| Basic metabolic panel | $162 | $8 | 1920% | — | 6 |
| CT abdomen and pelvis with contrast | $4,574 | $356 | 1283% | — | 6 |
| CT head without contrast | $1,572 | $107 | 1472% | — | 6 |
| CT pelvis with contrast | $2,119 | $179 | 1183% | — | 6 |
| Cardiac stress test | $1,167 | $221 | 529% | — | 6 |
| Colonoscopy with biopsy | $1,824 | $1,223 | 149% | — | 6 |
| Colonoscopy with polyp removal | $1,614 | $1,223 | 132% | — | 6 |
| Colonoscopy, diagnostic | $500 | $950 | 53% | — | 6 |
| Comprehensive metabolic panel | $261 | $11 | 2474% | — | 6 |
| Diagnostic mammography, both breasts | $398 | — | — | — | 6 |
| Diagnostic mammography, one breast | $287 | — | — | — | 6 |
| ED visit, level 3 | $399 | $279 | 143% | — | 6 |
| ED visit, level 4 | $415 | $426 | 97% | — | 6 |
| ED visit, level 5 | $620 | $608 | 102% | — | 6 |
| Echocardiogram, complete | $2,096 | $558 | 375% | — | 6 |
| Excision of breast lesion | $838 | $4,000 | 21% | — | 6 |
| Inguinal hernia repair, age 5+ | $1,133 | $3,658 | 31% | — | 6 |
| Kidney function panel | $159 | $9 | 1828% | — | 6 |
| Knee arthroscopy with meniscectomy | $1,188 | $3,343 | 36% | — | 6 |
| Laparoscopic cholecystectomy | $2,597 | $6,176 | 42% | — | 6 |
| Lipid panel | $150 | $13 | 1121% | — | 6 |
| Liver function panel | $378 | $8 | 4628% | — | 6 |
| MRI brain with and without contrast | $3,428 | $356 | 962% | — | 6 |
| MRI lower extremity joint (knee) | $3,764 | $244 | 1544% | — | 6 |
| MRI lumbar spine without contrast | $2,898 | $244 | 1189% | — | 6 |
| OB global care, VBAC delivery | $3,258 | — | — | — | 6 |
| OB global care, cesarean delivery | $4,604 | — | — | — | 6 |
| OB global care, vaginal delivery | $4,063 | — | — | — | 6 |
| OB ultrasound, 14+ weeks | $1,494 | $107 | 1399% | — | 6 |
| Obstetric blood test panel | $788 | $48 | 1649% | — | 6 |
| Office consultation, comprehensive | $310 | — | — | — | 6 |
| Office consultation, moderate | $255 | — | — | — | 6 |
| Office visit, established patient, level 3 | $145 | — | — | — | 6 |
| Office visit, established patient, level 4 | $208 | — | — | — | 6 |
| Office visit, new patient, level 3 | $243 | — | — | — | 6 |
| Office visit, new patient, level 4 | $297 | — | — | — | 6 |
| Office visit, new patient, level 5 | $308 | — | — | — | 6 |
| PSA (prostate specific antigen), total | $149 | $18 | 808% | — | 6 |
| Partial thromboplastin time | $159 | $6 | 2648% | — | 6 |
| Physical therapy, therapeutic exercise | $76 | — | — | — | 6 |
| Preventive visit, new patient, 18-39 | $251 | — | — | — | 6 |
| Preventive visit, new patient, 40-64 | $269 | — | — | — | 6 |
| Prothrombin time | $82 | $4 | 1904% | — | 6 |
| Screening mammography, bilateral | $404 | — | — | — | 6 |
| Shoulder arthroscopy, subacromial decompression | $455 | — | — | — | 6 |
| Sleep study (polysomnography) | $3,034 | $877 | 346% | — | 6 |
| Thyroid stimulating hormone (TSH) | $186 | $17 | 1108% | — | 6 |
| Transforaminal epidural, lumbar/sacral | $929 | $904 | 103% | — | 6 |
| Ultrasound, abdomen, complete | $1,719 | $107 | 1609% | — | 6 |
| Ultrasound, transvaginal | $619 | $107 | 580% | — | 6 |
| Upper GI endoscopy with biopsy | $787 | $927 | 85% | — | 6 |
| Upper GI endoscopy, diagnostic | $573 | $927 | 62% | — | 6 |
| Urinalysis, automated, without microscopy | $200 | $2 | 8867% | — | 6 |
| Urinalysis, manual, with microscopy | $71 | $4 | 1761% | — | 6 |
| Urinalysis, manual, without microscopy | $104 | $3 | 2976% | — | 6 |
| X-ray, lower back, 4+ views | $904 | $107 | 847% | — | 6 |
| YAG laser capsulotomy (secondary cataract) | $1,097 | $562 | 195% | — | 6 |