| ACL Reconstruction (Arthroscopic) | $7,139$7.1k$14k | — | — |
| Allergy Skin Testing | $845$834$1.7k | — | — |
| Basic Metabolic Panel | $23$5$127 | $41 | $81 |
| Bone Marrow Biopsy | $1,605$369$4.9k | $1,232 | $2,464 |
| Breast Biopsy (Ultrasound-guided) | $658$566$3.2k | — | — |
| Bunion Correction Surgery | $3,219$3.2k$6.4k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $25,717$25k$51k | — | — |
| Cardiac Catheterization (Left Heart) | $3,190$3.2k$6.3k | — | — |
| Cardiac Stress Test (Treadmill) | $91$80$93 | — | — |
| Carpal Tunnel Release Surgery | $1,921$1.9k$3.8k | — | — |
| Cataract Surgery with Lens Implant | $2,271$2.2k$4.5k | — | — |
| Cervical Spinal Fusion (Anterior) | $12,632$12k$25k | — | — |
| Chemotherapy Infusion (First Hour) | $321$74$788 | $309 | $618 |
| Chest X-ray (2 Views) | $288$60$2.5k | $233 | $465 |
| Colonoscopy with Biopsy | $1,177$1.2k$2.3k | — | — |
| Complete Abdominal Ultrasound | $518$102$1.3k | $592 | $1,184 |
| Complete Blood Count (CBC) with Differential | $142$6$3.1k | $115 | $229 |
| Comprehensive Metabolic Panel | $81$7$217 | $79 | $157 |
| Coronary Angioplasty with Stent | $11,358$11k$22k | — | — |
| Critical Care, First Hour | $2,879$803$4.5k | $2,322 | $4,644 |
| CT Abdomen and Pelvis with Contrast | $2,209$290$5.5k | $2,525 | $5,050 |
| CT Cardiac Calcium Scoring | $91$44$243 | $125 | $250 |
| CT Chest without Contrast | $926$102$2.1k | $871 | $1,742 |
| CT Head without Contrast | $841$102$2.1k | $962 | $1,923 |
| DEXA Bone Density Scan | $189$54$398 | $195 | $389 |
| Diagnostic Colonoscopy | $915$904$1.8k | — | — |
| Diagnostic Mammogram (Both Breasts) | $283$80$443 | $229 | $457 |
| Ear Tube Placement (Tympanostomy) | $1,527$1.5k$3.0k | — | — |
| Echocardiogram (Complete with Doppler) | $1,291$207$2.8k | $1,231 | $2,462 |
| EKG (Electrocardiogram, 12-lead) | $20$18$21 | — | — |
| Emergency Room Visit (Level 3) | $1,070$265$1.7k | $863 | $1,726 |
| Group Therapy Session | $230$64$360 | $185 | $369 |
| Hemoglobin A1c (Diabetes Test) | $28$7$141 | $46 | $92 |
| HIV Antibody Test | $84$9$363 | $67 | $133 |
| Holter Monitor (24-48 Hour Heart Monitor) | $104$92$107 | — | — |
| Home Sleep Study | $456$123$713 | $361 | $721 |
| Individual Therapy Session (45 Minutes) | $215$60$345 | $173 | $346 |
| Inguinal Hernia Repair (Open) | $3,523$3.5k$7.0k | — | — |
| Initial Psychiatric Diagnostic Evaluation | $244$68$381 | $197 | $393 |
| Initial Psychiatric Evaluation with Medication Management | $175$172$345 | — | — |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $2,718$764$4.3k | $2,192 | $4,384 |
| IUD Insertion | $401$113$627 | $323 | $646 |
| IUD Removal | $424$119$663 | $342 | $684 |
| Knee Arthroscopy with Meniscectomy | $3,219$3.2k$6.4k | — | — |
| Laparoscopic Appendectomy | $5,948$5.9k$12k | — | — |
| Laparoscopic Gallbladder Removal | $5,948$5.9k$12k | — | — |
