| ACL Reconstruction (Arthroscopic) | $7,685$5.8k$19k | — | — |
| Allergy Skin Testing | — | $47 | $62 |
| Basic Metabolic Panel | $25$8$41 | $83 | $111 |
| Bone Marrow Biopsy | $1,743$1.3k$4.2k | $2,498 | $3,330 |
| Breast Biopsy (Ultrasound-guided) | $1,743$1.3k$4.2k | $2,202 | $2,936 |
| Bunion Correction Surgery | $3,491$2.6k$8.5k | — | — |
| Cardiac Ablation for Atrial Fibrillation | — | $22,800 | $30,400 |
| Cardiac Catheterization (Left Heart) | $3,460$2.6k$8.4k | $7,725 | $10,300 |
| Cardiac Stress Test (Treadmill) | — | $236 | $314 |
| Carpal Tunnel Release Surgery | $2,101$1.6k$5.1k | $1,370 | $1,827 |
| Cataract Surgery with Lens Implant | $2,454$1.9k$6.0k | $2,753 | $3,671 |
| Cervical Spinal Fusion (Anterior) | $13,842$10k$34k | — | — |
| Chemotherapy Infusion (First Hour) | — | $859 | $1,145 |
| Chest X-ray (2 Views) | $120$90$290 | $285 | $380 |
| Colonoscopy with Biopsy | $1,268$957$3.1k | $2,466 | $3,288 |
| Complete Abdominal Ultrasound | $144$109$350 | $638 | $850 |
| Complete Blood Count (CBC) with Differential | $23$8$38 | $64 | $85 |
| Comprehensive Metabolic Panel | $31$10$51 | $90 | $120 |
| Coronary Angioplasty with Stent | — | $18,000 | $24,000 |
| Critical Care, First Hour | $1,875$1.4k$4.5k | $5,141 | $6,854 |
| CT Abdomen and Pelvis with Contrast | $486$367$1.2k | $2,693 | $3,590 |
| CT Cardiac Calcium Scoring | $144$109$349 | $293 | $390 |
| CT Chest without Contrast | $163$123$395 | $1,553 | $2,070 |
| CT Head without Contrast | $144$109$350 | $1,380 | $1,840 |
| DEXA Bone Density Scan | $144$109$350 | $320 | $427 |
| Diagnostic Colonoscopy | $981$740$2.4k | $1,482 | $1,976 |
| Diagnostic Mammogram (Both Breasts) | $144$109$350 | $541 | $721 |
| Ear Tube Placement (Tympanostomy) | $1,594$1.2k$3.9k | — | — |
| Echocardiogram (Complete with Doppler) | — | $1,425 | $1,900 |
| Emergency Room Visit (Level 3) | $615$465$1.5k | $1,388 | $1,850 |
| Hemodialysis Treatment | — | $240 | $320 |
| Hemoglobin A1c (Diabetes Test) | $29$10$48 | $68 | $90 |
| HIV Antibody Test | $26$9$43 | $59 | $79 |
| Holter Monitor (24-48 Hour Heart Monitor) | — | $296 | $395 |
| Inguinal Hernia Repair (Open) | $3,797$2.9k$9.2k | — | — |
| Initial Psychiatric Diagnostic Evaluation | — | $408 | $544 |
| Initial Psychiatric Evaluation with Medication Management | — | $408 | $544 |
| IUD Insertion | — | $225 | $300 |
| IUD Removal | $327$247$794 | $318 | $424 |
| Knee Arthroscopy with Meniscectomy | $3,491$2.6k$8.5k | — | — |
| Laparoscopic Appendectomy | $6,277$4.7k$15k | $9,311 | $12,414 |
| Laparoscopic Gallbladder Removal | $6,277$4.7k$15k | $3,832 | $5,109 |
| Laparoscopic Tubal Ligation | $6,277$4.7k$15k | $3,832 | $5,109 |
| Lipid Panel (Cholesterol Test) | $40$14$66 | $121 | $161 |
| Lumbar Epidural Steroid Injection | $745$562$1.8k | $1,024 | $1,365 |
| Lumbar Puncture (Spinal Tap) | $745$562$1.8k | $1,928 | $2,571 |
| Lumbar Spinal Fusion (Posterior) | $19,784$15k$48k | — | — |
| Lumpectomy (Partial Mastectomy) | $4,119$3.1k$10.0k | — | — |
| MRI Abdomen with and without Contrast | $486$367$1.2k | $2,873 | $3,830 |
| MRI Brain with and without Contrast | $486$367$1.2k | $2,273 | $3,030 |
| MRI Brain with Contrast | $486$367$1.2k | $1,965 | $2,620 |
| MRI Brain without Contrast | $330$249$800 | $1,673 | $2,230 |
| MRI Cervical Spine (Neck) without Contrast | $330$249$800 | $1,635 | $2,180 |
| MRI Knee without Contrast | $330$249$800 | $1,748 | $2,330 |
| MRI Lower Back (Lumbar Spine) without Contrast | $330$249$800 | $1,748 | $2,330 |
| MRI Thoracic Spine (Mid-back) without Contrast | $330$249$800 | $1,965 | $2,620 |
| Newborn Circumcision | $2,204$1.7k$5.3k | $4,727 | $6,302 |
| Nuclear Cardiac Stress Test | $1,779$1.3k$4.3k | $3,311 | $4,415 |
| Office Visit, Established Patient (Level 3) | — | $163 | $217 |
| Pacemaker Insertion (Dual Chamber) | $11,258$8.5k$27k | $8,202 | $10,936 |
| PET/CT Scan, Whole Body | $1,989$1.5k$4.8k | $3,890 | $5,187 |
| Pregnancy Ultrasound (Second or Third Trimester) | $144$109$350 | $528 | $704 |
| PSA Prostate Cancer Screening | $54$18$89 | $86 | $114 |
| Pulmonary Function Test with Bronchodilator | — | $830 | $1,107 |
| Rotator Cuff Repair (Arthroscopic) | $7,685$5.8k$19k | $5,430 | $7,240 |
| Screening Mammogram | $120$90$290 | $317 | $423 |
| Septoplasty (Deviated Septum Repair) | $3,489$2.6k$8.5k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,447$5.6k$18k | — | — |
| Skin Biopsy (Tangential) | $214$162$519 | $314 | $419 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,743$1.3k$4.2k | — | — |
| Sleep Study (In-lab Polysomnography) | — | $2,750 | $3,666 |
| Spinal Cord Stimulator Trial | $7,060$5.3k$17k | $6,821 | $9,095 |
| Spirometry (Breathing Test) | — | $290 | $387 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,489$2.6k$8.5k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,364$4.8k$15k | — | — |
| Total Hip Replacement | $13,842$10k$34k | $8,739 | $11,652 |
| Total Knee Replacement | $13,842$10k$34k | $8,739 | $11,652 |
| Total Mastectomy | $7,016$5.3k$17k | $4,450 | $5,933 |
| TSH Thyroid Function Test | $50$17$83 | $112 | $149 |
| TURP (Transurethral Prostate Resection) | $5,469$4.1k$13k | $3,875 | $5,167 |
| Upper GI Endoscopy (EGD) | $1,008$761$2.4k | $1,984 | $2,645 |
| Urinalysis with Microscopy | $9$3$15 | $34 | $45 |
| Vaginal Delivery (Global Package) | — | $6,060 | $8,080 |
| Vaginal Hysterectomy | $5,311$4.0k$13k | $3,303 | $4,404 |
| Vasectomy | $2,204$1.7k$5.3k | — | — |
| Vitamin D Blood Test | $87$29$144 | $231 | $308 |