| Abdominal Hysterectomy | $7,277 | — | — |
| ACL Reconstruction (Arthroscopic) | $19,055$7.3k$36k | — | — |
| Allergy Skin Testing | $2,785$994$4.5k | — | — |
| Basic Metabolic Panel | $13$8$42 | $42 | $87 |
| Bone Marrow Biopsy | $4,318$1.9k$8.1k | $2,411 | $5,023 |
| Breast Biopsy (Ultrasound-guided) | $4,318$1.9k$8.1k | $2,166 | $4,513 |
| Bunion Correction Surgery | $8,621$3.8k$16k | — | — |
| Cardiac Ablation for Atrial Fibrillation | $63,260$30k$128k | $21,489 | $44,768 |
| Cardiac Catheterization (Left Heart) | $8,679$3.8k$16k | $6,553 | $13,653 |
| Carpal Tunnel Release Surgery | $5,143$2.3k$9.6k | $2,892 | $6,025 |
| Cataract Surgery with Lens Implant | $6,207$2.7k$11k | — | — |
| Cervical Spinal Fusion (Anterior) | $35,055$7.3k$63k | — | — |
| Chemotherapy Infusion (First Hour) | $902$382$1.6k | $876 | $1,826 |
| Chest X-ray (2 Views) | $251$101$427 | $107 | $222 |
| Colonoscopy with Biopsy | $3,143$1.4k$7.3k | — | — |
| Complete Abdominal Ultrasound | $304$121$560 | $630 | $1,313 |
| Complete Blood Count (CBC) with Differential | $12$7$39 | $49 | $102 |
| Comprehensive Metabolic Panel | $16$10$53 | $56 | $116 |
| Coronary Angioplasty with Stent | $29,302$13k$57k | $21,288 | $44,349 |
| Critical Care, First Hour | $2,364$957$4.1k | $2,087 | $4,348 |
| CT Abdomen and Pelvis with Contrast | $1,063$404$1.9k | $584 | $1,217 |
| CT Cardiac Calcium Scoring | $251$101$427 | $133 | $277 |
| CT Chest without Contrast | $304$121$560 | $246 | $513 |
| CT Head without Contrast | $304$121$560 | $192 | $401 |
| DEXA Bone Density Scan | $304$121$560 | $106 | $220 |
| Diagnostic Colonoscopy | $2,434$1.1k$7.3k | $1,932 | $4,026 |
| Diagnostic Mammogram (Both Breasts) | $174$93$415 | $229 | $478 |
| Ear Tube Placement (Tympanostomy) | $4,062$1.8k$7.6k | — | — |
| Echocardiogram (Complete with Doppler) | $1,469$633$2.7k | $1,192 | $2,484 |
| Emergency Room Visit (Level 3) | $816$316$1.3k | $590 | $1,229 |
| Group Therapy Session | $237$118$499 | $210 | $438 |
| Hemoglobin A1c (Diabetes Test) | $15$9$49 | $70 | $147 |
| HIV Antibody Test | $13$8$44 | $47 | $97 |
| Home Sleep Study | $450$250$1.1k | $286 | $595 |
| Individual Therapy Session (45 Minutes) | $425$206$872 | $383 | $797 |
| Inguinal Hernia Repair (Open) | $9,215$4.1k$18k | — | — |
| Initial Psychiatric Diagnostic Evaluation | $425$206$872 | $202 | $422 |
| Initial Psychiatric Evaluation with Medication Management | $425$206$872 | $202 | $422 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $2,064$1.6k$2.7k | $1,344 | $2,800 |
| IUD Insertion | — | $260 | $541 |
| IUD Removal | $854$353$7.3k | $989 | $2,061 |
| Knee Arthroscopy with Meniscectomy | $8,621$3.8k$16k | — | — |
| Laparoscopic Appendectomy | $15,369$7.0k$30k | — | — |
| Laparoscopic Gallbladder Removal | $15,369$7.0k$30k | — | — |
| Laparoscopic Tubal Ligation | $15,369$7.0k$30k | — | — |
