| Abdominal Hysterectomy | $4,715$948$16k | — | — |
| ACL Reconstruction (Arthroscopic) | $5,284$2.4k$27k | — | — |
| Allergy Skin Testing | $2,345$49$3.7k | — | — |
| Basic Metabolic Panel | $11$8$1.4k | $1,511 | $1,511 |
| Bone Marrow Biopsy | $1,601$94$4.7k | — | — |
| Breast Biopsy (Ultrasound-guided) | $2,180$477$13k | — | — |
| Bunion Correction Surgery | $3,201$1.1k$13k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $18,278$300$69k | $76,636 | $76,636 |
| Cardiac Catheterization (Left Heart) | $12,039$300$31k | $34,826 | $34,826 |
| Cardiac Stress Test (Treadmill) | $263$170$679 | — | — |
| Carpal Tunnel Release Surgery | $2,369$647$5.6k | — | — |
| Cataract Surgery with Lens Implant | $3,345$833$5.6k | — | — |
| Cervical Spinal Fusion (Anterior) | $7,694$2.4k$41k | — | — |
| Cesarean Delivery (Global Package) | $4,690$948$28k | — | — |
| Chemotherapy Infusion (First Hour) | $519$335$1.3k | — | — |
| Chest X-ray (2 Views) | $228$33$2.5k | $2,728 | $2,728 |
| Colonoscopy with Biopsy | $2,098$421$4.7k | — | — |
| Complete Abdominal Ultrasound | $673$103$4.1k | $4,578 | $4,578 |
| Complete Blood Count (CBC) with Differential | $8$6$104 | — | — |
| Comprehensive Metabolic Panel | $34$9$1.9k | $1,959 | $1,959 |
| Coronary Angioplasty with Stent | $22,161$300$44k | $49,397 | $49,397 |
| Critical Care, First Hour | $5,380$1.8k$12k | $13,527 | $13,527 |
| CT Abdomen and Pelvis with Contrast | $1,476$306$31k | $34,566 | $34,566 |
| CT Cardiac Calcium Scoring | $1,064$85$16k | $17,727 | $17,727 |
| CT Chest without Contrast | $1,055$24$16k | $17,587 | $17,587 |
| CT Head without Contrast | $1,024$103$12k | $13,743 | $13,743 |
| DEXA Bone Density Scan | $245$38$1.8k | $2,051 | $2,051 |
| Diagnostic Colonoscopy | $1,962$322$4.7k | — | — |
| Diagnostic Mammogram (Both Breasts) | $263$108$3.3k | $3,708 | $3,708 |
| Ear Tube Placement (Tympanostomy) | $2,433$412$13k | — | — |
| Echocardiogram (Complete with Doppler) | $3,695$300$10k | $11,511 | $11,511 |
| EKG (Electrocardiogram, 12-lead) | $48$13$161 | — | — |
| Emergency Room Visit (Level 3) | $1,582$50$4.0k | $3,015 | $3,015 |
| Group Therapy Session | $13 | — | — |
| Hemodialysis Treatment | $1,148$77$3.9k | $4,333 | $4,333 |
| Hemoglobin A1c (Diabetes Test) | $12$8$518 | $575 | $575 |
| HIV Antibody Test | $11$7$401 | $445 | $445 |
| Holter Monitor (24-48 Hour Heart Monitor) | $292$60$858 | — | — |
| Home Sleep Study | $347$209$3.4k | — | — |
| Individual Therapy Session (45 Minutes) | $33 | — | — |
| Inguinal Hernia Repair (Open) | $3,443$1.1k$8.2k | — | — |
| Initial Hospital Admission (Level 1) | $374$241$976 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $76 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $76 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $8,258$300$22k | $24,147 | $24,147 |
| IUD Insertion | $1,899$39$5.8k | — | — |
| IUD Removal | $1,120$50$5.8k | — | — |
| Knee Arthroscopy with Meniscectomy | $4,973$1.1k$14k | — | — |
| Laparoscopic Appendectomy | $6,217$2.4k$12k | — | — |
| Laparoscopic Gallbladder Removal | $5,129$1.9k$14k | — | — |
