| Abdominal Hysterectomy | $7,192$948$24k | — | — |
| ACL Reconstruction (Arthroscopic) | $4,485$2.4k$44k | — | — |
| Allergy Skin Testing | $3,463$36$4.9k | — | — |
| Basic Metabolic Panel | $12$5$2.6k | $2,605 | $2,605 |
| Bone Marrow Biopsy | $623$96$4.3k | — | — |
| Breast Biopsy (Ultrasound-guided) | $1,308$486$8.5k | — | — |
| Bunion Correction Surgery | $2,513$1.1k$10k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $47,138$5.6k$106k | $106,166 | $106,166 |
| Cardiac Catheterization (Left Heart) | $22,360$2.8k$49k | $44,623 | $44,623 |
| Cardiac Stress Test (Treadmill) | $353$171$498 | — | — |
| Carpal Tunnel Release Surgery | $2,369$660$6.6k | — | — |
| Cataract Surgery with Lens Implant | $2,330$850$17k | — | — |
| Cervical Spinal Fusion (Anterior) | $7,834$2.4k$60k | — | — |
| Cesarean Delivery (Global Package) | $3,682$948$43k | — | — |
| Chemotherapy Infusion (First Hour) | $697$338$973 | — | — |
| Chest X-ray (2 Views) | $101$34$1.4k | $1,362 | $1,362 |
| Colonoscopy with Biopsy | $1,208$429$4.9k | — | — |
| Complete Abdominal Ultrasound | $733$105$4.4k | $2,840 | $2,840 |
| Complete Blood Count (CBC) with Differential | $8$5$86 | — | — |
| Comprehensive Metabolic Panel | $14$6$3.0k | $3,002 | $3,002 |
| Coronary Angioplasty with Stent | $22,634$4.2k$62k | $35,568 | $35,568 |
| Critical Care, First Hour | $4,980$800$8.1k | $8,143 | $8,143 |
| CT Abdomen and Pelvis with Contrast | $1,565$312$20k | $14,216 | $14,216 |
| CT Cardiac Calcium Scoring | $95$12$1.0k | $171 | $171 |
| CT Chest without Contrast | $856$105$9.7k | $6,416 | $6,416 |
| CT Head without Contrast | $856$105$8.0k | $5,554 | $5,554 |
| DEXA Bone Density Scan | $115$36$710 | $710 | $710 |
| Diagnostic Colonoscopy | $948$329$4.9k | — | — |
| Diagnostic Mammogram (Both Breasts) | $165$106$1.8k | $1,781 | $1,781 |
| Ear Tube Placement (Tympanostomy) | $1,566$421$9.3k | — | — |
| Echocardiogram (Complete with Doppler) | $4,602$320$16k | $15,599 | $15,599 |
| EKG (Electrocardiogram, 12-lead) | $32$11$118 | — | — |
| Emergency Room Visit (Level 3) | $1,162$51$2.9k | $2,945 | $2,945 |
| Group Therapy Session | $10 | — | — |
| Hemodialysis Treatment | $84$81$739 | — | — |
| Hemoglobin A1c (Diabetes Test) | $12$6$1.1k | $1,063 | $1,063 |
| HIV Antibody Test | $11$5$1.5k | $1,476 | $1,476 |
| Holter Monitor (24-48 Hour Heart Monitor) | $345$57$630 | — | — |
| Home Sleep Study | $342$111$3.1k | — | — |
| Individual Therapy Session (45 Minutes) | $24 | — | — |
| Inguinal Hernia Repair (Open) | $2,513$1.2k$12k | — | — |
| Initial Hospital Admission (Level 1) | $502$243$717 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $56 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $56 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $4,844$2.7k$5.3k | — | — |
| IUD Insertion | $1,572$40$5.0k | — | — |
| IUD Removal | $291$51$5.0k | — | — |
| Knee Arthroscopy with Meniscectomy | $2,836$1.1k$19k | — | — |
| Laparoscopic Appendectomy | $9,417$2.4k$17k | — | — |
| Laparoscopic Gallbladder Removal | $2,369$1.9k$17k | — | — |
