| Abdominal Hysterectomy | $17,473$8.5k$37k | — | — |
| ACL Reconstruction (Arthroscopic) | $9,860$8.4k$52k | — | — |
| Basic Metabolic Panel | $36$7$323 | $340 | $340 |
| Bone Marrow Biopsy | $2,259$1.5k$6.2k | — | — |
| Breast Biopsy (Ultrasound-guided) | $2,259$1.5k$23k | — | — |
| Bunion Correction Surgery | $7,265$3.3k$23k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $51,809$3.5k$108k | $113,338 | $113,338 |
| Cardiac Catheterization (Left Heart) | $9,604$5.4k$26k | — | — |
| Carpal Tunnel Release Surgery | $4,187$1.5k$7.2k | — | — |
| Cataract Surgery with Lens Implant | $4,187$1.5k$44k | — | — |
| Cervical Spinal Fusion (Anterior) | $30,754$12k$43k | — | — |
| Cesarean Delivery (Global Package) | $6,104$3.3k$8.4k | — | — |
| Chemotherapy Infusion (First Hour) | $778$41$5.9k | $1,321 | $1,321 |
| Chest X-ray (2 Views) | $250$27$1.9k | $882 | $882 |
| Colonoscopy with Biopsy | $2,259$1.5k$7.2k | — | — |
| Complete Abdominal Ultrasound | $1,113$76$2.4k | $2,471 | $2,471 |
| Complete Blood Count (CBC) with Differential | $10$6$230 | — | — |
| Comprehensive Metabolic Panel | $45$8$340 | $358 | $358 |
| Coronary Angioplasty with Stent | $24,702$12k$62k | — | — |
| Critical Care, First Hour | $9,533$495$16k | $16,022 | $16,022 |
| CT Abdomen and Pelvis with Contrast | $1,870$217$6.7k | $7,011 | $7,011 |
| CT Cardiac Calcium Scoring | $1,382$140$6.3k | $6,580 | $6,580 |
| CT Chest without Contrast | $3,033$223$6.9k | $7,220 | $7,220 |
| CT Head without Contrast | $2,815$206$6.4k | $6,703 | $6,703 |
| DEXA Bone Density Scan | $452$49$2.4k | $1,825 | $1,825 |
| Diagnostic Colonoscopy | $2,259$1.3k$7.2k | — | — |
| Diagnostic Mammogram (Both Breasts) | $603$41$2.5k | $1,340 | $1,340 |
| Ear Tube Placement (Tympanostomy) | $4,187$1.5k$23k | — | — |
| Echocardiogram (Complete with Doppler) | $4,728$276$8.5k | $8,923 | $8,923 |
| EKG (Electrocardiogram, 12-lead) | $12$12$12 | — | — |
| Emergency Room Visit (Level 3) | $2,783$162$5.0k | $5,253 | $5,253 |
| Group Therapy Session | $467$22$912 | $829 | $829 |
| Hemodialysis Treatment | $1,817$81$3.4k | $3,429 | $3,429 |
| Hemoglobin A1c (Diabetes Test) | $41$8$287 | $258 | $258 |
| HIV Antibody Test | $38$7$541 | $569 | $569 |
| Holter Monitor (24-48 Hour Heart Monitor) | $58$58$58 | — | — |
| Home Sleep Study | $599$27$3.6k | $1,389 | $1,389 |
| Individual Therapy Session (45 Minutes) | $594$32$1.3k | $1,181 | $1,181 |
| Inguinal Hernia Repair (Open) | $7,265$3.3k$24k | — | — |
| Initial Psychiatric Diagnostic Evaluation | $408$24$732 | $771 | $771 |
| Initial Psychiatric Evaluation with Medication Management | $630$37$1.1k | $1,189 | $1,189 |
| IUD Insertion | $987$40$2.7k | — | — |
| IUD Removal | $1,487$691$6.2k | — | — |
| Knee Arthroscopy with Meniscectomy | $5,384$3.3k$52k | — | — |
| Laparoscopic Appendectomy | $9,860$8.4k$61k | — | — |
| Laparoscopic Gallbladder Removal | $9,860$8.4k$34k | — | — |
| Laparoscopic Tubal Ligation | $9,860$8.4k$32k | — | — |
| Lipid Panel (Cholesterol Test) | $57$11$396 | $372 | $372 |
