| Abdominal Hysterectomy | $4,096$963$6.5k | — | — |
| ACL Reconstruction (Arthroscopic) | $4,731$941$13k | — | — |
| Allergy Skin Testing | $7$5$9 | — | — |
| Basic Metabolic Panel | $8$1$29 | $689 | $689 |
| Bone Marrow Biopsy | $1,566$70$3.7k | — | — |
| Breast Biopsy (Ultrasound-guided) | $1,761$162$3.7k | — | — |
| Bunion Correction Surgery | $3,107$494$14k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $9,462$1.0k$53k | $141,980 | $141,980 |
| Cardiac Catheterization (Left Heart) | $4,147$284$25k | — | — |
| Cardiac Stress Test (Treadmill) | $155$66$479 | — | — |
| Carpal Tunnel Release Surgery | $2,367$404$3.7k | — | — |
| Cataract Surgery with Lens Implant | $3,500$626$7.7k | — | — |
| Cervical Spinal Fusion (Anterior) | $7,812$2.6k$19k | — | — |
| Cesarean Delivery (Global Package) | $3,528$2.2k$6.9k | — | — |
| Chemotherapy Infusion (First Hour) | $208$119$324 | $692 | $692 |
| Chest X-ray (2 Views) | $49$7$201 | $1,714 | $1,714 |
| Colonoscopy with Biopsy | $1,986$244$3.7k | — | — |
| Complete Abdominal Ultrasound | $149$28$275 | $5,334 | $5,334 |
| Complete Blood Count (CBC) with Differential | $8$1$26 | — | — |
| Comprehensive Metabolic Panel | $11$2$35 | $689 | $689 |
| Coronary Angioplasty with Stent | $14,356$1.4k$24k | — | — |
| Critical Care, First Hour | $4,627$205$13k | $13,129 | $13,129 |
| CT Abdomen and Pelvis with Contrast | $476$94$1.2k | $18,657 | $18,657 |
| CT Cardiac Calcium Scoring | $149$28$976 | $6,709 | $6,709 |
| CT Chest without Contrast | $214$52$976 | $11,410 | $11,410 |
| CT Head without Contrast | $156$43$976 | $9,820 | $9,820 |
| DEXA Bone Density Scan | $59$7$420 | — | — |
| Diagnostic Colonoscopy | $1,920$205$3.7k | — | — |
| Diagnostic Mammogram (Both Breasts) | $124$17$585 | $1,313 | $1,313 |
| Ear Tube Placement (Tympanostomy) | $2,494$154$3.7k | — | — |
| Echocardiogram (Complete with Doppler) | $249$147$622 | $6,943 | $6,943 |
| EKG (Electrocardiogram, 12-lead) | $31$12$101 | — | — |
| Emergency Room Visit (Level 3) | $1,903$56$3.5k | $4,761 | $4,761 |
| Group Therapy Session | $31$22$44 | — | — |
| Hemodialysis Treatment | $525$85$583 | — | — |
| Hemoglobin A1c (Diabetes Test) | $10$1$32 | $833 | $833 |
| HIV Antibody Test | $9$1$29 | $978 | $978 |
| Holter Monitor (24-48 Hour Heart Monitor) | $81$61$165 | — | — |
| Home Sleep Study | $651$103$3.8k | — | — |
| Individual Therapy Session (45 Minutes) | $143$134$149 | — | — |
| Inguinal Hernia Repair (Open) | $2,897$491$4.4k | — | — |
| Initial Hospital Admission (Level 1) | $121$93$162 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $480$160$505 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $535$501$557 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $773$361$3.3k | — | — |
| IUD Insertion | $1,557$42$3.7k | — | — |
| IUD Removal | $1,574$65$3.7k | — | — |
| Knee Arthroscopy with Meniscectomy | $3,528$516$8.1k | — | — |
| Laparoscopic Appendectomy | $4,731$566$6.5k | — | — |
| Laparoscopic Gallbladder Removal | $4,731$621$13k | — | — |
| Laparoscopic Tubal Ligation | $3,943$619$8.3k | — | — |
