| Abdominal Hysterectomy | $14,227 | — | — |
| ACL Reconstruction (Arthroscopic) | $10,109$7.8k$25k | — | — |
| Allergy Skin Testing | $1,058$920$1.3k | $861 | $861 |
| Basic Metabolic Panel | $19$8$85 | $230 | $230 |
| Bone Marrow Biopsy | $2,301$1.8k$5.0k | $4,004 | $4,004 |
| Breast Biopsy (Ultrasound-guided) | $2,301$1.8k$7.3k | $7,937 | $7,937 |
| Bunion Correction Surgery | $4,558$3.5k$14k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $32,211$8.4k$66k | $85,340 | $85,340 |
| Cardiac Catheterization (Left Heart) | $4,516$3.5k$22k | $25,774 | $25,774 |
| Cardiac Stress Test (Treadmill) | $376 | — | — |
| Carpal Tunnel Release Surgery | $2,720$2.1k$11k | $6,437 | $6,437 |
| Cataract Surgery with Lens Implant | $3,215$2.5k$11k | — | — |
| Cervical Spinal Fusion (Anterior) | $17,886$14k$25k | — | — |
| Chemotherapy Infusion (First Hour) | $381$111$513 | $2,241 | $2,241 |
| Chest X-ray (2 Views) | $135$93$243 | $681 | $681 |
| Colonoscopy with Biopsy | $1,667$1.3k$4.0k | $3,884 | $3,884 |
| Complete Abdominal Ultrasound | $243$112$812 | $2,716 | $2,716 |
| Complete Blood Count (CBC) with Differential | $17$8$79 | $178 | $178 |
| Comprehensive Metabolic Panel | $23$11$106 | $299 | $299 |
| Coronary Angioplasty with Stent | $16,082$12k$25k | $41,212 | $41,212 |
| Critical Care, First Hour | $1,018$885$1.3k | $5,766 | $5,766 |
| CT Abdomen and Pelvis with Contrast | $823$374$2.4k | $5,839 | $5,839 |
| CT Cardiac Calcium Scoring | $135$93$786 | $50 | $50 |
| CT Chest without Contrast | $245$112$966 | $2,682 | $2,682 |
| CT Head without Contrast | $245$112$772 | $2,610 | $2,610 |
| DEXA Bone Density Scan | $217$49$508 | $569 | $569 |
| Diagnostic Colonoscopy | $1,296$997$4.0k | $6,252 | $6,252 |
| Diagnostic Mammogram (Both Breasts) | $257$112$1.1k | $719 | $719 |
| Ear Tube Placement (Tympanostomy) | $2,162$1.7k$7.3k | $6,083 | $6,083 |
| Echocardiogram (Complete with Doppler) | $673$586$849 | $5,935 | $5,935 |
| Emergency Room Visit (Level 3) | $314$223$424 | $2,477 | $2,477 |
| Group Therapy Session | $126$109$158 | $385 | $385 |
| Hemoglobin A1c (Diabetes Test) | $21$10$99 | $218 | $218 |
| HIV Antibody Test | $20$9$89 | $81 | $81 |
| Home Sleep Study | $266$231$336 | $791 | $791 |
| Individual Therapy Session (45 Minutes) | $219$190$276 | $273 | $273 |
| Inguinal Hernia Repair (Open) | $4,988$3.8k$14k | — | — |
| Initial Hospital Admission (Level 1) | — | $491 | $491 |
| Initial Psychiatric Diagnostic Evaluation | $219$190$276 | $537 | $537 |
| Initial Psychiatric Evaluation with Medication Management | $219$190$276 | $568 | $568 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $4,521$3.3k$5.7k | $8,813 | $8,813 |
| IUD Insertion | $3,399 | $3,140 | $3,140 |
| IUD Removal | $425$327$3.4k | $1,421 | $1,421 |
| Knee Arthroscopy with Meniscectomy | $4,558$3.5k$14k | — | — |
| Laparoscopic Appendectomy | $8,422$6.5k$25k | — | — |
| Laparoscopic Gallbladder Removal | $8,422$6.5k$25k | — | — |
