| Abdominal Hysterectomy | $10,810$2.5k$18k | — | — |
| ACL Reconstruction (Arthroscopic) | $6,012$1.7k$27k | — | — |
| Allergy Skin Testing | $59$29$75 | — | — |
| Basic Metabolic Panel | $15$7$1.5k | $1,544 | $1,544 |
| Bone Marrow Biopsy | $817$364$9.7k | — | — |
| Breast Biopsy (Ultrasound-guided) | $1,573$540$10k | — | — |
| Bunion Correction Surgery | $4,950$1.8k$17k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $28,810$1.7k$77k | $55,351 | $55,351 |
| Cardiac Catheterization (Left Heart) | $8,358$2.5k$44k | — | — |
| Cardiac Stress Test (Treadmill) | $77 | — | — |
| Carpal Tunnel Release Surgery | $3,796$873$15k | — | — |
| Cataract Surgery with Lens Implant | $5,462$2.1k$18k | — | — |
| Cervical Spinal Fusion (Anterior) | $8,610$776$42k | — | — |
| Cesarean Delivery (Global Package) | $2,550 | — | — |
| Chemotherapy Infusion (First Hour) | $452$111$2.6k | $761 | $761 |
| Chest X-ray (2 Views) | $154$18$762 | $802 | $802 |
| Colonoscopy with Biopsy | $2,550$833$10k | — | — |
| Complete Abdominal Ultrasound | $510$64$3.2k | $3,352 | $3,352 |
| Complete Blood Count (CBC) with Differential | $8$7$99 | — | — |
| Comprehensive Metabolic Panel | $18$9$1.5k | $1,580 | $1,580 |
| Coronary Angioplasty with Stent | $15,355$1.7k$70k | — | — |
| Critical Care, First Hour | $5,747$857$11k | $11,471 | $11,471 |
| CT Abdomen and Pelvis with Contrast | $2,338$388$5.2k | $5,488 | $5,488 |
| CT Cardiac Calcium Scoring | $223$34$2.2k | $405 | $405 |
| CT Chest without Contrast | $1,949$147$6.7k | $7,061 | $7,061 |
| CT Head without Contrast | $1,712$118$5.0k | $5,230 | $5,230 |
| DEXA Bone Density Scan | $327$19$1.6k | $1,722 | $1,722 |
| Diagnostic Colonoscopy | $2,550$833$10k | — | — |
| Diagnostic Mammogram (Both Breasts) | $192$49$1.8k | $1,844 | $1,844 |
| Ear Tube Placement (Tympanostomy) | $2,550$1.0k$16k | — | — |
| Echocardiogram (Complete with Doppler) | $2,352$479$4.5k | $4,699 | $4,699 |
| EKG (Electrocardiogram, 12-lead) | $11 | — | — |
| Emergency Room Visit (Level 3) | $2,109$441$4.5k | $3,834 | $3,834 |
| Group Therapy Session | $171$45$410 | $311 | $311 |
| Hemodialysis Treatment | $79 | — | — |
| Hemoglobin A1c (Diabetes Test) | $17$8$222 | $234 | $234 |
| HIV Antibody Test | $16$8$105 | $110 | $110 |
| Holter Monitor (24-48 Hour Heart Monitor) | $52 | — | — |
| Home Sleep Study | $339$100$3.5k | — | — |
| Individual Therapy Session (45 Minutes) | $348$247$501 | — | — |
| Inguinal Hernia Repair (Open) | $4,950$1.7k$18k | — | — |
| Initial Psychiatric Diagnostic Evaluation | $254$74$501 | $508 | $508 |
| Initial Psychiatric Evaluation with Medication Management | $185$50$501 | $340 | $340 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $930$173$1.7k | $1,738 | $1,738 |
| IUD Insertion | $3,725$39$9.7k | — | — |
| IUD Removal | $2,403$302$9.7k | — | — |
| Knee Arthroscopy with Meniscectomy | $5,117$2.0k$27k | — | — |
| Laparoscopic Appendectomy | $7,337$2.0k$39k | — | — |
| Laparoscopic Gallbladder Removal | $11,796$1.0k$39k | — | — |
| Laparoscopic Tubal Ligation | $7,968$1.7k$39k | — | — |
