| Basic metabolic panel | $159 | $8 | 1875% | — | 12 |
| CT abdomen and pelvis with contrast | $4,140 | $356 | 1162% | — | 12 |
| CT head without contrast | $1,940 | $107 | 1816% | — | 12 |
| CT pelvis with contrast | $2,450 | $179 | 1367% | — | 12 |
| Cardiac stress test | $615 | $221 | 279% | — | 12 |
| Cataract surgery with IOL insertion | $6,893 | $2,358 | 292% | — | 12 |
| Colonoscopy with biopsy | $2,184 | $1,223 | 179% | — | 12 |
| Colonoscopy with polyp removal | $2,309 | $1,223 | 189% | — | 12 |
| Colonoscopy, diagnostic | $1,816 | $950 | 191% | — | 12 |
| Complete blood count with differential | $62 | $8 | 801% | — | 12 |
| Complete blood count, automated | $87 | $6 | 1351% | — | 12 |
| Comprehensive metabolic panel | $171 | $11 | 1619% | — | 12 |
| Diagnostic mammography, both breasts | $209 | — | — | — | 12 |
| Diagnostic mammography, one breast | $209 | — | — | — | 12 |
| ED visit, level 3 | $782 | $279 | 280% | — | 12 |
| ED visit, level 4 | $1,236 | $426 | 290% | — | 12 |
| ED visit, level 5 | $1,687 | $608 | 277% | — | 12 |
| Echocardiogram, complete | $2,344 | $558 | 420% | — | 12 |
| Epidural injection, lumbar/sacral, no imaging | $1,040 | $904 | 115% | — | 12 |
| Excision of breast lesion | $4,252 | $4,000 | 106% | — | 12 |
| Inguinal hernia repair, age 5+ | $6,012 | $3,658 | 164% | — | 12 |
| Kidney function panel | $193 | $9 | 2222% | — | 12 |
| Knee arthroscopy with meniscectomy | $4,769 | $3,343 | 143% | — | 12 |
| Laparoscopic cholecystectomy | $6,024 | $6,176 | 98% | — | 12 |
| Lipid panel | $85 | $13 | 631% | — | 12 |
| Liver function panel | $89 | $8 | 1093% | — | 12 |
| Lumbar epidural steroid injection | $1,887 | $721 | 262% | — | 12 |
| MRI brain with and without contrast | $3,847 | $356 | 1079% | — | 12 |
| MRI lower extremity joint (knee) | $2,761 | $244 | 1133% | — | 12 |
| MRI lumbar spine without contrast | $2,980 | $244 | 1223% | — | 12 |
| OB ultrasound, 14+ weeks | $735 | $107 | 688% | — | 12 |
| Obstetric blood test panel | $171 | $48 | 358% | — | 12 |
| Office visit, established patient, level 3 | $161 | — | — | — | 12 |
| Office visit, established patient, level 4 | $254 | — | — | — | 12 |
| Office visit, new patient, level 3 | $270 | — | — | — | 12 |
| Office visit, new patient, level 4 | $394 | — | — | — | 12 |
| Office visit, new patient, level 5 | $497 | — | — | — | 12 |
| PSA (prostate specific antigen), total | $144 | $18 | 785% | — | 12 |
| Partial thromboplastin time | $102 | $6 | 1691% | — | 12 |
| Physical therapy, therapeutic exercise | $124 | — | — | — | 12 |
| Prostate biopsy | $3,690 | — | — | — | 12 |
| Prothrombin time | $61 | $4 | 1417% | — | 12 |
| Psychotherapy, 30 minutes | $248 | $181 | 137% | — | 12 |
| Screening mammography, bilateral | $209 | — | — | — | 12 |
| Shoulder arthroscopy, subacromial decompression | $4,084 | — | — | — | 12 |
| Sleep study (polysomnography) | $3,615 | $877 | 412% | — | 12 |
| Thyroid stimulating hormone (TSH) | $122 | $17 | 727% | — | 12 |
| Transforaminal epidural, lumbar/sacral | $1,330 | $904 | 147% | — | 7 |
| Ultrasound, abdomen, complete | $831 | $107 | 778% | — | 12 |
| Ultrasound, transvaginal | $657 | $107 | 615% | — | 12 |
| Upper GI endoscopy with biopsy | $1,636 | $927 | 177% | — | 12 |
| Upper GI endoscopy, diagnostic | $1,962 | $927 | 212% | — | 12 |
| Urinalysis, automated, with microscopy | $68 | $3 | 2158% | — | 12 |
| Urinalysis, automated, without microscopy | $47 | $2 | 2069% | — | 12 |
| Urinalysis, manual, without microscopy | $51 | $3 | 1474% | — | 12 |
| X-ray, lower back, 4+ views | $674 | $107 | 631% | — | 12 |
| YAG laser capsulotomy (secondary cataract) | $2,334 | $562 | 415% | — | 12 |