| Abdominal Hysterectomy | $14$14$14 | $14,590 | $72,951 |
| ACL Reconstruction (Arthroscopic) | $106$104$106 | $28,878 | $144,389 |
| Allergy Skin Testing | $1,395$1.2k$1.9k | $476 | $2,381 |
| Basic Metabolic Panel | $49$42$74 | $16 | $78 |
| Bone Marrow Biopsy | $155$152$5.5k | $3,465 | $17,324 |
| Breast Biopsy (Ultrasound-guided) | $5,460 | $1,737 | $8,683 |
| Bunion Correction Surgery | $9$9$9 | $9,677 | $48,383 |
| Cardiac Ablation for Atrial Fibrillation | $60,206$50k$74k | $18,525 | $92,624 |
| Cardiac Catheterization (Left Heart) | $18,106$15k$22k | $5,571 | $27,856 |
| Carpal Tunnel Release Surgery | $5,460 | $3,846 | $19,230 |
| Cataract Surgery with Lens Implant | $156$153$5.5k | $3,905 | $19,523 |
| Cervical Spinal Fusion (Anterior) | $10$10$10 | $21,186 | $105,929 |
| Chemotherapy Infusion (First Hour) | $1,398$916$1.9k | $467 | $2,333 |
| Chest X-ray (2 Views) | $545$315$744 | $186 | $930 |
| Colonoscopy with Biopsy | $17$17$3.9k | $3,534 | $17,670 |
| Complete Abdominal Ultrasound | $1,259$315$1.7k | $430 | $2,148 |
| Complete Blood Count (CBC) with Differential | $43$37$74 | $14 | $69 |
| Comprehensive Metabolic Panel | $70$59$96 | $23 | $114 |
| Coronary Angioplasty with Stent | $30,594$27k$39k | $9,869 | $49,345 |
| Critical Care, First Hour | $4,990$3.8k$6.8k | $1,703 | $8,516 |
| CT Abdomen and Pelvis with Contrast | $8,841$998$13k | $3,057 | $15,287 |
| CT Cardiac Calcium Scoring | $364$300$2.7k | $112 | $560 |
| CT Chest without Contrast | $3,120$998$4.5k | $1,065 | $5,325 |
| CT Head without Contrast | $3,221$998$4.7k | $1,134 | $5,669 |
| DEXA Bone Density Scan | $755$315$1.2k | $258 | $1,289 |
| Diagnostic Colonoscopy | $3,877 | $2,317 | $11,583 |
| Diagnostic Mammogram (Both Breasts) | $370$315$504 | $123 | $614 |
| Echocardiogram (Complete with Doppler) | $2,700$551$3.7k | $918 | $4,592 |
| EKG (Electrocardiogram, 12-lead) | $24$16$63 | $47 | $63 |
| Emergency Room Visit (Level 3) | $1,417$1.1k$1.9k | $484 | $2,418 |
| Group Therapy Session | $176$151$241 | $60 | $301 |
| Hemoglobin A1c (Diabetes Test) | $48$16$74 | $12 | $60 |
| HIV Antibody Test | $31$26$74 | $10 | $49 |
| Individual Therapy Session (45 Minutes) | $162$139$222 | $55 | $277 |
| Inguinal Hernia Repair (Open) | $4,605$4.0k$6.0k | $7,926 | $39,631 |
| Initial Hospital Admission (Level 1) | $126$80$381 | $286 | $381 |
| Initial Psychiatric Diagnostic Evaluation | $318$271$434 | $108 | $542 |
| Initial Psychiatric Evaluation with Medication Management | $394$336$538 | $134 | $672 |
| IUD Insertion | $10$10$7.0k | $5,632 | $28,160 |
| IUD Removal | $9$9$9 | $9,733 | $48,664 |
| Knee Arthroscopy with Meniscectomy | — | $19,285 | $96,427 |
| Laparoscopic Appendectomy | — | $11,330 | $56,650 |
| Laparoscopic Gallbladder Removal | $11$11$11 | $11,850 | $59,252 |
| Laparoscopic Tubal Ligation | $10$10$10 | $9,859 | $49,294 |
| Lipid Panel (Cholesterol Test) | $26$12$103 | $8 | $41 |
