| Abdominal Hysterectomy | $6,879$948$36k | — | — |
| ACL Reconstruction (Arthroscopic) | $7,094$2.4k$44k | — | — |
| Allergy Skin Testing | $3,463$36$4.9k | — | — |
| Basic Metabolic Panel | $16$8$1.3k | $1,765 | $1,765 |
| Bone Marrow Biopsy | $948$96$4.3k | — | — |
| Breast Biopsy (Ultrasound-guided) | $2,129$486$11k | — | — |
| Bunion Correction Surgery | $3,620$1.1k$11k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $25,253$5.6k$71k | $77,093 | $77,093 |
| Cardiac Catheterization (Left Heart) | $15,169$2.8k$36k | $44,878 | $44,878 |
| Cardiac Stress Test (Treadmill) | $353$171$498 | — | — |
| Carpal Tunnel Release Surgery | $2,701$660$7.8k | — | — |
| Cataract Surgery with Lens Implant | $3,548$850$17k | — | — |
| Cervical Spinal Fusion (Anterior) | $8,114$2.4k$61k | — | — |
| Cesarean Delivery (Global Package) | $3,682$948$82k | — | — |
| Chemotherapy Infusion (First Hour) | $294$46$973 | $661 | $661 |
| Chest X-ray (2 Views) | $84$34$733 | $977 | $977 |
| Colonoscopy with Biopsy | $2,224$429$4.9k | — | — |
| Complete Abdominal Ultrasound | $228$105$2.4k | $3,251 | $3,251 |
| Complete Blood Count (CBC) with Differential | $8$7$86 | — | — |
| Comprehensive Metabolic Panel | $20$9$1.3k | $1,764 | $1,764 |
| Coronary Angioplasty with Stent | $25,883$3.4k$48k | $60,596 | $60,596 |
| Critical Care, First Hour | $5,633$1.2k$8.0k | $8,947 | $8,947 |
| CT Abdomen and Pelvis with Contrast | $828$312$10k | $13,471 | $13,471 |
| CT Cardiac Calcium Scoring | $97$34$1.0k | $488 | $488 |
| CT Chest without Contrast | $436$105$6.3k | $8,418 | $8,418 |
| CT Head without Contrast | $403$105$4.3k | $5,752 | $5,752 |
| DEXA Bone Density Scan | $99$38$1.1k | $1,413 | $1,413 |
| Diagnostic Colonoscopy | $1,945$329$4.9k | — | — |
| Diagnostic Mammogram (Both Breasts) | $177$65$693 | $925 | $925 |
| Ear Tube Placement (Tympanostomy) | $2,294$421$11k | — | — |
| Echocardiogram (Complete with Doppler) | $2,654$320$9.8k | $13,044 | $13,044 |
| EKG (Electrocardiogram, 12-lead) | $43$11$118 | — | — |
| Emergency Room Visit (Level 3) | $1,118$51$2.9k | $2,812 | $2,812 |
| Group Therapy Session | $123$10$432 | $575 | $575 |
| Hemodialysis Treatment | $411$82$739 | — | — |
| Hemoglobin A1c (Diabetes Test) | $18$8$760 | $1,013 | $1,013 |
| HIV Antibody Test | $10$7$99 | — | — |
| Holter Monitor (24-48 Hour Heart Monitor) | $441$55$630 | — | — |
| Home Sleep Study | $247$61$3.1k | $867 | $867 |
| Individual Therapy Session (45 Minutes) | $155$24$544 | $725 | $725 |
| Inguinal Hernia Repair (Open) | $3,682$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 | $646$218$5.3k | $1,615 | $1,615 |
| IUD Insertion | $1,757$41$4.3k | — | — |
| IUD Removal | $320$51$4.3k | — | — |
| Knee Arthroscopy with Meniscectomy | $5,475$1.1k$19k | — | — |
| Laparoscopic Appendectomy | $9,782$2.4k$19k | — | — |
| Laparoscopic Gallbladder Removal | $6,461$1.9k$19k | — | — |
| Laparoscopic Tubal Ligation | $6,639$1.9k$19k | — | — |
| Lipid Panel (Cholesterol Test) | $25$8$695 | $926 | $926 |