| Lipid Panel (Cholesterol Test) | $13$2$44 | $689 | $689 |
| Lumbar Epidural Steroid Injection | $1,713$373$3.7k | — | — |
| Lumbar Puncture (Spinal Tap) | $1,566$75$3.7k | — | — |
| Lumbar Spinal Fusion (Posterior) | $5,526$1.5k$25k | — | — |
| Lumpectomy (Partial Mastectomy) | $2,775$1.6k$4.4k | — | — |
| MRI Abdomen with and without Contrast | $700$116$2.8k | $12,010 | $12,010 |
| MRI Brain with and without Contrast | $615$119$2.8k | $12,010 | $12,010 |
| MRI Brain with Contrast | $534$93$2.5k | $9,744 | $9,744 |
| MRI Brain without Contrast | $372$76$2.3k | $9,446 | $9,446 |
| MRI Cervical Spine (Neck) without Contrast | $362$77$2.3k | $8,180 | $8,180 |
| MRI Knee without Contrast | $399$71$2.3k | $7,257 | $7,257 |
| MRI Lower Back (Lumbar Spine) without Contrast | $362$77$2.3k | $8,337 | $8,337 |
| MRI Thoracic Spine (Mid-back) without Contrast | $362$77$2.3k | $8,611 | $8,611 |
| Newborn Circumcision | $2,078$92$3.7k | — | — |
| Nuclear Cardiac Stress Test | $520$81$3.1k | $21,573 | $21,573 |
| Office Visit, Established Patient (Level 3) | $47$23$116 | $1,523 | $1,523 |
| Office Visit, New Patient (Level 3) | $70$35$181 | $1,899 | $1,899 |
| Pacemaker Insertion (Dual Chamber) | $7,812$504$42k | — | — |
| PET/CT Scan, Whole Body | $1,603$123$10k | $28,920 | $28,920 |
| Pregnancy Ultrasound (Second or Third Trimester) | $154$34$300 | $3,064 | $3,064 |
| Prostate Biopsy | $1,920$130$3.7k | — | — |
| PSA Prostate Cancer Screening | $18$3$62 | $2,434 | $2,434 |
| Pulmonary Function Test with Bronchodilator | $54$42$181 | $1,939 | $1,939 |
| Rotator Cuff Repair (Arthroscopic) | $4,731$1.0k$9.3k | — | — |
| Screening Mammogram | $102$14$485 | $1,161 | $1,161 |
| Septoplasty (Deviated Septum Repair) | $2,952$595$4.4k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $3,060$380$8.2k | — | — |
| Skin Biopsy (Tangential) | $1,557$36$3.7k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,713$76$3.7k | — | — |
| Sleep Study (In-lab Polysomnography) | $1,066$553$6.9k | $8,720 | $8,720 |
| Spinal Cord Stimulator Trial | $4,731$394$50k | — | — |
| Spirometry (Breathing Test) | $32$24$58 | $1,674 | $1,674 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $2,952$290$5.3k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $2,624$279$5.5k | — | — |
| Total Hip Replacement | $8,618$1.3k$23k | — | — |
| Total Knee Replacement | $9,765$1.3k$23k | — | — |
| Total Mastectomy | $3,102$950$8.2k | — | — |
| TSH Thyroid Function Test | $17$3$56 | $1,896 | $1,896 |
| TURP (Transurethral Prostate Resection) | $4,147$791$5.5k | — | — |
| Umbilical Hernia Repair | $3,304$2.7k$4.4k | — | — |
| Upper GI Endoscopy (EGD) | $1,583$126$3.7k | — | — |
| Urinalysis with Microscopy | $3$2$11 | $437 | $437 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $3,528$2.1k$6.6k | — | — |
| Vaginal Delivery (Global Package) | $3,528$2.0k$5.5k | — | — |
| Vaginal Hysterectomy | $3,943$795$6.0k | — | — |
| Vasectomy | $2,367$213$3.7k | — | — |
| Vitamin D Blood Test | $30$4$100 | $3,321 | $3,321 |