| Abdominal Hysterectomy | $9,927$8.5k$27k | — | — |
| ACL Reconstruction (Arthroscopic) | $9,927$8.5k$51k | — | — |
| Basic Metabolic Panel | $69$8$309 | $386 | $386 |
| Bone Marrow Biopsy | $1,691$1.4k$5.9k | — | — |
| Breast Biopsy (Ultrasound-guided) | $1,691$1.4k$16k | — | — |
| Bunion Correction Surgery | $3,851$3.3k$16k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $34,536$30k$54k | — | — |
| Cardiac Catheterization (Left Heart) | $9,669$8.3k$26k | — | — |
| Carpal Tunnel Release Surgery | $1,691$1.4k$6.9k | — | — |
| Cataract Surgery with Lens Implant | $1,691$1.4k$26k | — | — |
| Cervical Spinal Fusion (Anterior) | $30,963$27k$42k | — | — |
| Cesarean Delivery (Global Package) | $3,851$3.3k$6.3k | — | — |
| Chemotherapy Infusion (First Hour) | $499$102$986 | $1,233 | $1,233 |
| Chest X-ray (2 Views) | $208$52$3.0k | $915 | $915 |
| Colonoscopy with Biopsy | $1,691$1.4k$6.9k | — | — |
| Complete Abdominal Ultrasound | $712$187$3.7k | $2,270 | $2,270 |
| Complete Blood Count (CBC) with Differential | $8$7$171 | — | — |
| Comprehensive Metabolic Panel | $89$9$403 | $504 | $504 |
| Coronary Angioplasty with Stent | $14,556$12k$60k | — | — |
| Critical Care, First Hour | $2,207$315$15k | $3,818 | $3,818 |
| CT Abdomen and Pelvis with Contrast | $1,889$437$6.7k | $8,348 | $8,348 |
| CT Cardiac Calcium Scoring | $163$23$626 | $279 | $279 |
| CT Chest without Contrast | $831$258$3.7k | $4,606 | $4,606 |
| CT Head without Contrast | $667$206$4.3k | $5,413 | $5,413 |
| DEXA Bone Density Scan | $250$49$3.7k | $2,056 | $2,056 |
| Diagnostic Colonoscopy | $1,553$1.3k$6.9k | — | — |
| Diagnostic Mammogram (Both Breasts) | $446$107$4.0k | $1,299 | $1,299 |
| Ear Tube Placement (Tympanostomy) | $1,691$1.4k$16k | — | — |
| Echocardiogram (Complete with Doppler) | $1,686$345$3.4k | $4,189 | $4,189 |
| EKG (Electrocardiogram, 12-lead) | $12$12$12 | — | — |
| Emergency Room Visit (Level 3) | $741$124$4.8k | $1,521 | $1,521 |
| Group Therapy Session | $201$41$397 | $496 | $496 |
| Hemodialysis Treatment | $1,246$81$2.9k | $3,634 | $3,634 |
| Hemoglobin A1c (Diabetes Test) | $48$9$213 | $210 | $210 |
| HIV Antibody Test | $43$8$195 | $186 | $186 |
| Holter Monitor (24-48 Hour Heart Monitor) | $59$58$60 | — | — |
| Home Sleep Study | $465$66$3.7k | $805 | $805 |
| Individual Therapy Session (45 Minutes) | $324$66$645 | $806 | $806 |
| Inguinal Hernia Repair (Open) | $3,851$3.3k$29k | — | — |
| Initial Psychiatric Diagnostic Evaluation | $357$73$710 | $887 | $887 |
| IUD Insertion | $1,553$40$2.7k | — | — |
| IUD Removal | $1,553$1.3k$5.9k | — | — |
| Knee Arthroscopy with Meniscectomy | $3,851$3.3k$51k | — | — |
| Laparoscopic Appendectomy | $9,927$8.5k$47k | — | — |
| Laparoscopic Gallbladder Removal | $9,927$8.5k$33k | — | — |
| Laparoscopic Tubal Ligation | $9,927$8.5k$19k | — | — |
| Lipid Panel (Cholesterol Test) | $91$12$379 | $474 | $474 |
| Lumbar Epidural Steroid Injection | $1,553$1.3k$5.9k | — | — |
