| Abdominal Hysterectomy | $6,362$365$12k | — | — |
| ACL Reconstruction (Arthroscopic) | $6,716$365$15k | — | — |
| Allergy Skin Testing | $4,081$2.3k$4.8k | — | — |
| Basic Metabolic Panel | $11$8$1.4k | $1,630 | $1,630 |
| Bone Marrow Biopsy | $1,440$96$3.1k | — | — |
| Breast Biopsy (Ultrasound-guided) | $1,742$365$7.5k | — | — |
| Bunion Correction Surgery | $3,451$365$9.0k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $26,883$3.1k$95k | $111,281 | $111,281 |
| Cardiac Catheterization (Left Heart) | $12,266$2.8k$39k | $45,738 | $45,738 |
| Cardiac Stress Test (Treadmill) | $325$180$386 | — | — |
| Carpal Tunnel Release Surgery | $2,158$365$6.5k | — | — |
| Cataract Surgery with Lens Implant | $2,550$365$14k | — | — |
| Cervical Spinal Fusion (Anterior) | $8,830$365$47k | — | — |
| Cesarean Delivery (Global Package) | $1,532$365$26k | — | — |
| Chemotherapy Infusion (First Hour) | $605$92$1.6k | $1,840 | $1,840 |
| Chest X-ray (2 Views) | $275$34$1.1k | $1,255 | $1,255 |
| Colonoscopy with Biopsy | $1,322$365$4.0k | — | — |
| Complete Abdominal Ultrasound | $466$105$2.9k | $3,452 | $3,452 |
| Complete Blood Count (CBC) with Differential | $8$7$43 | — | — |
| Comprehensive Metabolic Panel | $12$9$2.4k | $2,854 | $2,854 |
| Coronary Angioplasty with Stent | $9,113$1.9k$46k | $17,564 | $17,564 |
| Critical Care, First Hour | $3,092$618$9.6k | $5,340 | $5,340 |
| CT Abdomen and Pelvis with Contrast | $981$312$13k | $14,859 | $14,859 |
| CT Cardiac Calcium Scoring | $182$38$1.1k | $767 | $767 |
| CT Chest without Contrast | $483$105$5.7k | $6,686 | $6,686 |
| CT Head without Contrast | $483$105$5.4k | $6,391 | $6,391 |
| DEXA Bone Density Scan | $134$34$579 | $682 | $682 |
| Diagnostic Colonoscopy | $1,028$329$4.0k | — | — |
| Diagnostic Mammogram (Both Breasts) | $236$47$907 | $1,026 | $1,026 |
| Ear Tube Placement (Tympanostomy) | $1,637$365$7.5k | — | — |
| Echocardiogram (Complete with Doppler) | $3,043$336$8.3k | $9,694 | $9,694 |
| EKG (Electrocardiogram, 12-lead) | $36$13$48 | — | — |
| Emergency Room Visit (Level 3) | $1,297$51$3.1k | $2,593 | $2,593 |
| Hemodialysis Treatment | $2,599$74$6.2k | $7,341 | $7,341 |
| Hemoglobin A1c (Diabetes Test) | $24$8$431 | $494 | $494 |
| HIV Antibody Test | $9$7$153 | $180 | $180 |
| Holter Monitor (24-48 Hour Heart Monitor) | $352$57$482 | — | — |
| Home Sleep Study | $880$151$2.7k | $3,013 | $3,013 |
| Inguinal Hernia Repair (Open) | $3,777$365$9.0k | — | — |
| Initial Hospital Admission (Level 1) | $463$256$549 | — | — |
| IUD Insertion | $948$37$3.0k | — | — |
| IUD Removal | $365$51$3.1k | — | — |
| Knee Arthroscopy with Meniscectomy | $3,509$365$13k | — | — |
| Laparoscopic Appendectomy | $6,680$365$13k | — | — |
| Laparoscopic Gallbladder Removal | $6,377$365$13k | — | — |
| Laparoscopic Tubal Ligation | $5,820$365$13k | — | — |
| Lipid Panel (Cholesterol Test) | $14$8$1.3k | $1,526 | $1,526 |
| Lumbar Epidural Steroid Injection | $780$263$3.1k | — | — |
