| Abdominal Hysterectomy | $10,005$2.0k$17k | — | — |
| ACL Reconstruction (Arthroscopic) | $12,487$4.3k$23k | — | — |
| Basic Metabolic Panel | $71$7$335 | $372 | $372 |
| Bone Marrow Biopsy | $3,472$2.0k$4.9k | — | — |
| Breast Biopsy (Ultrasound-guided) | $3,472$2.0k$7.6k | — | — |
| Bunion Correction Surgery | $6,408$4.3k$17k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $88,863$7.7k$113k | $125,159 | $125,159 |
| Cardiac Catheterization (Left Heart) | $12,924$3.9k$37k | — | — |
| Carpal Tunnel Release Surgery | $4,845$3.3k$14k | — | — |
| Cataract Surgery with Lens Implant | $3,655$2.0k$14k | — | — |
| Cervical Spinal Fusion (Anterior) | $35,461$4.3k$40k | — | — |
| Cesarean Delivery (Global Package) | $5,768$2.0k$6.4k | — | — |
| Chemotherapy Infusion (First Hour) | $1,942$380$3.7k | $3,137 | $3,137 |
| Chest X-ray (2 Views) | $806$46$1.0k | $1,152 | $1,152 |
| Colonoscopy with Biopsy | $3,655$2.0k$7.6k | — | — |
| Complete Abdominal Ultrasound | $2,808$171$3.6k | $4,011 | $4,011 |
| Complete Blood Count (CBC) with Differential | $8$7$48 | — | — |
| Comprehensive Metabolic Panel | $396$9$701 | $678 | $678 |
| Coronary Angioplasty with Stent | $20,561$7.7k$33k | — | — |
| Critical Care, First Hour | $3,206$697$6.3k | $4,007 | $4,007 |
| CT Abdomen and Pelvis with Contrast | $10,215$382$15k | $17,025 | $17,025 |
| CT Cardiac Calcium Scoring | $595$122$1.4k | $850 | $850 |
| CT Chest without Contrast | $4,356$226$6.0k | $6,673 | $6,673 |
| CT Head without Contrast | $2,962$180$4.4k | $4,231 | $4,231 |
| DEXA Bone Density Scan | $1,161$43$1.5k | $1,659 | $1,659 |
| Diagnostic Colonoscopy | $2,550$2.0k$7.6k | — | — |
| Diagnostic Mammogram (Both Breasts) | $340$91$821 | $834 | $834 |
| Ear Tube Placement (Tympanostomy) | $3,655$2.0k$7.6k | — | — |
| Echocardiogram (Complete with Doppler) | $1,870$458$2.4k | $2,634 | $2,634 |
| EKG (Electrocardiogram, 12-lead) | $10$10$11 | — | — |
| Emergency Room Visit (Level 3) | $1,283$298$3.5k | $1,711 | $1,711 |
| Group Therapy Session | $437$107$554 | $616 | $616 |
| Hemodialysis Treatment | $1,726$70$2.5k | $2,466 | $2,466 |
| Hemoglobin A1c (Diabetes Test) | $61$8$239 | $265 | $265 |
| HIV Antibody Test | $181$8$855 | $950 | $950 |
| Holter Monitor (24-48 Hour Heart Monitor) | $51$49$55 | — | — |
| Home Sleep Study | $2,698$2.4k$2.7k | — | — |
| Inguinal Hernia Repair (Open) | $6,408$4.3k$17k | — | — |
| IUD Insertion | $2,358$35$5.0k | — | — |
| IUD Removal | $2,460$2.1k$5.0k | — | — |
| Knee Arthroscopy with Meniscectomy | $8,061$4.3k$22k | — | — |
| Laparoscopic Appendectomy | $10,531$4.3k$23k | — | — |
| Laparoscopic Gallbladder Removal | $12,199$4.3k$23k | — | — |
| Laparoscopic Tubal Ligation | $9,478$4.3k$23k | — | — |
| Lipid Panel (Cholesterol Test) | $111$12$526 | $584 | $584 |
| Lumbar Epidural Steroid Injection | $2,358$2.0k$4.9k | — | — |
| Lumbar Puncture (Spinal Tap) | $2,550$2.0k$4.9k | — | — |
