| Abdominal Hysterectomy | $949$124$11k | — | — |
| ACL Reconstruction (Arthroscopic) | $2,264$104$12k | — | — |
| Allergy Skin Testing | $1,072$4$1.7k | — | — |
| Basic Metabolic Panel | $8$4$11 | $58 | $58 |
| Bone Marrow Biopsy | $1,219$70$3.4k | $3,339 | $3,339 |
| Breast Biopsy (Ultrasound-guided) | $1,726$151$3.4k | $3,484 | $3,484 |
| Bunion Correction Surgery | $2,133$55$11k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $17,038$1.2k$44k | — | — |
| Cardiac Catheterization (Left Heart) | $2,113$666$11k | $7,887 | $7,887 |
| Cardiac Stress Test (Treadmill) | $79$44$100 | — | — |
| Carpal Tunnel Release Surgery | $1,380$48$3.4k | — | — |
| Cataract Surgery with Lens Implant | $2,839$55$3.9k | — | — |
| Cervical Spinal Fusion (Anterior) | $3,767$180$21k | — | — |
| Cesarean Delivery (Global Package) | $2,227$402$2.9k | — | — |
| Chemotherapy Infusion (First Hour) | $413$138$553 | $536 | $536 |
| Chest X-ray (2 Views) | $72$14$146 | $186 | $186 |
| Colonoscopy with Biopsy | $1,494$222$3.4k | — | — |
| Complete Abdominal Ultrasound | $92$59$175 | $770 | $770 |
| Complete Blood Count (CBC) with Differential | $8$4$10 | $56 | $56 |
| Comprehensive Metabolic Panel | $11$6$14 | $65 | $65 |
| Coronary Angioplasty with Stent | $10,914$597$19k | $18,190 | $18,190 |
| Critical Care, First Hour | $970$204$1.4k | $1,324 | $1,324 |
| CT Abdomen and Pelvis with Contrast | $293$168$588 | $2,043 | $2,043 |
| CT Cardiac Calcium Scoring | $82$53$146 | $465 | $465 |
| CT Chest without Contrast | $101$68$175 | $1,053 | $1,053 |
| CT Head without Contrast | $87$52$175 | $906 | $906 |
| DEXA Bone Density Scan | $87$22$175 | $343 | $343 |
| Diagnostic Colonoscopy | $1,173$102$3.4k | — | — |
| Diagnostic Mammogram (Both Breasts) | $108$55$141 | $358 | $358 |
| Ear Tube Placement (Tympanostomy) | $1,822$16$4.0k | — | — |
| Echocardiogram (Complete with Doppler) | $450$121$914 | $1,272 | $1,272 |
| EKG (Electrocardiogram, 12-lead) | $54$15$108 | $78 | $78 |
| Emergency Room Visit (Level 3) | $320$69$457 | $145 | $145 |
| Group Therapy Session | $127$25$170 | $37 | $37 |
| Hemodialysis Treatment | $105$88$109 | — | — |
| Hemoglobin A1c (Diabetes Test) | $10$5$13 | $70 | $70 |
| HIV Antibody Test | $9$5$12 | $29 | $29 |
| Holter Monitor (24-48 Hour Heart Monitor) | $85$42$109 | — | — |
| Home Sleep Study | $141$42$361 | — | — |
| Individual Therapy Session (45 Minutes) | $222$87$297 | $367 | $367 |
| Inguinal Hernia Repair (Open) | $2,334$48$11k | — | — |
| Initial Hospital Admission (Level 1) | $92$79$128 | $208 | $208 |
| Initial Psychiatric Diagnostic Evaluation | $222$116$297 | $367 | $367 |
| Initial Psychiatric Evaluation with Medication Management | $222$116$297 | $382 | $382 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $532$365$953 | $1,511 | $1,511 |
| IUD Insertion | $229$48$3.4k | $115 | $115 |
| IUD Removal | $382$63$3.4k | $261 | $261 |
| Knee Arthroscopy with Meniscectomy | $2,211$58$11k | — | — |
| Laparoscopic Appendectomy | $3,212$55$11k | — | — |
| Laparoscopic Gallbladder Removal | $3,212$60$11k | — | — |
