| Abdominal Hysterectomy | $6,362$365$12k | — | — |
| ACL Reconstruction (Arthroscopic) | $6,716$365$15k | — | — |
| Allergy Skin Testing | $5,226$2.3k$6.2k | — | — |
| Basic Metabolic Panel | $11$8$1.4k | $1,630 | $1,630 |
| Bone Marrow Biopsy | $1,440$96$3.1k | — | — |
| Breast Biopsy (Ultrasound-guided) | $1,742$365$7.5k | — | — |
| Bunion Correction Surgery | $3,451$365$10.0k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $25,641$3.1k$95k | $111,281 | $111,281 |
| Cardiac Catheterization (Left Heart) | $11,480$2.8k$39k | $45,738 | $45,738 |
| Cardiac Stress Test (Treadmill) | $417$180$495 | — | — |
| Carpal Tunnel Release Surgery | $2,158$365$6.5k | — | — |
| Cataract Surgery with Lens Implant | $2,550$365$14k | — | — |
| Cervical Spinal Fusion (Anterior) | $8,830$365$47k | — | — |
| Cesarean Delivery (Global Package) | $1,532$365$26k | — | — |
| Chemotherapy Infusion (First Hour) | $520$92$1.6k | $1,840 | $1,840 |
| Chest X-ray (2 Views) | $183$34$1.1k | $1,255 | $1,255 |
| Colonoscopy with Biopsy | $1,322$365$4.0k | — | — |
| Complete Abdominal Ultrasound | $449$105$2.9k | $3,452 | $3,452 |
| Complete Blood Count (CBC) with Differential | $8$7$43 | — | — |
| Comprehensive Metabolic Panel | $24$9$2.4k | $2,732 | $2,732 |
| Coronary Angioplasty with Stent | $9,113$1.9k$46k | $18,239 | $18,239 |
| Critical Care, First Hour | $3,350$618$9.6k | $5,340 | $5,340 |
| CT Abdomen and Pelvis with Contrast | $856$312$13k | $14,859 | $14,859 |
| CT Cardiac Calcium Scoring | $146$38$1.1k | $767 | $767 |
| CT Chest without Contrast | $398$105$5.7k | $6,686 | $6,686 |
| CT Head without Contrast | $398$105$5.4k | $6,391 | $6,391 |
| DEXA Bone Density Scan | $130$34$579 | $682 | $682 |
| Diagnostic Colonoscopy | $1,028$329$4.0k | — | — |
| Diagnostic Mammogram (Both Breasts) | $195$47$907 | $1,026 | $1,026 |
| Ear Tube Placement (Tympanostomy) | $1,637$365$7.5k | — | — |
| Echocardiogram (Complete with Doppler) | $2,845$336$8.3k | $9,694 | $9,694 |
| EKG (Electrocardiogram, 12-lead) | $45$13$54 | — | — |
| Emergency Room Visit (Level 3) | $1,320$51$3.1k | $2,569 | $2,569 |
| Group Therapy Session | $96$16$276 | $325 | $325 |
| Hemodialysis Treatment | $2,349$74$6.2k | $7,341 | $7,341 |
| Hemoglobin A1c (Diabetes Test) | $22$8$431 | $494 | $494 |
| HIV Antibody Test | $9$7$153 | $180 | $180 |
| Holter Monitor (24-48 Hour Heart Monitor) | $520$57$618 | — | — |
| Home Sleep Study | $516$204$2.7k | — | — |
| Inguinal Hernia Repair (Open) | $3,777$365$10.0k | — | — |
| Initial Hospital Admission (Level 1) | $593$256$704 | — | — |
| IUD Insertion | $1,051$37$3.0k | — | — |
| IUD Removal | $365$51$3.1k | — | — |
| Knee Arthroscopy with Meniscectomy | $3,509$365$13k | — | — |
| Laparoscopic Appendectomy | $6,680$365$13k | — | — |
| Laparoscopic Gallbladder Removal | $6,377$365$13k | — | — |
| Laparoscopic Tubal Ligation | $5,820$365$13k | — | — |
| Lipid Panel (Cholesterol Test) | $22$8$1.3k | $954 | $954 |