| Lumbar Puncture (Spinal Tap) | $1,350$263$3.1k | $3,263 | $3,263 |
| Lumbar Spinal Fusion (Posterior) | $8,902$365$47k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,695$365$7.8k | — | — |
| MRI Abdomen with and without Contrast | $1,193$349$12k | $13,856 | $13,856 |
| MRI Brain with and without Contrast | $1,193$328$11k | $12,741 | $12,741 |
| MRI Brain with Contrast | $1,193$279$9.4k | $11,041 | $11,041 |
| MRI Brain without Contrast | $1,141$137$7.9k | $6,043 | $6,043 |
| MRI Cervical Spine (Neck) without Contrast | $1,225$196$7.2k | $7,124 | $7,124 |
| MRI Knee without Contrast | $1,263$209$5.6k | $6,646 | $6,646 |
| MRI Lower Back (Lumbar Spine) without Contrast | $1,449$197$9.1k | $8,231 | $8,231 |
| MRI Thoracic Spine (Mid-back) without Contrast | $1,449$196$9.1k | $8,231 | $8,231 |
| Newborn Circumcision | $2,205$365$6.5k | — | — |
| Nuclear Cardiac Stress Test | $2,996$438$11k | $12,684 | $12,684 |
| Office Visit, Established Patient (Level 3) | $226$31$520 | $611 | $611 |
| Office Visit, New Patient (Level 3) | $317$43$727 | $856 | $856 |
| Pacemaker Insertion (Dual Chamber) | $8,144$365$44k | $15,826 | $15,826 |
| PET/CT Scan, Whole Body | $3,260$636$14k | $12,713 | $12,713 |
| Pregnancy Ultrasound (Second or Third Trimester) | $671$105$3.0k | $3,335 | $3,335 |
| Prostate Biopsy | $721$653$4.0k | — | — |
| PSA Prostate Cancer Screening | $20$15$604 | $710 | $710 |
| Pulmonary Function Test with Bronchodilator | $703$109$2.0k | $2,269 | $2,269 |
| Rotator Cuff Repair (Arthroscopic) | $5,820$365$15k | — | — |
| Screening Mammogram | $195$50$873 | $1,009 | $1,009 |
| Septoplasty (Deviated Septum Repair) | $3,497$365$7.7k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $5,240$365$14k | — | — |
| Skin Biopsy (Tangential) | $222$64$2.2k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,440$74$3.1k | — | — |
| Sleep Study (In-lab Polysomnography) | $3,476$869$15k | $17,382 | $17,382 |
| Spinal Cord Stimulator Trial | $5,820$365$53k | — | — |
| Spirometry (Breathing Test) | $300$41$737 | $815 | $815 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,497$365$8.2k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $3,695$365$13k | — | — |
| Total Hip Replacement | $16,121$365$47k | — | — |
| Total Knee Replacement | $16,121$365$47k | — | — |
| Total Mastectomy | $5,240$365$14k | — | — |
| TSH Thyroid Function Test | $18$14$604 | $710 | $710 |
| TURP (Transurethral Prostate Resection) | $5,656$365$11k | — | — |
| Umbilical Hernia Repair | $5,471$2.6k$7.7k | — | — |
| Upper GI Endoscopy (EGD) | $1,002$335$3.9k | — | — |
| Urinalysis with Microscopy | $5$3$397 | $467 | $467 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $1,532$365$25k | — | — |
| Vaginal Delivery (Global Package) | $1,532$365$23k | — | — |
| Vaginal Hysterectomy | $5,240$365$12k | — | — |
| Vasectomy | $2,205$365$6.5k | — | — |
| Vitamin D Blood Test | $32$25$1.6k | $1,880 | $1,880 |