| Basic metabolic panel | $68 | $8 | 810% | — | 10 |
| CT abdomen and pelvis with contrast | $3,282 | $356 | 921% | — | 10 |
| CT head without contrast | $1,509 | $107 | 1413% | — | 10 |
| CT pelvis with contrast | $2,054 | $179 | 1146% | — | 10 |
| Cardiac stress test | $1,052 | $221 | 477% | — | 10 |
| Cataract surgery with IOL insertion | $4,869 | $2,358 | 207% | — | 10 |
| Colonoscopy with biopsy | $2,585 | $1,223 | 211% | — | 10 |
| Colonoscopy with polyp removal | $4,296 | $1,223 | 351% | — | 10 |
| Colonoscopy, diagnostic | $3,912 | $950 | 412% | — | 10 |
| Complete blood count with differential | $55 | $8 | 708% | — | 10 |
| Complete blood count, automated | $46 | $6 | 711% | — | 10 |
| Comprehensive metabolic panel | $86 | $11 | 810% | — | 10 |
| Diagnostic mammography, both breasts | $421 | — | — | — | 10 |
| Diagnostic mammography, one breast | $252 | — | — | — | 10 |
| ED visit, level 3 | $635 | $279 | 228% | — | 10 |
| ED visit, level 4 | $966 | $426 | 227% | — | 10 |
| ED visit, level 5 | $1,583 | $608 | 260% | — | 10 |
| Echocardiogram, complete | $1,462 | $558 | 262% | — | 10 |
| Inguinal hernia repair, age 5+ | $12,934 | $3,658 | 354% | — | 10 |
| Kidney function panel | $140 | $9 | 1607% | — | 10 |
| Knee arthroscopy with meniscectomy | $15,890 | $3,343 | 475% | — | 10 |
| Laparoscopic cholecystectomy | $11,327 | $6,176 | 183% | — | 10 |
| Lipid panel | $84 | $13 | 631% | — | 10 |
| Liver function panel | $100 | $8 | 1230% | — | 10 |
| MRI brain with and without contrast | $4,700 | $356 | 1318% | — | 10 |
| MRI lumbar spine without contrast | $2,665 | $244 | 1093% | — | 10 |
| OB ultrasound, 14+ weeks | $747 | $107 | 699% | — | 10 |
| Obstetric blood test panel | $320 | $48 | 670% | — | 10 |
| Office visit, established patient, level 3 | $132 | — | — | — | 10 |
| Office visit, established patient, level 4 | $192 | — | — | — | 10 |
| Office visit, new patient, level 3 | $244 | — | — | — | 10 |
| Office visit, new patient, level 4 | $382 | — | — | — | 10 |
| Office visit, new patient, level 5 | $416 | — | — | — | 10 |
| PSA (prostate specific antigen), total | $79 | $18 | 430% | — | 10 |
| Partial thromboplastin time | $25 | $6 | 416% | — | 10 |
| Physical therapy, therapeutic exercise | $76 | — | — | — | 10 |
| Prothrombin time | $38 | $4 | 897% | — | 10 |
| Psychotherapy, 30 minutes | $258 | $181 | 143% | — | 10 |
| Psychotherapy, 45 minutes | $258 | $181 | 143% | — | 10 |
| Psychotherapy, 60 minutes | $258 | $181 | 143% | — | 10 |
| Screening mammography, bilateral | $304 | — | — | — | 10 |
| Shoulder arthroscopy, subacromial decompression | $19,095 | — | — | — | 10 |
| Sleep study (polysomnography) | $4,272 | $877 | 487% | — | 10 |
| Thyroid stimulating hormone (TSH) | $55 | $17 | 327% | — | 10 |
| Transforaminal epidural, lumbar/sacral | $2,954 | $904 | 327% | — | 10 |
| Ultrasound, abdomen, complete | $812 | $107 | 760% | — | 10 |
| Ultrasound, transvaginal | $698 | $107 | 654% | — | 10 |
| Upper GI endoscopy with biopsy | $2,815 | $927 | 304% | — | 10 |
| Upper GI endoscopy, diagnostic | $2,218 | $927 | 239% | — | 10 |
| Urinalysis, automated, with microscopy | $75 | $3 | 2366% | — | 10 |
| Urinalysis, automated, without microscopy | $39 | $2 | 1722% | — | 10 |
| Urinalysis, manual, without microscopy | $21 | $3 | 603% | — | 10 |
| X-ray, lower back, 4+ views | $336 | $107 | 315% | — | 10 |