| ACL Reconstruction (Arthroscopic) | $9,464$5.3k$29k | — | — |
| Allergy Skin Testing | $1,383$775$4.2k | — | — |
| Basic Metabolic Panel | $13$8$424 | $395 | $565 |
| Bone Marrow Biopsy | $1,750$88$6.5k | $1,701 | $2,430 |
| Breast Biopsy (Ultrasound-guided) | $2,658$196$6.5k | $4,347 | $6,211 |
| Bunion Correction Surgery | $4,282$2.4k$13k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $31,802$1.1k$99k | $30,918 | $44,169 |
| Cardiac Catheterization (Left Heart) | $5,479$1.3k$21k | $18,155 | $25,936 |
| Cardiac Stress Test (Treadmill) | $89$29$146 | $137 | $195 |
| Carpal Tunnel Release Surgery | $2,554$1.4k$8.1k | — | — |
| Cataract Surgery with Lens Implant | $3,083$1.7k$9.6k | — | — |
| Cervical Spinal Fusion (Anterior) | $17,411$9.8k$57k | — | — |
| Cesarean Delivery (Global Package) | $2,899$2.9k$2.9k | — | — |
| Chemotherapy Infusion (First Hour) | $664$167$1.5k | $947 | $1,353 |
| Chest X-ray (2 Views) | $143$44$760 | $665 | $950 |
| Colonoscopy with Biopsy | $1,959$249$4.8k | $3,593 | $5,133 |
| Complete Abdominal Ultrasound | $206$81$1.7k | $1,508 | $2,154 |
| Complete Blood Count (CBC) with Differential | $12$7$506 | $472 | $675 |
| Comprehensive Metabolic Panel | $23$5$595 | $41 | $58 |
| Coronary Angioplasty with Stent | $18,309$712$46k | $33,457 | $47,796 |
| Critical Care, First Hour | $1,084$226$8.2k | $1,782 | $2,546 |
| CT Abdomen and Pelvis with Contrast | $696$285$8.1k | $7,123 | $10,175 |
| CT Cardiac Calcium Scoring | $115$24$186 | $112 | $160 |
| CT Chest without Contrast | $681$81$4.0k | $2,268 | $3,240 |
| CT Head without Contrast | $655$81$4.0k | $2,263 | $3,234 |
| DEXA Bone Density Scan | $128$15$620 | $306 | $437 |
| Diagnostic Colonoscopy | $1,499$229$3.8k | $3,327 | $4,753 |
| Diagnostic Mammogram (Both Breasts) | $103$19$536 | $105 | $150 |
| Ear Tube Placement (Tympanostomy) | $2,018$1.1k$6.2k | — | — |
| Echocardiogram (Complete with Doppler) | $1,130$252$4.0k | $3,488 | $4,983 |
| EKG (Electrocardiogram, 12-lead) | $13$11$18 | — | — |
| Emergency Room Visit (Level 3) | $413$93$1.5k | $1,004 | $1,434 |
| Group Therapy Session | $127$66$345 | — | — |
| Hemodialysis Treatment | $99$85$131 | — | — |
| Hemoglobin A1c (Diabetes Test) | $15$9$188 | $176 | $251 |
| HIV Antibody Test | $15$7$34 | $32 | $45 |
| Holter Monitor (24-48 Hour Heart Monitor) | $65$56$86 | — | — |
| Home Sleep Study | $244$59$644 | $273 | $391 |
| Individual Therapy Session (45 Minutes) | $238$109$617 | $511 | $730 |
| Inguinal Hernia Repair (Open) | $4,577$2.6k$15k | — | — |
| Initial Hospital Admission (Level 1) | $93$90$93 | — | — |
| Initial Psychiatric Diagnostic Evaluation | $238$118$777 | $725 | $1,036 |
| Initial Psychiatric Evaluation with Medication Management | $228$118$617 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,025$436$4.5k | $3,969 | $5,670 |
| IUD Insertion | $49$42$65 | — | — |
| IUD Removal | $329$68$1.3k | $319 | $456 |
| Knee Arthroscopy with Meniscectomy | $4,282$2.4k$13k | — | — |
| Laparoscopic Appendectomy | $7,633$4.3k$23k | — | — |
| Laparoscopic Gallbladder Removal | $7,633$4.3k$23k | — | — |
