| 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 | $52$8$161 | $64 | $128 |
| Bone Marrow Biopsy | $848$418$6.1k | $530 | $1,060 |
| Breast Biopsy (Ultrasound-guided) | $3,154$1.9k$6.2k | $2,415 | $4,830 |
| Bunion Correction Surgery | $7,657$4.9k$17k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $37,081$11k$91k | $27,250 | $54,500 |
| Cardiac Catheterization (Left Heart) | $6,244$3.7k$18k | $4,730 | $9,460 |
| Cardiac Stress Test (Treadmill) | $690$638$726 | — | — |
| 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) | $842$179$1.7k | $740 | $1,480 |
| Chest X-ray (2 Views) | $211$106$634 | $268 | $535 |
| Colonoscopy with Biopsy | $2,743$1.8k$6.2k | — | — |
| Complete Abdominal Ultrasound | $444$161$1.3k | $735 | $1,470 |
| Complete Blood Count (CBC) with Differential | $39$8$83 | $40 | $80 |
| Comprehensive Metabolic Panel | $48$11$211 | $108 | $215 |
| Coronary Angioplasty with Stent | $20,994$12k$33k | $17,183 | $34,365 |
| Critical Care, First Hour | $1,824$1.3k$11k | $1,690 | $3,380 |
| CT Abdomen and Pelvis with Contrast | $718$540$4.8k | $2,705 | $5,410 |
| CT Cardiac Calcium Scoring | $653$19$1.2k | $342 | $685 |
| CT Chest without Contrast | $718$161$2.2k | $1,250 | $2,500 |
| CT Head without Contrast | $718$161$2.2k | $1,250 | $2,500 |
| DEXA Bone Density Scan | $348$134$703 | $395 | $790 |
| Diagnostic Colonoscopy | $1,860$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) | $1,490$829$2.2k | $1,200 | $2,400 |
| EKG (Electrocardiogram, 12-lead) | $146$135$154 | — | — |
| Emergency Room Visit (Level 3) | $744$366$2.1k | $465 | $930 |
| Group Therapy Session | $218$63$645 | $180 | $360 |
| Hemodialysis Treatment | $712$659$750 | — | — |
| Hemoglobin A1c (Diabetes Test) | $53$10$125 | $61 | $123 |
| HIV Antibody Test | $40$9$98 | $55 | $110 |
| Holter Monitor (24-48 Hour Heart Monitor) | $862$798$908 | — | — |
| Home Sleep Study | $555$236$881 | $495 | $990 |
| Individual Therapy Session (45 Minutes) | $322$175$587 | $250 | $500 |
| Inguinal Hernia Repair (Open) | $7,942$5.3k$17k | — | — |
| Initial Hospital Admission (Level 1) | $469$434$494 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $458$243$1.6k | $310 | $620 |
| Initial Psychiatric Evaluation with Medication Management | $617$243$1.6k | $418 | $835 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $2,098$874$4.6k | $2,590 | $5,180 |
| IUD Insertion | $4,562$3.2k$6.3k | — | — |
| IUD Removal | $476$266$6.3k | $338 | $675 |
| 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$147 | $83 | $165 |
| Lumbar Epidural Steroid Injection | $1,235$84$2.0k | $1,145 | $2,290 |
| Lumbar Puncture (Spinal Tap) | $1,047$567$6.1k | $720 | $1,440 |
| 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$4.7k | $2,650 | $5,300 |
| MRI Brain with and without Contrast | $1,276$540$4.7k | $2,650 | $5,300 |
| MRI Brain with Contrast | $1,276$540$3.2k | $1,800 | $3,600 |
| MRI Brain without Contrast | $1,276$365$3.0k | $1,700 | $3,400 |
| MRI Cervical Spine (Neck) without Contrast | $1,276$365$3.0k | $1,700 | $3,400 |
| MRI Knee without Contrast | $1,578$365$3.8k | $1,910 | $3,820 |
| MRI Lower Back (Lumbar Spine) without Contrast | $1,276$365$3.0k | $1,700 | $3,400 |
| MRI Thoracic Spine (Mid-back) without Contrast | $1,276$365$3.0k | $1,700 | $3,400 |
| Newborn Circumcision | $5,198$3.1k$12k | — | — |
| Nuclear Cardiac Stress Test | $3,426$2.0k$5.1k | $2,855 | $5,710 |
| Office Visit, Established Patient (Level 3) | $125$103$263 | $148 | $295 |
| Office Visit, New Patient (Level 3) | $125$103$263 | $148 | $295 |
| Pacemaker Insertion (Dual Chamber) | $15,818$8.2k$91k | $10,380 | $20,760 |
| PET/CT Scan, Whole Body | $5,580$2.0k$9.1k | $4,850 | $9,700 |
| Pregnancy Ultrasound (Second or Third Trimester) | $444$161$1.1k | $590 | $1,180 |
| Prostate Biopsy | $3,396$2.0k$6.2k | $2,600 | $5,200 |
| PSA Prostate Cancer Screening | $83$18$191 | $108 | $215 |
| Pulmonary Function Test with Bronchodilator | $623$397$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) | $311$181$6.3k | $230 | $460 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,594$1.4k$3.2k | $1,790 | $3,580 |
| Sleep Study (In-lab Polysomnography) | $2,837$1.3k$5.8k | $2,670 | $5,340 |
| Spinal Cord Stimulator Trial | $12,918$9.9k$25k | — | — |
| Spirometry (Breathing Test) | $332$225$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 | $42$17$196 | $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$62 | $35 | $70 |
| Vaginal Hysterectomy | $9,351$7.5k$17k | — | — |
| Vasectomy | $5,198$3.1k$12k | — | — |
| Vitamin D Blood Test | $134$30$436 | $223 | $445 |