| Abdominal Hysterectomy | $7,037$948$15k | — | — |
| ACL Reconstruction (Arthroscopic) | $3,720$482$16k | — | — |
| Allergy Skin Testing | $4,717$69$5.3k | — | — |
| Basic Metabolic Panel | $12$8$2.1k | $2,439 | $2,439 |
| Bone Marrow Biopsy | $948$95$5.1k | — | — |
| Breast Biopsy (Ultrasound-guided) | $2,622$482$7.0k | — | — |
| Bunion Correction Surgery | $3,162$482$15k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $21,958$300$78k | $91,493 | $91,493 |
| Cardiac Catheterization (Left Heart) | $14,599$300$68k | $80,200 | $80,200 |
| Cardiac Stress Test (Treadmill) | $399$308$950 | — | — |
| Carpal Tunnel Release Surgery | $2,768$422$13k | — | — |
| Cataract Surgery with Lens Implant | $4,226$841$13k | — | — |
| Cervical Spinal Fusion (Anterior) | $7,204$2.4k$52k | — | — |
| Cesarean Delivery (Global Package) | $4,752$948$31k | — | — |
| Chemotherapy Infusion (First Hour) | $743$92$1.9k | $1,620 | $1,620 |
| Chest X-ray (2 Views) | $495$33$1.2k | $1,312 | $1,312 |
| Colonoscopy with Biopsy | $2,370$422$5.5k | — | — |
| Complete Abdominal Ultrasound | $1,825$104$4.3k | $4,836 | $4,836 |
| Complete Blood Count (CBC) with Differential | $8$6$28 | — | — |
| Comprehensive Metabolic Panel | $15$9$2.4k | $2,823 | $2,823 |
| Coronary Angioplasty with Stent | $42,323$300$80k | $94,051 | $94,051 |
| Critical Care, First Hour | $5,856$1.3k$13k | $7,570 | $7,570 |
| CT Abdomen and Pelvis with Contrast | $5,996$309$26k | $29,082 | $29,082 |
| CT Cardiac Calcium Scoring | $309$62$2.5k | $891 | $891 |
| CT Chest without Contrast | $3,107$104$14k | $15,069 | $15,069 |
| CT Head without Contrast | $2,803$104$12k | $13,596 | $13,596 |
| DEXA Bone Density Scan | $245$39$838 | $833 | $833 |
| Diagnostic Colonoscopy | $1,904$325$5.5k | — | — |
| Diagnostic Mammogram (Both Breasts) | $163$60$728 | $856 | $856 |
| Ear Tube Placement (Tympanostomy) | $2,613$416$7.0k | — | — |
| Echocardiogram (Complete with Doppler) | $6,656$300$16k | $18,803 | $18,803 |
| EKG (Electrocardiogram, 12-lead) | $50$11$225 | — | — |
| Emergency Room Visit (Level 3) | $1,496$51$2.4k | $2,870 | $2,870 |
| Group Therapy Session | $18 | — | — |
| Hemodialysis Treatment | $601$82$1.6k | $1,661 | $1,661 |
| Hemoglobin A1c (Diabetes Test) | $13$8$1.1k | $1,281 | $1,281 |
| HIV Antibody Test | $9$7$32 | — | — |
| Holter Monitor (24-48 Hour Heart Monitor) | $484$55$1.2k | — | — |
| Home Sleep Study | $1,390$381$3.8k | — | — |
| Individual Therapy Session (45 Minutes) | $46 | — | — |
| Inguinal Hernia Repair (Open) | $3,911$595$15k | — | — |
| Initial Hospital Admission (Level 1) | $568$438$1.4k | — | — |
| Initial Psychiatric Diagnostic Evaluation | $106 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $106 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $3,381$2.7k$4.0k | — | — |
| IUD Insertion | $1,547$41$5.8k | — | — |
| IUD Removal | $948$51$5.8k | — | — |
| Knee Arthroscopy with Meniscectomy | $3,911$595$15k | — | — |
| Laparoscopic Appendectomy | $5,685$2.2k$16k | — | — |
| Laparoscopic Gallbladder Removal | $4,752$1.9k$16k | — | — |
