| ACL Reconstruction (Arthroscopic) | $7,924$7.8k$8.0k | — | — |
| Allergy Skin Testing | $1,129$1.1k$1.1k | — | — |
| Basic Metabolic Panel | $31$8$642 | $755 | $755 |
| Bone Marrow Biopsy | $1,877$96$12k | $11,941 | $11,941 |
| Breast Biopsy (Ultrasound-guided) | $1,895$75$18k | $13,551 | $13,551 |
| Bunion Correction Surgery | $3,599$3.5k$3.7k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $16,454$4.0k$135k | $135,001 | $135,001 |
| Cardiac Catheterization (Left Heart) | $6,175$3.5k$133k | $133,099 | $133,099 |
| Carpal Tunnel Release Surgery | $2,166$2.1k$2.2k | — | — |
| Cataract Surgery with Lens Implant | $2,530$2.5k$2.6k | — | — |
| Cervical Spinal Fusion (Anterior) | $14,273$14k$14k | — | — |
| Chemotherapy Infusion (First Hour) | $361$117$2.9k | $2,916 | $2,916 |
| Chest X-ray (2 Views) | $200$15$4.3k | $2,954 | $2,954 |
| Colonoscopy with Biopsy | $1,308$1.3k$1.3k | — | — |
| Complete Abdominal Ultrasound | $460$116$9.5k | $11,128 | $11,128 |
| Complete Blood Count (CBC) with Differential | $29$2$1.4k | $778 | $778 |
| Comprehensive Metabolic Panel | $38$11$1.2k | $1,434 | $1,434 |
| Coronary Angioplasty with Stent | $12,394$1.6k$66k | $53,732 | $53,732 |
| Critical Care, First Hour | $2,925$879$37k | $33,853 | $33,853 |
| CT Abdomen and Pelvis with Contrast | $1,855$390$38k | $44,856 | $44,856 |
| CT Cardiac Calcium Scoring | $98$12$245 | $288 | $288 |
| CT Chest without Contrast | $956$116$20k | $23,111 | $23,111 |
| CT Head without Contrast | $368$116$16k | $11,033 | $11,033 |
| DEXA Bone Density Scan | $287$80$7.9k | $9,266 | $9,266 |
| Diagnostic Colonoscopy | $1,540$168$32k | $31,686 | $31,686 |
| Diagnostic Mammogram (Both Breasts) | $565$120$12k | $13,663 | $13,663 |
| Ear Tube Placement (Tympanostomy) | $1,643$1.6k$1.7k | — | — |
| Echocardiogram (Complete with Doppler) | $2,466$598$24k | $28,547 | $28,547 |
| Emergency Room Visit (Level 3) | $720$303$8.9k | $10,451 | $10,451 |
| Group Therapy Session | $103$101$104 | — | — |
| Hemoglobin A1c (Diabetes Test) | $20$1$328 | $363 | $363 |
| HIV Antibody Test | $39$9$768 | $729 | $729 |
| Home Sleep Study | $245$60$4.0k | $3,129 | $3,129 |
| Individual Therapy Session (45 Minutes) | $178$176$181 | — | — |
| Inguinal Hernia Repair (Open) | $3,915$3.9k$4.0k | — | — |
| Initial Psychiatric Diagnostic Evaluation | $178$32$1.0k | $788 | $788 |
| Initial Psychiatric Evaluation with Medication Management | $361$32$9.5k | $5,999 | $5,999 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $694$251$5.3k | $6,268 | $6,268 |
| IUD Insertion | $405$50$6.5k | $1,246 | $1,246 |
| IUD Removal | $519$103$6.5k | $2,586 | $2,586 |
| Knee Arthroscopy with Meniscectomy | $3,599$3.5k$3.7k | — | — |
| Laparoscopic Appendectomy | $6,472$6.4k$6.6k | — | — |
| Laparoscopic Gallbladder Removal | $6,472$6.4k$6.6k | — | — |
| Laparoscopic Tubal Ligation | $6,472$6.4k$6.6k | — | — |
