| Basic metabolic panel | $114 | $8 | 1348% | — | 10 |
| CT abdomen and pelvis with contrast | $3,600 | $356 | 1010% | — | 10 |
| Cardiac stress test | $1,038 | $221 | 471% | — | 10 |
| Cataract surgery with IOL insertion | $4,872 | $2,358 | 207% | — | 10 |
| Colonoscopy with biopsy | $11,708 | $1,223 | 958% | — | 10 |
| Colonoscopy with polyp removal | $14,370 | $1,223 | 1175% | — | 10 |
| Colonoscopy, diagnostic | $7,580 | $950 | 798% | — | 10 |
| Complete blood count with differential | $86 | $8 | 1107% | — | 10 |
| Complete blood count, automated | $95 | $6 | 1468% | — | 10 |
| Comprehensive metabolic panel | $149 | $11 | 1411% | — | 10 |
| Diagnostic mammography, both breasts | $1,598 | — | — | — | 10 |
| Diagnostic mammography, one breast | $1,278 | — | — | — | 10 |
| ED visit, level 3 | $777 | $279 | 279% | — | 10 |
| ED visit, level 4 | $1,008 | $426 | 236% | — | 10 |
| ED visit, level 5 | $1,238 | $608 | 203% | — | 10 |
| Echocardiogram, complete | $2,574 | $558 | 461% | — | 10 |
| Epidural injection, lumbar/sacral, no imaging | $381 | $904 | 42% | — | 10 |
| Family psychotherapy, with patient | $1,593 | $181 | 878% | — | 10 |
| Family psychotherapy, without patient | $1,503 | $181 | 829% | — | 10 |
| Group psychotherapy | $1,710 | $104 | 1648% | — | 10 |
| Inguinal hernia repair, age 5+ | $11,768 | $3,658 | 322% | — | 10 |
| Kidney function panel | $244 | $9 | 2811% | — | 10 |
| Knee arthroscopy with meniscectomy | $9,498 | $3,343 | 284% | — | 10 |
| Laparoscopic cholecystectomy | $13,787 | $6,176 | 223% | — | 10 |
| Lipid panel | $144 | $13 | 1072% | — | 10 |
| Liver function panel | $179 | $8 | 2191% | — | 10 |
| Lumbar epidural steroid injection | $4,652 | $721 | 645% | — | 10 |
| MRI lower extremity joint (knee) | $2,147 | $244 | 881% | — | 10 |
| OB ultrasound, 14+ weeks | $822 | $107 | 770% | — | 10 |
| PSA (prostate specific antigen), total | $150 | $18 | 816% | — | 10 |
| Partial thromboplastin time | $90 | $6 | 1498% | — | 10 |
| Prothrombin time | $58 | $4 | 1352% | — | 10 |
| Psychotherapy, 30 minutes | $1,062 | $181 | 586% | — | 10 |
| Psychotherapy, 45 minutes | $1,413 | $181 | 779% | — | 10 |
| Psychotherapy, 60 minutes | $1,710 | $181 | 943% | — | 10 |
| Screening mammography, bilateral | $1,260 | — | — | — | 10 |
| Shoulder arthroscopy, subacromial decompression | $14,985 | — | — | — | 10 |
| Sleep study (polysomnography) | $2,655 | $877 | 303% | — | 10 |
| Thyroid stimulating hormone (TSH) | $92 | $17 | 545% | — | 10 |
| Transforaminal epidural, lumbar/sacral | $7,608 | $904 | 842% | — | 10 |
| Ultrasound, abdomen, complete | $722 | $107 | 676% | — | 10 |
| Ultrasound, transvaginal | $545 | $107 | 510% | — | 10 |
| Upper GI endoscopy with biopsy | $11,739 | $927 | 1267% | — | 10 |
| Upper GI endoscopy, diagnostic | $8,688 | $927 | 938% | — | 10 |
| Urinalysis, automated, without microscopy | $34 | $2 | 1511% | — | 10 |
| X-ray, lower back, 4+ views | $459 | $107 | 430% | — | 10 |