| ACL Reconstruction (Arthroscopic) | $7,273$6.9k$10k | $7,078 | $14,156 |
| Allergy Skin Testing | $857$3$1.2k | $25 | $49 |
| Basic Metabolic Panel | $9$8$13 | $39 | $78 |
| Bone Marrow Biopsy | $1,655$206$2.4k | $1,876 | $3,751 |
| Breast Biopsy (Ultrasound-guided) | $1,655$206$2.4k | $1,384 | $2,768 |
| Bunion Correction Surgery | $3,279$3.1k$4.7k | $5,126 | $10,252 |
| Cardiac Ablation for Atrial Fibrillation | $26,073$722$37k | $13,551 | $27,102 |
| Cardiac Catheterization (Left Heart) | $3,249$223$4.6k | $8,451 | $16,902 |
| Cardiac Stress Test (Treadmill) | $52$52$53 | $1,077 | $2,154 |
| Carpal Tunnel Release Surgery | $1,957$206$2.8k | $2,157 | $4,314 |
| Cataract Surgery with Lens Implant | $2,313$2.2k$3.3k | $5,313 | $10,626 |
| Cervical Spinal Fusion (Anterior) | $12,807$206$18k | $9,069 | $18,139 |
| Chemotherapy Infusion (First Hour) | $331$84$473 | $607 | $1,214 |
| Chest X-ray (2 Views) | $83$8$125 | $150 | $299 |
| Colonoscopy with Biopsy | $1,199$206$1.7k | $569 | $1,138 |
| Complete Abdominal Ultrasound | $60$29$150 | $443 | $885 |
| Complete Blood Count (CBC) with Differential | $8$7$12 | $42 | $83 |
| Comprehensive Metabolic Panel | $11$10$16 | $49 | $98 |
| Coronary Angioplasty with Stent | $11,571$451$17k | $10,610 | $21,220 |
| Critical Care, First Hour | $828$162$1.2k | $2,823 | $5,645 |
| CT Abdomen and Pelvis with Contrast | $346$65$500 | $1,879 | $3,757 |
| CT Cardiac Calcium Scoring | $87$21$125 | $91 | $181 |
| CT Chest without Contrast | $103$38$150 | $915 | $1,829 |
| CT Head without Contrast | $104$30$150 | $927 | $1,853 |
| DEXA Bone Density Scan | $105$7$150 | $361 | $721 |
| Diagnostic Colonoscopy | $932$105$1.3k | $460 | $919 |
| Diagnostic Mammogram (Both Breasts) | $48$35$69 | $277 | $553 |
| Ear Tube Placement (Tympanostomy) | $1,555$206$2.2k | $1,413 | $2,825 |
| Echocardiogram (Complete with Doppler) | $548$50$782 | $1,261 | $2,521 |
| EKG (Electrocardiogram, 12-lead) | $11$11$11 | $191 | $381 |
| Emergency Room Visit (Level 3) | $274$103$391 | $705 | $1,409 |
| Group Therapy Session | $101$19$145 | $107 | $215 |
| Hemoglobin A1c (Diabetes Test) | $10$9$15 | $55 | $109 |
| HIV Antibody Test | $9$8$13 | $30 | $60 |
| Holter Monitor (24-48 Hour Heart Monitor) | $49$49$50 | $1,350 | $2,700 |
| Home Sleep Study | $209$32$309 | $528 | $1,055 |
| Individual Therapy Session (45 Minutes) | $175$68$254 | $182 | $364 |
| Inguinal Hernia Repair (Open) | $3,589$206$8.7k | $4,876 | $9,752 |
| Initial Psychiatric Diagnostic Evaluation | $114$68$254 | $259 | $517 |
| Initial Psychiatric Evaluation with Medication Management | $177$129$254 | $205 | $409 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $232$231$235 | $926 | $1,852 |
| IUD Insertion | $106$105$107 | $1,054 | $2,108 |
| IUD Removal | $304$105$436 | $402 | $804 |
| Knee Arthroscopy with Meniscectomy | $3,279$3.1k$4.7k | $4,553 | $9,106 |
| Laparoscopic Appendectomy | $6,059$206$8.7k | $10,567 | $21,134 |
