| Basic metabolic panel | $172 | $8 | 2034% | — | 17 |
| CT abdomen and pelvis with contrast | $3,559 | $356 | 998% | — | 17 |
| Cardiac stress test | $1,058 | $221 | 480% | — | 17 |
| Cataract surgery with IOL insertion | $4,195 | $2,358 | 178% | — | 17 |
| Colonoscopy with polyp removal | $778 | $1,223 | 64% | — | 16 |
| Complete blood count with differential | $86 | $8 | 1113% | — | 17 |
| Complete blood count, automated | $67 | $6 | 1038% | — | 17 |
| Comprehensive metabolic panel | $214 | $11 | 2030% | — | 17 |
| Diagnostic mammography, both breasts | $246 | — | — | — | 17 |
| Diagnostic mammography, one breast | $196 | — | — | — | 17 |
| ED visit, level 3 | $894 | $279 | 321% | — | 17 |
| ED visit, level 4 | $1,463 | $426 | 343% | — | 17 |
| ED visit, level 5 | $2,363 | $608 | 388% | — | 17 |
| Kidney function panel | $180 | $9 | 2077% | — | 17 |
| Lipid panel | $169 | $13 | 1264% | — | 17 |
| Liver function panel | $170 | $8 | 2083% | — | 17 |
| Lumbar epidural steroid injection | $1,885 | $721 | 261% | — | 18 |
| MRI brain with and without contrast | $6,135 | $356 | 1721% | — | 17 |
| Office visit, established patient, level 3 | $158 | — | — | — | 16 |
| Office visit, established patient, level 4 | $243 | — | — | — | 16 |
| Office visit, new patient, level 3 | $239 | — | — | — | 16 |
| Office visit, new patient, level 4 | $344 | — | — | — | 16 |
| Office visit, new patient, level 5 | $410 | — | — | — | 16 |
| PSA (prostate specific antigen), total | $170 | $18 | 926% | — | 17 |
| Partial thromboplastin time | $79 | $6 | 1316% | — | 17 |
| Physical therapy, therapeutic exercise | $82 | — | — | — | 18 |
| Prothrombin time | $53 | $4 | 1244% | — | 17 |
| Screening mammography, bilateral | $208 | — | — | — | 17 |
| Sleep study (polysomnography) | $2,930 | $877 | 334% | — | 17 |
| Thyroid stimulating hormone (TSH) | $142 | $17 | 843% | — | 17 |
| Tonsillectomy and adenoidectomy, under age 12 | $870 | $6,048 | 14% | — | 17 |
| Transforaminal epidural, lumbar/sacral | $1,835 | $904 | 203% | — | 17 |
| Urinalysis, automated, with microscopy | $66 | $3 | 2090% | — | 17 |
| Urinalysis, automated, without microscopy | $31 | $2 | 1392% | — | 17 |
| YAG laser capsulotomy (secondary cataract) | $1,528 | $562 | 272% | — | 17 |