| 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 | $53$8$164 | $66 | $133 |
| Bone Marrow Biopsy | $2,080$1.0k$6.1k | $1,300 | $2,600 |
| Breast Biopsy (Ultrasound-guided) | $3,126$1.8k$6.2k | $2,245 | $4,490 |
| Bunion Correction Surgery | $7,657$4.9k$17k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $37,081$11k$91k | $27,635 | $55,270 |
| Cardiac Catheterization (Left Heart) | $6,437$3.8k$18k | $4,805 | $9,610 |
| 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) | $842$182$1.7k | $780 | $1,560 |
| Chest X-ray (2 Views) | $220$106$634 | $280 | $560 |
| Colonoscopy with Biopsy | $2,743$1.8k$6.2k | — | — |
| Complete Abdominal Ultrasound | $444$161$976 | $610 | $1,220 |
| Complete Blood Count (CBC) with Differential | $36$8$84 | $43 | $85 |
| Comprehensive Metabolic Panel | $48$11$214 | $108 | $215 |
| Coronary Angioplasty with Stent | $19,764$10k$31k | $15,630 | $31,260 |
| Critical Care, First Hour | $1,686$1.1k$11k | $1,405 | $2,810 |
| CT Abdomen and Pelvis with Contrast | $718$540$2.9k | $1,810 | $3,620 |
| CT Cardiac Calcium Scoring | $305$19$941 | $116 | $232 |
| CT Chest without Contrast | $718$161$1.3k | $800 | $1,600 |
| CT Head without Contrast | $718$161$1.3k | $800 | $1,600 |
| 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) | $1,320$698$2.0k | $1,050 | $2,100 |
| EKG (Electrocardiogram, 12-lead) | $148$137$156 | — | — |
| Emergency Room Visit (Level 3) | $744$366$2.1k | $465 | $930 |
| Group Therapy Session | $185$105$458 | $150 | $300 |
| Hemodialysis Treatment | $724$669$762 | — | — |
| Hemoglobin A1c (Diabetes Test) | $53$10$112 | $61 | $123 |
| HIV Antibody Test | $40$9$88 | $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) | $251$133$596 | $190 | $380 |
| Inguinal Hernia Repair (Open) | $7,942$5.3k$17k | — | — |
| Initial Hospital Admission (Level 1) | $476$441$502 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $491$243$1.6k | $310 | $620 |
| Initial Psychiatric Evaluation with Medication Management | $322$243$979 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $2,140$874$5.1k | $3,210 | $6,420 |
| IUD Insertion | $4,562$3.2k$6.3k | — | — |
| IUD Removal | $986$460$6.3k | $790 | $1,580 |
| 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$132 | $83 | $165 |
| Lumbar Epidural Steroid Injection | $1,235$84$1.9k | $1,145 | $2,290 |
| Lumbar Puncture (Spinal Tap) | $1,280$709$6.1k | $900 | $1,800 |
| 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$3.6k | $2,240 | $4,480 |
| MRI Brain with and without Contrast | $1,276$540$3.6k | $2,240 | $4,480 |
| MRI Brain with Contrast | $1,276$540$2.5k | $1,525 | $3,050 |
| MRI Brain without Contrast | $1,276$365$2.3k | $1,425 | $2,850 |
| MRI Cervical Spine (Neck) without Contrast | $1,276$365$2.3k | $1,425 | $2,850 |
| MRI Knee without Contrast | $1,485$365$2.8k | $1,603 | $3,205 |
| MRI Lower Back (Lumbar Spine) without Contrast | $1,276$365$2.3k | $1,425 | $2,850 |
| MRI Thoracic Spine (Mid-back) without Contrast | $1,276$365$2.3k | $1,425 | $2,850 |
| Newborn Circumcision | $192$95$12k | $120 | $240 |
| Nuclear Cardiac Stress Test | $2,785$1.7k$4.1k | $2,110 | $4,220 |
| Office Visit, Established Patient (Level 3) | $144$84$236 | $148 | $295 |
| Office Visit, New Patient (Level 3) | $144$84$236 | $148 | $295 |
| Pacemaker Insertion (Dual Chamber) | $17,711$9.8k$91k | $12,455 | $24,910 |
| PET/CT Scan, Whole Body | $5,580$2.0k$9.2k | $4,850 | $9,700 |
| Pregnancy Ultrasound (Second or Third Trimester) | $444$161$1.0k | $625 | $1,250 |
| Prostate Biopsy | $1,176$579$6.2k | $735 | $1,470 |
| PSA Prostate Cancer Screening | $83$18$172 | $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) | $1,789$300$6.3k | — | — |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $3,156$2.4k$6.1k | — | — |
| Sleep Study (In-lab Polysomnography) | $2,837$1.3k$5.2k | $2,670 | $5,340 |
| Spinal Cord Stimulator Trial | $9,544$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$176 | $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$56 | $35 | $70 |
| Vaginal Hysterectomy | $9,351$7.5k$17k | — | — |
| Vasectomy | $5,198$3.1k$12k | — | — |
| Vitamin D Blood Test | $134$30$443 | $223 | $445 |