| Lipid Panel (Cholesterol Test) | $20$12$48 | $86 | $179 |
| Lumbar Epidural Steroid Injection | $1,842$817$7.3k | $1,141 | $2,378 |
| Lumbar Puncture (Spinal Tap) | $1,842$817$7.3k | $1,164 | $2,424 |
| Lumbar Spinal Fusion (Posterior) | $49,638$7.3k$86k | — | — |
| Lumpectomy (Partial Mastectomy) | $10,153$4.5k$19k | $8,856 | $18,451 |
| MRI Abdomen with and without Contrast | $1,063$404$1.9k | $1,108 | $2,309 |
| MRI Brain with and without Contrast | $1,063$404$1.9k | $1,152 | $2,399 |
| MRI Brain with Contrast | $1,063$404$1.9k | $660 | $1,375 |
| MRI Brain without Contrast | $677$276$1.2k | $539 | $1,122 |
| MRI Cervical Spine (Neck) without Contrast | $677$276$1.2k | $539 | $1,122 |
| MRI Knee without Contrast | $677$276$1.2k | $498 | $1,038 |
| MRI Lower Back (Lumbar Spine) without Contrast | $677$276$1.2k | $519 | $1,081 |
| MRI Thoracic Spine (Mid-back) without Contrast | $677$276$1.2k | $519 | $1,081 |
| Newborn Circumcision | $5,425$2.4k$10k | $331 | $690 |
| Nuclear Cardiac Stress Test | $3,924$1.5k$6.4k | $2,600 | $5,416 |
| Pacemaker Insertion (Dual Chamber) | $28,442$7.3k$53k | $7,392 | $15,401 |
| PET/CT Scan, Whole Body | $4,323$1.7k$7.2k | $2,981 | $6,210 |
| Pregnancy Ultrasound (Second or Third Trimester) | $304$121$560 | $338 | $705 |
| Prostate Biopsy | $7,277$5.4k$9.1k | $3,202 | $6,670 |
| PSA Prostate Cancer Screening | $28$17$92 | $129 | $269 |
| Pulmonary Function Test with Bronchodilator | $836$432$1.8k | $369 | $769 |
| Rotator Cuff Repair (Arthroscopic) | $19,055$7.3k$36k | — | — |
| Screening Mammogram | $144$77$343 | $174 | $363 |
| Septoplasty (Deviated Septum Repair) | $8,576$3.8k$16k | — | — |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $18,230$7.3k$35k | — | — |
| Skin Biopsy (Tangential) | $711$471$2.0k | $337 | $702 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $4,318$1.9k$8.1k | $4,420 | $9,209 |
| Sleep Study (In-lab Polysomnography) | $2,785$994$4.5k | $1,946 | $4,055 |
| Spinal Cord Stimulator Trial | $18,216$7.3k$32k | $4,793 | $9,986 |
| Spirometry (Breathing Test) | $450$250$1.1k | $203 | $423 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $8,576$3.8k$16k | — | — |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $15,598$6.9k$29k | — | — |
| Total Hip Replacement | $35,055$7.3k$63k | — | — |
| Total Knee Replacement | $35,055$7.3k$63k | — | — |
| Total Mastectomy | $17,369$7.3k$33k | — | — |
| TSH Thyroid Function Test | $25$15$84 | $120 | $250 |
| TURP (Transurethral Prostate Resection) | $13,782$6.2k$26k | — | — |
| Umbilical Hernia Repair | $15,547$15k$16k | — | — |
| Upper GI Endoscopy (EGD) | $2,414$1.1k$7.3k | $997 | $2,078 |
| Urinalysis with Microscopy | $5$3$16 | $21 | $44 |
| Vaginal Hysterectomy | $13,248$5.8k$25k | — | — |
| Vasectomy | $5,425$2.4k$10k | — | — |
| Vitamin D Blood Test | $44$27$148 | $214 | $446 |