| Abdominal Hysterectomy | $5,673$895$14k | $15,043 | $30,086 |
| ACL Reconstruction (Arthroscopic) | $7,037$2.4k$23k | — | — |
| Allergy Skin Testing | $463$4$2.7k | $15 | $30 |
| Basic Metabolic Panel | $9$7$71 | $45 | $89 |
| Bone Marrow Biopsy | $1,709$69$5.3k | $1,958 | $3,915 |
| Breast Biopsy (Ultrasound-guided) | $1,827$150$5.3k | $2,708 | $5,416 |
| Bunion Correction Surgery | $3,385$506$10k | $11,495 | $22,990 |
| Cardiac Ablation for Atrial Fibrillation | $27,042$949$84k | $17,319 | $34,638 |
| Cardiac Catheterization (Left Heart) | $3,354$751$15k | $9,104 | $18,208 |
| Carpal Tunnel Release Surgery | $2,020$438$6.2k | $4,184 | $8,367 |
| Cataract Surgery with Lens Implant | $2,435$1.3k$7.9k | $2,607 | $5,215 |
| Chemotherapy Infusion (First Hour) | $431$130$1.1k | $6,309 | $12,619 |
| Chest X-ray (2 Views) | $198$23$640 | $250 | $499 |
| Colonoscopy with Biopsy | $1,366$196$3.9k | $2,621 | $5,242 |
| Complete Abdominal Ultrasound | $334$79$1.6k | $886 | $1,771 |
| Complete Blood Count (CBC) with Differential | $9$7$148 | $82 | $164 |
| Comprehensive Metabolic Panel | $11$9$222 | $139 | $278 |
| Coronary Angioplasty with Stent | $11,944$570$59k | $4,299 | $8,597 |
| Critical Care, First Hour | $2,156$210$9.0k | $6,427 | $12,855 |
| CT Abdomen and Pelvis with Contrast | $1,116$230$3.0k | $1,680 | $3,360 |
| CT Cardiac Calcium Scoring | $182$75$2.1k | $120 | $240 |
| CT Chest without Contrast | $234$86$2.1k | $958 | $1,916 |
| CT Head without Contrast | $334$69$2.1k | $1,017 | $2,033 |
| DEXA Bone Density Scan | $177$29$1.1k | $586 | $1,171 |
| Diagnostic Colonoscopy | $1,911$180$3.9k | $2,251 | $4,501 |
| Diagnostic Mammogram (Both Breasts) | $111$108$877 | $487 | $974 |
| Ear Tube Placement (Tympanostomy) | $4,114$1.7k$5.0k | — | — |
| Echocardiogram (Complete with Doppler) | $621$128$3.9k | $2,170 | $4,339 |
| Emergency Room Visit (Level 3) | $738$71$2.1k | $685 | $1,369 |
| Group Therapy Session | $234$23$531 | $253 | $506 |
| Hemoglobin A1c (Diabetes Test) | $10$5$130 | $693 | $1,385 |
| HIV Antibody Test | $9$7$218 | $136 | $272 |
| Home Sleep Study | $586$48$2.2k | $545 | $1,089 |
| Individual Therapy Session (45 Minutes) | $188$88$412 | $124 | $247 |
| Inguinal Hernia Repair (Open) | $6,281$522$19k | $10,438 | $20,876 |
| Initial Psychiatric Diagnostic Evaluation | $239$148$360 | $157 | $314 |
| Initial Psychiatric Evaluation with Medication Management | $179$112$360 | $118 | $236 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $2,582$1.7k$3.2k | — | — |
| IUD Insertion | $380$50$16k | $3,769 | $7,538 |
| IUD Removal | $315$4$19k | $95 | $190 |
| Knee Arthroscopy with Meniscectomy | $3,385$1.3k$10k | $2,747 | $5,495 |
| Laparoscopic Appendectomy | $6,255$600$19k | $10,067 | $20,134 |
| Laparoscopic Gallbladder Removal | $6,998$656$19k | $12,077 | $24,153 |
| Laparoscopic Tubal Ligation | $6,255$650$19k | $10,634 | $21,268 |
| Lipid Panel (Cholesterol Test) | $14$7$196 | $679 | $1,358 |
