| Basic metabolic panel | $146 | $8 | 1721% | — | 9 |
| CT abdomen and pelvis with contrast | $1,549 | $356 | 435% | — | 9 |
| CT head without contrast | $460 | $107 | 431% | — | 9 |
| CT pelvis with contrast | $814 | $179 | 454% | — | 9 |
| Complete blood count with differential | $158 | $8 | 2038% | — | 9 |
| Complete blood count, automated | $66 | $6 | 1027% | — | 9 |
| Comprehensive metabolic panel | $199 | $11 | 1887% | — | 9 |
| ED visit, level 3 | $397 | $279 | 142% | — | 6 |
| ED visit, level 4 | $644 | $426 | 151% | — | 6 |
| ED visit, level 5 | $939 | $608 | 154% | — | 6 |
| Echocardiogram, complete | $2,059 | $558 | 369% | — | 6 |
| Kidney function panel | $151 | $9 | 1740% | — | 9 |
| Lipid panel | $171 | $13 | 1278% | — | 9 |
| Liver function panel | $140 | $8 | 1715% | — | 9 |
| MRI lumbar spine without contrast | $2,832 | $244 | 1162% | — | 9 |
| OB ultrasound, 14+ weeks | $492 | $107 | 460% | — | 6 |
| Office consultation, comprehensive | $190 | — | — | — | 6 |
| Office consultation, moderate | $190 | — | — | — | 6 |
| Office visit, established patient, level 3 | $190 | — | — | — | 6 |
| Office visit, established patient, level 4 | $190 | — | — | — | 6 |
| Office visit, new patient, level 3 | $190 | — | — | — | 6 |
| Office visit, new patient, level 4 | $190 | — | — | — | 6 |
| Office visit, new patient, level 5 | $190 | — | — | — | 6 |
| PSA (prostate specific antigen), total | $98 | $18 | 534% | — | 9 |
| Partial thromboplastin time | $85 | $6 | 1408% | — | 9 |
| Physical therapy, therapeutic exercise | $83 | — | — | — | 6 |
| Preventive visit, new patient, 18-39 | $190 | — | — | — | 6 |
| Preventive visit, new patient, 40-64 | $190 | — | — | — | 6 |
| Prothrombin time | $72 | $4 | 1676% | — | 9 |
| Sleep study (polysomnography) | $2,835 | $877 | 323% | — | 6 |
| Thyroid stimulating hormone (TSH) | $123 | $17 | 734% | — | 9 |
| Ultrasound, abdomen, complete | $492 | $107 | 460% | — | 6 |
| Ultrasound, transvaginal | $492 | $107 | 460% | — | 6 |
| Urinalysis, manual, with microscopy | $40 | $4 | 996% | — | 9 |
| Urinalysis, manual, without microscopy | $60 | $3 | 1726% | — | 9 |
| X-ray, lower back, 4+ views | $585 | $107 | 548% | — | 6 |