| Laparoscopic Tubal Ligation | $5,948$5.9k$12k | — | — |
| Lipid Panel (Cholesterol Test) | $38$9$194 | $63 | $126 |
| Lumbar Epidural Steroid Injection | $695$686$1.4k | — | — |
| Lumbar Puncture (Spinal Tap) | $871$245$1.4k | $703 | $1,405 |
| Lumbar Spinal Fusion (Posterior) | $17,252$17k$34k | — | — |
| Lumpectomy (Partial Mastectomy) | $6,173$1.7k$9.7k | $4,978 | $9,956 |
| MRI Abdomen with and without Contrast | $2,106$339$5.2k | $2,406 | $4,813 |
| MRI Brain with and without Contrast | $1,973$339$4.9k | $2,255 | $4,509 |
| MRI Brain with Contrast | $1,489$339$3.7k | $1,702 | $3,404 |
| MRI Brain without Contrast | $1,505$232$3.1k | $1,550 | $3,099 |
| MRI Cervical Spine (Neck) without Contrast | $1,537$232$3.8k | $1,756 | $3,512 |
| MRI Knee without Contrast | $1,557$232$3.3k | $1,530 | $3,059 |
| MRI Lower Back (Lumbar Spine) without Contrast | $1,537$232$3.8k | $1,756 | $3,512 |
| MRI Thoracic Spine (Mid-back) without Contrast | $1,537$232$3.8k | $1,756 | $3,512 |
| Newborn Circumcision | $2,057$2.0k$4.1k | — | — |
| Nuclear Cardiac Stress Test | $1,290$329$6.1k | $3,165 | $6,330 |
| Office Visit, Established Patient (Level 3) | $181$33$444 | $153 | $306 |
| Office Visit, New Patient (Level 3) | $238$52$412 | $211 | $421 |
| Pacemaker Insertion (Dual Chamber) | $10,284$10k$20k | — | — |
| PET/CT Scan, Whole Body | $4,805$1.1k$10k | $5,135 | $10,271 |
| Pregnancy Ultrasound (Second or Third Trimester) | $310$102$767 | $354 | $709 |
| Prostate Biopsy | $1,478$206$4.3k | $2,240 | $4,480 |
| PSA Prostate Cancer Screening | $57$12$264 | $49 | $97 |
| Pulmonary Function Test with Bronchodilator | $262$50$725 | $252 | $503 |
| Rotator Cuff Repair (Arthroscopic) | $7,139$7.1k$14k | — | — |
| Screening Mammogram | $226$64$354 | $183 | $365 |
| Septoplasty (Deviated Septum Repair) | $3,262$3.2k$6.4k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,944$6.9k$14k | — | — |
| Skin Biopsy (Tangential) | $307$76$790 | $218 | $435 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $2,153$605$3.4k | $1,736 | $3,472 |
| Sleep Study (In-lab Polysomnography) | $2,794$785$4.4k | $2,253 | $4,506 |
| Spinal Cord Stimulator Trial | $6,270$6.2k$12k | — | — |
| Spirometry (Breathing Test) | $148$29$420 | $135 | $270 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,262$3.2k$6.4k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,825$5.8k$12k | — | — |
| Total Hip Replacement | $12,632$12k$25k | — | — |
| Total Knee Replacement | $12,632$12k$25k | — | — |
| Total Mastectomy | $6,533$6.5k$13k | — | — |
| TSH Thyroid Function Test | $59$14$233 | $80 | $160 |
| TURP (Transurethral Prostate Resection) | $5,276$5.2k$10k | — | — |
| Upper GI Endoscopy (EGD) | $892$881$1.8k | — | — |
| Urinalysis with Microscopy | $10$2$49 | $16 | $33 |
| Vaginal Hysterectomy | $4,922$4.9k$9.7k | — | — |
| Vasectomy | $2,057$2.0k$4.1k | — | — |
| Vitamin D Blood Test | $115$27$426 | $149 | $297 |