| Abdominal Hysterectomy | $4,638$694$17k | — | — |
| ACL Reconstruction (Arthroscopic) | $7,861$622$19k | — | — |
| Allergy Skin Testing | $4,958$3$13k | — | — |
| Basic Metabolic Panel | $13$8$1.0k | $1,163 | $1,163 |
| Bone Marrow Biopsy | $1,978$96$5.5k | $4,110 | $4,110 |
| Breast Biopsy (Ultrasound-guided) | $3,226$486$5.9k | — | — |
| Bunion Correction Surgery | $4,744$521$12k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $29,037$5.5k$88k | $97,238 | $97,238 |
| Cardiac Catheterization (Left Heart) | $13,083$2.7k$42k | $45,354 | $45,354 |
| 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$49k | — | — |
| Cesarean Delivery (Global Package) | $4,638$929$18k | — | — |
| Chemotherapy Infusion (First Hour) | $543$38$823 | — | — |
| Chest X-ray (2 Views) | $196$34$995 | $1,105 | $1,105 |
| Colonoscopy with Biopsy | $3,053$254$5.9k | — | — |
| Complete Abdominal Ultrasound | $461$80$1.4k | $1,599 | $1,599 |
| Complete Blood Count (CBC) with Differential | $8$7$67 | — | — |
| Comprehensive Metabolic Panel | $15$9$878 | $975 | $975 |
| Coronary Angioplasty with Stent | $23,869$5.5k$54k | $53,043 | $53,043 |
| Critical Care, First Hour | $4,303$146$9.7k | $10,758 | $10,758 |
| CT Abdomen and Pelvis with Contrast | $1,401$270$6.4k | $7,076 | $7,076 |
| CT Cardiac Calcium Scoring | $171$7$2.6k | $1,008 | $1,008 |
| CT Chest without Contrast | $746$75$3.6k | $2,966 | $2,966 |
| CT Head without Contrast | $411$105$2.6k | $2,374 | $2,374 |
| DEXA Bone Density Scan | $201$39$749 | $832 | $832 |
| Diagnostic Colonoscopy | $2,613$227$5.9k | — | — |
| Diagnostic Mammogram (Both Breasts) | $127$7$1.1k | $487 | $487 |
| Ear Tube Placement (Tympanostomy) | $3,160$120$5.9k | — | — |
| Echocardiogram (Complete with Doppler) | $1,353$198$3.6k | $3,955 | $3,955 |
| EKG (Electrocardiogram, 12-lead) | $40$12$85 | — | — |
| Emergency Room Visit (Level 3) | $1,034$47$2.5k | $2,253 | $2,253 |
| Group Therapy Session | $19 | — | — |
| Hemodialysis Treatment | $703$84$1.9k | $2,057 | $2,057 |
| Hemoglobin A1c (Diabetes Test) | $14$8$396 | $440 | $440 |
| HIV Antibody Test | $9$7$77 | — | — |
| Holter Monitor (24-48 Hour Heart Monitor) | $274$60$520 | — | — |
| Home Sleep Study | $732$107$2.6k | $2,139 | $2,139 |
| Inguinal Hernia Repair (Open) | $5,054$289$12k | — | — |
| Initial Hospital Admission (Level 1) | $391$51$593 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $3,731$3.0k$4.3k | — | — |
| IUD Insertion | $1,902$42$17k | — | — |
| IUD Removal | $1,520$38$17k | — | — |
| Knee Arthroscopy with Meniscectomy | $5,849$579$13k | — | — |
| Laparoscopic Appendectomy | $8,970$384$17k | — | — |
| Laparoscopic Gallbladder Removal | $8,415$508$17k | — | — |
| Laparoscopic Tubal Ligation | $8,415$489$17k | — | — |
| Lipid Panel (Cholesterol Test) | $41$8$995 | $884 | $884 |
| Lumbar Epidural Steroid Injection | $2,274$263$15k | $7,128 | $7,128 |
| Lumbar Puncture (Spinal Tap) | $1,877$53$5.5k | $3,487 | $3,487 |
| Lumbar Spinal Fusion (Posterior) | $8,814$1.1k$49k | — | — |
| Lumpectomy (Partial Mastectomy) | $4,544$964$10k | — | — |
| MRI Abdomen with and without Contrast | $1,401$340$6.1k | $6,800 | $6,800 |
| MRI Brain with and without Contrast | $1,401$328$6.2k | $6,941 | $6,941 |
| MRI Brain with Contrast | $1,401$279$5.3k | $5,884 | $5,884 |
| MRI Brain without Contrast | $855$202$4.4k | $4,903 | $4,903 |
| MRI Cervical Spine (Neck) without Contrast | $855$196$4.4k | $4,903 | $4,903 |
| MRI Knee without Contrast | $1,814$209$8.8k | $4,903 | $4,903 |
| MRI Lower Back (Lumbar Spine) without Contrast | $925$197$4.9k | $5,439 | $5,439 |
| MRI Thoracic Spine (Mid-back) without Contrast | $925$196$4.9k | $5,439 | $5,439 |
| Newborn Circumcision | $3,511$50$10k | — | — |
| Nuclear Cardiac Stress Test | $1,701$154$11k | $7,489 | $7,489 |
| Office Visit, Established Patient (Level 3) | $624$12$1.9k | $1,864 | $1,864 |
| Office Visit, New Patient (Level 3) | $1,550$47$4.2k | $4,190 | $4,190 |
| Pacemaker Insertion (Dual Chamber) | $22,175$577$70k | $77,657 | $77,657 |
| PET/CT Scan, Whole Body | $1,862$132$9.9k | $6,132 | $6,132 |
| Pregnancy Ultrasound (Second or Third Trimester) | $395$68$1.2k | $1,359 | $1,359 |
| Prostate Biopsy | $3,136$91$5.7k | — | — |
| PSA Prostate Cancer Screening | $25$15$385 | $428 | $428 |
| Pulmonary Function Test with Bronchodilator | $732$47$13k | $2,141 | $2,141 |
| Rotator Cuff Repair (Arthroscopic) | $7,861$769$19k | — | — |
| Screening Mammogram | $180$7$881 | $661 | $661 |
| 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) | $1,854$45$5.5k | — | — |
| Sleep Study (In-lab Polysomnography) | $2,603$353$6.9k | $7,667 | $7,667 |
| Spinal Cord Stimulator Trial | $8,970$514$58k | $27,551 | $27,551 |
| Spirometry (Breathing Test) | $160$9$13k | $543 | $543 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $4,638$239$10k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $4,370$199$16k | — | — |
| Total Hip Replacement | $16,566$929$49k | — | — |
| Total Knee Replacement | $16,566$929$49k | — | — |
| Total Mastectomy | $5,320$1.8k$17k | — | — |
| TSH Thyroid Function Test | $25$14$955 | $1,061 | $1,061 |
| TURP (Transurethral Prostate Resection) | $5,457$691$14k | — | — |
| Umbilical Hernia Repair | $6,162$277$7.0k | — | — |
| Upper GI Endoscopy (EGD) | $2,520$179$5.9k | — | — |
| Urinalysis with Microscopy | $6$3$379 | $421 | $421 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $4,638$929$17k | — | — |
| Vaginal Delivery (Global Package) | $4,638$929$16k | — | — |
| Vaginal Hysterectomy | $5,499$663$14k | — | — |
| Vasectomy | $3,875$172$10k | — | — |
| Vitamin D Blood Test | $41$25$752 | $836 | $836 |