| ACL Reconstruction (Arthroscopic) | $6,623$3.5k$7.3k | — | — |
| Allergy Skin Testing | $98$24$1.0k | $85 | $130 |
| Basic Metabolic Panel | $18$7$55 | $36 | $55 |
| Bone Marrow Biopsy | $1,765$861$4.6k | $3,013 | $4,635 |
| Breast Biopsy (Ultrasound-guided) | $3,104$838$10k | $6,507 | $10,010 |
| Bunion Correction Surgery | $3,158$2.8k$7.8k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $24,789$7.3k$64k | $41,311 | $63,556 |
| Cardiac Catheterization (Left Heart) | $5,407$1.3k$17k | $10,898 | $16,766 |
| Cardiac Stress Test (Treadmill) | $97$88$102 | — | — |
| Carpal Tunnel Release Surgery | $3,592$886$12k | $7,749 | $11,921 |
| Cataract Surgery with Lens Implant | $2,114$1.1k$7.0k | — | — |
| Cervical Spinal Fusion (Anterior) | $11,928$7.6k$13k | — | — |
| Chemotherapy Infusion (First Hour) | $705$226$2.1k | $1,359 | $2,091 |
| Chest X-ray (2 Views) | $182$46$562 | $365 | $562 |
| Colonoscopy with Biopsy | $1,802$723$4.9k | $3,158 | $4,858 |
| Complete Abdominal Ultrasound | $237$95$679 | $441 | $679 |
| Complete Blood Count (CBC) with Differential | $16$7$51 | $33 | $51 |
| Comprehensive Metabolic Panel | $21$11$69 | $45 | $69 |
| Coronary Angioplasty with Stent | $11,227$712$36k | $23,426 | $36,040 |
| Critical Care, First Hour | $1,293$56$5.1k | $3,297 | $5,073 |
| CT Abdomen and Pelvis with Contrast | $814$320$2.4k | $1,544 | $2,375 |
| CT Cardiac Calcium Scoring | $173$53$562 | $365 | $562 |
| CT Chest without Contrast | $237$95$1.2k | $441 | $679 |
| CT Head without Contrast | $354$95$1.2k | $441 | $679 |
| DEXA Bone Density Scan | $207$59$679 | $441 | $679 |
| Diagnostic Colonoscopy | $1,396$699$4.8k | $2,445 | $3,762 |
| Diagnostic Mammogram (Both Breasts) | $263$42$654 | $425 | $654 |
| Ear Tube Placement (Tympanostomy) | $1,373$764$4.8k | — | — |
| Echocardiogram (Complete with Doppler) | $957$287$2.8k | $1,845 | $2,839 |
| EKG (Electrocardiogram, 12-lead) | $211$19$384 | $250 | $384 |
| Emergency Room Visit (Level 3) | $526$56$2.2k | $1,061 | $1,632 |
| Group Therapy Session | $97$34$184 | $120 | $184 |
| Hemodialysis Treatment | $335$303$351 | — | — |
| Hemoglobin A1c (Diabetes Test) | $19$10$63 | $41 | $63 |
| HIV Antibody Test | $14$9$29 | — | — |
| Holter Monitor (24-48 Hour Heart Monitor) | $78$70$82 | — | — |
| Home Sleep Study | $325$70$965 | $627 | $965 |
| Individual Therapy Session (45 Minutes) | $156$61$329 | $214 | $329 |
| Inguinal Hernia Repair (Open) | $4,593$2.0k$14k | $9,257 | $14,241 |
| Initial Psychiatric Diagnostic Evaluation | $160$61$329 | $214 | $329 |
| Initial Psychiatric Evaluation with Medication Management | $160$61$329 | $214 | $329 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,225$291$3.6k | $2,363 | $3,635 |
| IUD Insertion | $260$56$3.4k | $302 | $465 |
| IUD Removal | $495$56$3.4k | $795 | $1,223 |
| Knee Arthroscopy with Meniscectomy | $3,008$1.5k$5.0k | — | — |
| Laparoscopic Appendectomy | $6,411$2.8k$24k | $15,438 | $23,750 |
| Laparoscopic Gallbladder Removal | $7,659$2.5k$24k | $15,438 | $23,750 |