| Lumbar Puncture (Spinal Tap) | $1,553$1.3k$5.9k | — | — |
| Lumbar Spinal Fusion (Posterior) | $78,719$68k$87k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,851$3.3k$16k | — | — |
| MRI Abdomen with and without Contrast | $2,111$530$7.7k | $9,603 | $9,603 |
| MRI Brain with and without Contrast | $1,989$549$7.7k | $9,603 | $9,603 |
| MRI Brain with Contrast | $1,690$428$6.2k | $7,712 | $7,712 |
| MRI Brain without Contrast | $1,225$354$5.1k | $6,398 | $6,398 |
| MRI Cervical Spine (Neck) without Contrast | $1,195$356$4.8k | $6,018 | $6,018 |
| MRI Knee without Contrast | $2,592$328$8.0k | $6,398 | $6,398 |
| MRI Lower Back (Lumbar Spine) without Contrast | $1,202$358$4.0k | $5,016 | $5,016 |
| MRI Thoracic Spine (Mid-back) without Contrast | $1,193$356$4.8k | $6,018 | $6,018 |
| Newborn Circumcision | $1,691$1.4k$5.9k | — | — |
| Nuclear Cardiac Stress Test | $2,249$390$5.2k | $6,477 | $6,477 |
| Office Visit, Established Patient (Level 3) | $117$17$310 | $295 | $295 |
| Office Visit, New Patient (Level 3) | $188$34$333 | $416 | $416 |
| Pacemaker Insertion (Dual Chamber) | $39,578$23k$40k | — | — |
| PET/CT Scan, Whole Body | $8,015$572$19k | $23,367 | $23,367 |
| Pregnancy Ultrasound (Second or Third Trimester) | $565$133$3.7k | $1,618 | $1,618 |
| Prostate Biopsy | $1,691$1.4k$3.1k | — | — |
| PSA Prostate Cancer Screening | $78$16$404 | $300 | $300 |
| Pulmonary Function Test with Bronchodilator | $485$99$965 | $1,206 | $1,206 |
| Rotator Cuff Repair (Arthroscopic) | $9,927$8.5k$19k | — | — |
| Screening Mammogram | $511$90$3.3k | $1,431 | $1,431 |
| Septoplasty (Deviated Septum Repair) | $1,691$1.4k$29k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $9,927$8.5k$19k | — | — |
| Skin Biopsy (Tangential) | $1,553$1.3k$2.7k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,691$1.4k$5.9k | — | — |
| Sleep Study (In-lab Polysomnography) | $2,141$488$5.1k | $6,381 | $6,381 |
| Spinal Cord Stimulator Trial | $42,354$30k$67k | — | — |
| Spirometry (Breathing Test) | $196$40$390 | $488 | $488 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $1,691$1.4k$19k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,562$4.8k$16k | — | — |
| Total Hip Replacement | $33,370$14k$53k | — | — |
| Total Knee Replacement | $33,370$14k$53k | — | — |
| Total Mastectomy | $9,927$8.5k$29k | — | — |
| TSH Thyroid Function Test | $96$15$369 | $460 | $460 |
| TURP (Transurethral Prostate Resection) | $5,562$4.8k$29k | — | — |
| Umbilical Hernia Repair | $3,851$3.3k$6.3k | — | — |
| Upper GI Endoscopy (EGD) | $1,553$1.3k$5.9k | — | — |
| Urinalysis with Microscopy | $32$3$151 | $189 | $189 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $3,851$3.3k$6.3k | — | — |
| Vaginal Delivery (Global Package) | $3,851$3.3k$6.3k | — | — |
| Vaginal Hysterectomy | $5,562$4.8k$35k | — | — |
| Vasectomy | $1,691$1.4k$6.9k | — | — |
| Vitamin D Blood Test | $129$26$650 | $505 | $505 |