| ACL Reconstruction (Arthroscopic) | $7,636$7.5k$22k | — | — |
| Allergy Skin Testing | $895$9$3.0k | — | — |
| Basic Metabolic Panel | $14$9$26 | $54 | $67 |
| Bone Marrow Biopsy | $1,738$1.7k$4.9k | $1,614 | $2,018 |
| Breast Biopsy (Ultrasound-guided) | $1,738$1.7k$4.9k | $4,822 | $6,027 |
| Bunion Correction Surgery | $3,443$3.4k$9.7k | $4,108 | $5,135 |
| Cardiac Ablation for Atrial Fibrillation | $27,505$27k$77k | $24,150 | $30,188 |
| Cardiac Catheterization (Left Heart) | $3,412$3.3k$9.7k | $11,361 | $14,201 |
| Cardiac Stress Test (Treadmill) | $141 | — | — |
| Carpal Tunnel Release Surgery | $2,055$2.0k$5.9k | $2,480 | $3,100 |
| Cataract Surgery with Lens Implant | $2,429$2.4k$7.0k | — | — |
| Cervical Spinal Fusion (Anterior) | $13,510$13k$43k | — | — |
| Chemotherapy Infusion (First Hour) | $348$341$1.1k | $618 | $773 |
| Chest X-ray (2 Views) | $91$43$283 | $230 | $288 |
| Colonoscopy with Biopsy | $1,259$1.2k$3.5k | — | — |
| Complete Abdominal Ultrasound | $162$108$349 | $591 | $739 |
| Complete Blood Count (CBC) with Differential | $12$8$24 | $42 | $52 |
| Comprehensive Metabolic Panel | $17$11$33 | $60 | $75 |
| Coronary Angioplasty with Stent | $12,148$12k$35k | $12,629 | $15,786 |
| Critical Care, First Hour | $869$852$2.5k | $1,675 | $2,094 |
| CT Abdomen and Pelvis with Contrast | $465$360$1.2k | $2,871 | $3,589 |
| CT Cardiac Calcium Scoring | $150$90$283 | $443 | $554 |
| CT Chest without Contrast | $197$108$349 | $1,149 | $1,436 |
| CT Head without Contrast | $143$108$349 | $999 | $1,249 |
| DEXA Bone Density Scan | $109$58$349 | $344 | $430 |
| Diagnostic Colonoscopy | $979$960$2.7k | $998 | $1,247 |
| Diagnostic Mammogram (Both Breasts) | $168$112$234 | $304 | $380 |
| Ear Tube Placement (Tympanostomy) | $1,633$1.6k$4.5k | — | — |
| Echocardiogram (Complete with Doppler) | $569$265$1.6k | $1,156 | $1,445 |
| EKG (Electrocardiogram, 12-lead) | $34 | — | — |
| Emergency Room Visit (Level 3) | $287$282$800 | $350 | $438 |
| Group Therapy Session | $107$105$248 | $229 | $286 |
| Hemoglobin A1c (Diabetes Test) | $16$10$30 | $41 | $51 |
| HIV Antibody Test | $14$9$27 | — | — |
| Holter Monitor (24-48 Hour Heart Monitor) | $175 | — | — |
| Home Sleep Study | $225$142$475 | $190 | $237 |
| Individual Therapy Session (45 Minutes) | $187$183$475 | $423 | $529 |
| Inguinal Hernia Repair (Open) | $3,768$3.7k$12k | $4,888 | $6,110 |
| Initial Hospital Admission (Level 1) | — | $183 | $229 |
| Initial Psychiatric Diagnostic Evaluation | $187$183$475 | $192 | $240 |
| Initial Psychiatric Evaluation with Medication Management | $187$183$475 | $342 | $428 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $716$716$1.9k | $1,006 | $1,257 |
| IUD Insertion | — | $93 | $116 |
| IUD Removal | $321$314$953 | $186 | $232 |
| Knee Arthroscopy with Meniscectomy | $3,443$3.4k$9.7k | — | — |
| Laparoscopic Appendectomy | $6,362$6.2k$17k | — | — |
