| Abdominal Hysterectomy | $3,549$800$11k | — | — |
| ACL Reconstruction (Arthroscopic) | $3,432$774$16k | — | — |
| Allergy Skin Testing | $2,427$35$3.0k | — | — |
| Basic Metabolic Panel | $10$8$1.0k | $1,235 | $1,235 |
| Bone Marrow Biopsy | $948$94$3.3k | — | — |
| Breast Biopsy (Ultrasound-guided) | $1,725$452$3.7k | — | — |
| Bunion Correction Surgery | $2,208$774$11k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $20,012$300$68k | $79,480 | $79,480 |
| Cardiac Catheterization (Left Heart) | $11,671$300$36k | $42,659 | $42,659 |
| Cardiac Stress Test (Treadmill) | $239$193$800 | — | — |
| Carpal Tunnel Release Surgery | $2,205$556$9.3k | — | — |
| Cataract Surgery with Lens Implant | $2,115$800$9.3k | — | — |
| Cervical Spinal Fusion (Anterior) | $7,134$1.1k$33k | — | — |
| Cesarean Delivery (Global Package) | $2,115$800$19k | — | — |
| Chemotherapy Infusion (First Hour) | $734$108$1.5k | $1,803 | $1,803 |
| Chest X-ray (2 Views) | $343$33$2.0k | $2,328 | $2,328 |
| Colonoscopy with Biopsy | $1,526$394$3.7k | — | — |
| Complete Abdominal Ultrasound | $526$103$3.2k | $3,749 | $3,749 |
| Complete Blood Count (CBC) with Differential | $8$6$39 | — | — |
| Comprehensive Metabolic Panel | $12$9$1.7k | $2,007 | $2,007 |
| Coronary Angioplasty with Stent | $25,374$300$48k | $56,387 | $56,387 |
| Critical Care, First Hour | $3,826$1.2k$8.0k | $6,377 | $6,377 |
| CT Abdomen and Pelvis with Contrast | $1,493$306$20k | $23,059 | $23,059 |
| CT Cardiac Calcium Scoring | $279$37$1.7k | $620 | $620 |
| CT Chest without Contrast | $1,260$103$9.5k | $11,142 | $11,142 |
| CT Head without Contrast | $1,260$103$8.3k | $9,710 | $9,710 |
| DEXA Bone Density Scan | $49$38$370 | — | — |
| Diagnostic Colonoscopy | $1,526$294$3.7k | — | — |
| Diagnostic Mammogram (Both Breasts) | $110$100$565 | — | — |
| Ear Tube Placement (Tympanostomy) | $1,481$394$3.7k | — | — |
| Echocardiogram (Complete with Doppler) | $2,278$300$5.9k | $6,903 | $6,903 |
| EKG (Electrocardiogram, 12-lead) | $20$11$800 | — | — |
| Emergency Room Visit (Level 3) | $1,524$50$3.0k | $3,545 | $3,545 |
| Group Therapy Session | $584$9$1.7k | $2,039 | $2,039 |
| Hemodialysis Treatment | $722$82$722 | — | — |
| Hemoglobin A1c (Diabetes Test) | $11$8$599 | $705 | $705 |
| HIV Antibody Test | $9$7$45 | — | — |
| Holter Monitor (24-48 Hour Heart Monitor) | $292$55$800 | — | — |
| Home Sleep Study | $672$240$3.5k | — | — |
| Individual Therapy Session (45 Minutes) | $467$24$1.1k | $1,318 | $1,318 |
| Inguinal Hernia Repair (Open) | $2,369$930$11k | — | — |
| Initial Hospital Admission (Level 1) | $275$29$700 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $237$29$612 | $720 | $720 |
| Initial Psychiatric Evaluation with Medication Management | $40$29$54 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $3,382$300$7.4k | $8,695 | $8,695 |
| IUD Insertion | $1,026$41$4.6k | — | — |
| IUD Removal | $948$50$2.9k | — | — |
| Knee Arthroscopy with Meniscectomy | $2,369$930$11k | — | — |
| Laparoscopic Appendectomy | $2,471$800$16k | — | — |
| Laparoscopic Gallbladder Removal | $2,471$1.1k$16k | — | — |