| Lumbar Epidural Steroid Injection | $2,461$2.0k$3.9k | $3,775 | $18,875 |
| Lumbar Puncture (Spinal Tap) | $9$9$3.9k | $4,300 | $21,501 |
| Lumbar Spinal Fusion (Posterior) | $106$104$106 | $20,184 | $100,919 |
| Lumpectomy (Partial Mastectomy) | $11$11$11 | $11,920 | $59,599 |
| MRI Abdomen with and without Contrast | $5,047$998$6.9k | $1,722 | $8,612 |
| MRI Brain with and without Contrast | $4,847$998$6.6k | $1,654 | $8,271 |
| MRI Brain with Contrast | $3,817$998$5.5k | $1,334 | $6,669 |
| MRI Brain without Contrast | $2,851$998$5.2k | $996 | $4,982 |
| MRI Cervical Spine (Neck) without Contrast | $4,407$998$6.0k | $1,504 | $7,520 |
| MRI Knee without Contrast | $2,696$998$5.2k | $939 | $4,695 |
| MRI Lower Back (Lumbar Spine) without Contrast | $4,030$998$5.5k | $1,375 | $6,877 |
| MRI Thoracic Spine (Mid-back) without Contrast | $4,660$998$6.4k | $1,591 | $7,953 |
| Newborn Circumcision | $5,460 | $3,166 | $15,828 |
| Nuclear Cardiac Stress Test | $5,455$2.3k$7.4k | $1,862 | $9,309 |
| Office Visit, Established Patient (Level 3) | $290$124$396 | $99 | $495 |
| Office Visit, New Patient (Level 3) | $440$188$600 | $150 | $750 |
| Pacemaker Insertion (Dual Chamber) | $10$10$10 | $13,180 | $65,898 |
| PET/CT Scan, Whole Body | $7,407$315$11k | $2,589 | $12,946 |
| Pregnancy Ultrasound (Second or Third Trimester) | $728$315$994 | $248 | $1,242 |
| Prostate Biopsy | $4$3$5.5k | $7,946 | $39,731 |
| PSA Prostate Cancer Screening | $31$10$113 | $10 | $48 |
| Pulmonary Function Test with Bronchodilator | $689$294$941 | $235 | $1,176 |
| Rotator Cuff Repair (Arthroscopic) | — | $15,893 | $79,467 |
| Screening Mammogram | $265$126$399 | $89 | $443 |
| Septoplasty (Deviated Septum Repair) | — | $8,040 | $40,199 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $9$9$9 | $8,302 | $41,508 |
| Skin Biopsy (Tangential) | — | $1,738 | $8,689 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $5,460 | $4,160 | $20,800 |
| Sleep Study (In-lab Polysomnography) | $4,693$683$6.4k | $1,602 | $8,008 |
| Spinal Cord Stimulator Trial | $16,154$14k$21k | $13,202 | $66,012 |
| Spirometry (Breathing Test) | $358$152$485 | $121 | $606 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | — | $4,189 | $20,943 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | — | $4,173 | $20,863 |
| Total Hip Replacement | $109$107$109 | $21,612 | $108,059 |
| Total Knee Replacement | $109$107$109 | $22,239 | $111,193 |
| Total Mastectomy | $106$104$106 | $24,186 | $120,929 |
| TSH Thyroid Function Test | $74$31$117 | $20 | $101 |
| TURP (Transurethral Prostate Resection) | $9$9$9 | $9,248 | $46,242 |
| Umbilical Hernia Repair | $11$11$11 | $15,246 | $76,230 |
| Upper GI Endoscopy (EGD) | $3,877 | $1,635 | $8,174 |
| Urinalysis with Microscopy | $38$33$74 | $12 | $61 |
| Vaginal Hysterectomy | $10$10$10 | $16,106 | $80,532 |
| Vasectomy | $5,460 | $3,355 | $16,773 |
| Vitamin D Blood Test | $91$74$125 | $31 | $154 |