| Abdominal Hysterectomy | $3,489$2.5k$9.8k | — | — |
| ACL Reconstruction (Arthroscopic) | $7,793$3.2k$15k | — | — |
| Allergy Skin Testing | $1,236$808$1.4k | — | — |
| Basic Metabolic Panel | $13$4$20 | $280 | $280 |
| Bone Marrow Biopsy | $2,376$1.6k$2.7k | $1,489 | $1,489 |
| Breast Biopsy (Ultrasound-guided) | $2,943$1.6k$3.9k | $4,250 | $4,250 |
| Bunion Correction Surgery | $3,933$3.1k$8.3k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $27,296$9.8k$42k | $26,839 | $26,839 |
| Cardiac Catheterization (Left Heart) | $5,780$3.0k$12k | $30,371 | $30,371 |
| Carpal Tunnel Release Surgery | $2,904$1.7k$5.6k | — | — |
| Cataract Surgery with Lens Implant | $4,626$2.2k$6.7k | — | — |
| Cervical Spinal Fusion (Anterior) | $13,762$3.2k$21k | — | — |
| Chemotherapy Infusion (First Hour) | $475$311$528 | $1,212 | $1,212 |
| Chest X-ray (2 Views) | $125$36$146 | $1,006 | $1,006 |
| Colonoscopy with Biopsy | $2,351$1.1k$3.9k | — | — |
| Complete Abdominal Ultrasound | $167$98$211 | $2,362 | $2,362 |
| Complete Blood Count (CBC) with Differential | $12$3$14 | $318 | $318 |
| Comprehensive Metabolic Panel | $16$4$24 | $336 | $336 |
| Coronary Angioplasty with Stent | $12,982$7.3k$18k | $18,537 | $18,537 |
| Critical Care, First Hour | $1,188$777$1.3k | $4,794 | $4,794 |
| CT Abdomen and Pelvis with Contrast | $502$328$663 | $8,865 | $8,865 |
| CT Cardiac Calcium Scoring | $125$82$149 | $1,356 | $1,356 |
| CT Chest without Contrast | $172$98$423 | $3,831 | $3,831 |
| CT Head without Contrast | $167$98$423 | $4,154 | $4,154 |
| DEXA Bone Density Scan | $150$44$196 | $987 | $987 |
| Diagnostic Colonoscopy | $2,137$875$3.9k | — | — |
| Diagnostic Mammogram (Both Breasts) | $169$100$210 | $712 | $712 |
| Ear Tube Placement (Tympanostomy) | $2,863$1.3k$4.4k | — | — |
| Echocardiogram (Complete with Doppler) | $786$514$874 | $3,914 | $3,914 |
| Emergency Room Visit (Level 3) | $393$257$436 | $1,886 | $1,886 |
| Group Therapy Session | $121$31$162 | $377 | $377 |
| Hemodialysis Treatment | — | $1,524 | $1,524 |
| Hemoglobin A1c (Diabetes Test) | $15$4$37 | $276 | $276 |
| HIV Antibody Test | $14$4$69 | $384 | $384 |
| Holter Monitor (24-48 Hour Heart Monitor) | $254 | — | — |
| Home Sleep Study | $263$203$345 | $2,919 | $2,919 |
| Individual Therapy Session (45 Minutes) | $211$104$284 | — | — |
| Inguinal Hernia Repair (Open) | $4,730$3.4k$8.3k | — | — |
| Initial Psychiatric Diagnostic Evaluation | $216$167$284 | $517 | $517 |
| Initial Psychiatric Evaluation with Medication Management | $213$167$284 | $470 | $470 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $562 | $4,410 | $4,410 |
| IUD Insertion | $631$162$2.6k | — | — |
| IUD Removal | $1,087$287$2.6k | $2,104 | $2,104 |
| Knee Arthroscopy with Meniscectomy | $4,508$3.1k$9.0k | — | — |
| Laparoscopic Appendectomy | $5,683$4.0k$15k | — | — |
| Laparoscopic Gallbladder Removal | $8,636$5.7k$15k | — | — |
