| Abdominal Hysterectomy | $16,144$1.5k$24k | — | — |
| ACL Reconstruction (Arthroscopic) | $6,639$2.4k$44k | — | — |
| Allergy Skin Testing | $4,427$36$4.9k | — | — |
| Basic Metabolic Panel | $11$5$1.4k | $1,387 | $1,387 |
| Bone Marrow Biopsy | $639$96$4.3k | — | — |
| Breast Biopsy (Ultrasound-guided) | $2,435$486$8.5k | — | — |
| Bunion Correction Surgery | $3,564$1.1k$10k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $23,628$5.6k$80k | $80,095 | $80,095 |
| Cardiac Catheterization (Left Heart) | $11,111$2.3k$28k | $17,080 | $17,080 |
| Cardiac Stress Test (Treadmill) | $353$171$498 | — | — |
| Carpal Tunnel Release Surgery | $2,491$660$6.6k | — | — |
| Cataract Surgery with Lens Implant | $3,682$850$17k | — | — |
| Cervical Spinal Fusion (Anterior) | $7,869$2.4k$60k | — | — |
| Cesarean Delivery (Global Package) | $5,460$2.3k$43k | — | — |
| Chemotherapy Infusion (First Hour) | $665$100$1.4k | $1,424 | $1,424 |
| Chest X-ray (2 Views) | $84$34$977 | $977 | $977 |
| Colonoscopy with Biopsy | $2,189$429$4.9k | — | — |
| Complete Abdominal Ultrasound | $252$105$3.6k | $3,603 | $3,603 |
| Complete Blood Count (CBC) with Differential | $8$5$86 | — | — |
| Comprehensive Metabolic Panel | $12$6$1.7k | $1,724 | $1,724 |
| Coronary Angioplasty with Stent | $25,389$4.2k$47k | $43,106 | $43,106 |
| Critical Care, First Hour | $5,630$800$11k | $10,709 | $10,709 |
| CT Abdomen and Pelvis with Contrast | $748$312$11k | $10,684 | $10,684 |
| CT Cardiac Calcium Scoring | $94$84$1.0k | — | — |
| CT Chest without Contrast | $314$105$4.5k | $4,487 | $4,487 |
| CT Head without Contrast | $355$105$5.1k | $5,078 | $5,078 |
| DEXA Bone Density Scan | $108$36$802 | $802 | $802 |
| Diagnostic Colonoscopy | $1,740$329$4.9k | — | — |
| Diagnostic Mammogram (Both Breasts) | $136$74$1.1k | $1,059 | $1,059 |
| Ear Tube Placement (Tympanostomy) | $2,513$421$9.3k | — | — |
| Echocardiogram (Complete with Doppler) | $1,566$320$6.1k | $6,119 | $6,119 |
| EKG (Electrocardiogram, 12-lead) | $43$11$118 | — | — |
| Emergency Room Visit (Level 3) | $1,129$51$2.9k | $2,236 | $2,236 |
| Group Therapy Session | $10 | — | — |
| Hemodialysis Treatment | $411$82$739 | — | — |
| Hemoglobin A1c (Diabetes Test) | $11$6$402 | $402 | $402 |
| HIV Antibody Test | $10$5$724 | $724 | $724 |
| Holter Monitor (24-48 Hour Heart Monitor) | $441$55$630 | — | — |
| Home Sleep Study | $437$111$3.1k | — | — |
| Individual Therapy Session (45 Minutes) | $24 | — | — |
| Inguinal Hernia Repair (Open) | $3,648$1.2k$12k | — | — |
| Initial Hospital Admission (Level 1) | $502$243$717 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $56 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $56 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $4,844$2.7k$5.3k | — | — |
| IUD Insertion | $1,757$41$4.3k | — | — |
| IUD Removal | $299$51$4.3k | — | — |
| Knee Arthroscopy with Meniscectomy | $4,845$1.1k$19k | — | — |
| Laparoscopic Appendectomy | $8,989$2.4k$17k | — | — |
| Laparoscopic Gallbladder Removal | $6,371$1.9k$17k | — | — |
