| Basic metabolic panel | $44 | $8 | 522% | ~$23 | 7 |
| CT abdomen and pelvis with contrast | $2,985 | $368 | 811% | ~$1,519 | 7 |
| CT head without contrast | $1,220 | $110 | 1106% | ~$621 | 7 |
| CT pelvis with contrast | $1,497 | $185 | 809% | ~$762 | 7 |
| Cardiac stress test | $929 | $228 | 408% | $473 | 7 |
| Complete blood count with differential | $53 | $8 | 685% | ~$28 | 7 |
| Complete blood count, automated | $46 | $6 | 708% | ~$24 | 7 |
| Comprehensive metabolic panel | $104 | $11 | 986% | ~$54 | 7 |
| Diagnostic mammography, both breasts | $196 | — | — | ~$100 | 7 |
| Diagnostic mammography, one breast | $154 | — | — | ~$79 | 7 |
| ED visit, level 3 | $369 | $288 | 128% | $188 | 7 |
| ED visit, level 4 | $656 | $440 | 149% | $334 | 7 |
| ED visit, level 5 | $1,159 | $628 | 184% | $590 | 7 |
| Echocardiogram, complete | $2,076 | $576 | 360% | $1,056 | 7 |
| Epidural injection, lumbar/sacral, no imaging | $1,054 | $933 | 113% | $536 | 7 |
| Kidney function panel | $145 | $9 | 1676% | ~$76 | 7 |
| Laparoscopic cholecystectomy | $7,657 | $6,377 | 120% | $3,895 | 7 |
| Lipid panel | $108 | $13 | 804% | ~$56 | 7 |
| Liver function panel | $117 | $8 | 1430% | ~$61 | 7 |
| Lumbar epidural steroid injection | $1,012 | $745 | 136% | $515 | 7 |
| MRI brain with and without contrast | $3,539 | $368 | 962% | ~$1,801 | 7 |
| MRI lower extremity joint (knee) | $1,724 | $252 | 685% | ~$877 | 7 |
| MRI lumbar spine without contrast | $2,345 | $252 | 932% | ~$1,193 | 7 |
| OB ultrasound, 14+ weeks | $617 | $110 | 559% | ~$314 | 7 |
| Obstetric blood test panel | $378 | $48 | 790% | ~$197 | 7 |
| Office visit, established patient, level 3 | $161 | — | — | $75 | 5 |
| Office visit, established patient, level 4 | $238 | — | — | $112 | 5 |
| Office visit, new patient, level 3 | $241 | — | — | $113 | 5 |
| Office visit, new patient, level 4 | $366 | — | — | $171 | 5 |
| PSA (prostate specific antigen), total | $118 | $18 | 640% | ~$61 | 7 |
| Partial thromboplastin time | $60 | $6 | 1002% | ~$31 | 7 |
| Physical therapy, therapeutic exercise | $111 | — | — | $52 | 7 |
| Prothrombin time | $37 | $4 | 859% | ~$19 | 7 |
| Screening mammography, bilateral | $162 | — | — | ~$82 | 7 |
| Sleep study (polysomnography) | $3,120 | $906 | 344% | $1,587 | 7 |
| Thyroid stimulating hormone (TSH) | $96 | $17 | 571% | ~$50 | 7 |
| Transforaminal epidural, lumbar/sacral | $1,989 | $933 | 213% | $1,012 | 7 |
| Ultrasound, abdomen, complete | $484 | $110 | 439% | ~$246 | 7 |
| Ultrasound, transvaginal | $304 | $110 | 276% | ~$155 | 7 |
| Urinalysis, automated, with microscopy | $31 | $3 | 987% | ~$16 | 7 |
| Urinalysis, automated, without microscopy | $44 | $2 | 1959% | ~$23 | 7 |
| Urinalysis, manual, with microscopy | $9 | $4 | 213% | ~$4 | 7 |
| Urinalysis, manual, without microscopy | $30 | $3 | 857% | ~$16 | 7 |
| X-ray, lower back, 4+ views | $476 | $110 | 432% | ~$242 | 7 |