| emergency |
| ED visit level 1 | CPT | 99281 | 0 | $129.58 | — | — | — | — |
| ED visit level 2 | CPT | 99282 | 0 | $231.07 | — | — | — | — |
| ED visit level 3 | CPT | 99283 | 0 | $383.29 | — | — | — | — |
| ED visit level 4 | CPT | 99284 | 0 | $974.1 | — | — | — | — |
| ED visit level 5 | CPT | 99285 | 0 | $1,458.87 | — | — | — | — |
| imaging |
| CT head without contrast | CPT | 70450 | 0 | $2,193.59 | — | — | — | — |
| CT head with contrast | CPT | 70460 | 0 | $2,372.15 | — | — | — | — |
| CT head with and without contrast | CPT | 70470 | 0 | $2,536.54 | — | — | — | — |
| CT neck with contrast | CPT | 70491 | 0 | $2,240.02 | — | — | — | — |
| MRI brain without contrast | CPT | 70551 | 0 | $3,297.11 | — | — | — | — |
| MRI brain with and without contrast | CPT | 70553 | 0 | $3,238.88 | — | — | — | — |
| CT chest without contrast | CPT | 71250 | 0 | $2,214.84 | — | — | — | — |
| CT chest with contrast | CPT | 71260 | 0 | $2,431.93 | — | — | — | — |
| CT chest with and without contrast | CPT | 71270 | 0 | $3,087.08 | — | — | — | — |
| MRI chest without contrast | CPT | 71550 | 0 | $2,556.18 | — | — | — | — |
| Lumbosacral spine X-ray | CPT | 72100 | 0 | $660.67 | — | — | — | — |
| CT cervical spine without contrast | CPT | 72125 | 0 | $2,428.01 | — | — | — | — |
| CT thoracic spine without contrast | CPT | 72128 | 0 | $2,408.34 | — | — | — | — |
| CT lumbar spine without contrast | CPT | 72131 | 0 | $2,489.36 | — | — | — | — |
| MRI cervical spine without contrast | CPT | 72141 | 0 | $3,304.96 | — | — | — | — |
| MRI thoracic spine without contrast | CPT | 72146 | 0 | $3,346.65 | — | — | — | — |
| MRI lumbar spine without contrast | CPT | 72148 | 0 | $3,217.67 | — | — | — | — |
| MRI cervical spine with and without contrast | CPT | 72156 | 0 | $4,200.8 | — | — | — | — |
| MRI lumbar spine with contrast | CPT | 72158 | 0 | $3,650.27 | — | — | — | — |
| CT pelvis without contrast | CPT | 72192 | 0 | $2,456.95 | — | — | — | — |
| CT pelvis with contrast | CPT | 72193 | 0 | $2,380 | — | — | — | — |
| Shoulder X-ray | CPT | 73030 | 0 | $368.89 | — | — | — | — |
| Humerus X-ray | CPT | 73060 | 0 | $313.86 | — | — | — | — |
| Hand X-ray 3 views | CPT | 73130 | 0 | $338.19 | — | — | — | — |
| MRI upper extremity joint without contrast | CPT | 73221 | 0 | $2,999.8 | — | — | — | — |
| Hip X-ray 2 views | CPT | 73510 | 0 | $372.05 | — | — | — | — |
| Knee X-ray 1-2 views | CPT | 73560 | 0 | $309.13 | — | — | — | — |
| Ankle X-ray 3 views | CPT | 73610 | 0 | $353.96 | — | — | — | — |
| MRI lower extremity joint without contrast | CPT | 73721 | 0 | $3,613.37 | — | — | — | — |
| CT abdomen without contrast | CPT | 74150 | 0 | $2,600.76 | — | — | — | — |
| CT abdomen with contrast | CPT | 74160 | 0 | $3,907.49 | — | — | — | — |
| CT abdomen with and without contrast | CPT | 74170 | 0 | $3,994.32 | — | — | — | — |
| CT abdomen and pelvis without contrast | CPT | 74176 | 0 | $5,858 | — | — | — | — |
| CT abdomen and pelvis with contrast | CPT | 74177 | 0 | $6,062.54 | — | — | — | — |