| Lumbar Spinal Fusion (Posterior) | $57,506$4.3k$80k | — | — |
| Lumpectomy (Partial Mastectomy) | $6,408$4.3k$14k | — | — |
| MRI Abdomen with and without Contrast | $6,625$463$9.9k | $11,042 | $11,042 |
| MRI Brain with and without Contrast | $6,747$480$10k | $11,245 | $11,245 |
| MRI Brain with Contrast | $5,651$374$8.5k | $9,419 | $9,419 |
| MRI Brain without Contrast | $4,708$310$7.1k | $7,847 | $7,847 |
| MRI Cervical Spine (Neck) without Contrast | $5,327$311$8.0k | $8,879 | $8,879 |
| MRI Knee without Contrast | $6,016$287$7.6k | $8,473 | $8,473 |
| MRI Lower Back (Lumbar Spine) without Contrast | $4,212$313$5.4k | $6,017 | $6,017 |
| MRI Thoracic Spine (Mid-back) without Contrast | $5,327$311$8.0k | $8,879 | $8,879 |
| Newborn Circumcision | $3,551$2.0k$14k | — | — |
| Nuclear Cardiac Stress Test | $9,125$341$12k | $13,036 | $13,036 |
| Office Visit, Established Patient (Level 3) | $369$70$518 | $515 | $515 |
| Office Visit, New Patient (Level 3) | $547$111$749 | $744 | $744 |
| Pacemaker Insertion (Dual Chamber) | $46,842$2.0k$142k | — | — |
| PET/CT Scan, Whole Body | $14,076$500$18k | $19,687 | $19,687 |
| Pregnancy Ultrasound (Second or Third Trimester) | $2,502$215$3.2k | $3,574 | $3,574 |
| Prostate Biopsy | $4,250$3.3k$4.8k | — | — |
| PSA Prostate Cancer Screening | $128$16$607 | $674 | $674 |
| Pulmonary Function Test with Bronchodilator | $1,744$427$2.2k | $2,456 | $2,456 |
| Rotator Cuff Repair (Arthroscopic) | $12,487$4.3k$23k | — | — |
| Screening Mammogram | $500$75$751 | $834 | $834 |
| Septoplasty (Deviated Septum Repair) | $4,950$3.3k$14k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $11,210$4.3k$22k | — | — |
| Skin Biopsy (Tangential) | $2,358$2.0k$2.6k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $3,472$2.0k$4.9k | — | — |
| Sleep Study (In-lab Polysomnography) | $2,698$2.4k$2.7k | — | — |
| Spinal Cord Stimulator Trial | $14,112$4.3k$71k | — | — |
| Spirometry (Breathing Test) | $917$225$1.2k | $1,291 | $1,291 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,655$2.0k$14k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,914$2.0k$14k | — | — |
| Total Hip Replacement | $29,307$2.0k$45k | — | — |
| Total Knee Replacement | $29,307$2.0k$45k | — | — |
| Total Mastectomy | $8,061$4.3k$17k | — | — |
| TSH Thyroid Function Test | $105$15$420 | $467 | $467 |
| TURP (Transurethral Prostate Resection) | $8,061$4.3k$22k | — | — |
| Umbilical Hernia Repair | $7,235$5.8k$8.1k | — | — |
| Upper GI Endoscopy (EGD) | $2,550$2.0k$7.6k | — | — |
| Urinalysis with Microscopy | $45$3$214 | $238 | $238 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $5,768$2.0k$6.4k | — | — |
| Vaginal Delivery (Global Package) | $5,768$2.0k$6.4k | — | — |
| Vaginal Hysterectomy | $6,995$4.3k$17k | — | — |
| Vasectomy | $3,655$2.0k$14k | — | — |
| Vitamin D Blood Test | $149$26$367 | $408 | $408 |