| ACL Reconstruction (Arthroscopic) | $6,490$5.3k$12k | — | — |
| Allergy Skin Testing | $924$775$1.8k | — | — |
| Basic Metabolic Panel | $226$8$424 | $395 | $565 |
| Bone Marrow Biopsy | $1,477$365$2.8k | $1,701 | $2,430 |
| Breast Biopsy (Ultrasound-guided) | $2,571$932$4.7k | $4,347 | $6,211 |
| Bunion Correction Surgery | $2,948$2.4k$5.6k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $24,395$6.6k$43k | $30,918 | $44,169 |
| Cardiac Catheterization (Left Heart) | $5,479$1.2k$19k | $18,155 | $25,936 |
| Cardiac Stress Test (Treadmill) | $98$29$1.1k | $137 | $195 |
| Carpal Tunnel Release Surgery | $1,774$1.4k$3.5k | — | — |
| Cataract Surgery with Lens Implant | $2,072$1.7k$4.1k | — | — |
| Cervical Spinal Fusion (Anterior) | $11,690$9.8k$25k | — | — |
| Chemotherapy Infusion (First Hour) | $615$175$1.2k | $947 | $1,353 |
| Chest X-ray (2 Views) | $157$39$713 | $665 | $950 |
| Colonoscopy with Biopsy | $2,006$770$3.8k | $3,593 | $5,133 |
| Complete Abdominal Ultrasound | $270$81$1.6k | $1,508 | $2,154 |
| Complete Blood Count (CBC) with Differential | $270$7$506 | $472 | $675 |
| Comprehensive Metabolic Panel | $25$5$595 | $41 | $58 |
| Coronary Angioplasty with Stent | $18,978$6.8k$36k | $33,457 | $47,796 |
| Critical Care, First Hour | $1,084$226$3.3k | $1,782 | $2,546 |
| CT Abdomen and Pelvis with Contrast | $978$285$7.6k | $7,123 | $10,175 |
| CT Cardiac Calcium Scoring | $114$24$255 | $112 | $160 |
| CT Chest without Contrast | $674$81$3.7k | $2,268 | $3,240 |
| CT Head without Contrast | $665$81$3.8k | $2,263 | $3,234 |
| DEXA Bone Density Scan | $100$15$581 | $306 | $437 |
| Diagnostic Colonoscopy | $1,719$677$3.6k | $3,327 | $4,753 |
| Diagnostic Mammogram (Both Breasts) | $92$19$536 | $105 | $150 |
| Ear Tube Placement (Tympanostomy) | $1,346$1.1k$2.7k | — | — |
| Echocardiogram (Complete with Doppler) | $1,969$207$3.8k | $3,488 | $4,983 |
| EKG (Electrocardiogram, 12-lead) | $12$11$20 | — | — |
| Emergency Room Visit (Level 3) | $574$211$1.1k | $1,004 | $1,434 |
| Group Therapy Session | $84$66$149 | — | — |
| Hemodialysis Treatment | $86$85$148 | — | — |
| Hemoglobin A1c (Diabetes Test) | $101$9$188 | $176 | $251 |
| HIV Antibody Test | $18$7$34 | $32 | $45 |
| Holter Monitor (24-48 Hour Heart Monitor) | $56$56$98 | — | — |
| Home Sleep Study | $238$59$293 | $273 | $391 |
| Individual Therapy Session (45 Minutes) | $260$109$547 | $511 | $730 |
| Inguinal Hernia Repair (Open) | $3,206$2.6k$6.3k | — | — |
| Initial Psychiatric Diagnostic Evaluation | $286$118$777 | $725 | $1,036 |
| Initial Psychiatric Evaluation with Medication Management | $146$118$266 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,025$436$4.3k | $3,969 | $5,670 |
| IUD Insertion | $42$42$73 | — | — |
| IUD Removal | $299$68$3.3k | $319 | $456 |
| Knee Arthroscopy with Meniscectomy | $2,948$2.4k$5.6k | — | — |
| Laparoscopic Appendectomy | $5,301$4.3k$10k | — | — |
| Laparoscopic Gallbladder Removal | $5,301$4.3k$10k | — | — |
| Laparoscopic Tubal Ligation | $5,301$4.3k$10k | — | — |
