| Abdominal Hysterectomy | $4,306$1.4k$5.9k | $11,932 | $11,932 |
| ACL Reconstruction (Arthroscopic) | $3,387$2.8k$4.5k | $41,668 | $41,668 |
| Basic Metabolic Panel | $13$12$32 | $241 | $241 |
| Bone Marrow Biopsy | $1,368$125$2.8k | $2,381 | $2,381 |
| Breast Biopsy (Ultrasound-guided) | $2,463$650$3.4k | $6,355 | $6,355 |
| Bunion Correction Surgery | $2,938$800$3.4k | $11,407 | $11,407 |
| Cardiac Ablation for Atrial Fibrillation | $17,042$5.0k$33k | $27,667 | $27,667 |
| Cardiac Catheterization (Left Heart) | $5,121$2.0k$8.4k | $15,500 | $15,500 |
| Carpal Tunnel Release Surgery | $1,836$1.5k$2.9k | $21,523 | $21,523 |
| Cataract Surgery with Lens Implant | $2,550$1.8k$5.4k | $16,783 | $16,783 |
| Cervical Spinal Fusion (Anterior) | $4,926$3.6k$16k | $6,816 | $6,816 |
| Chemotherapy Infusion (First Hour) | $352$27$691 | $873 | $873 |
| Chest X-ray (2 Views) | $73$34$207 | $299 | $299 |
| Colonoscopy with Biopsy | $943$821$2.3k | $4,687 | $4,687 |
| Complete Abdominal Ultrasound | $248$114$309 | $1,373 | $1,373 |
| Complete Blood Count (CBC) with Differential | $23$11$30 | $154 | $154 |
| Comprehensive Metabolic Panel | $16$15$40 | $415 | $415 |
| Coronary Angioplasty with Stent | $16,730$4.5k$23k | $25,125 | $25,125 |
| Critical Care, First Hour | $1,944$1.1k$3.5k | $3,026 | $3,026 |
| CT Abdomen and Pelvis with Contrast | $732$317$940 | $2,984 | $2,984 |
| CT Cardiac Calcium Scoring | $242$110$732 | $820 | $820 |
| CT Chest without Contrast | $282$124$751 | $2,859 | $2,859 |
| CT Head without Contrast | $253$101$599 | $2,286 | $2,286 |
| DEXA Bone Density Scan | $134$44$278 | $548 | $548 |
| Diagnostic Colonoscopy | $981$821$2.5k | $3,923 | $3,923 |
| Diagnostic Mammogram (Both Breasts) | $214$79$289 | $595 | $595 |
| Ear Tube Placement (Tympanostomy) | $2,746$1.2k$3.4k | $8,922 | $8,922 |
| Echocardiogram (Complete with Doppler) | $1,069$265$1.6k | $3,482 | $3,482 |
| Emergency Room Visit (Level 3) | $1,206$1.1k$1.6k | $1,145 | $1,145 |
| Hemoglobin A1c (Diabetes Test) | $37$15$40 | $101 | $101 |
| HIV Antibody Test | $19$13$38 | $150 | $150 |
| Home Sleep Study | $797$29$3.3k | $1,500 | $1,500 |
| Inguinal Hernia Repair (Open) | $3,522$950$4.0k | $21,023 | $21,023 |
| IUD Insertion | $1,172$125$3.6k | $8,922 | $8,922 |
| IUD Removal | $1,471$300$2.8k | $1,061 | $1,061 |
| Knee Arthroscopy with Meniscectomy | $3,612$2.4k$4.0k | $19,911 | $19,911 |
| Laparoscopic Appendectomy | $5,589$3.6k$8.0k | $26,029 | $26,029 |
| Laparoscopic Gallbladder Removal | $6,204$3.6k$8.0k | $26,496 | $26,496 |
| Laparoscopic Tubal Ligation | $4,156$1.1k$4.5k | $27,766 | $27,766 |
| Lipid Panel (Cholesterol Test) | $20$19$51 | $244 | $244 |
| Lumbar Epidural Steroid Injection | $1,471$300$2.8k | $1,076 | $1,076 |
| Lumbar Puncture (Spinal Tap) | $1,368$125$2.8k | $1,379 | $1,379 |
