| ACL Reconstruction (Arthroscopic) | $34,990$6$35k | $22,942 | $2,153 |
| Basic Metabolic Panel | $363$7$363 | $641 | $82 |
| Bone Marrow Biopsy | $3,537$1.0k$5.1k | $2,354 | $3,622 |
| Breast Biopsy (Ultrasound-guided) | $3,835$1.2k$5.0k | $2,493 | $3,835 |
| Bunion Correction Surgery | $8,917$6$8.9k | $11,506 | — |
| Cardiac Ablation for Atrial Fibrillation | $71,236$8$71k | $60,087 | $56,826 |
| Cardiac Catheterization (Left Heart) | $8,835$8$8.8k | $7,741 | $10,380 |
| Cardiac Stress Test (Treadmill) | $69$57$210 | $140 | $140 |
| Carpal Tunnel Release Surgery | $5,322$10$6.0k | $7,195 | — |
| Cervical Spinal Fusion (Anterior) | $34,990$53$35k | $27,264 | $1,964 |
| Cesarean Delivery (Global Package) | $984$37$3.6k | $5,141 | $5,141 |
| Chemotherapy Infusion (First Hour) | $900$35$900 | $24,047 | $888 |
| Chest X-ray (2 Views) | $237$9$237 | $1,305 | $405 |
| Colonoscopy with Biopsy | $3,261$87$5.0k | $6,006 | $403 |
| Complete Abdominal Ultrasound | $258$36$727 | $525 | $808 |
| Complete Blood Count (CBC) with Differential | $8$3$17 | $532 | $95 |
| Comprehensive Metabolic Panel | $363$10$363 | $660 | $93 |
| Coronary Angioplasty with Stent | $25,766$7.7k$31k | $16,748 | $25,766 |
| Critical Care, First Hour | $2,251$836$2.8k | $1,812 | $2,788 |
| CT Abdomen and Pelvis with Contrast | $111$65$245 | $3,694 | $3,284 |
| CT Cardiac Calcium Scoring | $237$91$827 | $827 | $827 |
| CT Chest without Contrast | $285$85$1.5k | $1,086 | $1,671 |
| CT Head without Contrast | $285$73$8.8k | $6,855 | $1,397 |
| DEXA Bone Density Scan | $285$61$685 | $495 | $761 |
| Diagnostic Colonoscopy | $2,534$1$5.0k | $3,118 | $370 |
| Diagnostic Mammogram (Both Breasts) | $103$59$699 | $505 | $777 |
| Ear Tube Placement (Tympanostomy) | $4,229$2$9.0k | $8,807 | $465 |
| Echocardiogram (Complete with Doppler) | $1,212$125$1.6k | $1,142 | $1,757 |
| EKG (Electrocardiogram, 12-lead) | $15$13$316 | $228 | $351 |
| Emergency Room Visit (Level 3) | $744$10$1.9k | $1,106 | $1,114 |
| Group Therapy Session | $134$56$188 | $122 | $188 |
| Hemoglobin A1c (Diabetes Test) | $10$8$77 | $46 | $71 |
| HIV Antibody Test | $18$15$40 | $790 | $47 |
| Home Sleep Study | $588$168$1.1k | $709 | $1,091 |
| Individual Therapy Session (45 Minutes) | $234$90$334 | $217 | $334 |
| Inguinal Hernia Repair (Open) | $9,758$6$17k | $14,490 | $1,095 |
| Initial Hospital Admission (Level 1) | $60$8$171 | $188 | $188 |
| Initial Psychiatric Diagnostic Evaluation | $194$141$194 | $216 | $333 |
| Initial Psychiatric Evaluation with Medication Management | $229$96$320 | $208 | $320 |
| IUD Insertion | $227$22$1.3k | $4,607 | $373 |
| IUD Removal | $831$28$831 | $1,111 | $352 |
| Knee Arthroscopy with Meniscectomy | $8,917$6$8.9k | $11,411 | $1,220 |
| Laparoscopic Appendectomy | $16,476$26$16k | $18,803 | $1,190 |
| Laparoscopic Gallbladder Removal | $16,476$26$16k | $20,993 | $1,305 |
| Laparoscopic Tubal Ligation | $16,476$176$16k | $19,094 | $876 |
