| Abdominal Hysterectomy | $6,997$2.0k$12k | — | — |
| ACL Reconstruction (Arthroscopic) | $10,528$4.3k$15k | — | — |
| Allergy Skin Testing | $18 | — | — |
| Basic Metabolic Panel | $32$8$812 | $902 | $902 |
| Bone Marrow Biopsy | $2,644$1.8k$4.0k | — | — |
| Breast Biopsy (Ultrasound-guided) | $3,649$2.0k$4.5k | — | — |
| Bunion Correction Surgery | $5,995$3.1k$9.5k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $24,848$4.2k$37k | $41,161 | $41,161 |
| Cardiac Catheterization (Left Heart) | $12,140$3.9k$20k | — | — |
| Cardiac Stress Test (Treadmill) | $442$374$604 | — | — |
| Carpal Tunnel Release Surgery | $3,687$2.5k$7.4k | — | — |
| Cataract Surgery with Lens Implant | $3,954$2.0k$11k | — | — |
| Cervical Spinal Fusion (Anterior) | $18,005$4.3k$35k | — | — |
| Cesarean Delivery (Global Package) | $5,943$2.0k$7.2k | — | — |
| Chemotherapy Infusion (First Hour) | $1,243$450$2.1k | $2,368 | $2,368 |
| Chest X-ray (2 Views) | $266$38$968 | $1,066 | $1,066 |
| Colonoscopy with Biopsy | $3,273$2.0k$5.1k | — | — |
| Complete Abdominal Ultrasound | $650$143$2.9k | $3,173 | $3,173 |
| Complete Blood Count (CBC) with Differential | $8$8$44 | — | — |
| Comprehensive Metabolic Panel | $58$11$1.2k | $1,237 | $1,237 |
| Coronary Angioplasty with Stent | $8,495$2.4k$32k | — | — |
| Critical Care, First Hour | $3,367$1.3k$5.5k | $4,743 | $4,743 |
| CT Abdomen and Pelvis with Contrast | $1,800$319$8.1k | $8,995 | $8,995 |
| CT Cardiac Calcium Scoring | $394$102$1.5k | $1,571 | $1,571 |
| CT Chest without Contrast | $748$188$3.2k | $3,577 | $3,577 |
| CT Head without Contrast | $1,048$150$2.9k | $3,211 | $3,211 |
| DEXA Bone Density Scan | $179$36$1.4k | $1,588 | $1,588 |
| Diagnostic Colonoscopy | $2,747$2.0k$5.1k | — | — |
| Diagnostic Mammogram (Both Breasts) | $329$125$1.2k | $1,316 | $1,316 |
| Ear Tube Placement (Tympanostomy) | $3,954$2.0k$7.3k | — | — |
| Echocardiogram (Complete with Doppler) | $2,407$1.1k$6.4k | $7,143 | $7,143 |
| EKG (Electrocardiogram, 12-lead) | $62$13$111 | — | — |
| Emergency Room Visit (Level 3) | $1,912$500$2.5k | $2,757 | $2,757 |
| Hemodialysis Treatment | $90$89$92 | — | — |
| Hemoglobin A1c (Diabetes Test) | $37$10$490 | $544 | $544 |
| HIV Antibody Test | $34$9$1.1k | $1,270 | $1,270 |
| Holter Monitor (24-48 Hour Heart Monitor) | $379$66$690 | — | — |
| Home Sleep Study | $2,564$823$2.8k | — | — |
| Individual Therapy Session (45 Minutes) | $595 | — | — |
| Inguinal Hernia Repair (Open) | $6,655$4.3k$9.5k | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $4,706$2.0k$8.1k | $8,963 | $8,963 |
| IUD Insertion | $2,402$44$5.0k | — | — |
| IUD Removal | $2,390$968$5.0k | — | — |
| Knee Arthroscopy with Meniscectomy | $7,745$3.9k$15k | — | — |
| Laparoscopic Appendectomy | $9,340$4.3k$12k | — | — |
| Laparoscopic Gallbladder Removal | $8,019$4.3k$13k | — | — |
| Laparoscopic Tubal Ligation | $8,873$4.3k$12k | — | — |
| Lipid Panel (Cholesterol Test) | $51$13$967 | $1,074 | $1,074 |