| Laparoscopic Tubal Ligation | $5,129$1.9k$13k | — | — |
| Lipid Panel (Cholesterol Test) | $16$8$941 | $1,045 | $1,045 |
| Lumbar Epidural Steroid Injection | $1,534$258$5.8k | — | — |
| Lumbar Puncture (Spinal Tap) | $1,542$258$4.7k | — | — |
| Lumbar Spinal Fusion (Posterior) | $7,756$2.4k$69k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,014$944$13k | — | — |
| MRI Abdomen with and without Contrast | $1,880$342$28k | $31,330 | $31,330 |
| MRI Brain with and without Contrast | $1,706$322$23k | $25,098 | $25,098 |
| MRI Brain with Contrast | $1,706$273$14k | $15,853 | $15,853 |
| MRI Brain without Contrast | $1,706$198$14k | $15,853 | $15,853 |
| MRI Cervical Spine (Neck) without Contrast | $1,706$193$18k | $19,795 | $19,795 |
| MRI Knee without Contrast | $2,522$205$19k | $20,844 | $20,844 |
| MRI Lower Back (Lumbar Spine) without Contrast | $1,706$193$18k | $19,795 | $19,795 |
| MRI Thoracic Spine (Mid-back) without Contrast | $1,706$192$18k | $19,795 | $19,795 |
| Newborn Circumcision | $2,148$640$5.6k | — | — |
| Nuclear Cardiac Stress Test | $3,143$300$19k | $21,581 | $21,581 |
| Office Visit, Established Patient (Level 3) | $224$39$600 | $656 | $656 |
| Office Visit, New Patient (Level 3) | $250$39$600 | $656 | $656 |
| Pacemaker Insertion (Dual Chamber) | $7,568$300$41k | $45,316 | $45,316 |
| PET/CT Scan, Whole Body | $4,354$300$65k | $72,564 | $72,564 |
| Pregnancy Ultrasound (Second or Third Trimester) | $746$103$5.9k | $6,605 | $6,605 |
| Prostate Biopsy | $2,229$640$4.7k | — | — |
| PSA Prostate Cancer Screening | $22$15$744 | $827 | $827 |
| Pulmonary Function Test with Bronchodilator | $1,014$110$2.8k | $3,159 | $3,159 |
| Rotator Cuff Repair (Arthroscopic) | $5,284$2.4k$15k | — | — |
| Screening Mammogram | $217$89$1.9k | $2,060 | $2,060 |
| Septoplasty (Deviated Septum Repair) | $3,206$869$8.2k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $3,768$1.6k$13k | — | — |
| Skin Biopsy (Tangential) | $1,120$63$5.8k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,623$73$4.7k | — | — |
| Sleep Study (In-lab Polysomnography) | $3,597$300$15k | $16,176 | $16,176 |
| Spinal Cord Stimulator Trial | $4,022$948$84k | — | — |
| Spirometry (Breathing Test) | $616$115$1.7k | $1,920 | $1,920 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,346$869$13k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $3,014$948$13k | — | — |
| Total Hip Replacement | $12,962$948$60k | — | — |
| Total Knee Replacement | $12,962$948$60k | — | — |
| Total Mastectomy | $3,206$1.8k$13k | — | — |
| TSH Thyroid Function Test | $20$14$1.2k | $1,306 | $1,306 |
| TURP (Transurethral Prostate Resection) | $3,206$1.7k$10k | — | — |
| Umbilical Hernia Repair | $4,988$4.3k$7.0k | — | — |
| Upper GI Endoscopy (EGD) | $1,899$328$4.7k | — | — |
| Urinalysis with Microscopy | $4$3$558 | $620 | $620 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $4,690$948$27k | — | — |
| Vaginal Delivery (Global Package) | $4,690$948$26k | — | — |
| Vaginal Hysterectomy | $3,495$1.5k$15k | — | — |
| Vasectomy | $2,264$640$5.6k | — | — |
| Vitamin D Blood Test | $36$24$597 | $663 | $663 |