| Abdominal Hysterectomy | $13,120$948$24k | — | — |
| ACL Reconstruction (Arthroscopic) | $8,487$2.4k$51k | — | — |
| Allergy Skin Testing | $6,181$4.0k$6.8k | — | — |
| Basic Metabolic Panel | $29$8$1.7k | $945 | $945 |
| Bone Marrow Biopsy | $2,947$96$7.1k | $7,163 | $7,163 |
| Breast Biopsy (Ultrasound-guided) | $11,519$486$22k | $23,038 | $23,038 |
| Bunion Correction Surgery | $4,708$1.1k$21k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $52,690$5.6k$111k | $117,088 | $117,088 |
| Cardiac Catheterization (Left Heart) | $38,863$2.8k$82k | $82,023 | $82,023 |
| Cardiac Stress Test (Treadmill) | $493$319$545 | — | — |
| Carpal Tunnel Release Surgery | $2,957$660$13k | — | — |
| Cataract Surgery with Lens Implant | $3,478$850$13k | — | — |
| Cervical Spinal Fusion (Anterior) | $19,500$1.8k$47k | — | — |
| Cesarean Delivery (Global Package) | $21,112$948$30k | — | — |
| Chemotherapy Infusion (First Hour) | $1,336$131$2.5k | $2,509 | $2,509 |
| Chest X-ray (2 Views) | $341$34$1.2k | $1,230 | $1,230 |
| Colonoscopy with Biopsy | $1,727$429$7.2k | — | — |
| Complete Abdominal Ultrasound | $3,596$105$7.4k | $7,712 | $7,712 |
| Complete Blood Count (CBC) with Differential | $8$7$59 | — | — |
| Comprehensive Metabolic Panel | $36$9$2.1k | $1,182 | $1,182 |
| Coronary Angioplasty with Stent | $40,279$4.1k$75k | $73,234 | $73,234 |
| Critical Care, First Hour | $7,853$680$15k | $15,706 | $15,706 |
| CT Abdomen and Pelvis with Contrast | $2,592$13$23k | $23,994 | $23,994 |
| CT Cardiac Calcium Scoring | $103$9$2.8k | $158 | $158 |
| CT Chest without Contrast | $5,243$105$11k | $11,651 | $11,651 |
| CT Head without Contrast | $4,565$105$9.6k | $10,144 | $10,144 |
| DEXA Bone Density Scan | $532$38$1.8k | $1,934 | $1,934 |
| Diagnostic Colonoscopy | $1,314$329$7.2k | — | — |
| Diagnostic Mammogram (Both Breasts) | $441$47$1.7k | $1,680 | $1,680 |
| Ear Tube Placement (Tympanostomy) | $2,321$421$21k | — | — |
| Echocardiogram (Complete with Doppler) | $7,998$598$15k | $16,051 | $16,051 |
| EKG (Electrocardiogram, 12-lead) | $119$11$131 | — | — |
| Emergency Room Visit (Level 3) | $2,064$51$4.4k | $4,587 | $4,587 |
| Hemodialysis Treatment | $82 | — | — |
| Hemoglobin A1c (Diabetes Test) | $33$8$581 | $381 | $381 |
| HIV Antibody Test | $11$7$955 | $1,005 | $1,005 |
| Holter Monitor (24-48 Hour Heart Monitor) | $615$55$681 | — | — |
| Home Sleep Study | $643$396$1.4k | — | — |
| Inguinal Hernia Repair (Open) | $5,348$1.2k$21k | — | — |
| Initial Hospital Admission (Level 1) | $701$455$776 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $532$62$1.0k | $1,102 | $1,102 |
| Initial Psychiatric Evaluation with Medication Management | $622$72$1.2k | $1,288 | $1,288 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $2,989$294$5.0k | $5,253 | $5,253 |
| IUD Insertion | $694$41$5.8k | — | — |
| IUD Removal | $497$51$7.1k | — | — |
| Knee Arthroscopy with Meniscectomy | $5,749$1.1k$18k | — | — |
| Laparoscopic Appendectomy | $11,142$2.4k$24k | — | — |
| Laparoscopic Gallbladder Removal | $8,254$1.9k$24k | — | — |
| Laparoscopic Tubal Ligation | $8,254$1.9k$24k | — | — |