| Laparoscopic Gallbladder Removal | $6,362$6.2k$17k | — | — |
| Laparoscopic Tubal Ligation | $6,362$6.2k$17k | — | — |
| Lipid Panel (Cholesterol Test) | $21$14$41 | $67 | $84 |
| Lumbar Epidural Steroid Injection | $743$728$2.1k | $1,030 | $1,288 |
| Lumbar Puncture (Spinal Tap) | $743$728$2.1k | $1,546 | $1,933 |
| Lumbar Spinal Fusion (Posterior) | $18,451$18k$71k | — | — |
| Lumpectomy (Partial Mastectomy) | $4,120$4.0k$11k | — | — |
| MRI Abdomen with and without Contrast | $555$360$1.2k | $2,892 | $3,615 |
| MRI Brain with and without Contrast | $493$360$1.2k | $2,697 | $3,371 |
| MRI Brain with Contrast | $432$360$1.2k | $2,317 | $2,896 |
| MRI Brain without Contrast | $293$246$762 | $1,342 | $1,678 |
| MRI Cervical Spine (Neck) without Contrast | $281$246$762 | $1,045 | $1,306 |
| MRI Knee without Contrast | $317$246$762 | $1,243 | $1,554 |
| MRI Lower Back (Lumbar Spine) without Contrast | $281$246$762 | $1,331 | $1,664 |
| MRI Thoracic Spine (Mid-back) without Contrast | $281$246$762 | $1,331 | $1,664 |
| Newborn Circumcision | $2,200$2.2k$6.1k | — | — |
| Nuclear Cardiac Stress Test | $1,349$786$4.3k | $2,088 | $2,610 |
| Office Visit, Established Patient (Level 3) | — | $155 | $194 |
| Office Visit, New Patient (Level 3) | — | $148 | $185 |
| Pacemaker Insertion (Dual Chamber) | $10,999$11k$34k | $17,318 | $21,648 |
| PET/CT Scan, Whole Body | $1,727$1.5k$4.9k | $6,060 | $7,575 |
| Pregnancy Ultrasound (Second or Third Trimester) | $178$108$349 | $730 | $913 |
| Prostate Biopsy | $6,053 | — | — |
| PSA Prostate Cancer Screening | $29$19$57 | $76 | $95 |
| Pulmonary Function Test with Bronchodilator | $389$92$914 | $291 | $364 |
| Rotator Cuff Repair (Arthroscopic) | $7,636$7.5k$22k | — | — |
| Screening Mammogram | $138$92$194 | $238 | $297 |
| Septoplasty (Deviated Septum Repair) | $3,489$3.4k$9.3k | $3,926 | $4,908 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,427$7.3k$20k | — | — |
| Skin Biopsy (Tangential) | $428$419$831 | $324 | $405 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,738$1.7k$4.9k | $1,658 | $2,072 |
| Sleep Study (In-lab Polysomnography) | $967$886$3.0k | $1,886 | $2,357 |
| Spinal Cord Stimulator Trial | $6,706$6.6k$22k | $12,981 | $16,226 |
| Spirometry (Breathing Test) | $225$54$475 | $165 | $206 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,489$3.4k$9.3k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,229$6.1k$17k | — | — |
| Total Hip Replacement | $13,510$13k$43k | — | — |
| Total Knee Replacement | $13,510$13k$43k | — | — |
| Total Mastectomy | $6,988$6.9k$19k | — | — |
| TSH Thyroid Function Test | $27$17$52 | $74 | $93 |
| TURP (Transurethral Prostate Resection) | $5,642$5.5k$15k | — | — |
| Upper GI Endoscopy (EGD) | $954$936$2.7k | $990 | $1,238 |
| Urinalysis with Microscopy | $5$3$10 | $31 | $39 |
| Vaginal Hysterectomy | $5,264$5.2k$15k | — | — |
| Vasectomy | $2,200$2.2k$6.1k | — | — |
| Vitamin D Blood Test | $47$30$91 | $112 | $140 |