| Laparoscopic Gallbladder Removal | $6,030$206$8.7k | $5,769 | $11,538 |
| Laparoscopic Tubal Ligation | $6,059$206$8.7k | $6,833 | $13,666 |
| Lipid Panel (Cholesterol Test) | $14$13$20 | $63 | $125 |
| Lumbar Epidural Steroid Injection | $704$74$1.0k | $1,337 | $2,673 |
| Lumbar Puncture (Spinal Tap) | $704$206$1.0k | $1,197 | $2,393 |
| Lumpectomy (Partial Mastectomy) | $3,924$206$5.6k | $3,314 | $6,627 |
| MRI Abdomen with and without Contrast | $350$78$500 | $2,886 | $5,771 |
| MRI Brain with and without Contrast | $350$82$500 | $2,597 | $5,194 |
| MRI Brain with Contrast | $350$63$500 | $2,017 | $4,034 |
| MRI Brain without Contrast | $239$52$342 | $1,792 | $3,584 |
| MRI Cervical Spine (Neck) without Contrast | $239$53$342 | $1,988 | $3,975 |
| MRI Knee without Contrast | $239$48$342 | $1,764 | $3,528 |
| MRI Lower Back (Lumbar Spine) without Contrast | $239$53$342 | $1,790 | $3,579 |
| MRI Thoracic Spine (Mid-back) without Contrast | $239$53$342 | $1,981 | $3,962 |
| Newborn Circumcision | $1,292$206$3.0k | $310 | $620 |
| Nuclear Cardiac Stress Test | $1,298$56$1.9k | $2,945 | $5,890 |
| Office Visit, Established Patient (Level 3) | $60$49$86 | $63 | $126 |
| Office Visit, New Patient (Level 3) | $76$62$108 | $63 | $126 |
| Pacemaker Insertion (Dual Chamber) | $10,476$206$15k | $5,148 | $10,297 |
| PET/CT Scan, Whole Body | $1,433$83$2.0k | $4,556 | $9,111 |
| Pregnancy Ultrasound (Second or Third Trimester) | $105$35$150 | $443 | $885 |
| Prostate Biopsy | $207$206$210 | $2,564 | $5,127 |
| PSA Prostate Cancer Screening | $19$17$28 | $106 | $211 |
| Pulmonary Function Test with Bronchodilator | $356$7$534 | $324 | $647 |
| Rotator Cuff Repair (Arthroscopic) | $7,273$6.9k$10k | $6,348 | $12,697 |
| Screening Mammogram | $36$27$52 | $201 | $402 |
| Septoplasty (Deviated Septum Repair) | $3,307$206$4.7k | $3,876 | $7,751 |
| Skin Biopsy (Tangential) | $221$155$582 | $348 | $695 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $817$206$2.4k | $1,899 | $3,797 |
| Sleep Study (In-lab Polysomnography) | $615$87$1.2k | $2,195 | $4,390 |
| Spinal Cord Stimulator Trial | $6,388$206$9.1k | $10,962 | $21,924 |
| Spirometry (Breathing Test) | $216$6$309 | $177 | $354 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,307$206$4.7k | $4,626 | $9,252 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $5,905$206$8.5k | $4,064 | $8,127 |
| Total Hip Replacement | $12,868$12k$18k | $7,890 | $15,780 |
| Total Knee Replacement | $12,868$12k$18k | $8,768 | $17,536 |
| Total Mastectomy | $6,655$6.3k$9.5k | $3,880 | $7,760 |
| TSH Thyroid Function Test | $18$16$25 | $92 | $183 |
| TURP (Transurethral Prostate Resection) | $5,374$206$7.7k | $4,689 | $9,377 |
| Upper GI Endoscopy (EGD) | $909$105$1.3k | $449 | $898 |
| Urinalysis with Microscopy | $3$3$5 | $25 | $49 |
| Vaginal Hysterectomy | $4,990$206$7.2k | $5,292 | $10,585 |
| Vasectomy | $2,085$206$3.0k | $2,472 | $4,943 |
| Vitamin D Blood Test | $31$28$44 | $72 | $143 |