| Abdominal Hysterectomy | $4,740$948$16k | — | — |
| ACL Reconstruction (Arthroscopic) | $5,129$2.4k$27k | — | — |
| Allergy Skin Testing | $2,345$49$3.0k | — | — |
| Basic Metabolic Panel | $12$8$835 | $1,839 | $1,839 |
| Bone Marrow Biopsy | $1,482$96$4.7k | — | — |
| Breast Biopsy (Ultrasound-guided) | $2,229$486$13k | — | — |
| Bunion Correction Surgery | $3,080$1.1k$13k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $15,526$5.6k$47k | $92,419 | $92,419 |
| Cardiac Catheterization (Left Heart) | $9,529$2.8k$17k | $27,226 | $27,226 |
| Cardiac Stress Test (Treadmill) | $238$170$679 | — | — |
| Carpal Tunnel Release Surgery | $2,407$660$5.6k | — | — |
| Cataract Surgery with Lens Implant | $3,367$850$5.6k | — | — |
| Cervical Spinal Fusion (Anterior) | $7,694$2.4k$46k | — | — |
| Cesarean Delivery (Global Package) | $4,690$948$28k | — | — |
| Chemotherapy Infusion (First Hour) | $471$335$1.3k | — | — |
| Chest X-ray (2 Views) | $182$34$908 | $2,018 | $2,018 |
| Colonoscopy with Biopsy | $2,098$429$4.7k | — | — |
| Complete Abdominal Ultrasound | $423$105$2.8k | $6,235 | $6,235 |
| Complete Blood Count (CBC) with Differential | $8$7$104 | — | — |
| Comprehensive Metabolic Panel | $15$9$1.5k | $2,612 | $2,612 |
| Coronary Angioplasty with Stent | $16,949$5.6k$44k | $48,425 | $48,425 |
| Critical Care, First Hour | $3,343$883$8.0k | $7,347 | $7,347 |
| CT Abdomen and Pelvis with Contrast | $1,024$312$15k | $33,494 | $33,494 |
| CT Cardiac Calcium Scoring | $271$50$2.1k | $826 | $826 |
| CT Chest without Contrast | $785$105$5.9k | $13,084 | $13,084 |
| CT Head without Contrast | $606$105$4.5k | $10,093 | $10,093 |
| DEXA Bone Density Scan | $207$38$1.1k | $1,915 | $1,915 |
| Diagnostic Colonoscopy | $1,901$329$4.7k | — | — |
| Diagnostic Mammogram (Both Breasts) | $132$107$2.1k | $1,791 | $1,791 |
| Ear Tube Placement (Tympanostomy) | $2,507$421$13k | — | — |
| Echocardiogram (Complete with Doppler) | $1,610$317$3.7k | $8,258 | $8,258 |
| EKG (Electrocardiogram, 12-lead) | $48$12$161 | — | — |
| Emergency Room Visit (Level 3) | $1,061$51$4.0k | $2,372 | $2,372 |
| Group Therapy Session | $63$13$111 | $246 | $246 |
| Hemodialysis Treatment | $542$86$1.0k | $2,317 | $2,317 |
| Hemoglobin A1c (Diabetes Test) | $11$8$220 | $408 | $408 |
| HIV Antibody Test | $9$7$351 | $780 | $780 |
| Holter Monitor (24-48 Hour Heart Monitor) | $292$59$858 | — | — |
| Home Sleep Study | $295$79$3.4k | $1,323 | $1,323 |
| Individual Therapy Session (45 Minutes) | $33 | — | — |
| Inguinal Hernia Repair (Open) | $3,206$1.2k$8.2k | — | — |
| Initial Hospital Admission (Level 1) | $339$241$976 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $76 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $76 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $3,092$1.9k$6.2k | — | — |
| IUD Insertion | $1,899$43$5.8k | — | — |
| IUD Removal | $1,120$51$5.8k | — | — |
| Knee Arthroscopy with Meniscectomy | $4,973$1.1k$14k | — | — |
| Laparoscopic Appendectomy | $6,300$2.4k$12k | — | — |