| Laparoscopic Tubal Ligation | $4,449$678$16k | — | — |
| Lipid Panel (Cholesterol Test) | $18$8$1.7k | $2,045 | $2,045 |
| Lumbar Epidural Steroid Injection | $1,519$260$5.8k | — | — |
| Lumbar Puncture (Spinal Tap) | $1,475$260$5.1k | — | — |
| Lumbar Spinal Fusion (Posterior) | $7,263$2.4k$52k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,162$482$13k | — | — |
| MRI Abdomen with and without Contrast | $2,265$345$13k | $15,397 | $15,397 |
| MRI Brain with and without Contrast | $2,265$325$14k | $17,038 | $17,038 |
| MRI Brain with Contrast | $2,265$276$12k | $14,476 | $14,476 |
| MRI Brain without Contrast | $2,132$200$10k | $12,114 | $12,114 |
| MRI Cervical Spine (Neck) without Contrast | $2,265$195$11k | $13,344 | $13,344 |
| MRI Knee without Contrast | $5,025$207$16k | $13,436 | $13,436 |
| MRI Lower Back (Lumbar Spine) without Contrast | $2,265$195$11k | $13,516 | $13,516 |
| MRI Thoracic Spine (Mid-back) without Contrast | $2,263$194$11k | $12,857 | $12,857 |
| Newborn Circumcision | $2,068$314$13k | — | — |
| Nuclear Cardiac Stress Test | $2,745$300$9.5k | $11,092 | $11,092 |
| Office Visit, Established Patient (Level 3) | $63$9$600 | $130 | $130 |
| Office Visit, New Patient (Level 3) | $89$13$600 | $198 | $198 |
| Pacemaker Insertion (Dual Chamber) | $7,068$300$47k | $11,780 | $11,780 |
| PET/CT Scan, Whole Body | $2,485$1.5k$6.6k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $1,561$104$3.7k | $4,137 | $4,137 |
| Prostate Biopsy | $2,768$422$5.1k | — | — |
| PSA Prostate Cancer Screening | $25$15$1.3k | $1,529 | $1,529 |
| Pulmonary Function Test with Bronchodilator | $695$137$1.7k | $1,964 | $1,964 |
| Rotator Cuff Repair (Arthroscopic) | $4,449$678$16k | — | — |
| Screening Mammogram | $134$52$631 | $743 | $743 |
| Septoplasty (Deviated Septum Repair) | $3,911$595$13k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $4,449$678$15k | — | — |
| Skin Biopsy (Tangential) | $948$64$5.8k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $948$73$5.1k | — | — |
| Sleep Study (In-lab Polysomnography) | $2,364$987$6.6k | — | — |
| Spinal Cord Stimulator Trial | $4,022$422$66k | — | — |
| Spirometry (Breathing Test) | $461$75$915 | $1,076 | $1,076 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $4,449$678$13k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $3,162$482$13k | — | — |
| Total Hip Replacement | $14,000$948$52k | — | — |
| Total Knee Replacement | $14,000$948$52k | — | — |
| Total Mastectomy | $3,911$595$15k | — | — |
| TSH Thyroid Function Test | $23$14$1.5k | $1,803 | $1,803 |
| TURP (Transurethral Prostate Resection) | $3,911$595$13k | — | — |
| Umbilical Hernia Repair | $5,534$595$8.3k | — | — |
| Upper GI Endoscopy (EGD) | $1,855$314$5.1k | — | — |
| Urinalysis with Microscopy | $4$3$658 | $775 | $775 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $4,752$948$30k | — | — |
| Vaginal Delivery (Global Package) | $4,752$948$28k | — | — |
| Vaginal Hysterectomy | $4,719$1.5k$15k | — | — |
| Vasectomy | $2,768$422$13k | — | — |
| Vitamin D Blood Test | $37$7$291 | $220 | $220 |