| Abdominal Hysterectomy | $2,550$1.1k$11k | — | — |
| ACL Reconstruction (Arthroscopic) | $3,351$1.3k$9.9k | — | — |
| Allergy Skin Testing | $4$4$8 | — | — |
| Basic Metabolic Panel | $12$4$772 | $877 | $877 |
| Bone Marrow Biopsy | $2,365$464$3.8k | — | — |
| Breast Biopsy (Ultrasound-guided) | $2,365$703$5.1k | — | — |
| Bunion Correction Surgery | $2,700$1.3k$7.3k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $31,338$1.9k$80k | $91,364 | $91,364 |
| Cardiac Catheterization (Left Heart) | $6,377$1.3k$20k | — | — |
| Cardiac Stress Test (Treadmill) | $291$136$4.7k | — | — |
| Carpal Tunnel Release Surgery | $2,375$870$6.0k | — | — |
| Cataract Surgery with Lens Implant | $4,202$1.0k$11k | — | — |
| Cervical Spinal Fusion (Anterior) | $5,325$2.1k$36k | — | — |
| Cesarean Delivery (Global Package) | $2,550$1.1k$5.8k | — | — |
| Chemotherapy Infusion (First Hour) | $552$179$1.4k | $1,610 | $1,610 |
| Chest X-ray (2 Views) | $193$12$908 | $1,032 | $1,032 |
| Colonoscopy with Biopsy | $1,959$703$5.1k | — | — |
| Complete Abdominal Ultrasound | $940$57$3.3k | $3,584 | $3,584 |
| Complete Blood Count (CBC) with Differential | $8$4$44 | — | — |
| Comprehensive Metabolic Panel | $16$5$1.2k | $1,414 | $1,414 |
| Coronary Angioplasty with Stent | $8,222$1.9k$36k | — | — |
| Critical Care, First Hour | $1,636$155$6.0k | $2,727 | $2,727 |
| CT Abdomen and Pelvis with Contrast | $3,140$92$10.0k | $10,737 | $10,737 |
| CT Cardiac Calcium Scoring | $500$56$2.3k | $2,562 | $2,562 |
| CT Chest without Contrast | $1,292$92$4.1k | $4,419 | $4,419 |
| CT Head without Contrast | $1,324$92$4.7k | $5,011 | $5,011 |
| DEXA Bone Density Scan | $355$14$1.7k | $1,928 | $1,928 |
| Diagnostic Colonoscopy | $1,959$670$5.1k | — | — |
| Diagnostic Mammogram (Both Breasts) | $166$71$931 | $1,058 | $1,058 |
| Ear Tube Placement (Tympanostomy) | $2,528$703$8.9k | — | — |
| Echocardiogram (Complete with Doppler) | $1,832$201$4.7k | $5,342 | $5,342 |
| EKG (Electrocardiogram, 12-lead) | $69$32$4.7k | — | — |
| Emergency Room Visit (Level 3) | $1,008$101$4.1k | $1,550 | $1,550 |
| Group Therapy Session | $456$31$1.4k | $1,630 | $1,630 |
| Hemodialysis Treatment | $236$217$464 | — | — |
| Hemoglobin A1c (Diabetes Test) | $14$4$1.1k | $1,194 | $1,194 |
| HIV Antibody Test | $13$4$107 | $122 | $122 |
| Holter Monitor (24-48 Hour Heart Monitor) | $433$202$4.7k | — | — |
| Home Sleep Study | $593$190$2.7k | $1,303 | $1,303 |
| Inguinal Hernia Repair (Open) | $2,990$1.3k$7.3k | — | — |
| Initial Hospital Admission (Level 1) | $85$78$168 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,511$248$4.2k | $4,721 | $4,721 |
| IUD Insertion | $2,085$40$5.0k | — | — |
| IUD Removal | $2,375$264$5.0k | — | — |
| Knee Arthroscopy with Meniscectomy | $3,000$1.3k$9.9k | — | — |
| Laparoscopic Appendectomy | $4,950$1.3k$11k | — | — |
| Laparoscopic Gallbladder Removal | $4,950$1.8k$14k | — | — |
| Laparoscopic Tubal Ligation | $3,867$1.7k$9.9k | — | — |
| Lipid Panel (Cholesterol Test) | $20$6$772 | $878 | $878 |
