| ACL Reconstruction (Arthroscopic) | $6,623$3.9k$7.3k | — | — |
| Allergy Skin Testing | $98$39$1.0k | $85 | $130 |
| Basic Metabolic Panel | $20$7$55 | $36 | $55 |
| Bone Marrow Biopsy | $2,230$1.2k$4.6k | $3,013 | $4,635 |
| Breast Biopsy (Ultrasound-guided) | $3,710$930$10k | $6,507 | $10,010 |
| Bunion Correction Surgery | $3,128$2.8k$4.3k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $24,562$5.8k$64k | $41,311 | $63,556 |
| Cardiac Catheterization (Left Heart) | $6,530$1.3k$17k | $10,898 | $16,766 |
| Cardiac Stress Test (Treadmill) | $108$98$113 | — | — |
| Carpal Tunnel Release Surgery | $4,077$983$12k | $7,749 | $11,921 |
| Cataract Surgery with Lens Implant | $2,114$1.2k$2.3k | — | — |
| Cervical Spinal Fusion (Anterior) | $11,928$8.4k$13k | — | — |
| Chemotherapy Infusion (First Hour) | $1,029$250$2.1k | $1,359 | $2,091 |
| Chest X-ray (2 Views) | $208$51$562 | $365 | $562 |
| Colonoscopy with Biopsy | $2,276$802$4.9k | $3,158 | $4,858 |
| Complete Abdominal Ultrasound | $264$95$679 | $441 | $679 |
| Complete Blood Count (CBC) with Differential | $22$8$51 | $33 | $51 |
| Comprehensive Metabolic Panel | $25$11$69 | $45 | $69 |
| Coronary Angioplasty with Stent | $11,354$712$36k | $23,426 | $36,040 |
| Critical Care, First Hour | $1,370$62$5.1k | $3,297 | $5,073 |
| CT Abdomen and Pelvis with Contrast | $992$331$2.4k | $1,544 | $2,375 |
| CT Cardiac Calcium Scoring | $219$53$562 | $365 | $562 |
| CT Chest without Contrast | $311$95$1.2k | $441 | $679 |
| CT Head without Contrast | $392$95$1.2k | $441 | $679 |
| DEXA Bone Density Scan | $259$66$679 | $441 | $679 |
| Diagnostic Colonoscopy | $1,723$793$4.3k | $2,445 | $3,762 |
| Diagnostic Mammogram (Both Breasts) | $322$47$654 | $425 | $654 |
| Ear Tube Placement (Tympanostomy) | $1,373$847$1.5k | — | — |
| Echocardiogram (Complete with Doppler) | $1,380$318$2.8k | $1,845 | $2,839 |
| EKG (Electrocardiogram, 12-lead) | $225$21$384 | $250 | $384 |
| Emergency Room Visit (Level 3) | $785$62$2.1k | $1,061 | $1,632 |
| Group Therapy Session | $104$36$184 | $120 | $184 |
| Hemodialysis Treatment | $372$336$389 | — | — |
| Hemoglobin A1c (Diabetes Test) | $23$10$63 | $41 | $63 |
| HIV Antibody Test | $21$9$29 | — | — |
| Holter Monitor (24-48 Hour Heart Monitor) | $86$78$90 | — | — |
| Home Sleep Study | $503$78$965 | $627 | $965 |
| Individual Therapy Session (45 Minutes) | $161$94$329 | $214 | $329 |
| Inguinal Hernia Repair (Open) | $5,791$2.2k$14k | $9,257 | $14,241 |
| Initial Psychiatric Diagnostic Evaluation | $175$99$329 | $214 | $329 |
| Initial Psychiatric Evaluation with Medication Management | $175$99$329 | $214 | $329 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,792$323$3.6k | $2,363 | $3,635 |
| IUD Insertion | $279$62$2.8k | $302 | $465 |
| IUD Removal | $657$62$2.8k | $795 | $1,223 |
| Knee Arthroscopy with Meniscectomy | $3,008$1.7k$5.0k | — | — |
| Laparoscopic Appendectomy | $7,639$3.1k$24k | $15,438 | $23,750 |
| Laparoscopic Gallbladder Removal | $8,091$2.7k$24k | $15,438 | $23,750 |
