| Abdominal Hysterectomy | $13,531$1.5k$24k | — | — |
| ACL Reconstruction (Arthroscopic) | $4,485$2.4k$44k | — | — |
| Allergy Skin Testing | $3,463$36$4.9k | — | — |
| Basic Metabolic Panel | $11$5$1.5k | $1,533 | $1,533 |
| Bone Marrow Biopsy | $484$96$4.3k | — | — |
| Breast Biopsy (Ultrasound-guided) | $2,129$486$8.5k | — | — |
| Bunion Correction Surgery | $2,513$1.1k$11k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $24,665$5.6k$67k | $54,228 | $54,228 |
| Cardiac Catheterization (Left Heart) | $16,625$2.8k$54k | $49,188 | $49,188 |
| Cardiac Stress Test (Treadmill) | $353$171$498 | — | — |
| Carpal Tunnel Release Surgery | $2,369$660$7.8k | — | — |
| Cataract Surgery with Lens Implant | $3,178$850$17k | — | — |
| Cervical Spinal Fusion (Anterior) | $7,834$2.4k$64k | — | — |
| Cesarean Delivery (Global Package) | $5,460$2.1k$43k | — | — |
| Chemotherapy Infusion (First Hour) | $697$338$973 | — | — |
| Chest X-ray (2 Views) | $81$34$1.2k | $1,151 | $1,151 |
| Colonoscopy with Biopsy | $2,214$429$4.9k | — | — |
| Complete Abdominal Ultrasound | $238$105$2.9k | $2,700 | $2,700 |
| Complete Blood Count (CBC) with Differential | $8$5$86 | — | — |
| Comprehensive Metabolic Panel | $11$6$1.9k | $1,920 | $1,920 |
| Coronary Angioplasty with Stent | $29,597$4.2k$60k | $60,122 | $60,122 |
| Critical Care, First Hour | $5,564$800$12k | $11,817 | $11,817 |
| CT Abdomen and Pelvis with Contrast | $951$312$16k | $14,732 | $14,732 |
| CT Cardiac Calcium Scoring | $95$84$1.0k | — | — |
| CT Chest without Contrast | $156$105$5.6k | $5,641 | $5,641 |
| CT Head without Contrast | $156$105$5.9k | $5,881 | $5,881 |
| DEXA Bone Density Scan | $81$36$766 | $677 | $677 |
| Diagnostic Colonoscopy | $1,749$329$4.9k | — | — |
| Diagnostic Mammogram (Both Breasts) | $119$105$1.5k | $1,549 | $1,549 |
| Ear Tube Placement (Tympanostomy) | $2,218$421$9.3k | — | — |
| Echocardiogram (Complete with Doppler) | $1,920$320$9.0k | $9,014 | $9,014 |
| EKG (Electrocardiogram, 12-lead) | $41$11$118 | — | — |
| Emergency Room Visit (Level 3) | $1,057$51$2.9k | $2,858 | $2,858 |
| Group Therapy Session | $10 | — | — |
| Hemodialysis Treatment | $84$81$739 | — | — |
| Hemoglobin A1c (Diabetes Test) | $10$6$797 | $797 | $797 |
| HIV Antibody Test | $9$5$340 | $340 | $340 |
| Holter Monitor (24-48 Hour Heart Monitor) | $345$56$630 | — | — |
| Home Sleep Study | $342$111$3.1k | — | — |
| Individual Therapy Session (45 Minutes) | $24 | — | — |
| Inguinal Hernia Repair (Open) | $2,513$1.2k$12k | — | — |
| Initial Hospital Admission (Level 1) | $502$243$717 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $56 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $56 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $4,844$2.7k$5.3k | — | — |
| IUD Insertion | $1,715$40$4.3k | — | — |
| IUD Removal | $227$51$4.3k | — | — |
| Knee Arthroscopy with Meniscectomy | $2,839$1.1k$19k | — | — |
| Laparoscopic Appendectomy | $9,417$2.4k$19k | — | — |
| Laparoscopic Gallbladder Removal | $2,369$1.9k$19k | — | — |