| Lipid Panel (Cholesterol Test) | $13$6$94 | $68 | $104 |
| Lumbar Epidural Steroid Injection | $1,428$428$3.8k | $928 | $1,428 |
| Lumbar Puncture (Spinal Tap) | $1,729$519$3.8k | $1,124 | $1,729 |
| Lumbar Spinal Fusion (Posterior) | $47,786$7$48k | $37,658 | $3,488 |
| Lumpectomy (Partial Mastectomy) | $10,671$176$18k | $9,752 | $1,451 |
| MRI Abdomen with and without Contrast | $951$303$2.5k | $1,796 | $2,763 |
| MRI Brain with and without Contrast | $951$303$2.5k | $1,777 | $2,734 |
| MRI Brain with Contrast | $951$303$2.2k | $1,612 | $2,480 |
| MRI Brain without Contrast | $650$255$2.1k | $1,543 | $2,374 |
| MRI Cervical Spine (Neck) without Contrast | $650$257$1.1k | $1,806 | $2,374 |
| MRI Knee without Contrast | $650$257$2.9k | $1,733 | $2,666 |
| MRI Lower Back (Lumbar Spine) without Contrast | $650$230$2.1k | $1,543 | $2,374 |
| MRI Thoracic Spine (Mid-back) without Contrast | $650$257$2.1k | $1,543 | $2,374 |
| Newborn Circumcision | $5,697$26$6.0k | $6,051 | $4,482 |
| Nuclear Cardiac Stress Test | $1,637$145$3.5k | $1,542 | $2,373 |
| Office Visit, Established Patient (Level 3) | $363$7$363 | $348 | $105 |
| Office Visit, New Patient (Level 3) | $68$34$124 | $220 | $220 |
| Pacemaker Insertion (Dual Chamber) | $28,486$6$28k | $25,541 | $26,231 |
| Pregnancy Ultrasound (Second or Third Trimester) | $285$33$285 | $891 | $600 |
| PSA Prostate Cancer Screening | $18$16$113 | $60 | $92 |
| Pulmonary Function Test with Bronchodilator | $402$15$1.0k | $339 | $522 |
| Rotator Cuff Repair (Arthroscopic) | $19,776$6$20k | $22,449 | $653 |
| Screening Mammogram | $98$59$433 | $313 | $481 |
| Septoplasty (Deviated Septum Repair) | $10,161$51$10k | $11,837 | $1,327 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $16,134$4$19k | $14,975 | $966 |
| Skin Biopsy (Tangential) | $656$197$1.8k | $426 | $656 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $4,501$26$4.5k | $7,931 | $1,733 |
| Sleep Study (In-lab Polysomnography) | $2,340$916$4.3k | $2,780 | $4,277 |
| Spirometry (Breathing Test) | $296$9$588 | $268 | $412 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $9,036$51$9.0k | $8,243 | $596 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $16,134$96$16k | $7,451 | $571 |
| Total Hip Replacement | $34,990$1$35k | $20,677 | $2,825 |
| Total Knee Replacement | $34,990$9$35k | $26,235 | $2,751 |
| Total Mastectomy | $18,097$352$38k | $24,264 | $2,105 |
| TSH Thyroid Function Test | $17$9$125 | $64 | $98 |
| TURP (Transurethral Prostate Resection) | $14,613$176$15k | $17,960 | — |
| Upper GI Endoscopy (EGD) | $2,472$1$5.0k | $3,521 | $267 |
| Urinalysis with Microscopy | $363$3$363 | $590 | $38 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $942$915$3.4k | $5,000 | $5,000 |
| Vaginal Delivery (Global Package) | $869$772$3.2k | $4,972 | $4,972 |
| Vaginal Hysterectomy | $20,210$176$20k | $20,003 | — |
| Vitamin D Blood Test | $30$26$249 | $180 | $277 |