| Lumbar Epidural Steroid Injection | $2,448$1.8k$2.7k | — | — |
| Lumbar Puncture (Spinal Tap) | $2,550$1.8k$3.8k | — | — |
| Lumbar Spinal Fusion (Posterior) | $24,005$4.3k$57k | — | — |
| Lumpectomy (Partial Mastectomy) | $5,995$3.1k$7.4k | — | — |
| MRI Abdomen with and without Contrast | $1,915$386$10k | $11,121 | $11,121 |
| MRI Brain with and without Contrast | $1,915$400$10k | $11,567 | $11,567 |
| MRI Brain with Contrast | $1,388$312$6.6k | $7,305 | $7,305 |
| MRI Brain without Contrast | $1,388$258$6.6k | $7,305 | $7,305 |
| MRI Cervical Spine (Neck) without Contrast | $1,376$260$6.5k | $7,241 | $7,241 |
| MRI Knee without Contrast | $2,313$239$9.1k | $10,139 | $10,139 |
| MRI Lower Back (Lumbar Spine) without Contrast | $1,424$261$6.7k | $7,495 | $7,495 |
| MRI Thoracic Spine (Mid-back) without Contrast | $1,376$260$6.5k | $7,241 | $7,241 |
| Newborn Circumcision | $3,530$1.8k$7.4k | — | — |
| Nuclear Cardiac Stress Test | $1,709$285$6.9k | $7,630 | $7,630 |
| Office Visit, Established Patient (Level 3) | $251$63$377 | $419 | $419 |
| Office Visit, New Patient (Level 3) | $395$99$593 | $659 | $659 |
| Pacemaker Insertion (Dual Chamber) | $8,607$2.0k$56k | — | — |
| PET/CT Scan, Whole Body | $1,376$417$4.0k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $590$180$2.2k | $2,443 | $2,443 |
| Prostate Biopsy | $3,461$2.5k$5.1k | — | — |
| PSA Prostate Cancer Screening | $70$18$674 | $749 | $749 |
| Pulmonary Function Test with Bronchodilator | $198$72$341 | $379 | $379 |
| Rotator Cuff Repair (Arthroscopic) | $9,220$4.3k$11k | — | — |
| Screening Mammogram | $362$104$985 | $1,064 | $1,064 |
| Septoplasty (Deviated Septum Repair) | $4,950$3.6k$8.5k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $8,873$4.3k$11k | — | — |
| Skin Biopsy (Tangential) | $2,390$968$2.6k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $3,007$1.8k$4.0k | — | — |
| Sleep Study (In-lab Polysomnography) | $2,778$864$3.4k | — | — |
| Spinal Cord Stimulator Trial | $8,815$3.1k$70k | — | — |
| Spirometry (Breathing Test) | $137 | — | — |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,954$2.0k$9.2k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $7,126$2.0k$9.4k | — | — |
| Total Hip Replacement | $27,871$2.0k$45k | — | — |
| Total Knee Replacement | $27,871$2.0k$45k | — | — |
| Total Mastectomy | $8,280$4.3k$11k | — | — |
| TSH Thyroid Function Test | $64$17$947 | $1,052 | $1,052 |
| TURP (Transurethral Prostate Resection) | $8,403$4.3k$11k | — | — |
| Umbilical Hernia Repair | $7,210$3.9k$8.5k | — | — |
| Upper GI Endoscopy (EGD) | $2,589$1.8k$4.4k | — | — |
| Urinalysis with Microscopy | $12$3$303 | $337 | $337 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $5,943$2.0k$7.2k | — | — |
| Vaginal Delivery (Global Package) | $5,943$2.0k$7.2k | — | — |
| Vaginal Hysterectomy | $8,760$4.3k$11k | — | — |
| Vasectomy | $3,273$2.0k$7.4k | — | — |
| Vitamin D Blood Test | $73$30$298 | $331 | $331 |