| Laparoscopic Tubal Ligation | $7,633$4.3k$23k | — | — |
| Lipid Panel (Cholesterol Test) | $37$9$223 | $107 | $153 |
| Lumbar Epidural Steroid Injection | $1,200$126$3.1k | $2,739 | $3,912 |
| Lumbar Puncture (Spinal Tap) | $752$80$2.9k | $731 | $1,044 |
| Lumbar Spinal Fusion (Posterior) | $23,298$14k$57k | — | — |
| Lumpectomy (Partial Mastectomy) | $5,043$2.8k$15k | — | — |
| MRI Abdomen with and without Contrast | $788$225$6.0k | $3,168 | $4,525 |
| MRI Brain with and without Contrast | $900$216$6.8k | $1,050 | $1,500 |
| MRI Brain with Contrast | $788$225$6.7k | $3,465 | $4,950 |
| MRI Brain without Contrast | $681$182$6.7k | $3,445 | $4,922 |
| MRI Cervical Spine (Neck) without Contrast | $681$182$5.5k | $2,933 | $4,190 |
| MRI Knee without Contrast | $981$182$5.2k | $3,088 | $4,412 |
| MRI Lower Back (Lumbar Spine) without Contrast | $681$182$5.4k | $2,884 | $4,120 |
| MRI Thoracic Spine (Mid-back) without Contrast | $681$182$5.9k | $3,125 | $4,465 |
| Newborn Circumcision | $2,208$122$8.3k | $2,147 | $3,067 |
| Nuclear Cardiac Stress Test | $2,363$566$5.4k | $4,714 | $6,734 |
| Office Visit, Established Patient (Level 3) | $131$23$651 | $248 | $354 |
| Office Visit, New Patient (Level 3) | $120$23$433 | $210 | $301 |
| Pacemaker Insertion (Dual Chamber) | $11,303$620$48k | $10,989 | $15,698 |
| PET/CT Scan, Whole Body | $2,796$1.2k$11k | $9,211 | $13,159 |
| Pregnancy Ultrasound (Second or Third Trimester) | $150$81$225 | — | — |
| Prostate Biopsy | $2,695$1.5k$8.3k | — | — |
| PSA Prostate Cancer Screening | $32$8$415 | $47 | $68 |
| Pulmonary Function Test with Bronchodilator | $643$51$1.4k | $1,079 | $1,541 |
| Rotator Cuff Repair (Arthroscopic) | $9,464$5.3k$29k | — | — |
| Screening Mammogram | $81$15$410 | $87 | $124 |
| Septoplasty (Deviated Septum Repair) | $4,259$2.4k$13k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $9,054$5.1k$27k | — | — |
| Skin Biopsy (Tangential) | $336$47$828 | $591 | $845 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,145$1.2k$6.5k | — | — |
| Sleep Study (In-lab Polysomnography) | $1,595$392$4.2k | $1,830 | $2,615 |
| Spinal Cord Stimulator Trial | $7,088$520$28k | $6,891 | $9,844 |
| Spirometry (Breathing Test) | $192$34$644 | $194 | $277 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $4,259$2.4k$13k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $7,747$4.3k$23k | — | — |
| Total Hip Replacement | $17,411$9.8k$57k | — | — |
| Total Knee Replacement | $17,411$9.8k$57k | — | — |
| Total Mastectomy | $8,627$4.8k$26k | — | — |
| TSH Thyroid Function Test | $71$15$526 | $308 | $440 |
| TURP (Transurethral Prostate Resection) | $6,845$3.8k$20k | — | — |
| Umbilical Hernia Repair | $6,174$6.0k$15k | — | — |
| Upper GI Endoscopy (EGD) | $1,529$152$3.7k | $1,984 | $2,835 |
| Urinalysis with Microscopy | $6$3$314 | $293 | $419 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $3,946$1.3k$6.5k | $6,111 | $8,729 |
| Vaginal Delivery (Global Package) | $2,875$2.6k$2.9k | — | — |
| Vaginal Hysterectomy | $6,580$3.7k$20k | — | — |
| Vasectomy | $2,695$1.5k$8.3k | — | — |
| Vitamin D Blood Test | $62$12$330 | $195 | $279 |