| Abdominal Hysterectomy | $4,740$948$16k | — | — |
| ACL Reconstruction (Arthroscopic) | $5,284$2.4k$27k | — | — |
| Allergy Skin Testing | $2,345$49$2.9k | — | — |
| Basic Metabolic Panel | $12$2$1.1k | $1,461 | $1,461 |
| Bone Marrow Biopsy | $1,667$103$4.7k | — | — |
| Breast Biopsy (Ultrasound-guided) | $2,264$522$13k | — | — |
| Bunion Correction Surgery | $3,201$1.2k$13k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $10,106$5.6k$56k | $44,954 | $44,954 |
| Cardiac Catheterization (Left Heart) | $10,301$2.8k$35k | $65,833 | $65,833 |
| Cardiac Stress Test (Treadmill) | $234$170$679 | — | — |
| Carpal Tunnel Release Surgery | $2,534$708$5.6k | — | — |
| Cataract Surgery with Lens Implant | $3,444$912$5.6k | — | — |
| Cervical Spinal Fusion (Anterior) | $7,694$2.4k$46k | — | — |
| Cesarean Delivery (Global Package) | $4,690$948$28k | — | — |
| Chemotherapy Infusion (First Hour) | $462$335$1.3k | — | — |
| Chest X-ray (2 Views) | $194$34$1.2k | $1,934 | $1,934 |
| Colonoscopy with Biopsy | $2,114$461$4.7k | — | — |
| Complete Abdominal Ultrasound | $632$107$2.9k | $5,487 | $5,487 |
| Complete Blood Count (CBC) with Differential | $8$7$104 | — | — |
| Comprehensive Metabolic Panel | $12$3$1.2k | $1,137 | $1,137 |
| Coronary Angioplasty with Stent | $17,153$5.6k$44k | $49,008 | $49,008 |
| Critical Care, First Hour | $3,548$572$8.0k | $4,397 | $4,397 |
| CT Abdomen and Pelvis with Contrast | $1,301$318$18k | $33,232 | $33,232 |
| CT Cardiac Calcium Scoring | $287$49$2.1k | $819 | $819 |
| CT Chest without Contrast | $963$107$6.9k | $12,982 | $12,982 |
| CT Head without Contrast | $601$107$5.3k | $10,014 | $10,014 |
| DEXA Bone Density Scan | $134$38$558 | — | — |
| Diagnostic Colonoscopy | $2,092$352$4.7k | — | — |
| Diagnostic Mammogram (Both Breasts) | $117$108$2.1k | — | — |
| Ear Tube Placement (Tympanostomy) | $2,597$451$13k | — | — |
| Echocardiogram (Complete with Doppler) | $896$203$1.8k | $3,379 | $3,379 |
| EKG (Electrocardiogram, 12-lead) | $48$12$161 | — | — |
| Emergency Room Visit (Level 3) | $1,191$52$4.0k | $1,403 | $1,403 |
| Group Therapy Session | $13 | — | — |
| Hemodialysis Treatment | $774$86$2.4k | $2,978 | $2,978 |
| Hemoglobin A1c (Diabetes Test) | $11$2$318 | $566 | $566 |
| HIV Antibody Test | $10$7$669 | $729 | $729 |
| Holter Monitor (24-48 Hour Heart Monitor) | $292$59$858 | — | — |
| Home Sleep Study | $295$209$3.4k | — | — |
| Individual Therapy Session (45 Minutes) | $176$33$402 | $754 | $754 |
| Inguinal Hernia Repair (Open) | $3,443$1.2k$8.5k | — | — |
| Initial Hospital Admission (Level 1) | $333$241$976 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $145$37$330 | $620 | $620 |
| 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 | $1,430$55$5.8k | — | — |
| Knee Arthroscopy with Meniscectomy | $4,981$1.2k$14k | — | — |
| Laparoscopic Appendectomy | $6,300$2.4k$13k | — | — |
| Laparoscopic Gallbladder Removal | $5,284$2.0k$14k | — | — |
| Laparoscopic Tubal Ligation | $5,284$2.0k$13k | — | — |