| Lumbar Epidural Steroid Injection | $2,450$464$3.8k | — | — |
| Lumbar Puncture (Spinal Tap) | $1,804$464$3.8k | — | — |
| Lumbar Spinal Fusion (Posterior) | $4,978$2.2k$55k | — | — |
| Lumpectomy (Partial Mastectomy) | $2,534$1.3k$6.4k | — | — |
| MRI Abdomen with and without Contrast | $2,244$255$10k | $11,808 | $11,808 |
| MRI Brain with and without Contrast | $2,575$266$12k | $13,553 | $13,553 |
| MRI Brain with Contrast | $2,069$207$9.6k | $10,890 | $10,890 |
| MRI Brain without Contrast | $2,069$171$9.6k | $10,890 | $10,890 |
| MRI Cervical Spine (Neck) without Contrast | $2,069$172$9.6k | $10,890 | $10,890 |
| MRI Knee without Contrast | $2,508$157$7.1k | $8,089 | $8,089 |
| MRI Lower Back (Lumbar Spine) without Contrast | $2,069$172$9.6k | $10,890 | $10,890 |
| MRI Thoracic Spine (Mid-back) without Contrast | $2,069$172$9.6k | $10,890 | $10,890 |
| Newborn Circumcision | $1,804$497$6.0k | — | — |
| Nuclear Cardiac Stress Test | $3,392$112$16k | $18,423 | $18,423 |
| Office Visit, Established Patient (Level 3) | $320$51$711 | $808 | $808 |
| Office Visit, New Patient (Level 3) | $364$76$711 | $772 | $772 |
| Pacemaker Insertion (Dual Chamber) | $5,366$1.1k$38k | — | — |
| PET/CT Scan, Whole Body | $1,879$133$6.2k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $716$61$2.5k | $2,729 | $2,729 |
| Prostate Biopsy | $1,749$703$3.9k | — | — |
| PSA Prostate Cancer Screening | $25$8$999 | $1,135 | $1,135 |
| Pulmonary Function Test with Bronchodilator | $473$38$1.3k | $1,433 | $1,433 |
| Rotator Cuff Repair (Arthroscopic) | $3,867$1.7k$9.9k | — | — |
| Screening Mammogram | $166$54$768 | $872 | $872 |
| Septoplasty (Deviated Septum Repair) | $2,990$1.3k$6.4k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $3,867$1.5k$9.9k | — | — |
| Skin Biopsy (Tangential) | $1,477$264$3.7k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,804$464$3.8k | — | — |
| Sleep Study (In-lab Polysomnography) | $1,418$211$8.4k | $5,536 | $5,536 |
| Spinal Cord Stimulator Trial | $3,002$870$48k | — | — |
| Spirometry (Breathing Test) | $482$17$1.3k | $1,462 | $1,462 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $2,559$1.1k$7.2k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $2,550$1.1k$6.4k | — | — |
| Total Hip Replacement | $13,030$1.1k$37k | — | — |
| Total Knee Replacement | $13,030$1.1k$37k | — | — |
| Total Mastectomy | $2,990$1.5k$7.3k | — | — |
| TSH Thyroid Function Test | $25$8$1.0k | $1,145 | $1,145 |
| TURP (Transurethral Prostate Resection) | $3,182$1.4k$9.9k | — | — |
| Umbilical Hernia Repair | $2,990$1.5k$10k | — | — |
| Upper GI Endoscopy (EGD) | $1,804$607$5.1k | — | — |
| Urinalysis with Microscopy | $4$1$396 | $450 | $450 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,550$1.1k$5.8k | — | — |
| Vaginal Delivery (Global Package) | $2,550$1.1k$5.8k | — | — |
| Vaginal Hysterectomy | $3,719$1.1k$8.7k | — | — |
| Vasectomy | $1,804$497$6.0k | — | — |
| Vitamin D Blood Test | $44$13$1.2k | $1,377 | $1,377 |