| Abdominal Hysterectomy | $5,544$2.4k$9.9k | — | — |
| ACL Reconstruction (Arthroscopic) | $6,737$1.3k$17k | — | — |
| Allergy Skin Testing | $1,953$1.5k$2.4k | — | — |
| Basic Metabolic Panel | $9$6$69 | $428 | $428 |
| Bone Marrow Biopsy | $2,631$960$5.4k | — | — |
| Breast Biopsy (Ultrasound-guided) | $2,812$477$5.6k | — | — |
| Bunion Correction Surgery | $5,331$1.3k$7.7k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $42,439$3.3k$63k | — | — |
| Cardiac Catheterization (Left Heart) | $9,736$3.7k$28k | — | — |
| Carpal Tunnel Release Surgery | $3,757$1.2k$5.4k | — | — |
| Cataract Surgery with Lens Implant | $4,513$2.2k$7.1k | — | — |
| Cervical Spinal Fusion (Anterior) | $21,609$3.1k$34k | — | — |
| Cesarean Delivery (Global Package) | $4,565$2.4k$5.9k | — | — |
| Chemotherapy Infusion (First Hour) | $120 | — | — |
| Chest X-ray (2 Views) | $202$137$310 | $562 | $562 |
| Colonoscopy with Biopsy | $2,350$1.1k$5.4k | — | — |
| Complete Abdominal Ultrasound | $249$169$381 | $1,548 | $1,548 |
| Complete Blood Count (CBC) with Differential | $8$6$43 | — | — |
| Comprehensive Metabolic Panel | $11$8$86 | $547 | $547 |
| Coronary Angioplasty with Stent | $22,535$3.7k$38k | — | — |
| Critical Care, First Hour | $2,888$1.2k$10k | $12,949 | $12,949 |
| CT Abdomen and Pelvis with Contrast | $770$443$2.6k | $8,680 | $8,680 |
| CT Cardiac Calcium Scoring | $333$137$2.6k | $1,663 | $1,663 |
| CT Chest without Contrast | $359$169$2.6k | $3,829 | $3,829 |
| CT Head without Contrast | $359$169$2.6k | $3,856 | $3,856 |
| DEXA Bone Density Scan | $249$169$381 | $1,023 | $1,023 |
| Diagnostic Colonoscopy | $2,299$857$5.4k | — | — |
| Diagnostic Mammogram (Both Breasts) | $104$78$162 | $758 | $758 |
| Ear Tube Placement (Tympanostomy) | $3,234$1.3k$6.9k | — | — |
| Echocardiogram (Complete with Doppler) | $1,052$795$1.3k | $5,016 | $5,016 |
| EKG (Electrocardiogram, 12-lead) | $12 | — | — |
| Emergency Room Visit (Level 3) | $1,022$458$3.6k | $2,769 | $2,769 |
| Group Therapy Session | $195$120$344 | $351 | $351 |
| Hemodialysis Treatment | $84 | — | — |
| Hemoglobin A1c (Diabetes Test) | $10$7$79 | $283 | $283 |
| HIV Antibody Test | $9$7$60 | $246 | $246 |
| Holter Monitor (24-48 Hour Heart Monitor) | $58 | — | — |
| Home Sleep Study | $304$230$374 | — | — |
| Individual Therapy Session (45 Minutes) | $305$230$374 | — | — |
| Inguinal Hernia Repair (Open) | $5,580$2.3k$9.1k | — | — |
| Initial Psychiatric Diagnostic Evaluation | $305$230$374 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $305$230$374 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,196$905$1.5k | — | — |
| IUD Insertion | $1,270$42$5.4k | — | — |
| IUD Removal | $1,270$301$5.4k | — | — |
| Knee Arthroscopy with Meniscectomy | $5,331$2.3k$7.7k | — | — |
| Laparoscopic Appendectomy | $6,765$1.3k$17k | — | — |
| Laparoscopic Gallbladder Removal | $7,392$2.7k$13k | — | — |
| Laparoscopic Tubal Ligation | $6,273$2.7k$13k | — | — |