| Laparoscopic Tubal Ligation | $3,607$1.9k$19k | — | — |
| Lipid Panel (Cholesterol Test) | $14$8$1.4k | $1,428 | $1,428 |
| Lumbar Epidural Steroid Injection | $993$263$4.3k | — | — |
| Lumbar Puncture (Spinal Tap) | $1,137$263$4.7k | $4,442 | $4,442 |
| Lumbar Spinal Fusion (Posterior) | $7,897$2.4k$106k | — | — |
| Lumpectomy (Partial Mastectomy) | $2,513$964$9.3k | — | — |
| MRI Abdomen with and without Contrast | $616$349$14k | $14,129 | $14,129 |
| MRI Brain with and without Contrast | $616$328$12k | $12,380 | $12,380 |
| MRI Brain with Contrast | $531$279$11k | $11,151 | $11,151 |
| MRI Brain without Contrast | $324$202$9.3k | $9,308 | $9,308 |
| MRI Cervical Spine (Neck) without Contrast | $324$196$10k | $10,023 | $10,023 |
| MRI Knee without Contrast | $907$209$17k | $8,364 | $8,364 |
| MRI Lower Back (Lumbar Spine) without Contrast | $324$197$9.8k | $9,795 | $9,795 |
| MRI Thoracic Spine (Mid-back) without Contrast | $324$196$9.8k | $9,763 | $9,763 |
| Newborn Circumcision | $2,227$653$7.8k | — | — |
| Nuclear Cardiac Stress Test | $1,001$438$20k | $19,832 | $19,832 |
| Office Visit, Established Patient (Level 3) | $253$143$278 | — | — |
| Office Visit, New Patient (Level 3) | $377$213$415 | — | — |
| Pacemaker Insertion (Dual Chamber) | $10,570$2.4k$86k | $58,374 | $58,374 |
| PET/CT Scan, Whole Body | $1,668$1.5k$5.9k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $203$56$2.9k | $1,840 | $1,840 |
| Prostate Biopsy | $731$653$5.0k | — | — |
| PSA Prostate Cancer Screening | $19$11$1.2k | $1,207 | $1,207 |
| Pulmonary Function Test with Bronchodilator | $230$111$326 | — | — |
| Rotator Cuff Repair (Arthroscopic) | $3,922$2.4k$19k | — | — |
| Screening Mammogram | $98$55$789 | $789 | $789 |
| Septoplasty (Deviated Septum Repair) | $2,513$887$12k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $2,513$1.6k$15k | — | — |
| Skin Biopsy (Tangential) | $266$64$6.6k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $384$74$4.3k | — | — |
| Sleep Study (In-lab Polysomnography) | $1,954$1.2k$3.4k | — | — |
| Spinal Cord Stimulator Trial | $4,360$2.5k$78k | — | — |
| Spirometry (Breathing Test) | $527$188$740 | — | — |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,548$887$13k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $3,666$2.0k$14k | — | — |
| Total Hip Replacement | $20,559$2.5k$70k | — | — |
| Total Knee Replacement | $20,559$2.5k$70k | — | — |
| Total Mastectomy | $2,513$1.8k$15k | — | — |
| TSH Thyroid Function Test | $18$10$713 | $713 | $713 |
| TURP (Transurethral Prostate Resection) | $2,513$1.7k$14k | — | — |
| Umbilical Hernia Repair | $6,383$5.5k$11k | — | — |
| Upper GI Endoscopy (EGD) | $1,800$335$4.7k | — | — |
| Urinalysis with Microscopy | $3$2$645 | $645 | $645 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $5,460$2.1k$41k | — | — |
| Vaginal Delivery (Global Package) | $5,460$2.1k$39k | — | — |
| Vaginal Hysterectomy | $2,441$1.5k$12k | — | — |
| Vasectomy | $2,491$653$7.8k | — | — |
| Vitamin D Blood Test | $38$18$1.6k | $1,188 | $1,188 |