| Lipid Panel (Cholesterol Test) | $53$9$223 | $107 | $153 |
| Lumbar Epidural Steroid Injection | $1,245$512$2.9k | $2,739 | $3,912 |
| Lumbar Puncture (Spinal Tap) | $742$157$3.3k | $731 | $1,044 |
| Lumbar Spinal Fusion (Posterior) | $16,708$14k$25k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,479$2.8k$6.3k | — | — |
| MRI Abdomen with and without Contrast | $983$225$5.7k | $3,168 | $4,525 |
| MRI Brain with and without Contrast | $962$216$6.4k | $1,050 | $1,500 |
| MRI Brain with Contrast | $983$225$6.3k | $3,465 | $4,950 |
| MRI Brain without Contrast | $823$182$6.3k | $3,445 | $4,922 |
| MRI Cervical Spine (Neck) without Contrast | $823$182$5.2k | $2,933 | $4,190 |
| MRI Knee without Contrast | $947$182$4.9k | $3,088 | $4,412 |
| MRI Lower Back (Lumbar Spine) without Contrast | $823$182$5.1k | $2,884 | $4,120 |
| MRI Thoracic Spine (Mid-back) without Contrast | $823$182$5.6k | $3,125 | $4,465 |
| Newborn Circumcision | $2,008$459$3.6k | $2,147 | $3,067 |
| Nuclear Cardiac Stress Test | $2,536$724$5.1k | $4,714 | $6,734 |
| Office Visit, Established Patient (Level 3) | $156$23$651 | $248 | $354 |
| Office Visit, New Patient (Level 3) | $120$23$433 | $210 | $301 |
| Pacemaker Insertion (Dual Chamber) | $10,011$2.4k$21k | $10,989 | $15,698 |
| PET/CT Scan, Whole Body | $2,872$1.2k$9.9k | $9,211 | $13,159 |
| Pregnancy Ultrasound (Second or Third Trimester) | $154$81$359 | — | — |
| Prostate Biopsy | $1,861$1.5k$3.6k | — | — |
| PSA Prostate Cancer Screening | $35$8$415 | $47 | $68 |
| Pulmonary Function Test with Bronchodilator | $680$81$1.3k | $1,079 | $1,541 |
| Rotator Cuff Repair (Arthroscopic) | $6,490$5.3k$12k | — | — |
| Screening Mammogram | $74$15$327 | $87 | $124 |
| Septoplasty (Deviated Septum Repair) | $2,947$2.4k$5.4k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,289$5.1k$12k | — | — |
| Skin Biopsy (Tangential) | $339$127$634 | $591 | $845 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,472$1.2k$2.8k | — | — |
| Sleep Study (In-lab Polysomnography) | $1,386$392$2.0k | $1,830 | $2,615 |
| Spinal Cord Stimulator Trial | $6,448$1.5k$16k | $6,891 | $9,844 |
| Spirometry (Breathing Test) | $169$34$1.1k | $194 | $277 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $2,947$2.4k$5.4k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,375$4.3k$10k | — | — |
| Total Hip Replacement | $11,690$9.8k$25k | — | — |
| Total Knee Replacement | $11,690$9.8k$25k | — | — |
| Total Mastectomy | $5,925$4.8k$11k | — | — |
| TSH Thyroid Function Test | $109$15$526 | $308 | $440 |
| TURP (Transurethral Prostate Resection) | $4,619$3.8k$8.8k | — | — |
| Umbilical Hernia Repair | $6,011$4.9k$6.3k | — | — |
| Upper GI Endoscopy (EGD) | $1,473$425$3.0k | $1,984 | $2,835 |
| Urinalysis with Microscopy | $167$3$314 | $293 | $419 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $4,365$356$6.5k | $6,111 | $8,729 |
| Vaginal Hysterectomy | $4,485$3.7k$8.8k | — | — |
| Vasectomy | $1,861$1.5k$3.6k | — | — |
| Vitamin D Blood Test | $94$12$330 | $195 | $279 |