| Abdominal Hysterectomy | $7,927$6.7k$9.5k | — | — |
| ACL Reconstruction (Arthroscopic) | $12,676$11k$17k | — | — |
| Allergy Skin Testing | $1,538$20$2.0k | — | — |
| Basic Metabolic Panel | $75$8$172 | $95 | $190 |
| Bone Marrow Biopsy | $1,529$812$4.7k | $1,030 | $2,060 |
| Breast Biopsy (Ultrasound-guided) | $3,243$1.9k$4.6k | $2,420 | $4,840 |
| Bunion Correction Surgery | $6,597$4.9k$9.5k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $33,790$7.0k$49k | $29,195 | $58,390 |
| Cardiac Catheterization (Left Heart) | $10,572$4.9k$16k | $10,165 | $20,330 |
| Cardiac Stress Test (Treadmill) | $429$397$452 | — | — |
| Carpal Tunnel Release Surgery | $4,783$3.0k$8.0k | — | — |
| Cataract Surgery with Lens Implant | $5,111$3.4k$8.0k | — | — |
| Cervical Spinal Fusion (Anterior) | $18,058$12k$26k | — | — |
| Chemotherapy Infusion (First Hour) | $664$185$1.3k | $485 | $970 |
| Chest X-ray (2 Views) | $195$106$424 | $265 | $530 |
| Colonoscopy with Biopsy | $2,818$1.8k$4.6k | — | — |
| Complete Abdominal Ultrasound | $404$161$1.2k | $755 | $1,510 |
| Complete Blood Count (CBC) with Differential | $36$8$124 | $78 | $155 |
| Comprehensive Metabolic Panel | $48$11$172 | $108 | $215 |
| Coronary Angioplasty with Stent | $17,141$10k$24k | $13,980 | $27,960 |
| Critical Care, First Hour | $2,153$799$7.3k | $2,070 | $4,140 |
| CT Abdomen and Pelvis with Contrast | $718$540$4.0k | $2,485 | $4,970 |
| CT Cardiac Calcium Scoring | $278$19$941 | $146 | $292 |
| CT Chest without Contrast | $718$161$1.8k | $1,140 | $2,280 |
| CT Head without Contrast | $718$161$1.8k | $1,140 | $2,280 |
| DEXA Bone Density Scan | $276$134$632 | $395 | $790 |
| Diagnostic Colonoscopy | $1,717$1.4k$4.6k | — | — |
| Diagnostic Mammogram (Both Breasts) | $238$162$452 | $283 | $565 |
| Ear Tube Placement (Tympanostomy) | $3,121$2.2k$4.6k | — | — |
| Echocardiogram (Complete with Doppler) | $1,625$829$2.7k | $1,665 | $3,330 |
| EKG (Electrocardiogram, 12-lead) | $91$84$96 | — | — |
| Emergency Room Visit (Level 3) | $676$419$1.9k | $650 | $1,300 |
| Group Therapy Session | $185$140$280 | — | — |
| Hemodialysis Treatment | $443$410$466 | — | — |
| Hemoglobin A1c (Diabetes Test) | $43$10$112 | $61 | $123 |
| HIV Antibody Test | $28$9$88 | $55 | $110 |
| Holter Monitor (24-48 Hour Heart Monitor) | $537$496$565 | — | — |
| Home Sleep Study | $488$236$652 | — | — |
| Individual Therapy Session (45 Minutes) | $321$243$365 | — | — |
| Inguinal Hernia Repair (Open) | $6,882$5.3k$9.5k | — | — |
| Initial Hospital Admission (Level 1) | $292$270$307 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $451$243$929 | $310 | $620 |
| Initial Psychiatric Evaluation with Medication Management | $322$243$599 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $2,064$874$5.3k | $3,295 | $6,590 |
| IUD Insertion | $3,639$3.2k$4.5k | — | — |
| IUD Removal | $1,021$460$4.5k | $790 | $1,580 |
| Knee Arthroscopy with Meniscectomy | $6,597$4.9k$9.5k | — | — |
| Laparoscopic Appendectomy | $11,731$8.8k$17k | — | — |
