| Abdominal Hysterectomy | $5,544$2.4k$11k | — | — |
| ACL Reconstruction (Arthroscopic) | $8,263$1.3k$19k | — | — |
| Allergy Skin Testing | $2,168$1.6k$2.7k | — | — |
| Basic Metabolic Panel | $9$7$69 | $280 | $280 |
| Bone Marrow Biopsy | $3,452$960$5.4k | — | — |
| Breast Biopsy (Ultrasound-guided) | $3,479$477$5.6k | — | — |
| Bunion Correction Surgery | $5,723$1.3k$9.4k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $43,550$3.3k$67k | $145,478 | $145,478 |
| Cardiac Catheterization (Left Heart) | $9,736$3.7k$36k | — | — |
| Carpal Tunnel Release Surgery | $4,173$1.2k$5.4k | — | — |
| Cataract Surgery with Lens Implant | $5,010$2.2k$11k | — | — |
| Cervical Spinal Fusion (Anterior) | $22,784$3.1k$37k | — | — |
| Cesarean Delivery (Global Package) | $4,565$2.4k$5.9k | — | — |
| Chemotherapy Infusion (First Hour) | $120 | $1,327 | $1,327 |
| Chest X-ray (2 Views) | $220$153$310 | $374 | $374 |
| Colonoscopy with Biopsy | $3,086$1.1k$5.4k | — | — |
| Complete Abdominal Ultrasound | $271$188$381 | $1,198 | $1,198 |
| Complete Blood Count (CBC) with Differential | $8$7$43 | — | — |
| Comprehensive Metabolic Panel | $11$9$86 | $389 | $389 |
| Coronary Angioplasty with Stent | $24,628$3.7k$36k | — | — |
| Critical Care, First Hour | $2,888$1.4k$8.3k | $10,360 | $10,360 |
| CT Abdomen and Pelvis with Contrast | $855$443$2.6k | $7,685 | $7,685 |
| CT Cardiac Calcium Scoring | $345$153$2.6k | $4,382 | $4,382 |
| CT Chest without Contrast | $374$188$2.6k | $3,337 | $3,337 |
| CT Head without Contrast | $374$188$2.6k | $3,103 | $3,103 |
| DEXA Bone Density Scan | $271$188$381 | $485 | $485 |
| Diagnostic Colonoscopy | $3,065$857$5.4k | — | — |
| Diagnostic Mammogram (Both Breasts) | $104$91$162 | $815 | $815 |
| Ear Tube Placement (Tympanostomy) | $3,588$1.3k$9.4k | — | — |
| Echocardiogram (Complete with Doppler) | $1,167$886$1.4k | $6,945 | $6,945 |
| EKG (Electrocardiogram, 12-lead) | $12 | — | — |
| Emergency Room Visit (Level 3) | $1,022$568$3.6k | $2,633 | $2,633 |
| Group Therapy Session | $212$134$344 | $533 | $533 |
| Hemodialysis Treatment | $84 | — | — |
| Hemoglobin A1c (Diabetes Test) | $10$8$79 | $244 | $244 |
| HIV Antibody Test | $9$8$60 | $81 | $81 |
| Holter Monitor (24-48 Hour Heart Monitor) | $58 | — | — |
| Home Sleep Study | $337$256$414 | $790 | $790 |
| Individual Therapy Session (45 Minutes) | $338$256$415 | $845 | $845 |
| Inguinal Hernia Repair (Open) | $6,570$2.3k$10k | — | — |
| Initial Psychiatric Diagnostic Evaluation | $338$256$415 | $845 | $845 |
| Initial Psychiatric Evaluation with Medication Management | $338$256$415 | $845 | $845 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,328$1.0k$1.6k | $2,333 | $2,333 |
| IUD Insertion | $1,538$42$5.4k | — | — |
| IUD Removal | $1,538$301$5.4k | — | — |
| Knee Arthroscopy with Meniscectomy | $5,723$2.3k$9.4k | — | — |
| Laparoscopic Appendectomy | $9,132$1.3k$17k | — | — |
| Laparoscopic Gallbladder Removal | $9,112$2.7k$15k | — | — |
