| ACL Reconstruction (Arthroscopic) | $27,105$1.9k$27k | $38,621 | — |
| Basic Metabolic Panel | $3,388$497$3.4k | $2,348 | $446 |
| Bone Marrow Biopsy | $3,105$648$6.2k | $2,628 | $4,043 |
| Breast Biopsy (Ultrasound-guided) | $6,169$123$11k | $6,414 | $6,892 |
| Bunion Correction Surgery | $12,222$1.8k$12k | $20,113 | — |
| Cardiac Ablation for Atrial Fibrillation | $42,735$11k$98k | $27,778 | $42,735 |
| Cardiac Catheterization (Left Heart) | $12,110$1.8k$19k | $12,477 | $19,196 |
| Carpal Tunnel Release Surgery | $7,294$1.1k$7.3k | $11,510 | — |
| Cataract Surgery with Lens Implant | $8,621$1.3k$8.6k | $9,667 | — |
| Cervical Spinal Fusion (Anterior) | $28,415$4.2k$48k | $32,097 | — |
| Cesarean Delivery (Global Package) | $970$37$6.1k | $3,455 | $3,455 |
| Chemotherapy Infusion (First Hour) | $563$176$1.2k | $441 | $678 |
| Chest X-ray (2 Views) | $325$48$325 | $317 | $487 |
| Colonoscopy with Biopsy | $4,470$32$4.5k | $6,788 | — |
| Complete Abdominal Ultrasound | $391$57$1.6k | $1,016 | $1,563 |
| Complete Blood Count (CBC) with Differential | $16$4$174 | $113 | $174 |
| Comprehensive Metabolic Panel | $21$6$240 | $156 | $240 |
| Coronary Angioplasty with Stent | $19,047$5.0k$43k | $12,381 | $19,047 |
| Critical Care, First Hour | $2,307$296$3.2k | $1,910 | $2,939 |
| CT Abdomen and Pelvis with Contrast | $1,303$191$1.3k | $4,333 | $6,388 |
| CT Cardiac Calcium Scoring | $325$48$878 | $458 | $704 |
| CT Chest without Contrast | $391$57$3.0k | $1,946 | $2,994 |
| CT Head without Contrast | $391$57$1.0k | $3,355 | $2,277 |
| DEXA Bone Density Scan | $391$57$778 | $506 | $778 |
| Diagnostic Colonoscopy | $3,474$153$3.5k | $6,286 | — |
| Diagnostic Mammogram (Both Breasts) | $204$60$757 | $492 | $757 |
| Ear Tube Placement (Tympanostomy) | $5,796$850$5.8k | $11,516 | $572 |
| Echocardiogram (Complete with Doppler) | $1,996$299$3.1k | $1,996 | $3,071 |
| EKG (Electrocardiogram, 12-lead) | $14$9$36 | $34 | $34 |
| Emergency Room Visit (Level 3) | $1,020$98$3.2k | $1,145 | $894 |
| Hemoglobin A1c (Diabetes Test) | $19$5$29 | $1,139 | $174 |
| HIV Antibody Test | $18$5$139 | $90 | $139 |
| Home Sleep Study | $481$118$1.2k | $787 | $1,211 |
| Individual Therapy Session (45 Minutes) | $109$69$227 | $227 | $227 |
| Inguinal Hernia Repair (Open) | $22,677$2.3k$23k | $17,329 | $774 |
| Initial Hospital Admission (Level 1) | $72$52$220 | $216 | $220 |
| Initial Psychiatric Diagnostic Evaluation | $166$75$364 | $364 | $364 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $2,006$522$2.1k | $1,304 | $2,006 |
| IUD Insertion | $12,092$32$12k | $18,736 | $107 |
| IUD Removal | $12,092$32$12k | $18,736 | $644 |
| Knee Arthroscopy with Meniscectomy | $12,222$1.8k$12k | $18,163 | — |
| Laparoscopic Appendectomy | $22,582$1.9k$23k | $19,162 | $1,324 |
| Laparoscopic Gallbladder Removal | $22,582$3.3k$23k | $30,772 | — |
| Laparoscopic Tubal Ligation | $22,582$32$23k | $31,260 | $1,410 |
| Lipid Panel (Cholesterol Test) | $27$7$348 | $226 | $348 |