| Laparoscopic Gallbladder Removal | $11,731$8.8k$17k | — | — |
| Laparoscopic Tubal Ligation | $11,731$8.8k$17k | — | — |
| Lipid Panel (Cholesterol Test) | $50$13$132 | $83 | $165 |
| Lumbar Epidural Steroid Injection | $1,191$116$1.9k | $1,145 | $2,290 |
| Lumbar Puncture (Spinal Tap) | $1,386$827$4.7k | $1,050 | $2,100 |
| Lumbar Spinal Fusion (Posterior) | $22,232$12k$37k | — | — |
| Lumpectomy (Partial Mastectomy) | $6,251$5.7k$8.0k | — | — |
| MRI Abdomen with and without Contrast | $1,276$540$4.4k | $2,750 | $5,500 |
| MRI Brain with and without Contrast | $1,276$540$4.4k | $2,750 | $5,500 |
| MRI Brain with Contrast | $1,276$540$3.0k | $1,865 | $3,730 |
| MRI Brain without Contrast | $1,276$365$2.8k | $1,765 | $3,530 |
| MRI Cervical Spine (Neck) without Contrast | $1,276$365$2.8k | $1,765 | $3,530 |
| MRI Knee without Contrast | $1,602$365$3.5k | $1,983 | $3,965 |
| MRI Lower Back (Lumbar Spine) without Contrast | $1,276$365$2.8k | $1,765 | $3,530 |
| MRI Thoracic Spine (Mid-back) without Contrast | $1,276$365$2.8k | $1,765 | $3,530 |
| Newborn Circumcision | $4,879$3.1k$8.0k | — | — |
| Nuclear Cardiac Stress Test | $2,595$1.8k$6.0k | $3,765 | $7,530 |
| Office Visit, Established Patient (Level 3) | $144$105$236 | $148 | $295 |
| Office Visit, New Patient (Level 3) | $144$105$236 | $148 | $295 |
| Pacemaker Insertion (Dual Chamber) | $17,129$9.7k$40k | $12,270 | $24,540 |
| PET/CT Scan, Whole Body | $4,550$2.0k$7.8k | $4,850 | $9,700 |
| Pregnancy Ultrasound (Second or Third Trimester) | $402$161$867 | $510 | $1,020 |
| Prostate Biopsy | $3,775$2.3k$4.7k | $2,930 | $5,860 |
| PSA Prostate Cancer Screening | $58$18$172 | $108 | $215 |
| Pulmonary Function Test with Bronchodilator | $546$247$961 | $525 | $1,050 |
| Rotator Cuff Repair (Arthroscopic) | $12,676$11k$17k | — | — |
| Screening Mammogram | $238$133$434 | $238 | $475 |
| Septoplasty (Deviated Septum Repair) | $6,074$4.9k$8.0k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $9,970$6.7k$14k | — | — |
| Skin Biopsy (Tangential) | $520$300$4.5k | $403 | $805 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,449$1.4k$3.2k | $1,790 | $3,580 |
| Sleep Study (In-lab Polysomnography) | $1,738$1.3k$3.6k | — | — |
| Spinal Cord Stimulator Trial | $12,460$9.9k$17k | — | — |
| Spirometry (Breathing Test) | $320$140$961 | $308 | $615 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $6,074$4.9k$8.0k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $8,472$5.7k$12k | — | — |
| Total Hip Replacement | $20,032$17k$26k | — | — |
| Total Knee Replacement | $20,032$17k$26k | — | — |
| Total Mastectomy | $9,667$6.7k$13k | — | — |
| TSH Thyroid Function Test | $39$17$176 | $68 | $135 |
| TURP (Transurethral Prostate Resection) | $8,731$7.7k$11k | — | — |
| Upper GI Endoscopy (EGD) | $2,577$1.4k$4.6k | — | — |
| Urinalysis with Microscopy | $11$3$56 | $35 | $70 |
| Vaginal Hysterectomy | $7,716$6.7k$9.9k | — | — |
| Vasectomy | $4,879$3.1k$8.0k | — | — |
| Vitamin D Blood Test | $134$30$356 | $223 | $445 |