| Basic metabolic panel | $159 | $8 | 1879% | — | 5 |
| CT abdomen and pelvis with contrast | $4,877 | $356 | 1368% | — | 5 |
| CT head without contrast | $2,074 | $107 | 1942% | — | 5 |
| CT pelvis with contrast | $2,695 | $179 | 1504% | — | 5 |
| Cardiac stress test | $153 | $221 | 69% | — | 5 |
| Colonoscopy with biopsy | $414 | $1,223 | 34% | — | 5 |
| Colonoscopy with polyp removal | $1,348 | $1,223 | 110% | — | 5 |
| Colonoscopy, diagnostic | $813 | $950 | 86% | — | 5 |
| Complete blood count with differential | $78 | $8 | 1004% | — | 5 |
| Complete blood count, automated | $97 | $6 | 1499% | — | 5 |
| Comprehensive metabolic panel | $205 | $11 | 1941% | — | 5 |
| ED visit, level 3 | $279 | $279 | 100% | — | 5 |
| ED visit, level 4 | $387 | $426 | 91% | — | 5 |
| ED visit, level 5 | $576 | $608 | 95% | — | 5 |
| Echocardiogram, complete | $1,541 | $558 | 276% | — | 5 |
| Epidural injection, lumbar/sacral, no imaging | $385 | $904 | 43% | — | 5 |
| Family psychotherapy, with patient | $130 | $181 | 72% | — | 5 |
| Family psychotherapy, without patient | $126 | $181 | 69% | — | 5 |
| Group psychotherapy | $34 | $104 | 33% | — | 5 |
| Inguinal hernia repair, age 5+ | $775 | $3,658 | 21% | — | 5 |
| Kidney function panel | $104 | $9 | 1198% | — | 5 |
| Laparoscopic cholecystectomy | $1,357 | $6,176 | 22% | — | 5 |
| Lipid panel | $204 | $13 | 1524% | — | 5 |
| Liver function panel | $154 | $8 | 1885% | — | 5 |
| Lumbar epidural steroid injection | $1,191 | $721 | 165% | — | 5 |
| MRI brain with and without contrast | $4,860 | $356 | 1364% | — | 5 |
| MRI lower extremity joint (knee) | $2,995 | $244 | 1229% | — | 5 |
| MRI lumbar spine without contrast | $2,995 | $244 | 1229% | — | 5 |
| Office consultation, comprehensive | $641 | — | — | — | 5 |
| Office consultation, moderate | $452 | — | — | — | 5 |
| Office visit, established patient, level 3 | $185 | — | — | — | 5 |
| Office visit, established patient, level 4 | $289 | — | — | — | 5 |
| Office visit, new patient, level 3 | $303 | — | — | — | 5 |
| Office visit, new patient, level 4 | $442 | — | — | — | 5 |
| Office visit, new patient, level 5 | $599 | — | — | — | 5 |
| PSA (prostate specific antigen), total | $267 | $18 | 1452% | — | 5 |
| Partial thromboplastin time | $87 | $6 | 1448% | — | 5 |
| Physical therapy, therapeutic exercise | $139 | — | — | — | 5 |
| Preventive visit, new patient, 18-39 | $554 | — | — | — | 5 |
| Preventive visit, new patient, 40-64 | $608 | — | — | — | 5 |
| Prothrombin time | $94 | $4 | 2191% | — | 5 |
| Psychotherapy, 30 minutes | $371 | $181 | 205% | — | 5 |
| Psychotherapy, 45 minutes | $382 | $181 | 211% | — | 5 |
| Psychotherapy, 60 minutes | $477 | $181 | 263% | — | 5 |
| Sleep study (polysomnography) | $3,372 | $877 | 384% | — | 5 |
| Thyroid stimulating hormone (TSH) | $190 | $17 | 1131% | — | 5 |
| Transforaminal epidural, lumbar/sacral | $1,616 | $904 | 179% | — | 5 |
| Ultrasound, abdomen, complete | $659 | $107 | 617% | — | 5 |
| Ultrasound, transvaginal | $659 | $107 | 617% | — | 5 |
| Upper GI endoscopy with biopsy | $640 | $927 | 69% | — | 5 |
| Upper GI endoscopy, diagnostic | $578 | $927 | 62% | — | 5 |
| Urinalysis, manual, without microscopy | $30 | $3 | 862% | — | 5 |
| X-ray, lower back, 4+ views | $472 | $107 | 442% | — | 5 |