| Abdominal Hysterectomy | $12,644$8.8k$17k | — | — |
| ACL Reconstruction (Arthroscopic) | $13,499$11k$25k | — | — |
| Allergy Skin Testing | $1,538$33$2.0k | — | — |
| Basic Metabolic Panel | $46$8$164 | $51 | $103 |
| Bone Marrow Biopsy | $1,810$946$6.1k | $1,200 | $2,400 |
| Breast Biopsy (Ultrasound-guided) | $2,524$1.4k$6.2k | $1,760 | $3,520 |
| Bunion Correction Surgery | $7,657$4.9k$17k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $37,081$11k$91k | $25,300 | $50,600 |
| Cardiac Catheterization (Left Heart) | $9,758$4.9k$18k | $8,105 | $16,210 |
| Cardiac Stress Test (Treadmill) | $701$649$738 | — | — |
| Carpal Tunnel Release Surgery | $5,102$3.0k$12k | — | — |
| Cataract Surgery with Lens Implant | $5,430$3.4k$12k | — | — |
| Cervical Spinal Fusion (Anterior) | $19,784$13k$26k | — | — |
| Chemotherapy Infusion (First Hour) | $881$182$1.7k | $835 | $1,670 |
| Chest X-ray (2 Views) | $211$106$634 | $268 | $535 |
| Colonoscopy with Biopsy | $2,743$1.8k$6.2k | — | — |
| Complete Abdominal Ultrasound | $444$161$1.2k | $740 | $1,480 |
| Complete Blood Count (CBC) with Differential | $39$8$84 | $38 | $75 |
| Comprehensive Metabolic Panel | $48$11$214 | $108 | $215 |
| Coronary Angioplasty with Stent | $16,340$9.5k$25k | $12,323 | $24,645 |
| Critical Care, First Hour | $2,406$1.3k$11k | $2,230 | $4,460 |
| CT Abdomen and Pelvis with Contrast | $718$540$3.1k | $1,915 | $3,830 |
| CT Cardiac Calcium Scoring | $542$19$941 | $195 | $390 |
| CT Chest without Contrast | $718$161$1.4k | $855 | $1,710 |
| CT Head without Contrast | $718$161$1.4k | $855 | $1,710 |
| DEXA Bone Density Scan | $348$134$667 | $395 | $790 |
| Diagnostic Colonoscopy | $1,890$1.4k$6.2k | — | — |
| Diagnostic Mammogram (Both Breasts) | $307$162$524 | $283 | $565 |
| Ear Tube Placement (Tympanostomy) | $3,045$2.2k$6.2k | — | — |
| Echocardiogram (Complete with Doppler) | $1,419$778$2.0k | $1,115 | $2,230 |
| EKG (Electrocardiogram, 12-lead) | $148$137$156 | — | — |
| Emergency Room Visit (Level 3) | $870$419$2.1k | $785 | $1,570 |
| Group Therapy Session | $188$110$458 | $158 | $315 |
| Hemodialysis Treatment | $724$669$762 | — | — |
| Hemoglobin A1c (Diabetes Test) | $53$10$114 | $61 | $123 |
| HIV Antibody Test | $40$9$90 | $55 | $110 |
| Holter Monitor (24-48 Hour Heart Monitor) | $876$811$923 | — | — |
| Home Sleep Study | $564$236$828 | $495 | $990 |
| Individual Therapy Session (45 Minutes) | $248$126$596 | $180 | $360 |
| Inguinal Hernia Repair (Open) | $7,942$5.3k$17k | — | — |
| Initial Hospital Admission (Level 1) | $476$441$502 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $428$211$1.6k | $268 | $535 |
| Initial Psychiatric Evaluation with Medication Management | $312$154$1.6k | $195 | $390 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $2,098$874$4.0k | $2,460 | $4,920 |
| IUD Insertion | $305$167$6.3k | $213 | $425 |
| IUD Removal | $481$286$6.3k | $363 | $725 |
| Knee Arthroscopy with Meniscectomy | $7,657$4.9k$17k | — | — |
| Laparoscopic Appendectomy | $12,189$8.8k$25k | — | — |
