| Renal function panel | CPT | 80069 | 7 | $10.26 |
| Hepatic function panel | CPT | 80076 | 7 | $9.66 |
| Urinalysis non-automated | CPT | 81002 | 7 | $4.11 |
| Urinalysis automated | CPT | 81003 | 7 | $2.66 |
| Glucose quantitative | CPT | 82947 | 7 | $4.65 |
| Hemoglobin A1c | CPT | 83036 | 7 | $11.48 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 7 | $19.86 |
| Complete blood count without differential | CPT | 85027 | 7 | $7.65 |
| Urine culture bacterial | CPT | 87086 | 7 | $9.54 |
| Comprehensive metabolic panel | CPT | 80053 | 7 | $12.48 |
| Lipid panel | CPT | 80061 | 7 | $15.83 |
| Complete blood count with automated differential | CPT | 85025 | 7 | $9.18 |
| ED visit level 1 | CPT | 99281 | 7 | $42.42 |
| Basic metabolic panel (BMP) | CPT | 80048 | 7 | $10 |
| Urine culture identification | CPT | 87088 | 7 | $9.56 |
| Electrolyte panel | CPT | 80051 | 7 | $8.28 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 6 | $69.54 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 6 | $98.36 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 6 | $85.4 |
| Office visit, new patient, 15-29 min | CPT | 99202 | 6 | $55.45 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 6 | $127.54 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 6 | $168.29 |
| Office visit, established patient, 5 min | CPT | 99211 | 6 | $17.93 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 6 | $43.41 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 6 | $137.93 |
| Tissue exam by pathologist level IV | CPT | 88305 | 6 | $76.72 |
| General health panel | CPT | 80050 | 5 | $64.3 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 2 | $5,824.37 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 2 | $6,989.04 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 2 | $6,544.32 |
