| Abdominal Hysterectomy | $3,544$1.9k$8.5k | — | — |
| ACL Reconstruction (Arthroscopic) | $6,978$1.9k$12k | — | — |
| Allergy Skin Testing | $814$4$1.4k | — | — |
| Basic Metabolic Panel | $9$3$29 | $116 | $193 |
| Bone Marrow Biopsy | $1,573$950$2.8k | $651 | $1,085 |
| Breast Biopsy (Ultrasound-guided) | $1,588$950$2.8k | $3,374 | $5,623 |
| Bunion Correction Surgery | $3,147$1.3k$5.6k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $23,250$1.3k$44k | $29,534 | $49,224 |
| Cardiac Catheterization (Left Heart) | $3,088$803$5.6k | $18,445 | $30,741 |
| Cardiac Stress Test (Treadmill) | $172$144$247 | — | — |
| Carpal Tunnel Release Surgery | $1,878$1.1k$3.3k | — | — |
| Cataract Surgery with Lens Implant | $2,219$1.1k$3.9k | — | — |
| Cervical Spinal Fusion (Anterior) | $12,111$2.1k$22k | — | — |
| Chemotherapy Infusion (First Hour) | $316$190$557 | $1,007 | $1,678 |
| Chest X-ray (2 Views) | $81$21$147 | $319 | $532 |
| Colonoscopy with Biopsy | $1,151$950$2.3k | — | — |
| Complete Abdominal Ultrasound | $100$80$283 | $1,178 | $1,964 |
| Complete Blood Count (CBC) with Differential | $8$3$33 | $90 | $149 |
| Comprehensive Metabolic Panel | $11$4$36 | $125 | $208 |
| Coronary Angioplasty with Stent | $10,890$702$19k | $22,839 | $38,065 |
| Critical Care, First Hour | $783$524$1.4k | $3,325 | $5,542 |
| CT Abdomen and Pelvis with Contrast | $334$277$653 | $5,214 | $8,690 |
| CT Cardiac Calcium Scoring | $83$64$217 | $1,134 | $1,890 |
| CT Chest without Contrast | $163$92$393 | $2,497 | $4,162 |
| CT Head without Contrast | $155$92$228 | $2,198 | $3,664 |
| DEXA Bone Density Scan | $101$70$176 | $816 | $1,360 |
| Diagnostic Colonoscopy | $894$710$2.3k | $850 | $1,417 |
| Diagnostic Mammogram (Both Breasts) | $116$96$339 | $734 | $1,223 |
| Ear Tube Placement (Tympanostomy) | $1,492$950$2.6k | — | — |
| Echocardiogram (Complete with Doppler) | $516$213$922 | $3,104 | $5,174 |
| EKG (Electrocardiogram, 12-lead) | $39$34$54 | — | — |
| Emergency Room Visit (Level 3) | $259$107$461 | $1,094 | $1,824 |
| Group Therapy Session | $96$33$171 | $180 | $300 |
| Hemodialysis Treatment | $231$230$232 | — | — |
| Hemoglobin A1c (Diabetes Test) | $10$3$41 | $32 | $54 |
| HIV Antibody Test | $9$3$38 | $29 | $48 |
| Holter Monitor (24-48 Hour Heart Monitor) | $226$215$293 | — | — |
| Home Sleep Study | $216$190$364 | $542 | $904 |
| Individual Therapy Session (45 Minutes) | — | $583 | $971 |
| Inguinal Hernia Repair (Open) | $3,443$1.3k$6.0k | — | — |
| Initial Hospital Admission (Level 1) | $84$83$84 | — | — |
| Initial Psychiatric Diagnostic Evaluation | — | $617 | $1,029 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $570$418$1.1k | $3,997 | $6,662 |
| IUD Insertion | $756$43$5.6k | — | — |
| IUD Removal | $474$29$1.5k | $578 | $964 |
| Knee Arthroscopy with Meniscectomy | $3,147$1.3k$5.6k | — | — |
| Laparoscopic Appendectomy | $5,814$1.9k$10k | — | — |