| Lumbar Epidural Steroid Injection | $1,444$263$4.3k | — | — |
| Lumbar Puncture (Spinal Tap) | $1,444$263$4.3k | — | — |
| Lumbar Spinal Fusion (Posterior) | $8,462$2.4k$106k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,682$964$11k | — | — |
| MRI Abdomen with and without Contrast | $941$349$10k | $13,445 | $13,445 |
| MRI Brain with and without Contrast | $1,033$328$11k | $14,756 | $14,756 |
| MRI Brain with Contrast | $901$279$9.6k | $12,865 | $12,865 |
| MRI Brain without Contrast | $739$202$7.9k | $10,553 | $10,553 |
| MRI Cervical Spine (Neck) without Contrast | $736$196$7.9k | $10,510 | $10,510 |
| MRI Knee without Contrast | $951$209$15k | $10,799 | $10,799 |
| MRI Lower Back (Lumbar Spine) without Contrast | $761$197$8.2k | $10,963 | $10,963 |
| MRI Thoracic Spine (Mid-back) without Contrast | $761$196$8.2k | $10,963 | $10,963 |
| Newborn Circumcision | $2,515$653$7.8k | — | — |
| Nuclear Cardiac Stress Test | $981$438$11k | $14,017 | $14,017 |
| Office Visit, Established Patient (Level 3) | $48$11$278 | $162 | $162 |
| Office Visit, New Patient (Level 3) | $53$12$415 | $178 | $178 |
| Pacemaker Insertion (Dual Chamber) | $7,883$2.4k$86k | $27,369 | $27,369 |
| PET/CT Scan, Whole Body | $3,236$1.5k$22k | $29,270 | $29,270 |
| Pregnancy Ultrasound (Second or Third Trimester) | $220$105$2.4k | $3,145 | $3,145 |
| Prostate Biopsy | $783$653$5.5k | — | — |
| PSA Prostate Cancer Screening | $34$15$973 | $1,297 | $1,297 |
| Pulmonary Function Test with Bronchodilator | $820$111$3.0k | $4,030 | $4,030 |
| Rotator Cuff Repair (Arthroscopic) | $7,094$2.4k$19k | — | — |
| Screening Mammogram | $156$78$841 | $1,121 | $1,121 |
| Septoplasty (Deviated Septum Repair) | $3,548$887$12k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $4,007$1.6k$17k | — | — |
| Skin Biopsy (Tangential) | $706$64$6.6k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $948$74$4.3k | — | — |
| Sleep Study (In-lab Polysomnography) | $1,927$464$5.0k | $6,626 | $6,626 |
| Spinal Cord Stimulator Trial | $4,360$948$78k | — | — |
| Spirometry (Breathing Test) | $430$122$1.3k | $1,736 | $1,736 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,548$887$15k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $3,682$948$15k | — | — |
| Total Hip Replacement | $24,356$948$70k | — | — |
| Total Knee Replacement | $24,356$948$70k | — | — |
| Total Mastectomy | $4,007$1.8k$16k | — | — |
| TSH Thyroid Function Test | $31$14$901 | $1,202 | $1,202 |
| TURP (Transurethral Prostate Resection) | $4,007$1.7k$15k | — | — |
| Umbilical Hernia Repair | $6,776$5.5k$11k | — | — |
| Upper GI Endoscopy (EGD) | $1,971$335$4.7k | — | — |
| Urinalysis with Microscopy | $6$3$470 | $626 | $626 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $3,682$948$78k | — | — |
| Vaginal Delivery (Global Package) | $3,682$948$74k | — | — |
| Vaginal Hysterectomy | $3,682$1.5k$15k | — | — |
| Vasectomy | $2,701$653$7.8k | — | — |
| Vitamin D Blood Test | $55$25$980 | $1,307 | $1,307 |