| Abdominal Hysterectomy | $8,152$948$16k | — | — |
| ACL Reconstruction (Arthroscopic) | $5,848$2.4k$27k | — | — |
| Allergy Skin Testing | $4,736$74$5.3k | — | — |
| Basic Metabolic Panel | $17$8$1.8k | $1,995 | $1,995 |
| Bone Marrow Biopsy | $948$95$13k | — | — |
| Breast Biopsy (Ultrasound-guided) | $2,768$482$13k | — | — |
| Bunion Correction Surgery | $4,244$1.1k$16k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $42,429$300$116k | $128,574 | $128,574 |
| Cardiac Catheterization (Left Heart) | $16,650$300$45k | $50,454 | $50,454 |
| Cardiac Stress Test (Treadmill) | $400$225$1.0k | — | — |
| Carpal Tunnel Release Surgery | $3,005$653$14k | — | — |
| Cataract Surgery with Lens Implant | $4,691$841$14k | — | — |
| Cervical Spinal Fusion (Anterior) | $7,694$2.4k$52k | — | — |
| Cesarean Delivery (Global Package) | $5,520$948$31k | — | — |
| Chemotherapy Infusion (First Hour) | $718$112$2.0k | $1,595 | $1,595 |
| Chest X-ray (2 Views) | $291$33$1.7k | $1,896 | $1,896 |
| Colonoscopy with Biopsy | $2,382$425$13k | — | — |
| Complete Abdominal Ultrasound | $662$104$6.2k | $6,881 | $6,881 |
| Complete Blood Count (CBC) with Differential | $8$6$99 | — | — |
| Comprehensive Metabolic Panel | $21$9$2.1k | $2,340 | $2,340 |
| Coronary Angioplasty with Stent | $34,335$300$80k | $76,299 | $76,299 |
| Critical Care, First Hour | $6,166$2.0k$13k | $9,758 | $9,758 |
| CT Abdomen and Pelvis with Contrast | $1,959$309$20k | $21,893 | $21,893 |
| CT Cardiac Calcium Scoring | $900$86$3.4k | $3,749 | $3,749 |
| CT Chest without Contrast | $1,723$104$12k | $13,283 | $13,283 |
| CT Head without Contrast | $1,723$104$12k | $13,375 | $13,375 |
| DEXA Bone Density Scan | $249$39$893 | $992 | $992 |
| Diagnostic Colonoscopy | $1,856$325$13k | — | — |
| Diagnostic Mammogram (Both Breasts) | $263$105$1.5k | $1,652 | $1,652 |
| Ear Tube Placement (Tympanostomy) | $2,803$416$13k | — | — |
| Echocardiogram (Complete with Doppler) | $689$113$1.9k | $1,614 | $1,614 |
| EKG (Electrocardiogram, 12-lead) | $52$33$243 | — | — |
| Emergency Room Visit (Level 3) | $1,651$51$3.2k | $2,872 | $2,872 |
| Group Therapy Session | $20 | — | — |
| Hemodialysis Treatment | $1,272$270$3.5k | $3,853 | $3,853 |
| Hemoglobin A1c (Diabetes Test) | $19$8$916 | $1,018 | $1,018 |
| HIV Antibody Test | $18$7$1.1k | $1,221 | $1,221 |
| Holter Monitor (24-48 Hour Heart Monitor) | $499$281$1.3k | — | — |
| Home Sleep Study | $547$279$3.8k | — | — |
| Individual Therapy Session (45 Minutes) | $50 | — | — |
| Inguinal Hernia Repair (Open) | $5,198$1.1k$16k | — | — |
| Initial Hospital Admission (Level 1) | $569$321$1.5k | — | — |
| Initial Psychiatric Diagnostic Evaluation | $114 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $114 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $3,386$2.3k$4.0k | — | — |
| IUD Insertion | $1,623$436$13k | — | — |
| IUD Removal | $948$51$13k | — | — |
| Knee Arthroscopy with Meniscectomy | $5,768$1.1k$16k | — | — |
| Laparoscopic Appendectomy | $8,217$2.4k$27k | — | — |
| Laparoscopic Gallbladder Removal | $6,365$1.9k$27k | — | — |