| Lipid Panel (Cholesterol Test) | $35$9$3.5k | $316 | $316 |
| Lumbar Epidural Steroid Injection | $810$127$7.9k | $7,518 | $7,518 |
| Lumbar Puncture (Spinal Tap) | $949$90$9.7k | $7,420 | $7,420 |
| Lumbar Spinal Fusion (Posterior) | $20,400$20k$21k | — | — |
| Lumpectomy (Partial Mastectomy) | $4,248$4.2k$4.3k | — | — |
| MRI Abdomen with and without Contrast | $2,283$390$40k | $44,383 | $44,383 |
| MRI Brain with and without Contrast | $1,362$390$24k | $26,475 | $26,475 |
| MRI Brain with Contrast | $859$390$13k | $14,479 | $14,479 |
| MRI Brain without Contrast | $597$264$10k | $11,262 | $11,262 |
| MRI Cervical Spine (Neck) without Contrast | $1,335$264$27k | $32,281 | $32,281 |
| MRI Knee without Contrast | $1,285$264$16k | $17,036 | $17,036 |
| MRI Lower Back (Lumbar Spine) without Contrast | $1,335$264$27k | $32,281 | $32,281 |
| MRI Thoracic Spine (Mid-back) without Contrast | $1,335$264$27k | $32,281 | $32,281 |
| Newborn Circumcision | $2,272$2.2k$2.3k | — | — |
| Nuclear Cardiac Stress Test | $3,167$1.0k$50k | $45,518 | $45,518 |
| Office Visit, Established Patient (Level 3) | $221$5$7.1k | $1,611 | $1,611 |
| Office Visit, New Patient (Level 3) | $167$15$4.8k | $1,671 | $1,671 |
| Pacemaker Insertion (Dual Chamber) | $11,759$295$67k | $64,104 | $64,104 |
| PET/CT Scan, Whole Body | $2,968$1.6k$53k | $62,247 | $62,247 |
| Pregnancy Ultrasound (Second or Third Trimester) | $239$116$3.9k | $4,549 | $4,549 |
| Prostate Biopsy | $2,272$2.2k$2.3k | — | — |
| PSA Prostate Cancer Screening | $125$18$2.8k | $2,227 | $2,227 |
| Pulmonary Function Test with Bronchodilator | $629$219$6.2k | $7,280 | $7,280 |
| Rotator Cuff Repair (Arthroscopic) | $7,924$7.8k$8.0k | — | — |
| Screening Mammogram | $501$99$9.9k | $8,699 | $8,699 |
| Septoplasty (Deviated Septum Repair) | $3,597$3.5k$3.7k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,679$7.6k$7.8k | — | — |
| Skin Biopsy (Tangential) | $412$38$6.5k | $955 | $955 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,877$70$7.8k | $7,792 | $7,792 |
| Sleep Study (In-lab Polysomnography) | $3,556$966$48k | $45,047 | $45,047 |
| Spinal Cord Stimulator Trial | $7,280$7.2k$7.4k | — | — |
| Spirometry (Breathing Test) | $198$11$5.5k | $1,420 | $1,420 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,597$3.5k$3.7k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,562$6.5k$6.7k | — | — |
| Total Hip Replacement | $14,273$14k$14k | — | — |
| Total Knee Replacement | $14,273$14k$14k | — | — |
| Total Mastectomy | $7,234$7.1k$7.3k | — | — |
| TSH Thyroid Function Test | $28$9$2.6k | $252 | $252 |
| TURP (Transurethral Prostate Resection) | $5,639$5.6k$5.7k | — | — |
| Upper GI Endoscopy (EGD) | $1,220$153$25k | $25,106 | $25,106 |
| Urinalysis with Microscopy | $4$1$80 | $94 | $94 |
| Vaginal Hysterectomy | $5,476$5.4k$5.6k | — | — |
| Vasectomy | $2,272$2.2k$2.3k | — | — |
| Vitamin D Blood Test | $30$7$6.8k | $4,091 | $4,091 |