| MRI abdomen without contrast | CPT | 74181 | 0 | $4,027.14 | — | — | — | — |
| MRI abdomen with and without contrast | CPT | 74183 | 0 | $3,153.18 | — | — | — | — |
| Abdominal ultrasound complete | CPT | 76700 | 0 | $967.42 | — | — | — | — |
| Abdominal ultrasound limited | CPT | 76705 | 0 | $824.28 | — | — | — | — |
| Retroperitoneal ultrasound complete | CPT | 76770 | 0 | $776.3 | — | — | — | — |
| Obstetric ultrasound first trimester | CPT | 76801 | 0 | $659.89 | — | — | — | — |
| Obstetric ultrasound after first trimester | CPT | 76805 | 0 | $676.41 | — | — | — | — |
| Transvaginal ultrasound | CPT | 76830 | 0 | $812.49 | — | — | — | — |
| Pelvic ultrasound complete | CPT | 76856 | 0 | $799.91 | — | — | — | — |
| Scrotal ultrasound | CPT | 76870 | 0 | $801.48 | — | — | — | — |
| EKG tracing only | CPT | 93005 | 0 | $582.1 | — | — | — | — |
| EKG interpretation only | CPT | 93010 | 0 | $1,760.66 | — | — | — | — |
| Transthoracic echocardiogram | CPT | 93307 | 0 | $378.6 | — | — | — | — |
| Stress echocardiogram | CPT | 93350 | 0 | $2,510.93 | — | — | — | — |
| lab |
| Basic metabolic panel (BMP) | CPT | 80048 | 0 | $550.41 | — | — | — | — |
| Electrolyte panel | CPT | 80051 | 0 | $352.8 | — | — | — | — |
| Comprehensive metabolic panel | CPT | 80053 | 0 | $491.83 | — | — | — | — |
| Lipid panel | CPT | 80061 | 0 | $362.38 | — | — | — | — |
| Renal function panel | CPT | 80069 | 0 | $560.83 | — | — | — | — |
| Hepatic function panel | CPT | 80076 | 0 | $396.9 | — | — | — | — |
| Urinalysis automated | CPT | 81003 | 0 | $124.61 | — | — | — | — |
| Glucose quantitative | CPT | 82947 | 0 | $146.71 | — | — | — | — |
| Hemoglobin A1c | CPT | 83036 | 0 | $137.09 | — | — | — | — |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 0 | $304.9 | — | — | — | — |
| Complete blood count with automated differential | CPT | 85025 | 0 | $200.37 | — | — | — | — |
| Complete blood count without differential | CPT | 85027 | 0 | $173.52 | — | — | — | — |
| Urine culture bacterial | CPT | 87086 | 0 | $238.71 | — | — | — | — |
| Urine culture identification | CPT | 87088 | 0 | $27.83 | — | — | — | — |
| Tissue exam by pathologist level IV | CPT | 88305 | 0 | $400.72 | — | — | — | — |
| office |
| Office visit, new patient, 15-29 min | CPT | 99202 | 0 | $163.1 | — | — | — | — |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 0 | $181.23 | — | — | — | — |
| Office visit, new patient, 45-59 min | CPT | 99204 | 0 | $271.85 | — | — | — | — |
| Office visit, new patient, 60-74 min | CPT | 99205 | 0 | $271.85 | — | — | — | — |
| Office visit, established patient, 5 min | CPT | 99211 | 0 | $163.1 | — | — | — | — |
| Office visit, established patient, 10-19 min | CPT | 99212 | 0 | $170.35 | — | — | — | — |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 0 | $236.51 | — | — | — | — |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 0 | $315.34 | — | — | — | — |
| Office visit, established patient, 40-54 min | CPT | 99215 | 0 | $428.63 | — | — | — | — |