| Laparoscopic Tubal Ligation | $6,536$4.6k$15k | — | — |
| Lipid Panel (Cholesterol Test) | $20$6$45 | $413 | $413 |
| Lumbar Epidural Steroid Injection | $2,079$664$2.7k | $3,056 | $3,056 |
| Lumbar Puncture (Spinal Tap) | $2,079$664$2.7k | $1,560 | $1,560 |
| Lumbar Spinal Fusion (Posterior) | $15,451$3.2k$28k | — | — |
| Lumpectomy (Partial Mastectomy) | $4,969$3.2k$6.3k | — | — |
| MRI Abdomen with and without Contrast | $560$328$1.2k | $6,047 | $6,047 |
| MRI Brain with and without Contrast | $558$328$1.2k | $4,909 | $4,909 |
| MRI Brain with Contrast | $558$328$919 | $3,960 | $3,960 |
| MRI Brain without Contrast | $381$224$758 | $3,273 | $3,273 |
| MRI Cervical Spine (Neck) without Contrast | $381$224$758 | $3,666 | $3,666 |
| MRI Knee without Contrast | $381$224$758 | $4,033 | $4,033 |
| MRI Lower Back (Lumbar Spine) without Contrast | $381$224$758 | $4,033 | $4,033 |
| MRI Thoracic Spine (Mid-back) without Contrast | $381$224$758 | $4,033 | $4,033 |
| Newborn Circumcision | $2,430$625$5.6k | $11,956 | $11,956 |
| Nuclear Cardiac Stress Test | $1,680$561$2.4k | $6,430 | $6,430 |
| Office Visit, Established Patient (Level 3) | — | $563 | $563 |
| Office Visit, New Patient (Level 3) | — | $776 | $776 |
| Pacemaker Insertion (Dual Chamber) | $12,439$3.2k$19k | $44,767 | $44,767 |
| PET/CT Scan, Whole Body | $2,057$1.3k$2.7k | $7,232 | $7,232 |
| Pregnancy Ultrasound (Second or Third Trimester) | $167$98$211 | $1,765 | $1,765 |
| Prostate Biopsy | $2,998$1.2k$3.9k | — | — |
| PSA Prostate Cancer Screening | $28$8$71 | $327 | $327 |
| Pulmonary Function Test with Bronchodilator | $537$351$597 | $2,567 | $2,567 |
| Rotator Cuff Repair (Arthroscopic) | $7,553$4.6k$15k | — | — |
| Screening Mammogram | $140$82$174 | $535 | $535 |
| Septoplasty (Deviated Septum Repair) | $4,539$3.1k$5.6k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,203$4.6k$11k | — | — |
| Skin Biopsy (Tangential) | $484$162$2.6k | $678 | $678 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,306$1.6k$3.3k | — | — |
| Sleep Study (In-lab Polysomnography) | $1,168$808$1.4k | $12,031 | $12,031 |
| Spinal Cord Stimulator Trial | $8,841$3.3k$15k | $2,184 | $2,184 |
| Spirometry (Breathing Test) | $312$203$345 | $1,732 | $1,732 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $4,838$3.1k$6.6k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,564$3.2k$9.5k | — | — |
| Total Hip Replacement | $14,248$3.2k$21k | — | — |
| Total Knee Replacement | $14,248$3.2k$21k | — | — |
| Total Mastectomy | $6,895$4.0k$11k | — | — |
| TSH Thyroid Function Test | $26$7$46 | $271 | $271 |
| TURP (Transurethral Prostate Resection) | $5,467$4.0k$12k | — | — |
| Upper GI Endoscopy (EGD) | $1,764$853$3.9k | — | — |
| Urinalysis with Microscopy | $5$1$10 | $291 | $291 |
| Vaginal Hysterectomy | $7,597$4.7k$9.2k | — | — |
| Vasectomy | $3,003$2.0k$5.6k | — | — |
| Vitamin D Blood Test | $45$12$228 | $373 | $373 |