| Lipid Panel (Cholesterol Test) | $14$10$109 | $412 | $412 |
| Lumbar Epidural Steroid Injection | $1,656$648$5.4k | — | — |
| Lumbar Puncture (Spinal Tap) | $1,656$648$5.4k | — | — |
| Lumbar Spinal Fusion (Posterior) | $33,217$3.1k$56k | — | — |
| Lumpectomy (Partial Mastectomy) | $5,548$1.3k$8.8k | — | — |
| MRI Abdomen with and without Contrast | $770$541$3.4k | $7,670 | $7,670 |
| MRI Brain with and without Contrast | $770$541$3.4k | $6,394 | $6,394 |
| MRI Brain with Contrast | $770$541$3.4k | $5,881 | $5,881 |
| MRI Brain without Contrast | $600$369$3.4k | $5,366 | $5,366 |
| MRI Cervical Spine (Neck) without Contrast | $600$369$3.4k | $5,366 | $5,366 |
| MRI Knee without Contrast | $600$369$3.4k | $6,200 | $6,200 |
| MRI Lower Back (Lumbar Spine) without Contrast | $600$369$3.4k | $5,366 | $5,366 |
| MRI Thoracic Spine (Mid-back) without Contrast | $600$369$3.4k | $5,366 | $5,366 |
| Newborn Circumcision | $3,098$960$5.4k | — | — |
| Nuclear Cardiac Stress Test | $2,946$2.1k$4.1k | $6,021 | $6,021 |
| Office Visit, Established Patient (Level 3) | — | $580 | $580 |
| Office Visit, New Patient (Level 3) | — | $345 | $345 |
| Pacemaker Insertion (Dual Chamber) | $17,249$1.6k$65k | — | — |
| PET/CT Scan, Whole Body | $3,113$1.7k$6.4k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $249$169$381 | $1,076 | $1,076 |
| Prostate Biopsy | $3,098$1.2k$5.4k | — | — |
| PSA Prostate Cancer Screening | $19$14$149 | $405 | $405 |
| Pulmonary Function Test with Bronchodilator | $585$442$720 | $661 | $661 |
| Rotator Cuff Repair (Arthroscopic) | $6,820$2.7k$17k | — | — |
| Screening Mammogram | $86$65$134 | $782 | $782 |
| Septoplasty (Deviated Septum Repair) | $5,215$2.3k$7.3k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,675$2.7k$16k | — | — |
| Skin Biopsy (Tangential) | $377$90$2.6k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,360$1.2k$3.9k | — | — |
| Sleep Study (In-lab Polysomnography) | $1,953$1.5k$2.4k | — | — |
| Spinal Cord Stimulator Trial | $5,071$1.2k$17k | — | — |
| Spirometry (Breathing Test) | $304$230$374 | $542 | $542 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $5,215$2.4k$7.3k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,128$1.3k$14k | — | — |
| Total Hip Replacement | $24,527$2.4k$44k | — | — |
| Total Knee Replacement | $24,527$2.4k$44k | — | — |
| Total Mastectomy | $6,821$2.3k$15k | — | — |
| TSH Thyroid Function Test | $17$13$136 | $318 | $318 |
| TURP (Transurethral Prostate Resection) | $6,217$2.3k$12k | — | — |
| Umbilical Hernia Repair | $2,320 | — | — |
| Upper GI Endoscopy (EGD) | $2,350$850$6.0k | — | — |
| Urinalysis with Microscopy | $3$2$26 | $194 | $194 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $4,565$2.4k$5.9k | — | — |
| Vaginal Delivery (Global Package) | $4,565$2.4k$5.9k | — | — |
| Vaginal Hysterectomy | $6,273$2.7k$12k | — | — |
| Vasectomy | $3,098$1.2k$5.4k | — | — |
| Vitamin D Blood Test | $30$22$240 | $257 | $257 |