| Abdominal Hysterectomy | $2,550$792$2.8k | — | — |
| ACL Reconstruction (Arthroscopic) | $4,950$928$5.4k | — | — |
| Allergy Skin Testing | $4 | — | — |
| Basic Metabolic Panel | $10$4$10 | — | — |
| Bone Marrow Biopsy | $2,550$219$2.8k | — | — |
| Breast Biopsy (Ultrasound-guided) | $2,550$577$2.8k | — | — |
| Bunion Correction Surgery | $4,950$597$5.4k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $928 | — | — |
| Cardiac Catheterization (Left Heart) | $3,850$894$4.2k | — | — |
| Cardiac Stress Test (Treadmill) | $99 | — | — |
| Carpal Tunnel Release Surgery | $4,950$315$5.4k | — | — |
| Cataract Surgery with Lens Implant | $2,550$644$2.8k | — | — |
| Cervical Spinal Fusion (Anterior) | $4,950$1.5k$5.4k | — | — |
| Cesarean Delivery (Global Package) | $2,550$2.4k$2.8k | — | — |
| Chemotherapy Infusion (First Hour) | $425$151$991 | $1,101 | $1,101 |
| Chest X-ray (2 Views) | $253$26$590 | $655 | $655 |
| Colonoscopy with Biopsy | $2,550$316$2.8k | — | — |
| Complete Abdominal Ultrasound | $751$103$1.8k | $1,946 | $1,946 |
| Complete Blood Count (CBC) with Differential | $9$4$10 | — | — |
| Comprehensive Metabolic Panel | $5$2$13 | $11 | $11 |
| Coronary Angioplasty with Stent | $7,950$595$8.7k | — | — |
| Critical Care, First Hour | $2,362$165$5.5k | $6,089 | $6,089 |
| CT Abdomen and Pelvis with Contrast | $3,326$289$8.6k | $9,586 | $9,586 |
| CT Cardiac Calcium Scoring | $143$57$333 | $370 | $370 |
| CT Chest without Contrast | $1,476$253$3.4k | $3,824 | $3,824 |
| CT Head without Contrast | $1,374$198$3.6k | $3,960 | $3,960 |
| DEXA Bone Density Scan | $109$48$255 | $284 | $284 |
| Diagnostic Colonoscopy | $2,550$291$2.8k | — | — |
| Diagnostic Mammogram (Both Breasts) | $105$82$436 | $484 | $484 |
| Ear Tube Placement (Tympanostomy) | $2,550$130$2.8k | — | — |
| Echocardiogram (Complete with Doppler) | $990$227$2.3k | $2,566 | $2,566 |
| EKG (Electrocardiogram, 12-lead) | $25 | — | — |
| Emergency Room Visit (Level 3) | $585$255$1.3k | $1,499 | $1,499 |
| Group Therapy Session | $31 | — | — |
| Hemoglobin A1c (Diabetes Test) | $12$4$13 | — | — |
| HIV Antibody Test | $11$4$12 | — | — |
| Holter Monitor (24-48 Hour Heart Monitor) | $147 | — | — |
| Home Sleep Study | $301$94$696 | $773 | $773 |
| Individual Therapy Session (45 Minutes) | $68 | — | — |
| Inguinal Hernia Repair (Open) | $4,950$364$5.4k | — | — |
| Initial Hospital Admission (Level 1) | $61 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $128 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $105 | — | — |
| IUD Insertion | $4,950$62$5.4k | — | — |
| IUD Removal | $4,950$73$5.4k | — | — |
| Knee Arthroscopy with Meniscectomy | $4,950$532$5.4k | — | — |
| Laparoscopic Appendectomy | $4,950$450$5.4k | — | — |
| Laparoscopic Gallbladder Removal | $4,950$597$5.4k | — | — |
| Laparoscopic Tubal Ligation | $4,950$574$5.4k | — | — |
| Lipid Panel (Cholesterol Test) | $16$6$17 | — | — |
| Lumbar Epidural Steroid Injection | $2,550$211$2.8k | — | — |
| Lumbar Puncture (Spinal Tap) | $2,550$107$2.8k | — | — |
| Lumbar Spinal Fusion (Posterior) | $4,950$1.3k$5.4k | — | — |
| Lumpectomy (Partial Mastectomy) | $4,950$305$5.4k | — | — |
| MRI Abdomen with and without Contrast | $2,933$500$7.6k | $8,453 | $8,453 |
| MRI Brain with and without Contrast | $2,838$500$7.4k | $8,180 | $8,180 |
| MRI Brain with Contrast | $2,165$475$5.6k | $6,239 | $6,239 |
| MRI Brain without Contrast | $2,006$400$5.2k | $5,781 | $5,781 |
| MRI Cervical Spine (Neck) without Contrast | $2,052$400$5.3k | $5,913 | $5,913 |
| MRI Knee without Contrast | $2,257$400$5.3k | $5,848 | $5,848 |
| MRI Lower Back (Lumbar Spine) without Contrast | $2,052$400$5.3k | $5,913 | $5,913 |
| MRI Thoracic Spine (Mid-back) without Contrast | $2,052$400$5.3k | $5,913 | $5,913 |
| Newborn Circumcision | $2,550$155$2.8k | — | — |
| Nuclear Cardiac Stress Test | $3,313$256$7.7k | $8,583 | $8,583 |
| Office Visit, Established Patient (Level 3) | $170$41$393 | $436 | $436 |
| Office Visit, New Patient (Level 3) | $170$74$393 | $436 | $436 |
| Pacemaker Insertion (Dual Chamber) | $3,850$547$4.2k | — | — |
| PET/CT Scan, Whole Body | $2,127 | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $515$116$1.2k | $1,335 | $1,335 |
| Prostate Biopsy | $132 | — | — |
| PSA Prostate Cancer Screening | $22$8$24 | — | — |
| Pulmonary Function Test with Bronchodilator | $182$50$421 | $468 | $468 |
| Rotator Cuff Repair (Arthroscopic) | $4,950$916$5.4k | — | — |
| Screening Mammogram | $97$81$426 | $474 | $474 |
| Septoplasty (Deviated Septum Repair) | $4,950$382$5.4k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $4,950$431$5.4k | — | — |
| Skin Biopsy (Tangential) | $2,550$85$2.8k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,550$76$2.8k | — | — |
| Sleep Study (In-lab Polysomnography) | $1,923$531$4.4k | $4,936 | $4,936 |
| Spinal Cord Stimulator Trial | $4,950$398$5.4k | — | — |
| Spirometry (Breathing Test) | $92$26$214 | $237 | $237 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $2,550$271$2.8k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $2,550$241$2.8k | — | — |
| Total Hip Replacement | $14,000$1.3k$18k | — | — |
| Total Knee Replacement | $14,000$1.4k$18k | — | — |
| Total Mastectomy | $4,950$651$5.4k | — | — |
| TSH Thyroid Function Test | $20$8$21 | — | — |
| TURP (Transurethral Prostate Resection) | $4,950$731$5.4k | — | — |
| Umbilical Hernia Repair | $317 | — | — |
| Upper GI Endoscopy (EGD) | $2,550$204$2.8k | — | — |
| Urinalysis with Microscopy | $4$1$4 | — | — |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,550$2.3k$2.8k | — | — |
| Vaginal Delivery (Global Package) | $2,550$2.2k$2.8k | — | — |
| Vaginal Hysterectomy | $4,950$662$5.4k | — | — |
| Vasectomy | $2,550$288$2.8k | — | — |
| Vitamin D Blood Test | $36$13$38 | — | — |