| Abdominal Hysterectomy | $4,740$948$16k | — | — |
| ACL Reconstruction (Arthroscopic) | $5,284$2.4k$27k | — | — |
| Allergy Skin Testing | $2,345$49$2.9k | — | — |
| Basic Metabolic Panel | $10$8$741 | $1,390 | $1,390 |
| Bone Marrow Biopsy | $1,667$103$4.7k | — | — |
| Breast Biopsy (Ultrasound-guided) | $2,264$522$13k | — | — |
| Bunion Correction Surgery | $3,201$1.2k$13k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $18,390$5.6k$56k | $105,690 | $105,690 |
| Cardiac Catheterization (Left Heart) | $8,842$2.8k$17k | $29,899 | $29,899 |
| Cardiac Stress Test (Treadmill) | $234$170$679 | — | — |
| Carpal Tunnel Release Surgery | $2,534$708$5.6k | — | — |
| Cataract Surgery with Lens Implant | $3,444$912$5.6k | — | — |
| Cervical Spinal Fusion (Anterior) | $7,694$2.4k$46k | — | — |
| Cesarean Delivery (Global Package) | $4,690$948$28k | — | — |
| Chemotherapy Infusion (First Hour) | $462$335$1.3k | — | — |
| Chest X-ray (2 Views) | $182$34$909 | $1,706 | $1,706 |
| Colonoscopy with Biopsy | $2,114$461$4.7k | — | — |
| Complete Abdominal Ultrasound | $426$105$3.7k | $6,954 | $6,954 |
| Complete Blood Count (CBC) with Differential | $8$7$104 | — | — |
| Comprehensive Metabolic Panel | $11$9$857 | $1,608 | $1,608 |
| Coronary Angioplasty with Stent | $13,194$5.6k$44k | $55,670 | $55,670 |
| Critical Care, First Hour | $3,077$816$8.0k | $6,838 | $6,838 |
| CT Abdomen and Pelvis with Contrast | $1,114$312$12k | $21,667 | $21,667 |
| CT Cardiac Calcium Scoring | $108$9$2.1k | $272 | $272 |
| CT Chest without Contrast | $526$105$4.7k | $8,768 | $8,768 |
| CT Head without Contrast | $478$105$4.2k | $7,634 | $7,634 |
| DEXA Bone Density Scan | $163$38$1.2k | $2,165 | $2,165 |
| Diagnostic Colonoscopy | $2,092$352$4.7k | — | — |
| Diagnostic Mammogram (Both Breasts) | $196$108$2.1k | $3,269 | $3,269 |
| Ear Tube Placement (Tympanostomy) | $2,597$451$13k | — | — |
| Echocardiogram (Complete with Doppler) | $2,109$317$5.2k | $9,763 | $9,763 |
| EKG (Electrocardiogram, 12-lead) | $48$12$161 | — | — |
| Emergency Room Visit (Level 3) | $1,191$51$4.0k | $2,741 | $2,741 |
| Group Therapy Session | $13 | — | — |
| Hemodialysis Treatment | $683$84$2.3k | $2,881 | $2,881 |
| Hemoglobin A1c (Diabetes Test) | $10$8$662 | $1,242 | $1,242 |
| HIV Antibody Test | $9$7$119 | — | — |
| Holter Monitor (24-48 Hour Heart Monitor) | $292$58$858 | — | — |
| Home Sleep Study | $295$209$3.4k | — | — |
| Individual Therapy Session (45 Minutes) | $33 | — | — |
| Inguinal Hernia Repair (Open) | $3,443$1.2k$8.5k | — | — |
| Initial Hospital Admission (Level 1) | $333$241$976 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $76 | — | — |
| Initial Psychiatric Evaluation with Medication Management | $76 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $3,092$1.9k$6.2k | — | — |
| IUD Insertion | $1,899$41$5.8k | — | — |
| IUD Removal | $1,430$55$5.8k | — | — |
| Knee Arthroscopy with Meniscectomy | $4,981$1.2k$14k | — | — |
| Laparoscopic Appendectomy | $6,300$2.4k$13k | — | — |
| Laparoscopic Gallbladder Removal | $5,284$2.0k$14k | — | — |
