| Abdominal Hysterectomy | $10,537$7.4k$18k | — | — |
| ACL Reconstruction (Arthroscopic) | $10,537$7.4k$18k | — | — |
| Basic Metabolic Panel | $25$8$91 | $109 | $109 |
| Bone Marrow Biopsy | $1,654$1.2k$3.9k | — | — |
| Breast Biopsy (Ultrasound-guided) | $1,654$1.2k$3.9k | — | — |
| Bunion Correction Surgery | $4,936$3.5k$6.3k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $63,312$18k$114k | $157,983 | $157,983 |
| Cardiac Catheterization (Left Heart) | $10,264$7.2k$14k | — | — |
| Cardiac Stress Test (Treadmill) | $1,225$911$1.4k | — | — |
| Carpal Tunnel Release Surgery | $1,654$1.2k$3.9k | — | — |
| Cataract Surgery with Lens Implant | $1,654$1.2k$3.9k | — | — |
| Cervical Spinal Fusion (Anterior) | $29,315$7.8k$37k | — | — |
| Cesarean Delivery (Global Package) | $4,936$3.5k$6.3k | — | — |
| Chemotherapy Infusion (First Hour) | $1,097$190$1.6k | $1,674 | $1,674 |
| Chest X-ray (2 Views) | $140$32$721 | $999 | $999 |
| Colonoscopy with Biopsy | $1,654$1.2k$3.9k | — | — |
| Complete Abdominal Ultrasound | $398$121$1.2k | $1,704 | $1,704 |
| Complete Blood Count (CBC) with Differential | $13$7$75 | — | — |
| Comprehensive Metabolic Panel | $31$9$131 | $181 | $181 |
| Coronary Angioplasty with Stent | $15,452$11k$21k | — | — |
| Critical Care, First Hour | $4,480$726$8.9k | $6,409 | $6,409 |
| CT Abdomen and Pelvis with Contrast | $1,117$271$5.9k | $8,146 | $8,146 |
| CT Cardiac Calcium Scoring | $347$86$1.0k | $758 | $758 |
| CT Chest without Contrast | $502$160$2.1k | $2,854 | $2,854 |
| CT Head without Contrast | $468$127$2.4k | $3,287 | $3,287 |
| DEXA Bone Density Scan | $151$30$1.1k | $942 | $942 |
| Diagnostic Colonoscopy | $1,351$951$3.5k | — | — |
| Diagnostic Mammogram (Both Breasts) | $547$109$1.2k | $1,443 | $1,443 |
| Ear Tube Placement (Tympanostomy) | $1,654$1.2k$3.9k | — | — |
| Echocardiogram (Complete with Doppler) | $2,308$511$3.3k | $4,513 | $4,513 |
| EKG (Electrocardiogram, 12-lead) | $236$12$308 | — | — |
| Emergency Room Visit (Level 3) | $1,401$223$2.9k | $1,967 | $1,967 |
| Hemodialysis Treatment | $953$81$1.9k | $2,222 | $2,222 |
| Hemoglobin A1c (Diabetes Test) | $29$9$105 | $146 | $146 |
| HIV Antibody Test | $26$8$96 | $121 | $121 |
| Holter Monitor (24-48 Hour Heart Monitor) | $450$58$588 | — | — |
| Home Sleep Study | $779$135$2.9k | $1,188 | $1,188 |
| Inguinal Hernia Repair (Open) | $4,936$3.5k$6.3k | — | — |
| IUD Insertion | $951$40$3.5k | — | — |
| IUD Removal | $1,351$951$3.5k | — | — |
| Knee Arthroscopy with Meniscectomy | $4,936$3.5k$6.3k | — | — |
| Laparoscopic Appendectomy | $10,537$7.4k$18k | — | — |
| Laparoscopic Gallbladder Removal | $10,537$7.4k$18k | — | — |
| Laparoscopic Tubal Ligation | $10,537$7.4k$18k | — | — |
| Lipid Panel (Cholesterol Test) | $40$12$165 | $229 | $229 |
| Lumbar Epidural Steroid Injection | $1,351$951$3.5k | — | — |
| Lumbar Puncture (Spinal Tap) | $1,351$951$3.5k | — | — |