| Laparoscopic Tubal Ligation | $9,112$2.7k$15k | — | — |
| Lipid Panel (Cholesterol Test) | $14$12$109 | $321 | $321 |
| Lumbar Epidural Steroid Injection | $1,976$648$5.4k | — | — |
| Lumbar Puncture (Spinal Tap) | $1,976$648$5.4k | — | — |
| Lumbar Spinal Fusion (Posterior) | $30,577$3.1k$62k | — | — |
| Lumpectomy (Partial Mastectomy) | $6,377$1.3k$9.8k | — | — |
| MRI Abdomen with and without Contrast | $855$541$3.6k | $4,232 | $4,232 |
| MRI Brain with and without Contrast | $855$541$3.6k | $4,100 | $4,100 |
| MRI Brain with Contrast | $855$541$3.6k | $3,680 | $3,680 |
| MRI Brain without Contrast | $639$411$3.6k | $3,680 | $3,680 |
| MRI Cervical Spine (Neck) without Contrast | $639$411$3.6k | $3,680 | $3,680 |
| MRI Knee without Contrast | $639$411$3.6k | $3,680 | $3,680 |
| MRI Lower Back (Lumbar Spine) without Contrast | $639$411$3.6k | $2,769 | $2,769 |
| MRI Thoracic Spine (Mid-back) without Contrast | $639$411$3.6k | $2,769 | $2,769 |
| Newborn Circumcision | $3,567$960$5.4k | — | — |
| Nuclear Cardiac Stress Test | $3,099$2.3k$4.1k | $5,784 | $5,784 |
| Office Visit, Established Patient (Level 3) | — | $388 | $388 |
| Office Visit, New Patient (Level 3) | — | $322 | $322 |
| Pacemaker Insertion (Dual Chamber) | $19,160$1.6k$65k | — | — |
| PET/CT Scan, Whole Body | $3,455$1.7k$6.4k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $271$188$381 | $869 | $869 |
| Prostate Biopsy | $4,241$1.2k$5.4k | — | — |
| PSA Prostate Cancer Screening | $19$16$150 | $301 | $301 |
| Pulmonary Function Test with Bronchodilator | $650$493$798 | $1,100 | $1,100 |
| Rotator Cuff Repair (Arthroscopic) | $10,115$2.7k$19k | — | — |
| Screening Mammogram | $86$75$134 | $787 | $787 |
| Septoplasty (Deviated Septum Repair) | $5,595$2.3k$9.4k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $9,970$2.7k$18k | — | — |
| Skin Biopsy (Tangential) | $419$90$3.5k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $3,056$1.2k$5.3k | — | — |
| Sleep Study (In-lab Polysomnography) | $2,168$1.6k$2.7k | $6,232 | $6,232 |
| Spinal Cord Stimulator Trial | $5,361$1.2k$19k | — | — |
| Spirometry (Breathing Test) | $337$256$414 | $766 | $766 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $6,074$2.4k$11k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $8,263$1.3k$15k | — | — |
| Total Hip Replacement | $25,029$2.4k$44k | — | — |
| Total Knee Replacement | $25,029$2.4k$44k | — | — |
| Total Mastectomy | $8,263$2.3k$17k | — | — |
| TSH Thyroid Function Test | $17$15$137 | $248 | $248 |
| TURP (Transurethral Prostate Resection) | $7,835$2.3k$13k | — | — |
| Umbilical Hernia Repair | $2,320 | — | — |
| Upper GI Endoscopy (EGD) | $2,353$850$6.5k | — | — |
| Urinalysis with Microscopy | $3$3$26 | $173 | $173 |
| 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 | $8,598$2.7k$13k | — | — |
| Vasectomy | $4,241$1.2k$5.4k | — | — |
| Vitamin D Blood Test | $30$26$241 | $747 | $747 |