| Laparoscopic Gallbladder Removal | $5,129$1.9k$14k | — | — |
| Laparoscopic Tubal Ligation | $5,129$1.9k$13k | — | — |
| Lipid Panel (Cholesterol Test) | $19$8$606 | $1,335 | $1,335 |
| Lumbar Epidural Steroid Injection | $1,450$263$5.8k | — | — |
| Lumbar Puncture (Spinal Tap) | $1,492$263$4.7k | — | — |
| Lumbar Spinal Fusion (Posterior) | $7,756$2.4k$69k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,014$964$13k | — | — |
| MRI Abdomen with and without Contrast | $1,706$349$13k | $29,819 | $29,819 |
| MRI Brain with and without Contrast | $1,706$328$15k | $33,674 | $33,674 |
| MRI Brain with Contrast | $1,440$279$8.6k | $19,164 | $19,164 |
| MRI Brain without Contrast | $1,095$202$8.2k | $18,252 | $18,252 |
| MRI Cervical Spine (Neck) without Contrast | $1,191$196$8.9k | $19,843 | $19,843 |
| MRI Knee without Contrast | $1,154$209$8.7k | $19,226 | $19,226 |
| MRI Lower Back (Lumbar Spine) without Contrast | $1,144$197$8.6k | $19,070 | $19,070 |
| MRI Thoracic Spine (Mid-back) without Contrast | $1,157$196$8.7k | $19,285 | $19,285 |
| Newborn Circumcision | $2,249$653$5.6k | — | — |
| Nuclear Cardiac Stress Test | $2,938$438$8.8k | $19,592 | $19,592 |
| Office Visit, Established Patient (Level 3) | $337$64$1.2k | $1,831 | $1,831 |
| Office Visit, New Patient (Level 3) | $337$64$1.2k | $1,831 | $1,831 |
| Pacemaker Insertion (Dual Chamber) | $7,096$2.4k$40k | $77,282 | $77,282 |
| PET/CT Scan, Whole Body | $4,013$1.5k$24k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $379$105$2.2k | $3,323 | $3,323 |
| Prostate Biopsy | $2,431$653$4.7k | — | — |
| PSA Prostate Cancer Screening | $20$15$494 | $825 | $825 |
| Pulmonary Function Test with Bronchodilator | $830$110$1.9k | $4,255 | $4,255 |
| Rotator Cuff Repair (Arthroscopic) | $5,129$2.4k$14k | — | — |
| Screening Mammogram | $141$54$1.8k | $1,671 | $1,671 |
| Septoplasty (Deviated Septum Repair) | $3,076$887$8.2k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $3,495$1.6k$13k | — | — |
| Skin Biopsy (Tangential) | $1,120$64$5.8k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,557$74$4.7k | — | — |
| Sleep Study (In-lab Polysomnography) | $2,841$897$7.5k | $15,838 | $15,838 |
| Spinal Cord Stimulator Trial | $4,022$948$84k | — | — |
| Spirometry (Breathing Test) | $455$114$854 | $1,898 | $1,898 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,367$887$13k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $3,014$948$13k | — | — |
| Total Hip Replacement | $14,000$948$60k | — | — |
| Total Knee Replacement | $14,000$948$60k | — | — |
| Total Mastectomy | $3,206$1.8k$12k | — | — |
| TSH Thyroid Function Test | $24$14$672 | $1,480 | $1,480 |
| TURP (Transurethral Prostate Resection) | $3,206$1.7k$9.8k | — | — |
| Umbilical Hernia Repair | $4,988$4.3k$7.0k | — | — |
| Upper GI Endoscopy (EGD) | $1,861$335$4.7k | — | — |
| Urinalysis with Microscopy | $3$3$275 | $474 | $474 |
| 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 | $2,372$653$5.6k | — | — |
| Vitamin D Blood Test | $32$25$687 | $1,132 | $1,132 |