| Abdominal Hysterectomy | $9,218$6.1k$17k | — | — |
| ACL Reconstruction (Arthroscopic) | $3,813$550$20k | — | — |
| Allergy Skin Testing | $1,961 | — | — |
| Basic Metabolic Panel | $11$8$358 | $247 | $247 |
| Bone Marrow Biopsy | $4,050$3.0k$17k | — | — |
| Breast Biopsy (Ultrasound-guided) | $2,962$481$17k | — | — |
| Bunion Correction Surgery | $3,813$550$12k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $48,021$6.1k$86k | $106,008 | $106,008 |
| Cardiac Catheterization (Left Heart) | $24,958$6.1k$38k | $47,091 | $47,091 |
| Cardiac Stress Test (Treadmill) | $546 | — | — |
| Carpal Tunnel Release Surgery | $3,710$481$9.1k | — | — |
| Cataract Surgery with Lens Implant | $4,363$888$15k | — | — |
| Cervical Spinal Fusion (Anterior) | $5,604$1.4k$35k | — | — |
| Cesarean Delivery (Global Package) | $17,386 | — | — |
| Chemotherapy Infusion (First Hour) | $736$337$1.2k | $1,502 | $1,502 |
| Chest X-ray (2 Views) | $414$28$1.1k | $1,381 | $1,381 |
| Colonoscopy with Biopsy | $2,167$481$7.9k | — | — |
| Complete Abdominal Ultrasound | $1,277$96$3.4k | $4,258 | $4,258 |
| Complete Blood Count (CBC) with Differential | $8$8$28 | — | — |
| Comprehensive Metabolic Panel | $17$10$585 | $407 | $407 |
| Coronary Angioplasty with Stent | $26,176$6.2k$39k | $48,295 | $48,295 |
| Critical Care, First Hour | $1,439$600$3.7k | $3,089 | $3,089 |
| CT Abdomen and Pelvis with Contrast | $10,638$284$20k | $24,454 | $24,454 |
| CT Cardiac Calcium Scoring | $88$28$2.0k | $129 | $129 |
| CT Chest without Contrast | $245$30$8.2k | $5,124 | $5,124 |
| CT Head without Contrast | $3,916$84$7.3k | $9,002 | $9,002 |
| DEXA Bone Density Scan | $553$33$1.5k | $1,843 | $1,843 |
| Diagnostic Colonoscopy | $1,648$481$7.9k | — | — |
| Diagnostic Mammogram (Both Breasts) | $252$93$1.4k | $1,456 | $1,456 |
| Ear Tube Placement (Tympanostomy) | $2,912$550$11k | — | — |
| Echocardiogram (Complete with Doppler) | $3,817$1.0k$5.8k | $7,202 | $7,202 |
| EKG (Electrocardiogram, 12-lead) | $119$11$119 | — | — |
| Emergency Room Visit (Level 3) | $600$219$3.6k | $977 | $977 |
| Group Therapy Session | $169 | — | — |
| Hemodialysis Treatment | $78 | — | — |
| Hemoglobin A1c (Diabetes Test) | $15$9$307 | $253 | $253 |
| HIV Antibody Test | $9$8$33 | $36 | $36 |
| Holter Monitor (24-48 Hour Heart Monitor) | $235$51$235 | — | — |
| Home Sleep Study | $299$183$2.1k | — | — |
| Individual Therapy Session (45 Minutes) | $283 | — | — |
| Inguinal Hernia Repair (Open) | $5,203$680$13k | — | — |
| Initial Hospital Admission (Level 1) | $221 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $283 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $283 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $3,523$436$5.8k | $7,189 | $7,189 |
| IUD Insertion | $395$39$17k | — | — |
| IUD Removal | $584$359$17k | — | — |
| Knee Arthroscopy with Meniscectomy | $5,203$680$13k | — | — |
| Laparoscopic Appendectomy | $3,813$774$17k | — | — |
| Laparoscopic Gallbladder Removal | $5,150$550$17k | — | — |
| Laparoscopic Tubal Ligation | $5,150$774$16k | — | — |