| Laparoscopic Tubal Ligation | $3,607$1.9k$17k | — | — |
| Lipid Panel (Cholesterol Test) | $17$8$1.5k | $1,459 | $1,459 |
| Lumbar Epidural Steroid Injection | $948$263$4.3k | — | — |
| Lumbar Puncture (Spinal Tap) | $2,199$263$5.4k | $5,201 | $5,201 |
| Lumbar Spinal Fusion (Posterior) | $7,897$2.4k$106k | — | — |
| Lumpectomy (Partial Mastectomy) | $2,513$964$9.3k | — | — |
| MRI Abdomen with and without Contrast | $929$349$13k | $13,271 | $13,271 |
| MRI Brain with and without Contrast | $1,130$328$16k | $16,144 | $16,144 |
| MRI Brain with Contrast | $957$279$14k | $13,671 | $13,671 |
| MRI Brain without Contrast | $709$202$10k | $10,130 | $10,130 |
| MRI Cervical Spine (Neck) without Contrast | $724$196$10k | $10,338 | $10,338 |
| MRI Knee without Contrast | $3,176$209$18k | $9,075 | $9,075 |
| MRI Lower Back (Lumbar Spine) without Contrast | $847$197$12k | $12,093 | $12,093 |
| MRI Thoracic Spine (Mid-back) without Contrast | $844$196$12k | $12,061 | $12,061 |
| Newborn Circumcision | $2,095$653$6.6k | — | — |
| Nuclear Cardiac Stress Test | $1,593$438$20k | $19,695 | $19,695 |
| Office Visit, Established Patient (Level 3) | $253$143$278 | — | — |
| Office Visit, New Patient (Level 3) | $169$22$415 | $307 | $307 |
| Pacemaker Insertion (Dual Chamber) | $11,272$2.4k$86k | $22,458 | $22,458 |
| PET/CT Scan, Whole Body | $1,668$1.5k$5.9k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $807$105$3.6k | $3,524 | $3,524 |
| Prostate Biopsy | $731$653$4.9k | — | — |
| PSA Prostate Cancer Screening | $24$11$1.3k | $1,289 | $1,289 |
| Pulmonary Function Test with Bronchodilator | $868$111$2.9k | $2,943 | $2,943 |
| Rotator Cuff Repair (Arthroscopic) | $3,922$2.4k$17k | — | — |
| Screening Mammogram | $136$87$1.4k | $1,397 | $1,397 |
| Septoplasty (Deviated Septum Repair) | $2,513$887$12k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $2,513$1.6k$14k | — | — |
| Skin Biopsy (Tangential) | $422$64$6.6k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $495$74$4.3k | — | — |
| Sleep Study (In-lab Polysomnography) | $1,954$1.2k$3.4k | — | — |
| Spinal Cord Stimulator Trial | $4,095$948$78k | — | — |
| Spirometry (Breathing Test) | $407$79$1.1k | $1,126 | $1,126 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $2,513$887$13k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $2,513$948$13k | — | — |
| Total Hip Replacement | $16,121$948$70k | — | — |
| Total Knee Replacement | $16,121$948$70k | — | — |
| Total Mastectomy | $2,513$1.8k$14k | — | — |
| TSH Thyroid Function Test | $35$10$1.8k | $1,212 | $1,212 |
| TURP (Transurethral Prostate Resection) | $2,513$1.7k$13k | — | — |
| Umbilical Hernia Repair | $6,383$5.5k$11k | — | — |
| Upper GI Endoscopy (EGD) | $948$335$4.7k | — | — |
| Urinalysis with Microscopy | $4$2$766 | $766 | $766 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $3,682$948$41k | — | — |
| Vaginal Delivery (Global Package) | $3,682$948$39k | — | — |
| Vaginal Hysterectomy | $2,441$1.5k$12k | — | — |
| Vasectomy | $2,110$653$6.6k | — | — |
| Vitamin D Blood Test | $61$18$3.0k | $2,968 | $2,968 |