| Laparoscopic Tubal Ligation | $2,369$1.1k$16k | — | — |
| Lipid Panel (Cholesterol Test) | $14$8$1.1k | $1,283 | $1,283 |
| Lumbar Epidural Steroid Injection | $1,089$258$3.3k | — | — |
| Lumbar Puncture (Spinal Tap) | $963$258$3.3k | — | — |
| Lumbar Spinal Fusion (Posterior) | $7,192$1.1k$36k | — | — |
| Lumpectomy (Partial Mastectomy) | $2,138$774$9.3k | — | — |
| MRI Abdomen with and without Contrast | $1,733$342$12k | $13,658 | $13,658 |
| MRI Brain with and without Contrast | $1,733$322$13k | $15,146 | $15,146 |
| MRI Brain with Contrast | $1,733$273$10k | $12,000 | $12,000 |
| MRI Brain without Contrast | $1,733$198$9.5k | $11,199 | $11,199 |
| MRI Cervical Spine (Neck) without Contrast | $1,733$193$9.6k | $11,250 | $11,250 |
| MRI Knee without Contrast | $5,187$205$15k | $12,063 | $12,063 |
| MRI Lower Back (Lumbar Spine) without Contrast | $1,733$193$9.5k | $11,187 | $11,187 |
| MRI Thoracic Spine (Mid-back) without Contrast | $1,733$192$9.7k | $11,436 | $11,436 |
| Newborn Circumcision | $963$505$9.3k | — | — |
| Nuclear Cardiac Stress Test | $2,938$300$13k | $15,710 | $15,710 |
| Office Visit, Established Patient (Level 3) | $139$29$171 | — | — |
| Office Visit, New Patient (Level 3) | $207$29$256 | — | — |
| Pacemaker Insertion (Dual Chamber) | $6,816$300$42k | $14,528 | $14,528 |
| PET/CT Scan, Whole Body | $1,638$1.5k$5.7k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $500$103$3.1k | $3,677 | $3,677 |
| Prostate Biopsy | $1,306$640$4.3k | — | — |
| PSA Prostate Cancer Screening | $20$15$902 | $1,061 | $1,061 |
| Pulmonary Function Test with Bronchodilator | $644$117$1.7k | $1,953 | $1,953 |
| Rotator Cuff Repair (Arthroscopic) | $2,638$1.1k$16k | — | — |
| Screening Mammogram | $217$82$1.2k | $1,410 | $1,410 |
| Septoplasty (Deviated Septum Repair) | $2,369$800$9.3k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $2,369$1.1k$13k | — | — |
| Skin Biopsy (Tangential) | $948$63$4.6k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $948$73$3.3k | — | — |
| Sleep Study (In-lab Polysomnography) | $1,913$1.3k$3.5k | — | — |
| Spinal Cord Stimulator Trial | $3,656$677$98k | — | — |
| Spirometry (Breathing Test) | $144$14$600 | $240 | $240 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $2,083$800$9.3k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $2,150$774$12k | — | — |
| Total Hip Replacement | $12,500$800$33k | — | — |
| Total Knee Replacement | $12,500$800$33k | — | — |
| Total Mastectomy | $2,369$955$13k | — | — |
| TSH Thyroid Function Test | $18$14$1.7k | $1,981 | $1,981 |
| TURP (Transurethral Prostate Resection) | $2,369$955$15k | — | — |
| Umbilical Hernia Repair | $3,083$955$8.3k | — | — |
| Upper GI Endoscopy (EGD) | $963$294$3.7k | — | — |
| Urinalysis with Microscopy | $4$3$687 | $809 | $809 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $2,115$800$18k | — | — |
| Vaginal Delivery (Global Package) | $2,115$800$17k | — | — |
| Vaginal Hysterectomy | $2,369$1.1k$11k | — | — |
| Vasectomy | $1,526$556$9.3k | — | — |
| Vitamin D Blood Test | $32$24$1.5k | $1,742 | $1,742 |