| Abdominal Hysterectomy | $4,690$948$19k | — | — |
| ACL Reconstruction (Arthroscopic) | $5,129$2.4k$21k | — | — |
| Allergy Skin Testing | $2,345$49$2.9k | — | — |
| Basic Metabolic Panel | $12$8$2.1k | $2,282 | $2,282 |
| Bone Marrow Biopsy | $1,667$94$4.7k | — | — |
| Breast Biopsy (Ultrasound-guided) | $2,229$477$13k | — | — |
| Bunion Correction Surgery | $3,228$1.1k$13k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $10,560$300$49k | $44,558 | $44,558 |
| Cardiac Catheterization (Left Heart) | $12,794$300$59k | $65,252 | $65,252 |
| Cardiac Stress Test (Treadmill) | $234$170$679 | — | — |
| Carpal Tunnel Release Surgery | $2,369$647$5.6k | — | — |
| Cataract Surgery with Lens Implant | $3,345$833$5.6k | — | — |
| Cervical Spinal Fusion (Anterior) | $7,600$2.4k$42k | — | — |
| Cesarean Delivery (Global Package) | $4,473$948$28k | — | — |
| Chemotherapy Infusion (First Hour) | $462$335$1.3k | — | — |
| Chest X-ray (2 Views) | $707$33$2.0k | $1,981 | $1,981 |
| Colonoscopy with Biopsy | $2,098$421$4.7k | — | — |
| Complete Abdominal Ultrasound | $673$103$5.7k | $6,312 | $6,312 |
| Complete Blood Count (CBC) with Differential | $8$6$104 | — | — |
| Comprehensive Metabolic Panel | $32$9$3.6k | $3,597 | $3,597 |
| Coronary Angioplasty with Stent | $21,231$300$44k | $48,575 | $48,575 |
| Critical Care, First Hour | $4,194$991$8.0k | $7,687 | $7,687 |
| CT Abdomen and Pelvis with Contrast | $1,370$306$31k | $34,168 | $34,168 |
| CT Cardiac Calcium Scoring | $371$51$2.1k | $842 | $842 |
| CT Chest without Contrast | $1,468$103$12k | $13,342 | $13,342 |
| CT Head without Contrast | $1,301$103$9.3k | $10,294 | $10,294 |
| DEXA Bone Density Scan | $238$38$2.1k | $2,349 | $2,349 |
| Diagnostic Colonoscopy | $2,030$322$4.7k | — | — |
| Diagnostic Mammogram (Both Breasts) | $236$108$2.1k | $1,813 | $1,813 |
| Ear Tube Placement (Tympanostomy) | $2,434$412$13k | — | — |
| Echocardiogram (Complete with Doppler) | $6,409$300$18k | $19,965 | $19,965 |
| EKG (Electrocardiogram, 12-lead) | $50$13$161 | — | — |
| Emergency Room Visit (Level 3) | $1,244$50$4.0k | $2,073 | $2,073 |
| Group Therapy Session | $13 | — | — |
| Hemodialysis Treatment | $1,573$77$5.2k | $5,792 | $5,792 |
| Hemoglobin A1c (Diabetes Test) | $12$8$529 | $588 | $588 |
| HIV Antibody Test | $11$7$1.2k | $1,304 | $1,304 |
| Holter Monitor (24-48 Hour Heart Monitor) | $292$60$858 | — | — |
| Home Sleep Study | $295$209$3.4k | — | — |
| Individual Therapy Session (45 Minutes) | $33 | — | — |
| Inguinal Hernia Repair (Open) | $3,582$1.1k$14k | — | — |
| Initial Hospital Admission (Level 1) | $333$241$976 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $76 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $76 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $6,185 | — | — |
| IUD Insertion | $2,017$39$5.8k | — | — |
| IUD Removal | $1,275$50$5.8k | — | — |
| Knee Arthroscopy with Meniscectomy | $4,923$1.1k$12k | — | — |
| Laparoscopic Appendectomy | $6,217$2.4k$13k | — | — |
| Laparoscopic Gallbladder Removal | $4,973$1.9k$14k | — | — |
| Laparoscopic Tubal Ligation | $4,973$1.9k$12k | — | — |
