| Abdominal Hysterectomy | $696$696$777 | — | — |
| ACL Reconstruction (Arthroscopic) | $9,375$5.0k$54k | — | — |
| Allergy Skin Testing | $1,109$713$6.4k | — | — |
| Basic Metabolic Panel | $9$8$50 | $219 | $219 |
| Bone Marrow Biopsy | $2,134$1.1k$12k | — | — |
| Breast Biopsy (Ultrasound-guided) | $2,134$1.1k$12k | — | — |
| Bunion Correction Surgery | $4,227$2.3k$24k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $33,769$17k$194k | — | — |
| Cardiac Catheterization (Left Heart) | $4,189$2.3k$24k | $13,426 | $13,426 |
| Cardiac Stress Test (Treadmill) | $62$62$70 | — | — |
| Carpal Tunnel Release Surgery | $2,523$1.4k$14k | — | — |
| Cataract Surgery with Lens Implant | $2,982$1.6k$17k | — | — |
| Cervical Spinal Fusion (Anterior) | $16,587$9.0k$95k | — | — |
| Cesarean Delivery (Global Package) | $1,833$1.8k$2.0k | — | — |
| Chemotherapy Infusion (First Hour) | $427$36$2.4k | $581 | $581 |
| Chest X-ray (2 Views) | $111$9$645 | $482 | $482 |
| Colonoscopy with Biopsy | $1,546$826$8.9k | — | — |
| Complete Abdominal Ultrasound | $133$37$775 | $2,022 | $2,022 |
| Complete Blood Count (CBC) with Differential | $8$3$46 | $172 | $172 |
| Comprehensive Metabolic Panel | $12$10$63 | $220 | $220 |
| Coronary Angioplasty with Stent | $14,915$7.9k$86k | $6,631 | $6,631 |
| Critical Care, First Hour | $1,067$590$6.1k | $3,189 | $3,189 |
| CT Abdomen and Pelvis with Contrast | $444$67$2.6k | $4,405 | $4,405 |
| CT Cardiac Calcium Scoring | $112$62$645 | $229 | $229 |
| CT Chest without Contrast | $144$87$775 | $1,498 | $1,498 |
| CT Head without Contrast | $134$75$775 | $1,606 | $1,606 |
| DEXA Bone Density Scan | $133$62$775 | $1,134 | $1,134 |
| Diagnostic Colonoscopy | $1,201$639$6.9k | — | — |
| Diagnostic Mammogram (Both Breasts) | $108$61$623 | $743 | $743 |
| Ear Tube Placement (Tympanostomy) | $2,005$1.0k$12k | — | — |
| Echocardiogram (Complete with Doppler) | $696$129$4.1k | $3,487 | $3,487 |
| EKG (Electrocardiogram, 12-lead) | $16$16$17 | — | — |
| Emergency Room Visit (Level 3) | $353$194$2.0k | $823 | $823 |
| Group Therapy Session | $131$65$753 | — | — |
| Hemodialysis Treatment | $69$69$77 | — | — |
| Hemoglobin A1c (Diabetes Test) | $11$9$58 | $150 | $150 |
| HIV Antibody Test | $10$8$53 | $138 | $138 |
| Holter Monitor (24-48 Hour Heart Monitor) | $62$62$70 | — | — |
| Home Sleep Study | $279$110$1.6k | — | — |
| Individual Therapy Session (45 Minutes) | $229$113$1.3k | — | — |
| Inguinal Hernia Repair (Open) | $4,626$2.5k$27k | — | — |
| Initial Hospital Admission (Level 1) | $56$56$62 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $229$113$1.3k | — | — |
| Initial Psychiatric Evaluation with Medication Management | $229$113$1.3k | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $83$83$92 | — | — |
| IUD Insertion | $34$34$38 | — | — |
| IUD Removal | $394$213$2.3k | $804 | $804 |
| Knee Arthroscopy with Meniscectomy | $4,227$2.3k$24k | — | — |
| Laparoscopic Appendectomy | $7,811$4.1k$45k | — | — |