| Laparoscopic Tubal Ligation | $8,422$6.5k$25k | — | — |
| Lipid Panel (Cholesterol Test) | $36$13$137 | $297 | $297 |
| Lumbar Epidural Steroid Injection | $983$756$5.0k | $8,188 | $8,188 |
| Lumbar Puncture (Spinal Tap) | $983$756$5.0k | $3,007 | $3,007 |
| Lumbar Spinal Fusion (Posterior) | $23,184$19k$27k | — | — |
| Lumpectomy (Partial Mastectomy) | $5,455$4.2k$11k | — | — |
| MRI Abdomen with and without Contrast | $542$374$2.6k | $7,364 | $7,364 |
| MRI Brain with and without Contrast | $823$374$4.1k | $7,132 | $7,132 |
| MRI Brain with Contrast | $823$374$2.2k | $5,019 | $5,019 |
| MRI Brain without Contrast | $531$256$1.8k | $4,097 | $4,097 |
| MRI Cervical Spine (Neck) without Contrast | $531$256$1.8k | $4,708 | $4,708 |
| MRI Knee without Contrast | $531$256$1.8k | $4,638 | $4,638 |
| MRI Lower Back (Lumbar Spine) without Contrast | $531$256$2.0k | $5,558 | $5,558 |
| MRI Thoracic Spine (Mid-back) without Contrast | $531$256$2.0k | $6,213 | $6,213 |
| Newborn Circumcision | $2,912$2.2k$11k | $8,785 | $8,785 |
| Nuclear Cardiac Stress Test | $2,223$645$3.9k | $9,684 | $9,684 |
| Office Visit, Established Patient (Level 3) | $62 | $254 | $254 |
| Office Visit, New Patient (Level 3) | $85 | $425 | $425 |
| Pacemaker Insertion (Dual Chamber) | $14,561$11k$66k | $22,834 | $22,834 |
| PET/CT Scan, Whole Body | $2,222$1.5k$12k | $15,173 | $15,173 |
| Pregnancy Ultrasound (Second or Third Trimester) | $245$112$917 | $1,423 | $1,423 |
| Prostate Biopsy | $7,272 | $6,194 | $6,194 |
| PSA Prostate Cancer Screening | $41$18$184 | $304 | $304 |
| Pulmonary Function Test with Bronchodilator | $430$198$580 | $1,169 | $1,169 |
| Rotator Cuff Repair (Arthroscopic) | $10,109$7.8k$25k | — | — |
| Screening Mammogram | $212$92$948 | $615 | $615 |
| Septoplasty (Deviated Septum Repair) | $4,619$3.6k$11k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $9,832$7.6k$14k | — | — |
| Skin Biopsy (Tangential) | $566$436$3.4k | $1,163 | $1,163 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,301$1.8k$5.0k | $6,550 | $6,550 |
| Sleep Study (In-lab Polysomnography) | $1,110$920$1.3k | $450 | $450 |
| Spinal Cord Stimulator Trial | $8,878$6.8k$25k | $15,331 | $15,331 |
| Spirometry (Breathing Test) | $249$122$336 | $883 | $883 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $4,619$3.6k$11k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $8,247$6.3k$11k | — | — |
| Total Hip Replacement | $17,886$14k$36k | — | — |
| Total Knee Replacement | $17,886$14k$36k | — | — |
| Total Mastectomy | $9,250$7.1k$14k | — | — |
| TSH Thyroid Function Test | $37$17$171 | $161 | $161 |
| TURP (Transurethral Prostate Resection) | $7,470$5.7k$22k | — | — |
| Upper GI Endoscopy (EGD) | $1,264$972$7.3k | $5,022 | $5,022 |
| Urinalysis with Microscopy | $7$3$31 | $85 | $85 |
| Vaginal Hysterectomy | $6,969$5.4k$14k | — | — |
| Vasectomy | $2,912$2.2k$11k | $8,408 | $8,408 |
| Vitamin D Blood Test | $63$30$297 | $376 | $376 |