| ACL Reconstruction (Arthroscopic) | $7,229$4.5k$29k | $10,135 | $20,270 |
| Basic Metabolic Panel | $9$6$35 | $38 | $76 |
| Bone Marrow Biopsy | $1,637$70$6.5k | $2,416 | $4,832 |
| Breast Biopsy (Ultrasound-guided) | $1,637$139$6.5k | $6,879 | $13,757 |
| Bunion Correction Surgery | $3,260$2.0k$13k | $5,323 | $10,645 |
| Cardiac Ablation for Atrial Fibrillation | $25,536$722$103k | $15,928 | $31,855 |
| Cardiac Catheterization (Left Heart) | $3,214$223$13k | $5,643 | $11,286 |
| Carpal Tunnel Release Surgery | $1,945$1.2k$7.7k | $2,960 | $5,919 |
| Cervical Spinal Fusion (Anterior) | $12,543$206$51k | $5,965 | $11,930 |
| Chemotherapy Infusion (First Hour) | $327$84$1.3k | $396 | $791 |
| Chest X-ray (2 Views) | $86$8$344 | $176 | $351 |
| Colonoscopy with Biopsy | $1,186$206$4.7k | $1,201 | $2,402 |
| Complete Abdominal Ultrasound | $104$29$413 | $602 | $1,204 |
| Complete Blood Count (CBC) with Differential | $8$5$32 | $47 | $93 |
| Comprehensive Metabolic Panel | $11$7$43 | $48 | $95 |
| Coronary Angioplasty with Stent | $11,445$451$46k | $4,774 | $9,548 |
| Critical Care, First Hour | $819$25$3.3k | $1,189 | $2,377 |
| CT Abdomen and Pelvis with Contrast | $346$65$1.4k | $1,570 | $3,139 |
| CT Cardiac Calcium Scoring | $86$21$344 | $97 | $193 |
| CT Chest without Contrast | $104$38$413 | $783 | $1,565 |
| CT Head without Contrast | $104$30$413 | $785 | $1,570 |
| DEXA Bone Density Scan | $104$7$413 | $332 | $663 |
| Diagnostic Colonoscopy | $922$105$3.7k | $1,553 | $3,106 |
| Diagnostic Mammogram (Both Breasts) | $47$30$188 | $532 | $1,064 |
| Ear Tube Placement (Tympanostomy) | $1,538$99$6.1k | $1,334 | $2,667 |
| Echocardiogram (Complete with Doppler) | $542$50$2.2k | $1,134 | $2,267 |
| Emergency Room Visit (Level 3) | $271$25$1.1k | $702 | $1,404 |
| Hemoglobin A1c (Diabetes Test) | $10$6$40 | $53 | $105 |
| HIV Antibody Test | $9$6$36 | $67 | $133 |
| Home Sleep Study | $208$32$853 | $343 | $685 |
| Individual Therapy Session (45 Minutes) | $176$72$701 | $142 | $283 |
| Inguinal Hernia Repair (Open) | $3,619$64$24k | $7,095 | $14,190 |
| Initial Psychiatric Diagnostic Evaluation | $176$111$701 | $111 | $221 |
| Initial Psychiatric Evaluation with Medication Management | $176$111$701 | $205 | $409 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $234$231$284 | $1,176 | $2,351 |
| IUD Insertion | $105$17$107 | $183 | $366 |
| IUD Removal | $293$17$1.2k | $295 | $590 |
| Knee Arthroscopy with Meniscectomy | $3,260$2.0k$13k | $4,123 | $8,246 |
| Laparoscopic Appendectomy | $5,994$206$24k | $6,433 | $12,866 |
| Laparoscopic Gallbladder Removal | $5,994$206$24k | $9,230 | $18,460 |
| Laparoscopic Tubal Ligation | $5,994$206$24k | $4,462 | $8,924 |
| Lipid Panel (Cholesterol Test) | $14$9$55 | $61 | $121 |
| Lumbar Epidural Steroid Injection | $690$74$2.8k | $941 | $1,883 |
| Lumbar Puncture (Spinal Tap) | $679$25$2.8k | $1,080 | $2,160 |
| Lumbar Spinal Fusion (Posterior) | $17,130$776$69k | $11,435 | $22,869 |
| Lumpectomy (Partial Mastectomy) | $3,957$2.4k$26k | $4,721 | $9,442 |
| MRI Abdomen with and without Contrast | $346$78$1.4k | $1,781 | $3,562 |
| MRI Brain with and without Contrast | $346$82$1.4k | $1,868 | $3,735 |
| MRI Brain with Contrast | $346$63$1.4k | $1,768 | $3,537 |
| MRI Brain without Contrast | $237$52$942 | $1,408 | $2,815 |
| MRI Cervical Spine (Neck) without Contrast | $237$53$942 | $1,456 | $2,911 |
| MRI Knee without Contrast | $241$48$2.1k | $1,466 | $2,932 |
| MRI Lower Back (Lumbar Spine) without Contrast | $237$53$942 | $1,444 | $2,887 |
| MRI Thoracic Spine (Mid-back) without Contrast | $237$53$942 | $1,441 | $2,882 |
| Newborn Circumcision | $1,066$79$8.3k | $57 | $114 |
| Nuclear Cardiac Stress Test | $1,284$56$5.1k | $2,938 | $5,875 |
| Office Visit, Established Patient (Level 3) | $59$37$235 | $72 | $144 |
| Office Visit, New Patient (Level 3) | $74$47$296 | $72 | $144 |
| Pacemaker Insertion (Dual Chamber) | $10,362$206$41k | $14,479 | $28,957 |
| PET/CT Scan, Whole Body | $1,418$83$5.6k | $4,888 | $9,776 |
| Pregnancy Ultrasound (Second or Third Trimester) | $104$35$413 | $693 | $1,386 |
| Prostate Biopsy | $206$90$210 | $2,172 | $4,343 |
| PSA Prostate Cancer Screening | $19$12$75 | $70 | $139 |
| Pulmonary Function Test with Bronchodilator | $370$7$1.5k | $411 | $821 |
| Rotator Cuff Repair (Arthroscopic) | $7,229$4.5k$29k | $13,820 | $27,640 |
| Screening Mammogram | $35$22$141 | $439 | $877 |
| Septoplasty (Deviated Septum Repair) | $3,191$25$13k | $4,875 | $9,751 |
| Skin Biopsy (Tangential) | $397$32$1.6k | $184 | $367 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,590$40$6.5k | $1,869 | $3,737 |
| Sleep Study (In-lab Polysomnography) | $360$87$3.4k | $2,866 | $5,731 |
| Spinal Cord Stimulator Trial | $6,226$206$25k | $5,433 | $10,866 |
| Spirometry (Breathing Test) | $214$6$853 | $264 | $527 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,287$206$13k | $4,493 | $8,987 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,784$206$23k | $4,558 | $9,116 |
| Total Hip Replacement | $12,729$776$51k | $13,480 | $26,960 |
| Total Knee Replacement | $12,729$206$51k | $10,861 | $21,722 |
| Total Mastectomy | $6,615$4.2k$26k | $6,596 | $13,192 |
| TSH Thyroid Function Test | $17$11$69 | $85 | $169 |
| Upper GI Endoscopy (EGD) | $899$105$3.6k | $969 | $1,937 |
| Urinalysis with Microscopy | $3$2$13 | $31 | $61 |
| Vitamin D Blood Test | $30$19$121 | $15 | $30 |