| Laparoscopic Tubal Ligation | $5,409$2.5k$6.0k | — | — |
| Lipid Panel (Cholesterol Test) | $31$13$87 | $57 | $87 |
| Lumbar Epidural Steroid Injection | $1,956$510$4.3k | $2,776 | $4,270 |
| Lumbar Puncture (Spinal Tap) | $1,956$510$4.3k | $2,776 | $4,270 |
| Lumbar Spinal Fusion (Posterior) | $17,048$8.4k$19k | — | — |
| Lumpectomy (Partial Mastectomy) | $3,550$2.8k$3.9k | — | — |
| MRI Abdomen with and without Contrast | $1,154$331$2.4k | $1,544 | $2,375 |
| MRI Brain with and without Contrast | $1,088$331$2.4k | $1,544 | $2,375 |
| MRI Brain with Contrast | $1,088$331$2.4k | $1,544 | $2,375 |
| MRI Brain without Contrast | $693$213$1.8k | $983 | $1,513 |
| MRI Cervical Spine (Neck) without Contrast | $693$213$1.8k | $983 | $1,513 |
| MRI Knee without Contrast | $735$213$1.8k | $983 | $1,513 |
| MRI Lower Back (Lumbar Spine) without Contrast | $693$213$1.8k | $983 | $1,513 |
| MRI Thoracic Spine (Mid-back) without Contrast | $693$213$1.8k | $983 | $1,513 |
| Newborn Circumcision | $2,693$1.1k$7.8k | $5,046 | $7,763 |
| Nuclear Cardiac Stress Test | $3,225$801$8.8k | $5,699 | $8,767 |
| Office Visit, Established Patient (Level 3) | $76$30$139 | $90 | $139 |
| Office Visit, New Patient (Level 3) | $72$28$141 | $84 | $129 |
| Pacemaker Insertion (Dual Chamber) | $10,096$620$23k | $15,124 | $23,268 |
| PET/CT Scan, Whole Body | $3,591$1.1k$9.7k | $6,279 | $9,660 |
| Pregnancy Ultrasound (Second or Third Trimester) | $264$95$679 | $441 | $679 |
| Prostate Biopsy | $3,241$1.0k$7.8k | $5,046 | $7,763 |
| PSA Prostate Cancer Screening | $37$16$120 | $78 | $120 |
| Pulmonary Function Test with Bronchodilator | $590$115$1.2k | $778 | $1,197 |
| Rotator Cuff Repair (Arthroscopic) | $6,623$3.9k$7.3k | — | — |
| Screening Mammogram | $278$47$564 | $367 | $564 |
| Septoplasty (Deviated Septum Repair) | $3,006$1.9k$3.3k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,417$3.1k$7.1k | — | — |
| Skin Biopsy (Tangential) | $278$124$7.4k | $268 | $413 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,797$956$3.7k | $2,169 | $3,337 |
| Sleep Study (In-lab Polysomnography) | $3,183$635$6.5k | $4,196 | $6,456 |
| Spinal Cord Stimulator Trial | $6,773$2.3k$20k | $13,025 | $20,039 |
| Spirometry (Breathing Test) | $294$59$596 | $387 | $596 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,006$1.3k$3.3k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,484$1.3k$6.0k | — | — |
| Total Hip Replacement | $11,928$5.4k$13k | — | — |
| Total Knee Replacement | $11,928$5.7k$13k | — | — |
| Total Mastectomy | $6,046$2.8k$6.7k | — | — |
| TSH Thyroid Function Test | $33$17$109 | $71 | $109 |
| TURP (Transurethral Prostate Resection) | $4,713$3.0k$5.2k | — | — |
| Umbilical Hernia Repair | $2,427$2.2k$2.5k | — | — |
| Upper GI Endoscopy (EGD) | $1,748$703$4.3k | $2,426 | $3,732 |
| Urinalysis with Microscopy | $9$3$21 | $14 | $21 |
| Vaginal Hysterectomy | $4,576$2.9k$5.0k | — | — |
| Vasectomy | $3,241$1.3k$7.8k | $5,046 | $7,763 |
| Vitamin D Blood Test | $59$19$192 | $125 | $192 |