| Lumbar Epidural Steroid Injection | $877$97$3.3k | $1,320 | $2,640 |
| Lumbar Puncture (Spinal Tap) | $1,066$62$3.3k | $1,047 | $2,093 |
| Lumpectomy (Partial Mastectomy) | $5,014$657$21k | $19,379 | $38,758 |
| MRI Abdomen with and without Contrast | $1,557$249$3.3k | $1,801 | $3,602 |
| MRI Brain with and without Contrast | $1,116$223$4.0k | $2,245 | $4,489 |
| MRI Brain with Contrast | $1,098$197$3.1k | $1,433 | $2,865 |
| MRI Brain without Contrast | $252$133$3.1k | $1,194 | $2,388 |
| MRI Cervical Spine (Neck) without Contrast | $733$128$3.1k | $1,119 | $2,237 |
| MRI Knee without Contrast | $1,271$146$3.1k | $1,047 | $2,094 |
| MRI Lower Back (Lumbar Spine) without Contrast | $704$128$3.1k | $1,119 | $2,237 |
| MRI Thoracic Spine (Mid-back) without Contrast | $732$128$3.1k | $1,119 | $2,237 |
| Newborn Circumcision | $2,163$97$6.7k | $992 | $1,983 |
| Nuclear Cardiac Stress Test | $1,793$361$5.9k | $3,257 | $6,514 |
| Office Visit, Established Patient (Level 3) | $143$65$773 | $117 | $234 |
| Office Visit, New Patient (Level 3) | $141$83$439 | $244 | $488 |
| Pacemaker Insertion (Dual Chamber) | $10,868$509$33k | $21,145 | $42,289 |
| PET/CT Scan, Whole Body | $1,955$1.1k$8.5k | $2,934 | $5,868 |
| Pregnancy Ultrasound (Second or Third Trimester) | $331$89$918 | $510 | $1,020 |
| Prostate Biopsy | $545$127$3.9k | $9,818 | $19,636 |
| PSA Prostate Cancer Screening | $19$15$268 | $168 | $335 |
| Pulmonary Function Test with Bronchodilator | $483$29$1.2k | $414 | $828 |
| Rotator Cuff Repair (Arthroscopic) | $7,408$1.1k$23k | $4,089 | $8,178 |
| Screening Mammogram | $91$90$690 | $422 | $844 |
| Septoplasty (Deviated Septum Repair) | $3,430$1.1k$11k | $1,731 | $3,462 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $6,160$3.4k$23k | — | — |
| Skin Biopsy (Tangential) | $421$38$1.3k | $75 | $150 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,709$81$6.7k | $6,506 | $13,012 |
| Sleep Study (In-lab Polysomnography) | $1,908$497$5.3k | $2,917 | $5,834 |
| Spinal Cord Stimulator Trial | $7,408$407$99k | $21,310 | $42,621 |
| Spirometry (Breathing Test) | $223$19$1.0k | $91 | $182 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,706$311$11k | $2,741 | $5,482 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,767$297$19k | $2,659 | $5,317 |
| Total Hip Replacement | $5,772$2.4k$6.9k | $39,467 | $78,934 |
| Total Knee Replacement | $13,283$1.3k$41k | $22,485 | $44,970 |
| Total Mastectomy | $6,870$859$44k | $26,643 | $53,286 |
| TSH Thyroid Function Test | $19$14$275 | $153 | $305 |
| TURP (Transurethral Prostate Resection) | $5,547$713$17k | $3,590 | $7,180 |
| Umbilical Hernia Repair | $3,809$3.2k$5.0k | — | — |
| Upper GI Endoscopy (EGD) | $1,588$120$3.3k | $1,818 | $3,635 |
| Urinalysis with Microscopy | $3$3$32 | $20 | $40 |
| Vaginal Hysterectomy | $5,988$2.5k$16k | $2,635 | $5,270 |
| Vasectomy | $2,163$226$6.7k | $2,536 | $5,073 |
| Vitamin D Blood Test | $90$25$513 | $990 | $1,979 |