| Laparoscopic Gallbladder Removal | $12,189$8.8k$25k | — | — |
| Laparoscopic Tubal Ligation | $12,189$8.8k$25k | — | — |
| Lipid Panel (Cholesterol Test) | $61$13$134 | $83 | $165 |
| Lumbar Epidural Steroid Injection | $1,235$84$1.9k | $1,145 | $2,290 |
| Lumbar Puncture (Spinal Tap) | $1,492$957$6.1k | $1,215 | $2,430 |
| Lumbar Spinal Fusion (Posterior) | $26,454$13k$37k | — | — |
| Lumpectomy (Partial Mastectomy) | $6,796$5.8k$12k | — | — |
| MRI Abdomen with and without Contrast | $1,276$540$3.5k | $2,125 | $4,250 |
| MRI Brain with and without Contrast | $1,276$540$3.5k | $2,125 | $4,250 |
| MRI Brain with Contrast | $1,276$540$2.5k | $1,450 | $2,900 |
| MRI Brain without Contrast | $1,276$365$2.2k | $1,350 | $2,700 |
| MRI Cervical Spine (Neck) without Contrast | $1,276$365$2.2k | $1,350 | $2,700 |
| MRI Knee without Contrast | $1,449$365$2.8k | $1,520 | $3,040 |
| MRI Lower Back (Lumbar Spine) without Contrast | $1,590$365$3.5k | $1,738 | $3,475 |
| MRI Thoracic Spine (Mid-back) without Contrast | $1,590$365$3.5k | $1,738 | $3,475 |
| Newborn Circumcision | $5,198$3.1k$12k | — | — |
| Nuclear Cardiac Stress Test | $3,426$2.0k$4.9k | $2,995 | $5,990 |
| Office Visit, Established Patient (Level 3) | $127$103$240 | $148 | $295 |
| Office Visit, New Patient (Level 3) | $127$103$240 | $148 | $295 |
| Pacemaker Insertion (Dual Chamber) | $14,839$7.8k$91k | $9,840 | $19,680 |
| PET/CT Scan, Whole Body | $5,580$2.0k$9.2k | $4,850 | $9,700 |
| Pregnancy Ultrasound (Second or Third Trimester) | $425$161$979 | $515 | $1,030 |
| Prostate Biopsy | $3,413$3.1k$6.2k | — | — |
| PSA Prostate Cancer Screening | $83$18$175 | $108 | $215 |
| Pulmonary Function Test with Bronchodilator | $623$403$1.3k | $525 | $1,050 |
| Rotator Cuff Repair (Arthroscopic) | $13,499$11k$25k | — | — |
| Screening Mammogram | $307$133$524 | $238 | $475 |
| Septoplasty (Deviated Septum Repair) | $6,393$4.9k$12k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $10,644$8.8k$17k | — | — |
| Skin Biopsy (Tangential) | $290$152$6.3k | $193 | $385 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $3,156$2.4k$6.1k | — | — |
| Sleep Study (In-lab Polysomnography) | $2,837$1.3k$5.3k | $2,670 | $5,340 |
| Spinal Cord Stimulator Trial | $8,995$4.7k$25k | $5,965 | $11,930 |
| Spirometry (Breathing Test) | $332$229$1.3k | $308 | $615 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $6,393$4.9k$12k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $9,096$6.3k$12k | — | — |
| Total Hip Replacement | $24,878$19k$47k | — | — |
| Total Knee Replacement | $24,878$19k$47k | — | — |
| Total Mastectomy | $10,208$8.8k$17k | — | — |
| TSH Thyroid Function Test | $40$17$179 | $68 | $135 |
| TURP (Transurethral Prostate Resection) | $9,665$7.7k$18k | — | — |
| Upper GI Endoscopy (EGD) | $2,501$1.4k$6.2k | — | — |
| Urinalysis with Microscopy | $15$3$57 | $35 | $70 |
| Vaginal Hysterectomy | $9,351$7.5k$17k | — | — |
| Vasectomy | $4,100$84$6.4k | $3,810 | $7,620 |
| Vitamin D Blood Test | $134$30$443 | $223 | $445 |