| Abdominal Hysterectomy | $5,320$694$17k | — | — |
| ACL Reconstruction (Arthroscopic) | $7,861$622$19k | — | — |
| Allergy Skin Testing | $4,958$3$13k | — | — |
| Basic Metabolic Panel | $20$8$1.0k | $1,165 | $1,165 |
| Bone Marrow Biopsy | $1,978$96$5.5k | — | — |
| Breast Biopsy (Ultrasound-guided) | $3,226$486$5.9k | — | — |
| Bunion Correction Surgery | $4,638$521$12k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $30,730$5.5k$81k | $90,343 | $90,343 |
| Cardiac Catheterization (Left Heart) | $15,800$2.7k$40k | $44,234 | $44,234 |
| Cardiac Stress Test (Treadmill) | $275$84$417 | — | — |
| Carpal Tunnel Release Surgery | $4,152$273$10k | — | — |
| Cataract Surgery with Lens Implant | $4,638$811$10k | — | — |
| Cervical Spinal Fusion (Anterior) | $9,679$2.3k$60k | — | — |
| Cesarean Delivery (Global Package) | $4,638$929$18k | — | — |
| Chemotherapy Infusion (First Hour) | $328$38$823 | $819 | $819 |
| Chest X-ray (2 Views) | $307$34$1.1k | $1,267 | $1,267 |
| Colonoscopy with Biopsy | $2,894$254$5.9k | — | — |
| Complete Abdominal Ultrasound | $759$79$2.4k | $2,113 | $2,113 |
| Complete Blood Count (CBC) with Differential | $8$7$67 | — | — |
| Comprehensive Metabolic Panel | $25$9$1.2k | $1,292 | $1,292 |
| Coronary Angioplasty with Stent | $24,784$5.5k$54k | $45,062 | $45,062 |
| Critical Care, First Hour | $5,315$146$9.6k | $10,630 | $10,630 |
| CT Abdomen and Pelvis with Contrast | $2,517$270$13k | $14,805 | $14,805 |
| CT Cardiac Calcium Scoring | $96$7$2.6k | $148 | $148 |
| CT Chest without Contrast | $2,573$105$6.2k | $6,862 | $6,862 |
| CT Head without Contrast | $1,704$105$5.2k | $5,767 | $5,767 |
| DEXA Bone Density Scan | $342$39$1.2k | $1,097 | $1,097 |
| Diagnostic Colonoscopy | $2,613$227$5.9k | — | — |
| Diagnostic Mammogram (Both Breasts) | $278$39$1.1k | $848 | $848 |
| Ear Tube Placement (Tympanostomy) | $3,160$120$5.9k | — | — |
| Echocardiogram (Complete with Doppler) | $1,378$186$3.4k | $3,723 | $3,723 |
| EKG (Electrocardiogram, 12-lead) | $40$11$85 | — | — |
| Emergency Room Visit (Level 3) | $1,210$47$2.5k | $2,200 | $2,200 |
| Group Therapy Session | $19 | — | — |
| Hemodialysis Treatment | $144$82$144 | — | — |
| Hemoglobin A1c (Diabetes Test) | $23$8$598 | $664 | $664 |
| HIV Antibody Test | $47$7$850 | $563 | $563 |
| Holter Monitor (24-48 Hour Heart Monitor) | $274$55$520 | — | — |
| Home Sleep Study | $833$119$2.6k | $2,373 | $2,373 |
| Inguinal Hernia Repair (Open) | $5,054$289$12k | — | — |
| Initial Hospital Admission (Level 1) | $391$51$593 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $614$191$4.3k | $1,365 | $1,365 |
| IUD Insertion | $1,902$41$17k | — | — |
| IUD Removal | $1,520$38$17k | — | — |
| Knee Arthroscopy with Meniscectomy | $5,849$579$13k | — | — |
| Laparoscopic Appendectomy | $8,970$384$17k | — | — |
| Laparoscopic Gallbladder Removal | $8,275$508$17k | — | — |
| Laparoscopic Tubal Ligation | $8,275$489$17k | — | — |
| Lipid Panel (Cholesterol Test) | $31$8$726 | $807 | $807 |