| Lumbar Epidural Steroid Injection | $780$263$3.1k | — | — |
| Lumbar Puncture (Spinal Tap) | $975$263$3.1k | $3,263 | $3,263 |
| Lumbar Spinal Fusion (Posterior) | $8,902$365$47k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,695$365$7.8k | — | — |
| MRI Abdomen with and without Contrast | $986$349$12k | $13,856 | $13,856 |
| MRI Brain with and without Contrast | $986$328$11k | $12,741 | $12,741 |
| MRI Brain with Contrast | $986$279$9.4k | $11,041 | $11,041 |
| MRI Brain without Contrast | $788$137$7.9k | $6,043 | $6,043 |
| MRI Cervical Spine (Neck) without Contrast | $1,092$196$7.2k | $7,124 | $7,124 |
| MRI Knee without Contrast | $1,225$209$5.6k | $6,646 | $6,646 |
| MRI Lower Back (Lumbar Spine) without Contrast | $1,092$197$9.1k | $8,231 | $8,231 |
| MRI Thoracic Spine (Mid-back) without Contrast | $1,092$196$9.1k | $8,231 | $8,231 |
| Newborn Circumcision | $2,205$365$6.5k | — | — |
| Nuclear Cardiac Stress Test | $2,508$438$11k | $12,684 | $12,684 |
| Office Visit, Established Patient (Level 3) | $81$5$520 | $359 | $359 |
| Office Visit, New Patient (Level 3) | $89$5$727 | $482 | $482 |
| Pacemaker Insertion (Dual Chamber) | $8,144$365$44k | $15,826 | $15,826 |
| PET/CT Scan, Whole Body | $2,415$636$14k | $12,713 | $12,713 |
| Pregnancy Ultrasound (Second or Third Trimester) | $407$105$2.7k | $3,136 | $3,136 |
| Prostate Biopsy | $721$653$4.0k | — | — |
| PSA Prostate Cancer Screening | $19$15$604 | $710 | $710 |
| Pulmonary Function Test with Bronchodilator | $636$117$2.0k | $2,357 | $2,357 |
| Rotator Cuff Repair (Arthroscopic) | $5,820$365$15k | — | — |
| Screening Mammogram | $188$50$873 | $1,009 | $1,009 |
| Septoplasty (Deviated Septum Repair) | $3,497$365$7.7k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $5,240$365$14k | — | — |
| Skin Biopsy (Tangential) | $222$64$2.2k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,440$74$3.1k | — | — |
| Sleep Study (In-lab Polysomnography) | $1,762$275$4.7k | $5,507 | $5,507 |
| Spinal Cord Stimulator Trial | $5,820$365$53k | — | — |
| Spirometry (Breathing Test) | $346$54$945 | $1,081 | $1,081 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,497$365$8.2k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $3,695$365$12k | — | — |
| Total Hip Replacement | $16,121$365$47k | — | — |
| Total Knee Replacement | $16,121$365$47k | — | — |
| Total Mastectomy | $5,240$365$13k | — | — |
| TSH Thyroid Function Test | $18$14$604 | $710 | $710 |
| TURP (Transurethral Prostate Resection) | $5,656$365$11k | — | — |
| Umbilical Hernia Repair | $5,471$2.6k$7.7k | — | — |
| Upper GI Endoscopy (EGD) | $1,002$335$3.9k | — | — |
| Urinalysis with Microscopy | $8$3$397 | $451 | $451 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $1,532$365$25k | — | — |
| Vaginal Delivery (Global Package) | $1,532$365$23k | — | — |
| Vaginal Hysterectomy | $5,240$365$12k | — | — |
| Vasectomy | $2,205$365$6.5k | — | — |
| Vitamin D Blood Test | $31$25$1.6k | $1,880 | $1,880 |