| Laparoscopic Tubal Ligation | $5,284$2.0k$13k | — | — |
| Lipid Panel (Cholesterol Test) | $14$8$801 | $1,502 | $1,502 |
| Lumbar Epidural Steroid Injection | $1,706$282$5.8k | — | — |
| Lumbar Puncture (Spinal Tap) | $1,660$282$4.7k | $4,609 | $4,609 |
| Lumbar Spinal Fusion (Posterior) | $7,756$2.4k$69k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,108$1.0k$13k | — | — |
| MRI Abdomen with and without Contrast | $1,370$349$9.7k | $18,153 | $18,153 |
| MRI Brain with and without Contrast | $1,370$328$9.7k | $18,153 | $18,153 |
| MRI Brain with Contrast | $1,370$279$7.0k | $13,107 | $13,107 |
| MRI Brain without Contrast | $965$202$7.0k | $13,111 | $13,111 |
| MRI Cervical Spine (Neck) without Contrast | $965$196$7.0k | $13,107 | $13,107 |
| MRI Knee without Contrast | $993$209$8.3k | $15,567 | $15,567 |
| MRI Lower Back (Lumbar Spine) without Contrast | $965$197$7.0k | $13,111 | $13,111 |
| MRI Thoracic Spine (Mid-back) without Contrast | $965$196$7.0k | $13,107 | $13,107 |
| Newborn Circumcision | $2,346$700$5.6k | — | — |
| Nuclear Cardiac Stress Test | $2,938$438$10k | $19,262 | $19,262 |
| Office Visit, Established Patient (Level 3) | $168$121$201 | — | — |
| Office Visit, New Patient (Level 3) | $250$181$289 | — | — |
| Pacemaker Insertion (Dual Chamber) | $7,225$2.4k$46k | $85,514 | $85,514 |
| PET/CT Scan, Whole Body | $3,412$1.5k$24k | — | — |
| Pregnancy Ultrasound (Second or Third Trimester) | $377$105$3.3k | $6,281 | $6,281 |
| Prostate Biopsy | $2,434$700$4.8k | — | — |
| PSA Prostate Cancer Screening | $19$15$429 | $806 | $806 |
| Pulmonary Function Test with Bronchodilator | $504$110$1.2k | $2,333 | $2,333 |
| Rotator Cuff Repair (Arthroscopic) | $5,284$2.4k$16k | — | — |
| Screening Mammogram | $131$89$1.8k | $1,606 | $1,606 |
| Septoplasty (Deviated Septum Repair) | $3,206$951$8.2k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $3,768$1.7k$15k | — | — |
| Skin Biopsy (Tangential) | $1,430$69$5.8k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,656$80$4.7k | — | — |
| Sleep Study (In-lab Polysomnography) | $3,051$1.2k$4.7k | — | — |
| Spinal Cord Stimulator Trial | $4,058$948$84k | — | — |
| Spirometry (Breathing Test) | $449$114$1.0k | $1,901 | $1,901 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,444$948$13k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $3,108$948$13k | — | — |
| Total Hip Replacement | $14,000$948$60k | — | — |
| Total Knee Replacement | $14,000$948$60k | — | — |
| Total Mastectomy | $3,443$2.0k$14k | — | — |
| TSH Thyroid Function Test | $18$14$1.1k | $2,005 | $2,005 |
| TURP (Transurethral Prostate Resection) | $3,443$1.8k$12k | — | — |
| Umbilical Hernia Repair | $4,988$4.3k$7.0k | — | — |
| Upper GI Endoscopy (EGD) | $1,958$359$4.7k | — | — |
| Urinalysis with Microscopy | $3$3$277 | $519 | $519 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $4,690$948$27k | — | — |
| Vaginal Delivery (Global Package) | $4,690$948$26k | — | — |
| Vaginal Hysterectomy | $3,768$1.6k$15k | — | — |
| Vasectomy | $2,534$700$5.6k | — | — |
| Vitamin D Blood Test | $31$25$395 | $699 | $699 |