| Basic metabolic panel | $8 | $8 | 100% | — | 1 |
| CT abdomen and pelvis with contrast | $850 | $356 | 238% | — | 1 |
| CT head without contrast | $850 | $107 | 796% | — | 1 |
| CT pelvis with contrast | $850 | $179 | 474% | — | 1 |
| Complete blood count with differential | $45 | $8 | 581% | — | 2 |
| Complete blood count, automated | $44 | $6 | 687% | — | 2 |
| Comprehensive metabolic panel | $47 | $11 | 441% | — | 2 |
| Diagnostic mammography, both breasts | $216 | — | — | — | 1 |
| Diagnostic mammography, one breast | $82 | — | — | — | 1 |
| ED visit, level 3 | $82 | $279 | 30% | — | 1 |
| ED visit, level 4 | $82 | $426 | 19% | — | 1 |
| ED visit, level 5 | $82 | $608 | 14% | — | 1 |
| Echocardiogram, complete | $82 | $558 | 15% | — | 1 |
| Group psychotherapy | $82 | $104 | 79% | — | 1 |
| Kidney function panel | $9 | $9 | 100% | — | 1 |
| Laparoscopic cholecystectomy | $850 | $6,176 | 14% | — | 1 |
| Lipid panel | $13 | $13 | 100% | — | 1 |
| Liver function panel | $8 | $8 | 100% | — | 1 |
| MRI brain with and without contrast | $1,250 | $356 | 351% | — | 1 |
| MRI lower extremity joint (knee) | $1,250 | $244 | 513% | — | 1 |
| MRI lumbar spine without contrast | $1,250 | $244 | 513% | — | 1 |
| Obstetric blood test panel | $48 | $48 | 100% | — | 1 |
| Office visit, established patient, level 3 | $82 | — | — | — | 1 |
| Office visit, established patient, level 4 | $82 | — | — | — | 1 |
| Office visit, new patient, level 3 | $82 | — | — | — | 1 |
| Office visit, new patient, level 4 | $82 | — | — | — | 1 |
| PSA (prostate specific antigen), total | $18 | $18 | 100% | — | 1 |
| Partial thromboplastin time | $6 | $6 | 100% | — | 1 |
| Physical therapy, therapeutic exercise | $82 | — | — | — | 1 |
| Prothrombin time | $4 | $4 | 100% | — | 1 |
| Psychotherapy, 30 minutes | $82 | $181 | 45% | — | 1 |
| Psychotherapy, 45 minutes | $82 | $181 | 45% | — | 1 |
| Psychotherapy, 60 minutes | $82 | $181 | 45% | — | 1 |
| Screening mammography, bilateral | $216 | — | — | — | 1 |
| Thyroid stimulating hormone (TSH) | $17 | $17 | 100% | — | 1 |
| Urinalysis, automated, with microscopy | $43 | $3 | 1351% | — | 2 |
| Urinalysis, automated, without microscopy | $42 | $2 | 1884% | — | 2 |