| ACL Reconstruction (Arthroscopic) | $6,181$7$22k | $11,875 | — |
| Basic Metabolic Panel | $28$7$39 | $228 | $126 |
| Bone Marrow Biopsy | $3,068$65$7.1k | $524 | $806 |
| Breast Biopsy (Ultrasound-guided) | $4,764$142$12k | $2,012 | $3,096 |
| Bunion Correction Surgery | $6,181$26$15k | $7,049 | — |
| Cardiac Catheterization (Left Heart) | $10,305$1$20k | $9,224 | $12,927 |
| Carpal Tunnel Release Surgery | $4,764$44$13k | $4,807 | $995 |
| Cataract Surgery with Lens Implant | $10,089$4$30k | $5,243 | — |
| Cervical Spinal Fusion (Anterior) | $18,891$10$37k | $16,207 | — |
| Cesarean Delivery (Global Package) | $5,860$37$6.7k | $5,860 | $3,861 |
| Chemotherapy Infusion (First Hour) | $577$35$949 | $19,749 | $796 |
| Chest X-ray (2 Views) | $103$9$250 | $358 | $550 |
| Colonoscopy with Biopsy | $3,811$131$9.0k | $6,150 | $506 |
| Complete Abdominal Ultrasound | $300$36$1.9k | $1,238 | $1,904 |
| Complete Blood Count (CBC) with Differential | $36$3$299 | $536 | $84 |
| Comprehensive Metabolic Panel | $48$10$299 | $524 | $185 |
| Coronary Angioplasty with Stent | $25,873$529$33k | $11,382 | $17,511 |
| Critical Care, First Hour | $2,165$24$5.3k | $9,477 | $1,244 |
| CT Abdomen and Pelvis with Contrast | $1,027$65$3.3k | $5,146 | $4,322 |
| CT Chest without Contrast | $308$79$3.3k | $1,745 | $2,685 |
| CT Head without Contrast | $369$64$3.3k | $2,574 | $2,184 |
| DEXA Bone Density Scan | $131$28$800 | $520 | $800 |
| Diagnostic Colonoscopy | $3,811$2$9.0k | $4,014 | $465 |
| Diagnostic Mammogram (Both Breasts) | $409$59$1.1k | $707 | $1,088 |
| Echocardiogram (Complete with Doppler) | $682$116$4.3k | $2,766 | $4,255 |
| EKG (Electrocardiogram, 12-lead) | $57$13$93 | $49 | $76 |
| Emergency Room Visit (Level 3) | $2,165$8$3.6k | $1,310 | $731 |
| Group Therapy Session | $113$22$455 | $148 | $228 |
| Hemoglobin A1c (Diabetes Test) | $36$10$87 | $57 | $87 |
| HIV Antibody Test | $29$9$46 | $2,485 | $165 |
| Home Sleep Study | $606$49$8.1k | $832 | $1,280 |
| Individual Therapy Session (45 Minutes) | $156$83$547 | $270 | $415 |
| Inguinal Hernia Repair (Open) | $8,204$5$15k | $5,650 | $764 |
| Initial Hospital Admission (Level 1) | $175$52$212 | $194 | $194 |
| Initial Psychiatric Diagnostic Evaluation | $230$106$782 | $396 | $609 |
| Initial Psychiatric Evaluation with Medication Management | $547$106$865 | $356 | $547 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $944$110$1.7k | $1,116 | $1,717 |
| IUD Insertion | $226$2$4.0k | $1,250 | $124 |
| IUD Removal | $295$22$4.0k | $840 | $134 |
| Knee Arthroscopy with Meniscectomy | $8,204$3$15k | $5,765 | — |
| Laparoscopic Appendectomy | $16,945$26$22k | $9,398 | $784 |
| Laparoscopic Gallbladder Removal | $16,980$3$22k | $10,307 | $859 |
| Laparoscopic Tubal Ligation | $16,945$44$22k | $7,937 | $1,413 |
| Lipid Panel (Cholesterol Test) | $44$6$166 | $534 | $219 |
| Lumbar Epidural Steroid Injection | $2,886$93$7.1k | $1,492 | $2,295 |
| Lumbar Puncture (Spinal Tap) | $2,027$59$7.1k | $977 | $1,503 |
| Lumpectomy (Partial Mastectomy) | $6,181$352$13k | $6,005 | $1,451 |
| MRI Abdomen with and without Contrast | $1,110$223$5.6k | $3,617 | $5,564 |
| MRI Brain with and without Contrast | $993$201$5.5k | $3,597 | $5,534 |
| MRI Brain with Contrast | $876$177$5.4k | $3,272 | $5,034 |
| MRI Brain without Contrast | $593$121$5.4k | $2,374 | $3,653 |
| MRI Cervical Spine (Neck) without Contrast | $568$116$5.4k | $2,417 | $3,718 |
| MRI Knee without Contrast | $685$134$5.4k | $2,815 | $4,331 |
| MRI Lower Back (Lumbar Spine) without Contrast | $571$117$5.4k | $2,380 | $3,661 |
| MRI Thoracic Spine (Mid-back) without Contrast | $568$116$5.4k | $2,446 | $3,763 |
| Newborn Circumcision | $3,109$26$13k | $6,931 | $270 |
| Nuclear Cardiac Stress Test | $1,616$145$4.9k | $3,212 | $4,941 |
| Office Visit, Established Patient (Level 3) | $236$45$409 | $190 | $231 |
| Office Visit, New Patient (Level 3) | $295$25$588 | $222 | $286 |
| Pacemaker Insertion (Dual Chamber) | $4,675$470$30k | $3,799 | $5,844 |
| PET/CT Scan, Whole Body | $4,107$410$6.9k | $4,458 | $6,858 |
| Pregnancy Ultrasound (Second or Third Trimester) | $316$33$770 | $501 | $770 |
| Prostate Biopsy | $4,764$86$9.7k | $8,411 | $328 |
| PSA Prostate Cancer Screening | $60$18$102 | $66 | $102 |
| Pulmonary Function Test with Bronchodilator | $252$15$1.0k | $386 | $594 |
| Rotator Cuff Repair (Arthroscopic) | $9,056$5$22k | $10,785 | $653 |
| Screening Mammogram | $328$59$661 | $384 | $592 |
| Septoplasty (Deviated Septum Repair) | $8,204$44$20k | $20,073 | — |
| Skin Biopsy (Tangential) | $168$25$4.0k | $3,258 | $2,344 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $3,109$26$9.7k | $3,421 | $1,397 |
| Sleep Study (In-lab Polysomnography) | $3,021$470$8.1k | $4,882 | $7,511 |
| Spirometry (Breathing Test) | $132$9$606 | $244 | $376 |
| Total Hip Replacement | $32,477$73$37k | $21,790 | $1,865 |
| Total Mastectomy | $9,495$87$19k | $10,525 | $1,389 |
| TSH Thyroid Function Test | $74$9$196 | $107 | $165 |
| TURP (Transurethral Prostate Resection) | $8,204$44$20k | $10,438 | $1,845 |
| Upper GI Endoscopy (EGD) | $2,886$2$9.0k | $6,321 | $267 |
| Urinalysis with Microscopy | $10$3$15 | $623 | $108 |
| Vaginal Delivery (Global Package) | $5,277$854$6.1k | $5,669 | $5,277 |
| Vaginal Hysterectomy | $14,311$176$21k | $9,111 | — |
| Vitamin D Blood Test | $109$29$254 | $150 | $230 |