| Lumbar Epidural Steroid Injection | $1,812$387$2.6k | $1,370 | $2,107 |
| Lumbar Puncture (Spinal Tap) | $1,344$387$2.6k | $1,087 | $1,673 |
| Lumbar Spinal Fusion (Posterior) | $65,495$4.3k$65k | $50,441 | — |
| Lumpectomy (Partial Mastectomy) | $14,626$1.9k$25k | $24,741 | — |
| MRI Abdomen with and without Contrast | $1,303$191$6.2k | $4,038 | $6,212 |
| MRI Brain with and without Contrast | $1,303$84$5.8k | $3,763 | $5,789 |
| MRI Brain with Contrast | $1,303$191$4.7k | $3,030 | $4,662 |
| MRI Brain without Contrast | $891$116$4.1k | $2,678 | $4,120 |
| MRI Cervical Spine (Neck) without Contrast | $891$111$4.7k | $3,026 | $4,655 |
| MRI Knee without Contrast | $311$128$974 | $5,941 | $5,712 |
| MRI Lower Back (Lumbar Spine) without Contrast | $891$112$4.7k | $3,026 | $4,655 |
| MRI Thoracic Spine (Mid-back) without Contrast | $891$111$4.7k | $3,026 | $4,655 |
| Newborn Circumcision | $3,317$285$7.8k | $712 | $1,096 |
| Nuclear Cardiac Stress Test | $3,699$709$5.7k | $3,699 | $5,690 |
| Office Visit, Established Patient (Level 3) | $834$54$834 | $1,620 | $113 |
| Office Visit, New Patient (Level 3) | $108$54$246 | $242 | $242 |
| Pacemaker Insertion (Dual Chamber) | $19,266$5.7k$39k | $15,088 | $23,212 |
| PET/CT Scan, Whole Body | $5,341$783$7.9k | $5,154 | $7,929 |
| Pregnancy Ultrasound (Second or Third Trimester) | $391$57$1.1k | $744 | $1,145 |
| Prostate Biopsy | $7,808$372$7.8k | $17,675 | $307 |
| PSA Prostate Cancer Screening | $37$10$247 | $161 | $247 |
| Pulmonary Function Test with Bronchodilator | $807$53$1.4k | $1,897 | $907 |
| Rotator Cuff Repair (Arthroscopic) | $27,105$1.9k$27k | $30,465 | — |
| Screening Mammogram | $169$49$460 | $278 | $428 |
| Septoplasty (Deviated Septum Repair) | $12,384$1.8k$12k | $16,623 | $1,584 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $26,362$32$26k | $22,827 | $1,142 |
| Skin Biopsy (Tangential) | $749$223$1.9k | $586 | $901 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $6,169$32$6.2k | $10,535 | — |
| Sleep Study (In-lab Polysomnography) | $3,208$470$5.1k | $3,340 | $5,138 |
| Spirometry (Breathing Test) | $434$30$690 | $354 | $544 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $12,384$1.8k$12k | $13,770 | $728 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $22,113$3.1k$22k | $14,339 | $698 |
| Total Hip Replacement | $47,957$7.0k$48k | $40,606 | — |
| Total Knee Replacement | $47,957$7.0k$48k | $40,740 | — |
| Total Mastectomy | $24,804$2.3k$44k | $49,239 | — |
| TSH Thyroid Function Test | $34$9$360 | $234 | $360 |
| TURP (Transurethral Prostate Resection) | $320$233$1.9k | $1,726 | $1,593 |
| Upper GI Endoscopy (EGD) | $3,388$153$3.4k | $5,117 | $267 |
| Urinalysis with Microscopy | $220$3$220 | $1,020 | $130 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $1,103$944$5.8k | $5,770 | $5,627 |
| Vaginal Delivery (Global Package) | $1,061$909$5.6k | $5,504 | $5,409 |
| Vitamin D Blood Test | $59$17$329 | $214 | $329 |