| Lumbar Epidural Steroid Injection | $1,868$263$15k | $4,731 | $4,731 |
| Lumbar Puncture (Spinal Tap) | $1,483$53$5.5k | $2,119 | $2,119 |
| Lumbar Spinal Fusion (Posterior) | $8,814$1.1k$60k | — | — |
| Lumpectomy (Partial Mastectomy) | $4,453$964$10k | — | — |
| MRI Abdomen with and without Contrast | $2,529$349$11k | $12,095 | $12,095 |
| MRI Brain with and without Contrast | $4,116$328$10k | $11,182 | $11,182 |
| MRI Brain with Contrast | $2,509$279$9.0k | $9,995 | $9,995 |
| MRI Brain without Contrast | $2,435$202$8.5k | $9,405 | $9,405 |
| MRI Cervical Spine (Neck) without Contrast | $2,356$196$7.9k | $8,764 | $8,764 |
| MRI Knee without Contrast | $3,887$209$14k | $7,774 | $7,774 |
| MRI Lower Back (Lumbar Spine) without Contrast | $2,464$197$8.7k | $9,634 | $9,634 |
| MRI Thoracic Spine (Mid-back) without Contrast | $2,508$196$9.0k | $9,988 | $9,988 |
| Newborn Circumcision | $3,511$50$10k | — | — |
| Nuclear Cardiac Stress Test | $2,126$164$12k | $8,130 | $8,130 |
| Office Visit, Established Patient (Level 3) | $741$29$1.9k | $1,725 | $1,725 |
| Office Visit, New Patient (Level 3) | $1,379$47$3.8k | $3,344 | $3,344 |
| Pacemaker Insertion (Dual Chamber) | $19,786$577$65k | $72,296 | $72,296 |
| PET/CT Scan, Whole Body | $5,436$735$13k | $14,691 | $14,691 |
| Pregnancy Ultrasound (Second or Third Trimester) | $718$105$2.1k | $2,317 | $2,317 |
| Prostate Biopsy | $3,097$91$5.6k | — | — |
| PSA Prostate Cancer Screening | $43$15$1.2k | $1,376 | $1,376 |
| Pulmonary Function Test with Bronchodilator | $616$47$13k | $1,665 | $1,665 |
| Rotator Cuff Repair (Arthroscopic) | $7,861$769$19k | — | — |
| Screening Mammogram | $175$24$881 | $515 | $515 |
| Septoplasty (Deviated Septum Repair) | $4,638$429$10k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $5,499$526$17k | — | — |
| Skin Biopsy (Tangential) | $1,482$64$17k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,830$45$5.5k | — | — |
| Sleep Study (In-lab Polysomnography) | $2,876$353$7.0k | $7,788 | $7,788 |
| Spinal Cord Stimulator Trial | $7,861$514$58k | — | — |
| Spirometry (Breathing Test) | $269$18$13k | $620 | $620 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $4,638$239$10k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $4,370$199$15k | — | — |
| Total Hip Replacement | $16,566$929$60k | — | — |
| Total Knee Replacement | $16,566$929$60k | — | — |
| Total Mastectomy | $5,320$1.8k$17k | — | — |
| TSH Thyroid Function Test | $39$14$1.3k | $1,477 | $1,477 |
| TURP (Transurethral Prostate Resection) | $5,457$691$14k | — | — |
| Umbilical Hernia Repair | $6,162$277$7.0k | — | — |
| Upper GI Endoscopy (EGD) | $2,484$179$5.9k | — | — |
| Urinalysis with Microscopy | $7$3$352 | $391 | $391 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $4,638$929$17k | — | — |
| Vaginal Delivery (Global Package) | $4,638$929$16k | — | — |
| Vaginal Hysterectomy | $5,499$663$13k | — | — |
| Vasectomy | $4,152$172$10k | — | — |
| Vitamin D Blood Test | $51$25$905 | $1,005 | $1,005 |