| Basic metabolic panel | $77 | $8 | 914% | — | 9 |
| CT abdomen and pelvis with contrast | $2,409 | $356 | 676% | — | 9 |
| CT head without contrast | $1,171 | $107 | 1096% | — | 9 |
| CT pelvis with contrast | $2,480 | $179 | 1384% | — | 9 |
| Cardiac stress test | $563 | $221 | 255% | — | 9 |
| Cataract surgery with IOL insertion | $5,106 | $2,358 | 217% | — | 9 |
| Colonoscopy with biopsy | $2,887 | $1,223 | 236% | — | 9 |
| Colonoscopy with polyp removal | $3,648 | $1,223 | 298% | — | 9 |
| Colonoscopy, diagnostic | $2,662 | $950 | 280% | — | 9 |
| Complete blood count with differential | $84 | $8 | 1086% | — | 9 |
| Complete blood count, automated | $60 | $6 | 920% | — | 9 |
| Comprehensive metabolic panel | $189 | $11 | 1792% | — | 9 |
| Diagnostic mammography, both breasts | $479 | — | — | — | 9 |
| Diagnostic mammography, one breast | $385 | — | — | — | 9 |
| ED visit, level 3 | $889 | $279 | 319% | — | 9 |
| ED visit, level 4 | $1,775 | $426 | 416% | — | 9 |
| ED visit, level 5 | $2,660 | $608 | 437% | — | 9 |
| Echocardiogram, complete | $2,176 | $558 | 390% | — | 9 |
| Electrocardiogram with interpretation | $172 | — | — | — | 9 |
| Epidural injection, lumbar/sacral, no imaging | $1,186 | $904 | 131% | — | 9 |
| Excision of breast lesion | $7,579 | $4,000 | 189% | — | 9 |
| Inguinal hernia repair, age 5+ | $8,695 | $3,658 | 238% | — | 9 |
| Kidney function panel | $79 | $9 | 911% | — | 9 |
| Knee arthroscopy with meniscectomy | $10,354 | $3,343 | 310% | — | 9 |
| Laparoscopic cholecystectomy | $8,060 | $6,176 | 130% | — | 9 |
| Lipid panel | $136 | $13 | 1015% | — | 9 |
| Liver function panel | $436 | $8 | 5341% | — | 9 |
| Lumbar epidural steroid injection | $1,396 | $721 | 194% | — | 9 |
| MRI brain with and without contrast | $3,398 | $356 | 953% | — | 9 |
| MRI lower extremity joint (knee) | $2,131 | $244 | 874% | — | 9 |
| MRI lumbar spine without contrast | $2,023 | $244 | 830% | — | 9 |
| OB ultrasound, 14+ weeks | $949 | $107 | 889% | — | 9 |
| Obstetric blood test panel | $437 | $48 | 914% | — | 9 |
| PSA (prostate specific antigen), total | $168 | $18 | 913% | — | 9 |
| Partial thromboplastin time | $55 | $6 | 917% | — | 9 |
| Physical therapy, therapeutic exercise | $111 | — | — | — | 9 |
| Prothrombin time | $39 | $4 | 911% | — | 9 |
| Screening mammography, bilateral | $349 | — | — | — | 9 |
| Shoulder arthroscopy, subacromial decompression | $5,095 | — | — | — | 9 |
| Sleep study (polysomnography) | $1,769 | $877 | 202% | — | 9 |
| Thyroid stimulating hormone (TSH) | $154 | $17 | 915% | — | 9 |
| Transforaminal epidural, lumbar/sacral | $1,963 | $904 | 217% | — | 9 |
| Ultrasound, abdomen, complete | $697 | $107 | 653% | — | 9 |
| Ultrasound, transvaginal | $604 | $107 | 566% | — | 9 |
| Upper GI endoscopy with biopsy | $1,989 | $927 | 215% | — | 9 |
| Upper GI endoscopy, diagnostic | $1,765 | $927 | 190% | — | 9 |
| Urinalysis, automated, with microscopy | $29 | $3 | 925% | — | 9 |
| Urinalysis, automated, without microscopy | $20 | $2 | 908% | — | 9 |
| Urinalysis, manual, without microscopy | $32 | $3 | 919% | — | 9 |
| X-ray, lower back, 4+ views | $423 | $107 | 396% | — | 9 |