| Lipid Panel (Cholesterol Test) | $45$8$1.3k | $775 | $775 |
| Lumbar Epidural Steroid Injection | $4,297$263$16k | $16,375 | $16,375 |
| Lumbar Puncture (Spinal Tap) | $3,550$263$10k | $10,949 | $10,949 |
| Lumbar Spinal Fusion (Posterior) | $19,500$1.8k$93k | — | — |
| Lumpectomy (Partial Mastectomy) | $4,807$964$21k | — | — |
| MRI Abdomen with and without Contrast | $3,281$349$16k | $17,086 | $17,086 |
| MRI Brain with and without Contrast | $3,272$328$16k | $17,040 | $17,040 |
| MRI Brain with Contrast | $2,894$279$14k | $14,764 | $14,764 |
| MRI Brain without Contrast | $2,894$202$13k | $14,075 | $14,075 |
| MRI Cervical Spine (Neck) without Contrast | $2,894$196$12k | $12,874 | $12,874 |
| MRI Knee without Contrast | $6,651$209$17k | $12,092 | $12,092 |
| MRI Lower Back (Lumbar Spine) without Contrast | $2,894$197$12k | $12,764 | $12,764 |
| MRI Thoracic Spine (Mid-back) without Contrast | $2,894$196$12k | $12,730 | $12,730 |
| Newborn Circumcision | $3,047$653$13k | — | — |
| Nuclear Cardiac Stress Test | $6,748$438$16k | $16,870 | $16,870 |
| Office Visit, Established Patient (Level 3) | $612$20$5.3k | $1,898 | $1,898 |
| Office Visit, New Patient (Level 3) | $1,071$41$8.2k | $2,026 | $2,026 |
| Pacemaker Insertion (Dual Chamber) | $22,206$2.4k$60k | $63,388 | $63,388 |
| PET/CT Scan, Whole Body | $11,293$1.3k$21k | $22,586 | $22,586 |
| Pregnancy Ultrasound (Second or Third Trimester) | $3,111$105$7.5k | $6,725 | $6,725 |
| Prostate Biopsy | $3,808$474$8.0k | $8,462 | $8,462 |
| PSA Prostate Cancer Screening | $62$15$955 | $646 | $646 |
| Pulmonary Function Test with Bronchodilator | $748$87$1.5k | $1,548 | $1,548 |
| Rotator Cuff Repair (Arthroscopic) | $8,487$2.4k$24k | — | — |
| Screening Mammogram | $348$72$1.3k | $1,350 | $1,350 |
| Septoplasty (Deviated Septum Repair) | $4,505$887$21k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $5,849$1.6k$21k | — | — |
| Skin Biopsy (Tangential) | $816$64$1.9k | $1,631 | $1,631 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $843$74$7.1k | — | — |
| Sleep Study (In-lab Polysomnography) | $7,407$922$16k | $16,459 | $16,459 |
| Spinal Cord Stimulator Trial | $8,778$948$31k | — | — |
| Spirometry (Breathing Test) | $590$59$1.0k | $1,055 | $1,055 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $4,505$887$21k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $4,807$948$21k | — | — |
| Total Hip Replacement | $17,355$948$60k | — | — |
| Total Knee Replacement | $17,355$948$60k | — | — |
| Total Mastectomy | $5,849$1.8k$21k | — | — |
| TSH Thyroid Function Test | $57$14$1.5k | $919 | $919 |
| TURP (Transurethral Prostate Resection) | $7,278$1.7k$21k | — | — |
| Umbilical Hernia Repair | $7,842 | — | — |
| Upper GI Endoscopy (EGD) | $1,352$335$7.1k | — | — |
| Urinalysis with Microscopy | $14$3$625 | $355 | $355 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $20,303$948$29k | — | — |
| Vaginal Delivery (Global Package) | $19,631$948$27k | — | — |
| Vaginal Hysterectomy | $5,849$1.5k$21k | — | — |
| Vasectomy | $3,047$653$13k | — | — |
| Vitamin D Blood Test | $114$25$1.7k | $1,237 | $1,237 |