | — | — |
| Complete Abdominal Ultrasound | $496$89$2.4k | $2,651 | $2,651 |
| Complete Blood Count (CBC) with Differential | $8$4$44 | — | — |
| Comprehensive Metabolic Panel | $21$5$1.3k | $1,287 | $1,287 |
| Coronary Angioplasty with Stent | $11,194$2.2k$32k | — | — |
| Critical Care, First Hour | $2,315$197$5.3k | $5,768 | $5,768 |
| CT Abdomen and Pelvis with Contrast | $2,460$307$12k | $13,467 | $13,467 |
| CT Cardiac Calcium Scoring | $459$71$2.4k | $2,671 | $2,671 |
| CT Chest without Contrast | $1,105$155$5.5k | $6,046 | $6,046 |
| CT Head without Contrast | $1,150$155$5.8k | $6,294 | $6,294 |
| DEXA Bone Density Scan | $138$34$933 | $1,060 | $1,060 |
| Diagnostic Colonoscopy | $2,550$662$5.1k | — | — |
| Diagnostic Mammogram (Both Breasts) | $181$72$864 | $982 | $982 |
| Ear Tube Placement (Tympanostomy) | $2,992$662$8.9k | — | — |
| Echocardiogram (Complete with Doppler) | $1,289$256$4.7k | $4,793 | $4,793 |
| EKG (Electrocardiogram, 12-lead) | $69$41$4.7k | — | — |
| Emergency Room Visit (Level 3) | $1,254$128$2.9k | $2,162 | $2,162 |
| Group Therapy Session | $42$39$66 | — | — |
| Hemodialysis Treatment | $298$276$464 | — | — |
| Hemoglobin A1c (Diabetes Test) | $39$4$300 | $320 | $320 |
| HIV Antibody Test | $25$4$117 | $124 | $124 |
| Holter Monitor (24-48 Hour Heart Monitor) | $433$258$4.7k | — | — |
| Home Sleep Study | $313$163$2.7k | $961 | $961 |
| Inguinal Hernia Repair (Open) | $4,013$1.5k$7.7k | — | — |
| Initial Hospital Admission (Level 1) | $108$100$168 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,336$352$1.3k | — | — |
| IUD Insertion | $2,303$51$22k | — | — |
| IUD Removal | $2,569$250$22k | — | — |
| Knee Arthroscopy with Meniscectomy | $4,013$1.5k$9.9k | — | — |
| Laparoscopic Appendectomy | $5,769$1.3k$9.9k | — | — |
| Laparoscopic Gallbladder Removal | $5,769$1.8k$14k | — | — |
| Laparoscopic Tubal Ligation | $4,953$1.8k$9.9k | — | — |
| Lipid Panel (Cholesterol Test) | $47$6$1.0k | $1,071 | $1,071 |
| Lumbar Epidural Steroid Injection | $2,550$440$3.9k | — | — |
| Lumbar Puncture (Spinal Tap) | $2,427$440$3.9k | — | — |
| Lumbar Spinal Fusion (Posterior) | $5,325$2.2k$55k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,514$1.3k$6.4k | — | — |
| MRI Abdomen with and without Contrast | $1,346$408$9.9k | $11,267 | $11,267 |
| MRI Brain with and without Contrast | $1,262$426$9.3k | $10,547 | $10,547 |
| MRI Brain with Contrast | $1,013$332$8.2k | $9,349 | $9,349 |
| MRI Brain without Contrast | $773$276$5.2k | $5,921 | $5,921 |
| MRI Cervical Spine (Neck) without Contrast | $756$277$6.5k | $7,358 | $7,358 |
| MRI Knee without Contrast | $1,568$254$7.3k | $8,254 | $8,254 |
| MRI Lower Back (Lumbar Spine) without Contrast | $757$277$7.4k | $8,454 | $8,454 |
| MRI Thoracic Spine (Mid-back) without Contrast | $755$276$7.4k | $8,388 | $8,388 |
| Newborn Circumcision | $2,475$607$6.3k | — | — |
| Nuclear Cardiac Stress Test | $1,624$298$14k | $15,511 | $15,511 |
| Office Visit, Established Patient (Level 3) | $236$65$719 | $817 | $817 |
| Office Visit, New Patient (Level 3) | $236$97$719 | $817 | $817 |
| Pacemaker Insertion (Dual Chamber) | $7,447$2.3k$32k | — | — |
| PET/CT Scan, Whole Body | $2,672$443$5.8k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $433$86$2.0k | $2,247 | $2,247 |
| Prostate Biopsy | $1,986$662$3.9k | — | — |
| PSA Prostate Cancer Screening | $74$8$524 | $556 | $556 |
| Pulmonary Function Test with Bronchodilator | $464$49$1.5k | $1,746 | $1,746 |
| Rotator Cuff Repair (Arthroscopic) | $4,953$1.8k$9.9k | — | — |
| Screening Mammogram | $141$60$836 | $950 | $950 |
| Septoplasty (Deviated Septum Repair) | $4,013$1.4k$6.4k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $4,950$1.5k$9.9k | — | — |
| Skin Biopsy (Tangential) | $2,550$250$22k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,550$440$3.9k | — | — |
| Sleep Study (In-lab Polysomnography) | $2,569$269$9.4k | $10,703 | $10,703 |
| Spinal Cord Stimulator Trial | $2,614$870$40k | — | — |
| Spirometry (Breathing Test) | $378$22$1.3k | $1,421 | $1,421 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,780$1.4k$6.4k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $2,992$1.3k$6.4k | — | — |
| Total Hip Replacement | $13,774$2.2k$37k | — | — |
| Total Knee Replacement | $13,774$2.2k$37k | — | — |
| Total Mastectomy | $4,013$1.5k$7.7k | — | — |
| TSH Thyroid Function Test | $67$8$492 | $522 | $522 |
| TURP (Transurethral Prostate Resection) | $4,013$1.5k$9.9k | — | — |
| Umbilical Hernia Repair | $4,013$1.5k$7.6k | — | — |
| Upper GI Endoscopy (EGD) | $2,427$607$5.1k | — | — |
| Urinalysis with Microscopy | $6$1$300 | $320 | $320 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $3,658$1.4k$4.0k | — | — |
| Vaginal Delivery (Global Package) | $3,658$1.4k$4.0k | — | — |
| Vaginal Hysterectomy | $4,004$1.5k$8.7k | — | — |
| Vasectomy | $2,475$697$6.3k | — | — |
| Vitamin D Blood Test | $118$13$535 | $459 | $459 |