| Laparoscopic Gallbladder Removal | $5,814$1.9k$10k | — | — |
| Laparoscopic Tubal Ligation | $5,814$1.9k$10k | — | — |
| Lipid Panel (Cholesterol Test) | $14$5$57 | $78 | $130 |
| Lumbar Epidural Steroid Injection | $717$621$1.5k | $1,658 | $2,763 |
| Lumbar Puncture (Spinal Tap) | $710$43$1.5k | $2,148 | $3,580 |
| Lumbar Spinal Fusion (Posterior) | $16,540$4.7k$30k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,729$1.3k$6.6k | — | — |
| MRI Abdomen with and without Contrast | $545$307$1.1k | $4,840 | $8,067 |
| MRI Brain with and without Contrast | $523$307$1.0k | $4,791 | $7,985 |
| MRI Brain with Contrast | $492$307$683 | $4,170 | $6,951 |
| MRI Brain without Contrast | $340$210$479 | $4,064 | $6,773 |
| MRI Cervical Spine (Neck) without Contrast | $338$210$472 | $4,097 | $6,828 |
| MRI Knee without Contrast | $354$210$521 | $5,637 | $9,395 |
| MRI Lower Back (Lumbar Spine) without Contrast | $338$210$510 | $4,097 | $6,828 |
| MRI Thoracic Spine (Mid-back) without Contrast | $338$210$510 | $4,097 | $6,828 |
| Newborn Circumcision | $1,991$56$3.5k | $1,356 | $2,260 |
| Nuclear Cardiac Stress Test | $1,204$311$2.2k | $5,255 | $8,759 |
| Office Visit, Established Patient (Level 3) | $55$54$55 | $347 | $579 |
| Office Visit, New Patient (Level 3) | $81$81$82 | $376 | $627 |
| Pacemaker Insertion (Dual Chamber) | $10,051$2.1k$23k | $32,517 | $54,195 |
| PET/CT Scan, Whole Body | $1,369$1.1k$6.3k | $4,669 | $7,781 |
| Pregnancy Ultrasound (Second or Third Trimester) | $100$85$272 | $992 | $1,653 |
| Prostate Biopsy | $1,987$1.1k$3.1k | — | — |
| PSA Prostate Cancer Screening | $19$6$78 | $110 | $183 |
| Pulmonary Function Test with Bronchodilator | $347$41$630 | $627 | $1,045 |
| Rotator Cuff Repair (Arthroscopic) | $6,978$1.9k$12k | — | — |
| Screening Mammogram | $96$79$280 | $653 | $1,089 |
| Septoplasty (Deviated Septum Repair) | $3,158$1.3k$5.6k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,722$1.9k$12k | — | — |
| Skin Biopsy (Tangential) | $636$357$1.5k | $578 | $964 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,558$37$2.8k | — | — |
| Sleep Study (In-lab Polysomnography) | $822$224$1.6k | $4,761 | $7,935 |
| Spinal Cord Stimulator Trial | $6,129$1.9k$11k | — | — |
| Spirometry (Breathing Test) | $201$18$364 | $512 | $853 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,158$1.3k$5.6k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,639$1.9k$10.0k | — | — |
| Total Hip Replacement | $12,229$2.1k$22k | — | — |
| Total Knee Replacement | $12,229$2.1k$22k | — | — |
| Total Mastectomy | $6,325$1.9k$11k | — | — |
| TSH Thyroid Function Test | $18$6$71 | $55 | $92 |
| TURP (Transurethral Prostate Resection) | $5,107$1.5k$9.0k | — | — |
| Upper GI Endoscopy (EGD) | $872$710$2.3k | — | — |
| Urinalysis with Microscopy | $3$1$13 | $44 | $74 |
| Vaginal Hysterectomy | $4,765$1.5k$8.4k | — | — |
| Vasectomy | $1,991$138$3.5k | — | — |
| Vitamin D Blood Test | $31$10$125 | $54 | $90 |