| Laparoscopic Tubal Ligation | $6,365$1.9k$27k | — | — |
| Lipid Panel (Cholesterol Test) | $27$8$1.7k | $1,867 | $1,867 |
| Lumbar Epidural Steroid Injection | $1,562$260$13k | — | — |
| Lumbar Puncture (Spinal Tap) | $1,562$260$13k | — | — |
| Lumbar Spinal Fusion (Posterior) | $7,756$2.4k$52k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,900$954$14k | — | — |
| MRI Abdomen with and without Contrast | $2,209$345$21k | $23,200 | $23,200 |
| MRI Brain with and without Contrast | $2,209$325$24k | $26,934 | $26,934 |
| MRI Brain with Contrast | $2,209$276$22k | $24,472 | $24,472 |
| MRI Brain without Contrast | $2,149$200$21k | $23,252 | $23,252 |
| MRI Cervical Spine (Neck) without Contrast | $2,149$195$20k | $21,920 | $21,920 |
| MRI Knee without Contrast | $8,689$207$18k | $20,207 | $20,207 |
| MRI Lower Back (Lumbar Spine) without Contrast | $2,149$195$20k | $21,920 | $21,920 |
| MRI Thoracic Spine (Mid-back) without Contrast | $2,149$194$18k | $19,926 | $19,926 |
| Newborn Circumcision | $2,773$646$14k | — | — |
| Nuclear Cardiac Stress Test | $1,695$434$9.5k | — | — |
| Office Visit, Established Patient (Level 3) | $244$26$639 | $543 | $543 |
| Office Visit, New Patient (Level 3) | $307$34$818 | $696 | $696 |
| Pacemaker Insertion (Dual Chamber) | $8,978$300$47k | $22,486 | $22,486 |
| PET/CT Scan, Whole Body | $3,351$1.5k$13k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $735$104$5.5k | $6,133 | $6,133 |
| Prostate Biopsy | $2,993$646$13k | — | — |
| PSA Prostate Cancer Screening | $36$15$1.3k | $1,427 | $1,427 |
| Pulmonary Function Test with Bronchodilator | $1,177$147$3.2k | $3,610 | $3,610 |
| Rotator Cuff Repair (Arthroscopic) | $6,365$2.4k$27k | — | — |
| Screening Mammogram | $217$86$1.3k | $1,498 | $1,498 |
| Septoplasty (Deviated Septum Repair) | $4,931$878$14k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $5,771$1.6k$16k | — | — |
| Skin Biopsy (Tangential) | $948$64$13k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $948$73$13k | — | — |
| Sleep Study (In-lab Polysomnography) | $3,843$1.6k$7.4k | — | — |
| Spinal Cord Stimulator Trial | $4,022$948$66k | — | — |
| Spirometry (Breathing Test) | $600$101$1.3k | $1,436 | $1,436 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $5,210$878$14k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $3,900$948$14k | — | — |
| Total Hip Replacement | $14,000$948$52k | — | — |
| Total Knee Replacement | $14,000$948$52k | — | — |
| Total Mastectomy | $5,198$1.8k$16k | — | — |
| TSH Thyroid Function Test | $33$14$1.6k | $1,743 | $1,743 |
| TURP (Transurethral Prostate Resection) | $5,656$1.7k$21k | — | — |
| Umbilical Hernia Repair | $6,489$5.0k$8.3k | — | — |
| Upper GI Endoscopy (EGD) | $1,886$332$13k | — | — |
| Urinalysis with Microscopy | $6$3$343 | $381 | $381 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $5,520$948$30k | — | — |
| Vaginal Delivery (Global Package) | $5,520$948$28k | — | — |
| Vaginal Hysterectomy | $5,771$1.5k$16k | — | — |
| Vasectomy | $3,008$646$14k | — | — |
| Vitamin D Blood Test | $59$25$1.9k | $2,089 | $2,089 |