| Lumbar Epidural Steroid Injection | $2,259$1.3k$6.2k | — | — |
| Lumbar Puncture (Spinal Tap) | $2,259$1.3k$6.2k | — | — |
| Lumbar Spinal Fusion (Posterior) | $62,550$11k$87k | — | — |
| Lumpectomy (Partial Mastectomy) | $7,265$3.3k$23k | — | — |
| MRI Abdomen with and without Contrast | $4,375$322$9.9k | $10,415 | $10,415 |
| MRI Brain with and without Contrast | $1,976$390$12k | $12,632 | $12,632 |
| MRI Brain with Contrast | $4,375$322$9.9k | $10,415 | $10,415 |
| MRI Brain without Contrast | $3,541$261$8.0k | $8,431 | $8,431 |
| MRI Cervical Spine (Neck) without Contrast | $3,541$261$8.0k | $8,431 | $8,431 |
| MRI Knee without Contrast | $4,747$261$11k | $8,432 | $8,432 |
| MRI Lower Back (Lumbar Spine) without Contrast | $3,541$261$8.0k | $8,431 | $8,431 |
| MRI Thoracic Spine (Mid-back) without Contrast | $3,541$261$8.0k | $8,431 | $8,431 |
| Newborn Circumcision | $2,259$1.5k$6.2k | — | — |
| Nuclear Cardiac Stress Test | $4,936$390$16k | $16,609 | $16,609 |
| Office Visit, Established Patient (Level 3) | $436$19$796 | $737 | $737 |
| Office Visit, New Patient (Level 3) | $489$25$826 | $811 | $811 |
| Pacemaker Insertion (Dual Chamber) | $35,680$22k$39k | — | — |
| PET/CT Scan, Whole Body | $12,287$572$20k | $21,481 | $21,481 |
| Pregnancy Ultrasound (Second or Third Trimester) | $847$85$2.6k | $2,748 | $2,748 |
| Prostate Biopsy | $2,259$1.5k$3.0k | — | — |
| PSA Prostate Cancer Screening | $155$15$544 | $341 | $341 |
| Pulmonary Function Test with Bronchodilator | $628$37$1.1k | $1,185 | $1,185 |
| Rotator Cuff Repair (Arthroscopic) | $11,153$8.5k$32k | — | — |
| Screening Mammogram | $630$33$2.1k | $1,434 | $1,434 |
| Septoplasty (Deviated Septum Repair) | $5,708$1.5k$24k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $9,860$8.4k$32k | — | — |
| Skin Biopsy (Tangential) | $1,386$691$2.7k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,259$1.5k$6.2k | — | — |
| Sleep Study (In-lab Polysomnography) | $4,311$366$11k | $11,843 | $11,843 |
| Spinal Cord Stimulator Trial | $36,808$5.4k$66k | — | — |
| Spirometry (Breathing Test) | $356$21$639 | $673 | $673 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $7,071$1.5k$32k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $8,425$4.8k$23k | — | — |
| Total Hip Replacement | $33,144$14k$53k | — | — |
| Total Knee Replacement | $33,144$14k$53k | — | — |
| Total Mastectomy | $11,153$8.5k$24k | — | — |
| TSH Thyroid Function Test | $71$13$497 | $372 | $372 |
| TURP (Transurethral Prostate Resection) | $8,425$4.8k$24k | — | — |
| Umbilical Hernia Repair | $3,825$3.3k$6.1k | — | — |
| Upper GI Endoscopy (EGD) | $2,259$1.3k$6.2k | — | — |
| Urinalysis with Microscopy | $13$3$208 | $219 | $219 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $6,104$3.3k$8.4k | — | — |
| Vaginal Delivery (Global Package) | $3,825$3.3k$6.1k | — | — |
| Vaginal Hysterectomy | $8,425$4.8k$37k | — | — |
| Vasectomy | $2,259$1.5k$7.2k | — | — |
| Vitamin D Blood Test | $119$24$1.5k | $1,626 | $1,626 |