| Abdominal Hysterectomy | $4,514$1.6k$18k | — | — |
| ACL Reconstruction (Arthroscopic) | $2,897$267$18k | — | — |
| Allergy Skin Testing | $352$339$423 | — | — |
| Basic Metabolic Panel | $18$4$786 | $925 | $925 |
| Bone Marrow Biopsy | $1,566$525$4.1k | — | — |
| Breast Biopsy (Ultrasound-guided) | $1,566$475$7.5k | — | — |
| Bunion Correction Surgery | $3,172$1.0k$8.0k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $7,950$6.5k$41k | — | — |
| Cardiac Catheterization (Left Heart) | $4,823$2.3k$16k | — | — |
| Cardiac Stress Test (Treadmill) | $119$115$143 | — | — |
| Carpal Tunnel Release Surgery | $1,981$625$6.0k | — | — |
| Cataract Surgery with Lens Implant | $2,812$755$11k | — | — |
| Cervical Spinal Fusion (Anterior) | $4,764$2.7k$40k | — | — |
| Cesarean Delivery (Global Package) | $3,738$2.0k$7.4k | — | — |
| Chemotherapy Infusion (First Hour) | $827$114$2.2k | $2,544 | $2,544 |
| Chest X-ray (2 Views) | $469$25$2.1k | $2,523 | $2,523 |
| Colonoscopy with Biopsy | $1,634$382$4.6k | — | — |
| Complete Abdominal Ultrasound | $1,196$60$5.1k | $5,590 | $5,590 |
| Complete Blood Count (CBC) with Differential | $8$4$19 | — | — |
| Comprehensive Metabolic Panel | $22$5$1.2k | $1,374 | $1,374 |
| Coronary Angioplasty with Stent | $4,551$1.6k$34k | — | — |
| Critical Care, First Hour | $2,909$122$8.3k | $7,094 | $7,094 |
| CT Abdomen and Pelvis with Contrast | $635$207$21k | $24,143 | $24,143 |
| CT Cardiac Calcium Scoring | $165$60$811 | $462 | $462 |
| CT Chest without Contrast | $3,018$60$13k | $14,105 | $14,105 |
| CT Head without Contrast | $2,309$60$9.8k | $10,793 | $10,793 |
| DEXA Bone Density Scan | $905$42$4.1k | $3,864 | $3,864 |
| Diagnostic Colonoscopy | $1,346$296$4.6k | — | — |
| Diagnostic Mammogram (Both Breasts) | $224$60$1.3k | $1,504 | $1,504 |
| Ear Tube Placement (Tympanostomy) | $2,191$494$8.0k | — | — |
| Echocardiogram (Complete with Doppler) | $2,703$292$8.4k | $9,462 | $9,462 |
| EKG (Electrocardiogram, 12-lead) | $29$11$35 | — | — |
| Emergency Room Visit (Level 3) | $1,197$105$2.8k | $2,730 | $2,730 |
| Group Therapy Session | $225 | — | — |
| Hemodialysis Treatment | $119$82$143 | — | — |
| Hemoglobin A1c (Diabetes Test) | $20$5$346 | $407 | $407 |
| HIV Antibody Test | $19$5$346 | $407 | $407 |
| Holter Monitor (24-48 Hour Heart Monitor) | $187$56$225 | — | — |
| Home Sleep Study | $839$39$2.3k | $2,086 | $2,086 |
| Individual Therapy Session (45 Minutes) | $405$159$555 | — | — |
| Inguinal Hernia Repair (Open) | $3,994$1.1k$12k | — | — |
| Initial Psychiatric Evaluation with Medication Management | $81 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $547$461$2.4k | — | — |
| IUD Insertion | $195$41$5.0k | — | — |
| IUD Removal | $322$257$5.0k | — | — |
| Knee Arthroscopy with Meniscectomy | $4,241$1.0k$14k | — | — |
| Laparoscopic Appendectomy | $2,822$267$18k | — | — |
| Laparoscopic Gallbladder Removal | $2,822$267$18k | — | — |
| Laparoscopic Tubal Ligation | $2,822$267$18k | — | — |