| Lipid Panel (Cholesterol Test) | $14$3$1000 | $1,565 | $1,565 |
| Lumbar Epidural Steroid Injection | $1,534$282$5.8k | $3,648 | $3,648 |
| Lumbar Puncture (Spinal Tap) | $1,500$282$4.7k | $2,758 | $2,758 |
| Lumbar Spinal Fusion (Posterior) | $7,756$2.4k$69k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,108$1.0k$13k | — | — |
| MRI Abdomen with and without Contrast | $1,605$274$15k | $16,540 | $16,540 |
| MRI Brain with and without Contrast | $1,605$333$17k | $19,068 | $19,068 |
| MRI Brain with Contrast | $1,355$283$9.8k | $13,197 | $13,197 |
| MRI Brain without Contrast | $1,047$204$9.3k | $11,526 | $11,526 |
| MRI Cervical Spine (Neck) without Contrast | $1,139$198$10k | $11,351 | $11,351 |
| MRI Knee without Contrast | $1,183$133$17k | $18,384 | $18,384 |
| MRI Lower Back (Lumbar Spine) without Contrast | $1,094$194$9.7k | $10,732 | $10,732 |
| MRI Thoracic Spine (Mid-back) without Contrast | $1,107$198$9.8k | $10,950 | $10,950 |
| Newborn Circumcision | $2,346$700$5.6k | — | — |
| Nuclear Cardiac Stress Test | $2,938$466$8.5k | $15,907 | $15,907 |
| Office Visit, Established Patient (Level 3) | $168$121$201 | — | — |
| Office Visit, New Patient (Level 3) | $250$181$289 | — | — |
| Pacemaker Insertion (Dual Chamber) | $7,161$2.4k$40k | $60,031 | $60,031 |
| PET/CT Scan, Whole Body | $3,412$792$24k | $13,193 | $13,193 |
| Pregnancy Ultrasound (Second or Third Trimester) | $686$107$2.3k | $4,199 | $4,199 |
| Prostate Biopsy | $2,434$700$4.8k | — | — |
| PSA Prostate Cancer Screening | $19$4$900 | $675 | $675 |
| Pulmonary Function Test with Bronchodilator | $822$110$2.2k | $4,216 | $4,216 |
| Rotator Cuff Repair (Arthroscopic) | $5,284$2.4k$16k | — | — |
| Screening Mammogram | $96$89$1.8k | — | — |
| Septoplasty (Deviated Septum Repair) | $3,206$951$8.2k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $3,768$1.7k$15k | — | — |
| Skin Biopsy (Tangential) | $1,430$69$5.8k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,656$80$4.7k | — | — |
| Sleep Study (In-lab Polysomnography) | $3,051$1.2k$4.7k | — | — |
| Spinal Cord Stimulator Trial | $4,058$948$84k | — | — |
| Spirometry (Breathing Test) | $447$113$1.0k | $1,880 | $1,880 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,444$948$13k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $3,108$948$13k | — | — |
| Total Hip Replacement | $14,000$948$60k | — | — |
| Total Knee Replacement | $14,000$948$60k | — | — |
| Total Mastectomy | $3,443$2.0k$14k | — | — |
| TSH Thyroid Function Test | $18$4$925 | $1,594 | $1,594 |
| TURP (Transurethral Prostate Resection) | $3,443$1.8k$12k | — | — |
| Umbilical Hernia Repair | $4,988$4.3k$7.0k | — | — |
| Upper GI Endoscopy (EGD) | $1,958$359$4.7k | — | — |
| Urinalysis with Microscopy | $5$2$377 | $560 | $560 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $4,690$948$27k | — | — |
| Vaginal Delivery (Global Package) | $4,690$948$26k | — | — |
| Vaginal Hysterectomy | $3,768$1.6k$15k | — | — |
| Vasectomy | $2,534$700$5.6k | — | — |
| Vitamin D Blood Test | $31$10$1.2k | $1,249 | $1,249 |