| Laparoscopic Tubal Ligation | $3,576$67$11k | — | — |
| Lipid Panel (Cholesterol Test) | $14$7$18 | $74 | $74 |
| Lumbar Epidural Steroid Injection | $884$98$3.4k | $1,510 | $1,510 |
| Lumbar Puncture (Spinal Tap) | $884$62$3.4k | $509 | $509 |
| Lumbar Spinal Fusion (Posterior) | $3,327$168$29k | — | — |
| Lumpectomy (Partial Mastectomy) | $2,264$65$6.5k | — | — |
| MRI Abdomen with and without Contrast | $341$221$588 | $1,468 | $1,468 |
| MRI Brain with and without Contrast | $302$196$588 | $2,382 | $2,382 |
| MRI Brain with Contrast | $293$172$588 | $1,919 | $1,919 |
| MRI Brain without Contrast | $198$116$399 | $1,599 | $1,599 |
| MRI Cervical Spine (Neck) without Contrast | $198$112$399 | $1,599 | $1,599 |
| MRI Knee without Contrast | $198$126$399 | $1,599 | $1,599 |
| MRI Lower Back (Lumbar Spine) without Contrast | $198$112$399 | $1,599 | $1,599 |
| MRI Thoracic Spine (Mid-back) without Contrast | $198$112$399 | $1,390 | $1,390 |
| Newborn Circumcision | $1,363$98$3.5k | $6,377 | $6,377 |
| Nuclear Cardiac Stress Test | $1,071$292$2.2k | $3,434 | $3,434 |
| Office Visit, Established Patient (Level 3) | $68$42$83 | $261 | $261 |
| Office Visit, New Patient (Level 3) | $100$73$136 | $326 | $326 |
| Pacemaker Insertion (Dual Chamber) | $2,940$62$17k | $27,605 | $27,605 |
| PET/CT Scan, Whole Body | $1,560$932$2.4k | $3,830 | $3,830 |
| Pregnancy Ultrasound (Second or Third Trimester) | $103$66$175 | $437 | $437 |
| Prostate Biopsy | $1,181$130$3.4k | $1,988 | $1,988 |
| PSA Prostate Cancer Screening | $18$10$25 | $75 | $75 |
| Pulmonary Function Test with Bronchodilator | $256$30$624 | $475 | $475 |
| Rotator Cuff Repair (Arthroscopic) | $2,776$114$12k | — | — |
| Screening Mammogram | $89$45$116 | $262 | $262 |
| Septoplasty (Deviated Septum Repair) | $2,211$69$5.5k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $4,775$320$12k | — | — |
| Skin Biopsy (Tangential) | $327$37$3.4k | $642 | $642 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $953$8$3.4k | $1,306 | $1,306 |
| Sleep Study (In-lab Polysomnography) | $835$357$1.7k | $2,688 | $2,688 |
| Spinal Cord Stimulator Trial | $1,651$41$11k | $13,772 | $13,772 |
| Spirometry (Breathing Test) | $141$18$361 | $297 | $297 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $2,599$28$5.5k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $2,264$27$9.9k | — | — |
| Total Hip Replacement | $3,327$137$21k | — | — |
| Total Knee Replacement | $2,599$137$21k | — | — |
| Total Mastectomy | $2,211$94$11k | — | — |
| TSH Thyroid Function Test | $17$9$23 | $120 | $120 |
| TURP (Transurethral Prostate Resection) | $2,776$58$11k | — | — |
| Umbilical Hernia Repair | $2,494$2.2k$2.8k | — | — |
| Upper GI Endoscopy (EGD) | $1,115$124$3.4k | — | — |
| Urinalysis with Microscopy | $3$2$4 | $20 | $20 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,218$402$2.7k | — | — |
| Vaginal Delivery (Global Package) | $2,166$402$2.6k | — | — |
| Vaginal Hysterectomy | $3,212$103$11k | — | — |
| Vasectomy | $1,272$24$3.5k | $2,200 | $2,200 |
| Vitamin D Blood Test | $30$15$40 | $254 | $254 |