| Lipid Panel (Cholesterol Test) | $17$8$1.5k | $1,623 | $1,623 |
| Lumbar Epidural Steroid Injection | $1,523$258$5.8k | — | — |
| Lumbar Puncture (Spinal Tap) | $1,534$258$4.7k | $2,837 | $2,837 |
| Lumbar Spinal Fusion (Posterior) | $7,661$2.4k$69k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,041$944$13k | — | — |
| MRI Abdomen with and without Contrast | $1,827$342$27k | $30,454 | $30,454 |
| MRI Brain with and without Contrast | $2,116$322$31k | $34,390 | $34,390 |
| MRI Brain with Contrast | $2,088$273$18k | $18,176 | $18,176 |
| MRI Brain without Contrast | $1,656$198$17k | $18,640 | $18,640 |
| MRI Cervical Spine (Neck) without Contrast | $1,656$193$18k | $20,266 | $20,266 |
| MRI Knee without Contrast | $8,442$205$30k | $19,634 | $19,634 |
| MRI Lower Back (Lumbar Spine) without Contrast | $1,656$193$18k | $19,475 | $19,475 |
| MRI Thoracic Spine (Mid-back) without Contrast | $1,656$192$18k | $19,695 | $19,695 |
| Newborn Circumcision | $2,181$640$5.6k | — | — |
| Nuclear Cardiac Stress Test | $3,143$300$18k | $20,380 | $20,380 |
| Office Visit, Established Patient (Level 3) | $168$121$201 | — | — |
| Office Visit, New Patient (Level 3) | $250$181$289 | — | — |
| Pacemaker Insertion (Dual Chamber) | $7,096$300$40k | $23,251 | $23,251 |
| PET/CT Scan, Whole Body | $4,013$300$24k | $15,177 | $15,177 |
| Pregnancy Ultrasound (Second or Third Trimester) | $948$103$4.5k | $4,959 | $4,959 |
| Prostate Biopsy | $2,229$640$4.7k | — | — |
| PSA Prostate Cancer Screening | $23$15$1.2k | $1,323 | $1,323 |
| Pulmonary Function Test with Bronchodilator | $1,524$110$4.3k | $4,747 | $4,747 |
| Rotator Cuff Repair (Arthroscopic) | $5,129$2.4k$14k | — | — |
| Screening Mammogram | $194$49$1.8k | $866 | $866 |
| Septoplasty (Deviated Septum Repair) | $3,303$869$14k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $3,934$1.6k$13k | — | — |
| Skin Biopsy (Tangential) | $1,275$63$5.8k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,667$73$4.7k | — | — |
| Sleep Study (In-lab Polysomnography) | $3,597$300$17k | $19,079 | $19,079 |
| Spinal Cord Stimulator Trial | $4,022$948$84k | — | — |
| Spirometry (Breathing Test) | $680$127$1.9k | $2,117 | $2,117 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,347$869$12k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $3,041$948$13k | — | — |
| Total Hip Replacement | $12,481$948$62k | — | — |
| Total Knee Replacement | $12,481$948$62k | — | — |
| Total Mastectomy | $3,303$1.8k$14k | — | — |
| TSH Thyroid Function Test | $21$14$1.6k | $1,800 | $1,800 |
| TURP (Transurethral Prostate Resection) | $3,303$1.7k$14k | — | — |
| Umbilical Hernia Repair | $4,988$4.3k$7.0k | — | — |
| Upper GI Endoscopy (EGD) | $1,899$328$4.7k | — | — |
| Urinalysis with Microscopy | $4$3$662 | $736 | $736 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $4,473$948$27k | — | — |
| Vaginal Delivery (Global Package) | $4,473$948$26k | — | — |
| Vaginal Hysterectomy | $3,601$1.5k$16k | — | — |
| Vasectomy | $2,299$640$5.6k | — | — |
| Vitamin D Blood Test | $37$24$2.2k | $2,412 | $2,412 |