| Laparoscopic Tubal Ligation | $6,639$1.9k$17k | — | — |
| Lipid Panel (Cholesterol Test) | $14$8$837 | $837 | $837 |
| Lumbar Epidural Steroid Injection | $1,363$263$4.3k | — | — |
| Lumbar Puncture (Spinal Tap) | $1,363$263$4.3k | — | — |
| Lumbar Spinal Fusion (Posterior) | $8,462$2.4k$106k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,624$964$9.3k | — | — |
| MRI Abdomen with and without Contrast | $616$349$8.7k | $8,713 | $8,713 |
| MRI Brain with and without Contrast | $687$328$9.8k | $9,817 | $9,817 |
| MRI Brain with Contrast | $679$279$9.7k | $9,696 | $9,696 |
| MRI Brain without Contrast | $668$202$9.5k | $9,537 | $9,537 |
| MRI Cervical Spine (Neck) without Contrast | $668$196$9.5k | $9,537 | $9,537 |
| MRI Knee without Contrast | $1,288$209$19k | $9,537 | $9,537 |
| MRI Lower Back (Lumbar Spine) without Contrast | $668$197$9.5k | $9,537 | $9,537 |
| MRI Thoracic Spine (Mid-back) without Contrast | $610$196$8.7k | $8,713 | $8,713 |
| Newborn Circumcision | $2,340$653$6.6k | — | — |
| Nuclear Cardiac Stress Test | $991$438$14k | $14,163 | $14,163 |
| Office Visit, Established Patient (Level 3) | $270$79$1.1k | $1,122 | $1,122 |
| Office Visit, New Patient (Level 3) | $289$79$1.1k | $1,122 | $1,122 |
| Pacemaker Insertion (Dual Chamber) | $10,633$2.4k$86k | $34,780 | $34,780 |
| PET/CT Scan, Whole Body | $1,733$1.5k$5.9k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $356$105$4.3k | $3,799 | $3,799 |
| Prostate Biopsy | $783$653$4.9k | — | — |
| PSA Prostate Cancer Screening | $20$11$837 | $837 | $837 |
| Pulmonary Function Test with Bronchodilator | $310$85$1.2k | $1,211 | $1,211 |
| Rotator Cuff Repair (Arthroscopic) | $7,092$2.4k$17k | — | — |
| Screening Mammogram | $112$64$921 | $921 | $921 |
| Septoplasty (Deviated Septum Repair) | $3,506$887$12k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $3,682$1.6k$13k | — | — |
| Skin Biopsy (Tangential) | $422$64$6.6k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $507$74$4.3k | — | — |
| Sleep Study (In-lab Polysomnography) | $1,980$1.2k$3.4k | — | — |
| Spinal Cord Stimulator Trial | $4,570$2.5k$78k | — | — |
| Spirometry (Breathing Test) | $230$55$781 | $781 | $781 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,682$887$13k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $4,036$2.0k$12k | — | — |
| Total Hip Replacement | $17,494$2.5k$70k | — | — |
| Total Knee Replacement | $17,494$2.5k$70k | — | — |
| Total Mastectomy | $3,682$1.8k$13k | — | — |
| TSH Thyroid Function Test | $18$10$1.0k | $1,004 | $1,004 |
| TURP (Transurethral Prostate Resection) | $3,682$1.7k$13k | — | — |
| Umbilical Hernia Repair | $6,776$6.1k$11k | — | — |
| Upper GI Endoscopy (EGD) | $1,740$335$4.7k | — | — |
| Urinalysis with Microscopy | $3$2$486 | $486 | $486 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $5,460$2.3k$41k | — | — |
| Vaginal Delivery (Global Package) | $5,460$2.3k$39k | — | — |
| Vaginal Hysterectomy | $3,682$1.5k$12k | — | — |
| Vasectomy | $2,756$653$6.6k | — | — |
| Vitamin D Blood Test | $32$18$1.5k | $1,450 | $1,450 |