| Laparoscopic Gallbladder Removal | $7,811$4.1k$45k | — | — |
| Laparoscopic Tubal Ligation | $7,811$4.1k$45k | — | — |
| Lipid Panel (Cholesterol Test) | $14$6$80 | $208 | $208 |
| Lumbar Epidural Steroid Injection | $912$485$5.2k | — | — |
| Lumbar Puncture (Spinal Tap) | $912$485$5.2k | $1,012 | $1,012 |
| Lumbar Spinal Fusion (Posterior) | $22,653$13k$130k | — | — |
| Lumpectomy (Partial Mastectomy) | $5,059$2.7k$29k | — | — |
| MRI Abdomen with and without Contrast | $479$312$2.6k | $3,940 | $3,940 |
| MRI Brain with and without Contrast | $479$312$2.6k | $6,108 | $6,108 |
| MRI Brain with Contrast | $479$312$2.6k | $3,617 | $3,617 |
| MRI Brain without Contrast | $334$274$1.8k | $2,952 | $2,952 |
| MRI Cervical Spine (Neck) without Contrast | $334$274$1.8k | $3,675 | $3,675 |
| MRI Knee without Contrast | $334$274$1.8k | $2,832 | $2,832 |
| MRI Lower Back (Lumbar Spine) without Contrast | $334$274$1.8k | $3,801 | $3,801 |
| MRI Thoracic Spine (Mid-back) without Contrast | $334$274$1.8k | $3,623 | $3,623 |
| Newborn Circumcision | $2,701$1.4k$16k | $5,113 | $5,113 |
| Nuclear Cardiac Stress Test | $1,648$149$9.6k | $4,757 | $4,757 |
| Office Visit, Established Patient (Level 3) | $45$45$50 | — | — |
| Office Visit, New Patient (Level 3) | $56$56$62 | — | — |
| Pacemaker Insertion (Dual Chamber) | $13,504$7.3k$78k | — | — |
| PET/CT Scan, Whole Body | $1,821$422$11k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $133$34$775 | $1,088 | $1,088 |
| Prostate Biopsy | $1,435$1.4k$1.6k | — | — |
| PSA Prostate Cancer Screening | $20$17$109 | $338 | $338 |
| Pulmonary Function Test with Bronchodilator | $475$16$2.8k | — | — |
| Rotator Cuff Repair (Arthroscopic) | $9,375$5.0k$54k | — | — |
| Screening Mammogram | $95$61$514 | $733 | $733 |
| Septoplasty (Deviated Septum Repair) | $4,283$2.3k$25k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $9,118$4.8k$52k | — | — |
| Skin Biopsy (Tangential) | $525$139$3.0k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,134$1.1k$12k | — | — |
| Sleep Study (In-lab Polysomnography) | $1,109$713$6.4k | — | — |
| Spinal Cord Stimulator Trial | $8,234$4.6k$47k | — | — |
| Spirometry (Breathing Test) | $275$9$1.6k | — | — |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $4,283$2.3k$25k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $7,648$4.1k$44k | — | — |
| Total Hip Replacement | $16,587$9.0k$95k | — | — |
| Total Knee Replacement | $16,587$9.0k$95k | — | — |
| Total Mastectomy | $8,579$4.6k$49k | — | — |
| TSH Thyroid Function Test | $18$9$100 | $307 | $307 |
| TURP (Transurethral Prostate Resection) | $6,927$3.6k$40k | — | — |
| Upper GI Endoscopy (EGD) | $1,172$657$6.7k | — | — |
| Urinalysis with Microscopy | $4$3$19 | — | — |
| Vaginal Birth After Cesarean (VBAC) Global Package | $1,728$1.7k$1.9k | — | — |
| Vaginal Delivery (Global Package) | $1,650$1.6k$1.8k | — | — |
| Vaginal Hysterectomy | $6,463$3.5k$37k | — | — |
| Vasectomy | $2,701$1.4k$16k | — | — |
| Vitamin D Blood Test | $33$27$176 | $358 | $358 |