| Lipid Panel (Cholesterol Test) | $28$7$440 | $518 | $518 |
| Lumbar Epidural Steroid Injection | $1,233$377$4.1k | — | — |
| Lumbar Puncture (Spinal Tap) | $929$224$4.1k | — | — |
| Lumbar Spinal Fusion (Posterior) | $6,309$3.7k$66k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,172$801$37k | — | — |
| MRI Abdomen with and without Contrast | $1,476$207$14k | $16,354 | $16,354 |
| MRI Brain with and without Contrast | $1,420$207$16k | $18,488 | $18,488 |
| MRI Brain with Contrast | $1,140$207$15k | $17,921 | $17,921 |
| MRI Brain without Contrast | $1,074$131$9.2k | $10,840 | $10,840 |
| MRI Cervical Spine (Neck) without Contrast | $1,074$131$11k | $12,686 | $12,686 |
| MRI Knee without Contrast | $5,451$131$21k | $13,559 | $13,559 |
| MRI Lower Back (Lumbar Spine) without Contrast | $1,074$131$11k | $12,686 | $12,686 |
| MRI Thoracic Spine (Mid-back) without Contrast | $1,074$131$11k | $12,686 | $12,686 |
| Newborn Circumcision | $1,754$660$6.0k | — | — |
| Nuclear Cardiac Stress Test | $2,344$539$20k | $23,995 | $23,995 |
| Office Visit, Established Patient (Level 3) | $417$103$1.2k | $1,200 | $1,200 |
| Office Visit, New Patient (Level 3) | $482$137$1.2k | $1,200 | $1,200 |
| Pacemaker Insertion (Dual Chamber) | $9,162$267$34k | — | — |
| PET/CT Scan, Whole Body | $1,420$219$6.3k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $1,038$60$4.4k | $4,851 | $4,851 |
| Prostate Biopsy | $1,770$660$5.7k | — | — |
| PSA Prostate Cancer Screening | $39$9$473 | $556 | $556 |
| Pulmonary Function Test with Bronchodilator | $791$102$2.2k | $2,636 | $2,636 |
| Rotator Cuff Repair (Arthroscopic) | $4,081$2.3k$14k | — | — |
| Screening Mammogram | $277$72$1.0k | $1,115 | $1,115 |
| Septoplasty (Deviated Septum Repair) | $3,738$1.0k$12k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $4,081$2.2k$14k | — | — |
| Skin Biopsy (Tangential) | $188$126$4.1k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,566$525$5.7k | — | — |
| Sleep Study (In-lab Polysomnography) | $3,604$383$13k | $11,959 | $11,959 |
| Spinal Cord Stimulator Trial | $4,907$267$48k | — | — |
| Spirometry (Breathing Test) | $470$51$1.3k | $1,566 | $1,566 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $2,921$1.0k$11k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $2,693$1.9k$8.6k | — | — |
| Total Hip Replacement | $9,785$2.0k$44k | — | — |
| Total Knee Replacement | $9,416$2.0k$44k | — | — |
| Total Mastectomy | $3,994$1.2k$37k | — | — |
| TSH Thyroid Function Test | $41$9$765 | $524 | $524 |
| TURP (Transurethral Prostate Resection) | $4,447$1.7k$14k | — | — |
| Umbilical Hernia Repair | $4,658$3.7k$6.9k | — | — |
| Upper GI Endoscopy (EGD) | $1,378$294$3.5k | — | — |
| Urinalysis with Microscopy | $7$2$352 | $414 | $414 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $1,587$1.4k$7.4k | — | — |
| Vaginal Delivery (Global Package) | $3,738$2.0k$7.4k | — | — |
| Vaginal Hysterectomy | $1,941$1.6k$13k | — | — |
| Vasectomy | $1,883$660$6.0k | — | — |
| Vitamin D Blood Test | $72$15$716 | $571 | $571 |