| Lipid Panel (Cholesterol Test) | $23$10$751 | $790 | $790 |
| Lumbar Epidural Steroid Injection | $1,836$229$9.7k | — | — |
| Lumbar Puncture (Spinal Tap) | $1,649$364$9.7k | — | — |
| Lumbar Spinal Fusion (Posterior) | $8,378$1.0k$65k | — | — |
| Lumpectomy (Partial Mastectomy) | $4,312$1.0k$17k | — | — |
| MRI Abdomen with and without Contrast | $3,752$420$16k | $17,362 | $17,362 |
| MRI Brain with and without Contrast | $3,107$377$11k | $11,823 | $11,823 |
| MRI Brain with Contrast | $3,092$333$11k | $11,608 | $11,608 |
| MRI Brain without Contrast | $3,092$227$11k | $11,194 | $11,194 |
| MRI Cervical Spine (Neck) without Contrast | $3,052$217$9.9k | $10,460 | $10,460 |
| MRI Knee without Contrast | $6,354$248$12k | $11,821 | $11,821 |
| MRI Lower Back (Lumbar Spine) without Contrast | $3,052$218$9.9k | $10,460 | $10,460 |
| MRI Thoracic Spine (Mid-back) without Contrast | $3,092$216$10k | $10,742 | $10,742 |
| Newborn Circumcision | $3,520$1.0k$15k | — | — |
| Nuclear Cardiac Stress Test | $1,769$152$5.6k | $5,920 | $5,920 |
| Office Visit, Established Patient (Level 3) | $450$48$1.3k | $935 | $935 |
| Office Visit, New Patient (Level 3) | $479$71$1.4k | $992 | $992 |
| Pacemaker Insertion (Dual Chamber) | $21,247$2.0k$140k | — | — |
| PET/CT Scan, Whole Body | $11,477$2.2k$22k | $22,909 | $22,909 |
| Pregnancy Ultrasound (Second or Third Trimester) | $471$83$2.8k | $2,981 | $2,981 |
| Prostate Biopsy | $1,443$670$9.7k | — | — |
| PSA Prostate Cancer Screening | $27$16$252 | $265 | $265 |
| Pulmonary Function Test with Bronchodilator | $1,552$35$3.4k | $3,609 | $3,609 |
| Rotator Cuff Repair (Arthroscopic) | $6,012$1.7k$27k | — | — |
| Screening Mammogram | $219$42$1.4k | $1,186 | $1,186 |
| Septoplasty (Deviated Septum Repair) | $4,232$1.0k$18k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $5,117$2.0k$18k | — | — |
| Skin Biopsy (Tangential) | $499$92$9.7k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,119$1.0k$9.7k | — | — |
| Sleep Study (In-lab Polysomnography) | $1,702$245$3.5k | — | — |
| Spinal Cord Stimulator Trial | $5,887$1.7k$70k | — | — |
| Spirometry (Breathing Test) | $254$17$561 | $590 | $590 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,514$1.7k$18k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $3,514$1.7k$17k | — | — |
| Total Hip Replacement | $14,288$120$55k | — | — |
| Total Knee Replacement | $12,405$120$55k | — | — |
| Total Mastectomy | $5,117$1.7k$18k | — | — |
| TSH Thyroid Function Test | $29$14$1.0k | $1,086 | $1,086 |
| TURP (Transurethral Prostate Resection) | $5,887$2.0k$18k | — | — |
| Umbilical Hernia Repair | $5,284 | — | — |
| Upper GI Endoscopy (EGD) | $2,462$759$10k | — | — |
| Urinalysis with Microscopy | $6$3$366 | $385 | $385 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,550 | — | — |
| Vaginal Delivery (Global Package) | $2,550 | — | — |
| Vaginal Hysterectomy | $6,636$2.0k$18k | — | — |
| Vasectomy | $3,520$1.0k$15k | — | — |
| Vitamin D Blood Test | $113$25$676 | $613 | $613 |