| Lumbar Spinal Fusion (Posterior) | $74,530$53k$87k | — | — |
| Lumpectomy (Partial Mastectomy) | $4,936$3.5k$6.3k | — | — |
| MRI Abdomen with and without Contrast | $1,345$328$5.6k | $7,693 | $7,693 |
| MRI Brain with and without Contrast | $1,330$340$6.4k | $8,867 | $8,867 |
| MRI Brain with Contrast | $1,074$265$4.6k | $6,384 | $6,384 |
| MRI Brain without Contrast | $874$219$4.5k | $6,250 | $6,250 |
| MRI Cervical Spine (Neck) without Contrast | $804$220$3.9k | $5,399 | $5,399 |
| MRI Knee without Contrast | $1,455$203$6.5k | $4,902 | $4,902 |
| MRI Lower Back (Lumbar Spine) without Contrast | $824$221$4.1k | $5,644 | $5,644 |
| MRI Thoracic Spine (Mid-back) without Contrast | $775$220$3.6k | $4,994 | $4,994 |
| Newborn Circumcision | $1,654$1.2k$3.9k | — | — |
| Nuclear Cardiac Stress Test | $1,782$241$12k | $10,372 | $10,372 |
| Office Visit, Established Patient (Level 3) | $85$21$158 | $182 | $182 |
| Office Visit, New Patient (Level 3) | $198$52$333 | $461 | $461 |
| Pacemaker Insertion (Dual Chamber) | $37,514$26k$40k | — | — |
| PET/CT Scan, Whole Body | $5,980$354$14k | $14,857 | $14,857 |
| Pregnancy Ultrasound (Second or Third Trimester) | $473$143$1.1k | $1,258 | $1,258 |
| Prostate Biopsy | $1,654$1.2k$3.9k | — | — |
| PSA Prostate Cancer Screening | $84$16$178 | $209 | $209 |
| Pulmonary Function Test with Bronchodilator | $1,066$199$1.4k | $1,756 | $1,756 |
| Rotator Cuff Repair (Arthroscopic) | $10,537$7.4k$18k | — | — |
| Screening Mammogram | $441$90$994 | $1,226 | $1,226 |
| Septoplasty (Deviated Septum Repair) | $1,654$1.2k$3.9k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $10,537$7.4k$18k | — | — |
| Skin Biopsy (Tangential) | $1,351$951$3.5k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,654$1.2k$3.9k | — | — |
| Sleep Study (In-lab Polysomnography) | $3,996$1.1k$7.2k | $9,929 | $9,929 |
| Spinal Cord Stimulator Trial | $33,127$19k$63k | — | — |
| Spirometry (Breathing Test) | $399$69$750 | $609 | $609 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $1,654$1.2k$3.9k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,903$4.2k$9.2k | — | — |
| Total Hip Replacement | $37,285$14k$54k | — | — |
| Total Knee Replacement | $37,285$14k$54k | — | — |
| Total Mastectomy | $10,537$7.4k$18k | — | — |
| TSH Thyroid Function Test | $50$15$204 | $282 | $282 |
| TURP (Transurethral Prostate Resection) | $5,903$4.2k$9.2k | — | — |
| Umbilical Hernia Repair | $4,936$3.5k$6.3k | — | — |
| Upper GI Endoscopy (EGD) | $1,351$951$3.5k | — | — |
| Urinalysis with Microscopy | $9$3$92 | $128 | $128 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $4,936$3.5k$6.3k | — | — |
| Vaginal Delivery (Global Package) | $4,936$3.5k$6.3k | — | — |
| Vaginal Hysterectomy | $5,903$4.2k$9.2k | — | — |
| Vasectomy | $1,654$1.2k$3.9k | — | — |
| Vitamin D Blood Test | $131$26$287 | $332 | $332 |