| Laparoscopic Tubal Ligation | $5,409$2.3k$6.0k | — | — |
| Lipid Panel (Cholesterol Test) | $26$13$87 | $57 | $87 |
| Lumbar Epidural Steroid Injection | $1,584$460$4.3k | $2,776 | $4,270 |
| Lumbar Puncture (Spinal Tap) | $1,783$460$4.3k | $2,776 | $4,270 |
| Lumbar Spinal Fusion (Posterior) | $17,048$7.6k$19k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,550$2.5k$6.8k | — | — |
| MRI Abdomen with and without Contrast | $881$314$2.4k | $1,544 | $2,375 |
| MRI Brain with and without Contrast | $814$314$2.4k | $1,544 | $2,375 |
| MRI Brain with Contrast | $814$314$2.4k | $1,544 | $2,375 |
| MRI Brain without Contrast | $514$208$1.8k | $983 | $1,513 |
| MRI Cervical Spine (Neck) without Contrast | $514$208$1.8k | $983 | $1,513 |
| MRI Knee without Contrast | $561$208$1.8k | $983 | $1,513 |
| MRI Lower Back (Lumbar Spine) without Contrast | $514$208$1.8k | $983 | $1,513 |
| MRI Thoracic Spine (Mid-back) without Contrast | $514$208$1.8k | $983 | $1,513 |
| Newborn Circumcision | $2,368$969$7.8k | $5,046 | $7,763 |
| Nuclear Cardiac Stress Test | $2,819$722$8.8k | $5,699 | $8,767 |
| Office Visit, Established Patient (Level 3) | $69$26$139 | $90 | $139 |
| Office Visit, New Patient (Level 3) | $65$24$141 | $84 | $129 |
| Pacemaker Insertion (Dual Chamber) | $10,005$620$23k | $15,124 | $23,268 |
| PET/CT Scan, Whole Body | $2,951$951$9.7k | $6,279 | $9,660 |
| Pregnancy Ultrasound (Second or Third Trimester) | $233$95$679 | $441 | $679 |
| Prostate Biopsy | $2,546$917$7.8k | $5,046 | $7,763 |
| PSA Prostate Cancer Screening | $36$15$120 | $78 | $120 |
| Pulmonary Function Test with Bronchodilator | $403$104$1.2k | $778 | $1,197 |
| Rotator Cuff Repair (Arthroscopic) | $6,623$3.5k$7.3k | — | — |
| Screening Mammogram | $229$42$564 | $367 | $564 |
| Septoplasty (Deviated Septum Repair) | $3,006$1.7k$6.8k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,417$2.8k$7.1k | — | — |
| Skin Biopsy (Tangential) | $248$77$7.4k | $268 | $413 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,622$620$4.0k | $2,169 | $3,337 |
| Sleep Study (In-lab Polysomnography) | $2,176$573$6.5k | $4,196 | $6,456 |
| Spinal Cord Stimulator Trial | $6,571$2.5k$20k | $13,025 | $20,039 |
| Spirometry (Breathing Test) | $201$53$596 | $387 | $596 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,006$1.2k$3.3k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,484$1.2k$6.8k | — | — |
| Total Hip Replacement | $11,928$6.4k$13k | — | — |
| Total Knee Replacement | $11,928$6.4k$13k | — | — |
| Total Mastectomy | $6,046$2.5k$7.8k | — | — |
| TSH Thyroid Function Test | $33$17$109 | $71 | $109 |
| TURP (Transurethral Prostate Resection) | $4,713$2.7k$5.2k | — | — |
| Umbilical Hernia Repair | $2,188$2.0k$2.3k | — | — |
| Upper GI Endoscopy (EGD) | $1,558$634$4.8k | $2,426 | $3,732 |
| Urinalysis with Microscopy | $8$3$21 | $14 | $21 |
| Vaginal Hysterectomy | $4,576$2.6k$7.8k | — | — |
| Vasectomy | $2,546$1.2k$7.8k | $5,046 | $7,763 |
| Vitamin D Blood Test | $58$17$192 | $125 | $192 |