| Lumbar Spinal Fusion (Posterior) | $4,926$3.6k$25k | $32,002 | $32,002 |
| Lumpectomy (Partial Mastectomy) | $2,938$800$3.4k | $17,002 | $17,002 |
| MRI Abdomen with and without Contrast | $940$352$2.1k | $6,362 | $6,362 |
| MRI Brain with and without Contrast | $940$318$2.1k | $5,346 | $5,346 |
| MRI Brain with Contrast | $940$281$1.5k | $6,496 | $6,496 |
| MRI Brain without Contrast | $778$191$1.3k | $2,720 | $2,720 |
| MRI Cervical Spine (Neck) without Contrast | $778$182$1.3k | $5,420 | $5,420 |
| MRI Knee without Contrast | $778$210$1.3k | $5,342 | $5,342 |
| MRI Lower Back (Lumbar Spine) without Contrast | $778$183$1.3k | $6,009 | $6,009 |
| MRI Thoracic Spine (Mid-back) without Contrast | $778$183$1.3k | $6,009 | $6,009 |
| Newborn Circumcision | $1,733$125$2.8k | $3,748 | $3,748 |
| Nuclear Cardiac Stress Test | $1,382$510$3.3k | $5,781 | $5,781 |
| Office Visit, Established Patient (Level 3) | — | $359 | $359 |
| Office Visit, New Patient (Level 3) | — | $359 | $359 |
| Pacemaker Insertion (Dual Chamber) | $6,557$1.1k$54k | $23,828 | $23,828 |
| PET/CT Scan, Whole Body | $2,804$1.2k$4.8k | $10,354 | $10,354 |
| Pregnancy Ultrasound (Second or Third Trimester) | $271$100$708 | $1,247 | $1,247 |
| Prostate Biopsy | $2,402$650$2.9k | $1,920 | $1,920 |
| PSA Prostate Cancer Screening | $28$20$71 | $253 | $253 |
| Pulmonary Function Test with Bronchodilator | $800$49$983 | $930 | $930 |
| Rotator Cuff Repair (Arthroscopic) | $4,457$3.9k$7.5k | $32,249 | $32,249 |
| Screening Mammogram | $163$60$239 | $595 | $595 |
| Septoplasty (Deviated Septum Repair) | $3,344$800$3.6k | $22,625 | $22,625 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $4,050$1.4k$5.9k | $27,762 | $27,762 |
| Skin Biopsy (Tangential) | $655$125$3.6k | $696 | $696 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,048$125$2.8k | $664 | $664 |
| Sleep Study (In-lab Polysomnography) | $3,764$380$5.4k | $5,025 | $5,025 |
| Spirometry (Breathing Test) | $520$27$695 | $987 | $987 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,921$950$4.3k | $20,858 | $20,858 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $2,865$950$4.0k | $20,043 | $20,043 |
| Total Hip Replacement | $21,771$18k$23k | $512 | $512 |
| Total Knee Replacement | $21,771$18k$23k | $59 | $59 |
| Total Mastectomy | $3,344$800$3.6k | $9,233 | $9,233 |
| TSH Thyroid Function Test | $65$26$76 | $243 | $243 |
| TURP (Transurethral Prostate Resection) | $3,387$800$3.6k | $29,712 | $29,712 |
| Upper GI Endoscopy (EGD) | $1,217$300$1.8k | $2,933 | $2,933 |
| Urinalysis with Microscopy | $12$4$75 | $20 | $20 |
| Vaginal Delivery (Global Package) | $3,622 | $1,226 | $1,226 |
| Vasectomy | $2,088$125$2.9k | $17,029 | $17,029 |
| Vitamin D Blood Test | $45$7$122 | $208 | $208 |