| Basic metabolic panel | $94 | $8 | 1106% | ~$60 | 16 |
| CT abdomen and pelvis with contrast | $2,238 | $368 | 608% | ~$1,428 | 16 |
| CT head without contrast | $1,349 | $110 | 1223% | ~$806 | 16 |
| CT pelvis with contrast | $3,144 | $185 | 1699% | ~$2,006 | 16 |
| Cardiac stress test | $1,374 | $228 | 603% | $877 | 16 |
| Complete blood count with differential | $40 | $8 | 515% | ~$24 | 16 |
| Complete blood count, automated | $49 | $6 | 751% | ~$29 | 16 |
| Comprehensive metabolic panel | $115 | $11 | 1094% | ~$74 | 16 |
| Diagnostic mammography, both breasts | $391 | — | — | ~$233 | 16 |
| Diagnostic mammography, one breast | $243 | — | — | ~$155 | 16 |
| ED visit, level 3 | $518 | $288 | 180% | $331 | 16 |
| ED visit, level 4 | $847 | $440 | 192% | $541 | 16 |
| ED visit, level 5 | $1,231 | $628 | 196% | $785 | 16 |
| Echocardiogram, complete | $2,495 | $576 | 433% | $1,592 | 16 |
| Kidney function panel | $132 | $9 | 1515% | ~$84 | 16 |
| Lipid panel | $68 | $13 | 507% | ~$41 | 16 |
| Liver function panel | $91 | $8 | 1114% | ~$58 | 16 |
| Lumbar epidural steroid injection | $1,432 | $745 | 192% | $914 | 16 |
| MRI brain with and without contrast | $2,374 | $368 | 645% | ~$1,515 | 16 |
| MRI lower extremity joint (knee) | $2,059 | $252 | 818% | ~$1,286 | 16 |
| MRI lumbar spine without contrast | $1,562 | $252 | 621% | ~$934 | 16 |
| OB ultrasound, 14+ weeks | $888 | $110 | 805% | ~$567 | 16 |
| Office visit, established patient, level 3 | $270 | — | — | $159 | 16 |
| Office visit, established patient, level 4 | $361 | — | — | $213 | 16 |
| Office visit, new patient, level 3 | $302 | — | — | $178 | 16 |
| Office visit, new patient, level 4 | $416 | — | — | $245 | 16 |
| Office visit, new patient, level 5 | $476 | — | — | $280 | 16 |
| PSA (prostate specific antigen), total | $50 | $18 | 274% | ~$30 | 16 |
| Partial thromboplastin time | $33 | $6 | 547% | ~$20 | 16 |
| Physical therapy, therapeutic exercise | $107 | — | — | $68 | 16 |
| Prothrombin time | $29 | $4 | 671% | ~$17 | 16 |
| Screening mammography, bilateral | $256 | — | — | ~$153 | 16 |
| Sleep study (polysomnography) | $4,126 | $906 | 456% | $2,634 | 16 |
| Thyroid stimulating hormone (TSH) | $73 | $17 | 434% | ~$44 | 16 |
| Transforaminal epidural, lumbar/sacral | $2,145 | $933 | 230% | $1,369 | 16 |
| Ultrasound, abdomen, complete | $1,007 | $110 | 913% | ~$643 | 16 |
| Ultrasound, transvaginal | $689 | $110 | 625% | ~$440 | 16 |
| Urinalysis, automated, with microscopy | $46 | $3 | 1462% | ~$30 | 16 |
| Urinalysis, automated, without microscopy | $6 | $2 | 280% | ~$4 | 16 |
| Urinalysis, manual, without microscopy | $10 | $3 | 284% | ~$6 | 16 |
| X-ray, lower back, 4+ views | $707 | $110 | 641% | ~$451 | 16 |