| Lipid Panel (Cholesterol Test) | $20$13$264 | $212 | $212 |
| Lumbar Epidural Steroid Injection | $1,349$359$17k | — | — |
| Lumbar Puncture (Spinal Tap) | $1,349$359$7.9k | — | — |
| Lumbar Spinal Fusion (Posterior) | $21,533$5.6k$47k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,813$550$11k | — | — |
| MRI Abdomen with and without Contrast | $5,502$307$10k | $12,648 | $12,648 |
| MRI Brain with and without Contrast | $7,887$273$15k | $18,130 | $18,130 |
| MRI Brain with Contrast | $5,502$240$10k | $12,648 | $12,648 |
| MRI Brain without Contrast | $4,130$163$7.7k | $9,493 | $9,493 |
| MRI Cervical Spine (Neck) without Contrast | $4,130$157$7.7k | $9,493 | $9,493 |
| MRI Knee without Contrast | $5,145$177$7.7k | $9,493 | $9,493 |
| MRI Lower Back (Lumbar Spine) without Contrast | $4,130$157$7.7k | $9,493 | $9,493 |
| MRI Thoracic Spine (Mid-back) without Contrast | $4,130$157$7.7k | $9,493 | $9,493 |
| Newborn Circumcision | $3,139$481$9.1k | — | — |
| Nuclear Cardiac Stress Test | $2,745$287$5.8k | $7,201 | $7,201 |
| Office Visit, Established Patient (Level 3) | $155$34$450 | $316 | $316 |
| Office Visit, New Patient (Level 3) | $171$34$868 | $491 | $491 |
| Pacemaker Insertion (Dual Chamber) | $17,130$6.1k$59k | $29,043 | $29,043 |
| PET/CT Scan, Whole Body | $4,795$1.8k$7.9k | $9,785 | $9,785 |
| Pregnancy Ultrasound (Second or Third Trimester) | $869$107$2.3k | $2,896 | $2,896 |
| Prostate Biopsy | $2,129$481$7.9k | — | — |
| PSA Prostate Cancer Screening | $30$12$430 | $177 | $177 |
| Pulmonary Function Test with Bronchodilator | $1,663$546$2.7k | $3,395 | $3,395 |
| Rotator Cuff Repair (Arthroscopic) | $5,150$774$20k | — | — |
| Screening Mammogram | $207$77$1.2k | $1,222 | $1,222 |
| Septoplasty (Deviated Septum Repair) | $5,203$680$13k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $5,150$774$19k | — | — |
| Skin Biopsy (Tangential) | $2,764$377$17k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,962$481$17k | — | — |
| Sleep Study (In-lab Polysomnography) | $2,211$494$4.5k | $5,572 | $5,572 |
| Spinal Cord Stimulator Trial | $3,728$481$62k | — | — |
| Spirometry (Breathing Test) | $858$299$1.4k | $1,752 | $1,752 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $5,150$774$13k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $3,813$550$16k | — | — |
| Total Hip Replacement | $17,386$14k$35k | — | — |
| Total Knee Replacement | $17,386$14k$35k | — | — |
| Total Mastectomy | $5,203$680$18k | — | — |
| TSH Thyroid Function Test | $20$8$652 | $139 | $139 |
| TURP (Transurethral Prostate Resection) | $5,203$680$14k | — | — |
| Umbilical Hernia Repair | $8,719$6.7k$13k | — | — |
| Upper GI Endoscopy (EGD) | $1,696$359$7.9k | — | — |
| Urinalysis with Microscopy | $5$3$337 | $236 | $236 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $17,386 | — | — |
| Vaginal Delivery (Global Package) | $5,391$5.4k$17k | — | — |
| Vaginal Hysterectomy | $11,600$5.2k$17k | — | — |
| Vasectomy | $3,728$481$9.1k | — | — |
| Vitamin D Blood Test | $31$29$267 | $330 | $330 |