| Basic metabolic panelCPT 80048 | $61 | $8 | 723% | ~$26 | 18 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,888 | $368 | 513% | ~$831 | 18 |
| CT head without contrastCPT 70450 | $1,144 | $110 | 1037% | ~$466 | 18 |
| CT pelvis with contrastCPT 72193 | $1,203 | $185 | 650% | ~$506 | 18 |
| Cardiac stress testCPT 93017 | $503 | $228 | 221% | $211 | 18 |
| Cataract surgery with IOL insertionCPT 66984 | $4,053 | $2,434 | 166% | $1,448 | 18 |
| Colonoscopy with biopsyCPT 45380 | $5,722 | $1,262 | 453% | — | 6 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $5,722 | $1,262 | 453% | — | 6 |
| Colonoscopy with polyp removalCPT 45385 | $5,722 | $1,262 | 453% | — | 6 |
| Colonoscopy, diagnosticCPT 45378 | $2,602 | $981 | 265% | — | 6 |
| Complete blood count with differentialCPT 85025 | $47 | $8 | 609% | ~$20 | 18 |
| Complete blood count, automatedCPT 85027 | $33 | $6 | 517% | ~$14 | 18 |
| Comprehensive metabolic panelCPT 80053 | $69 | $11 | 657% | ~$29 | 18 |
| Diagnostic mammography, both breastsCPT 77066 | $394 | — | — | ~$166 | 18 |
| Diagnostic mammography, one breastCPT 77065 | $372 | — | — | ~$163 | 18 |
| ED visit, level 3CPT 99283 | $1,131 | $288 | 393% | $404 | 18 |
| ED visit, level 4CPT 99284 | $2,368 | $440 | 538% | $846 | 18 |
| ED visit, level 5CPT 99285 | $3,369 | $628 | 536% | $1,204 | 18 |
| Echocardiogram, completeCPT 93306 | $1,909 | $576 | 331% | $802 | 18 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $2,602 | $933 | 279% | — | 6 |
| Excision of breast lesionCPT 19120 | $6,764 | $4,130 | 164% | — | 6 |
| Inguinal hernia repair, age 5+CPT 49505 | $6,764 | $3,777 | 179% | — | 6 |
| Kidney function panelCPT 80069 | $53 | $9 | 611% | ~$22 | 18 |
| Knee arthroscopy with meniscectomyCPT 29881 | $6,764 | $3,452 | 196% | — | 6 |
| Laparoscopic cholecystectomyCPT 47562 | $10,404 | $6,377 | 163% | — | 6 |
| Laparoscopic radical prostatectomyCPT 55866 | $14,566 | $11,213 | 130% | — | 6 |
| Left heart catheterization, diagnosticCPT 93452 | $6,764 | $3,420 | 198% | — | 6 |
| Lipid panelCPT 80061 | $70 | $13 | 526% | ~$30 | 18 |
| Liver function panelCPT 80076 | $55 | $8 | 669% | ~$23 | 18 |
| Lumbar epidural steroid injectionCPT 62323 | $1,059 | $745 | 142% | $378 | 18 |
| MRI brain with and without contrastCPT 70553 | $1,419 | $368 | 386% | ~$596 | 18 |
| MRI lower extremity joint (knee)CPT 73721 | $976 | $252 | 388% | ~$358 | 18 |
| MRI lumbar spine without contrastCPT 72148 | $976 | $252 | 388% | ~$358 | 18 |
| OB global care, VBAC deliveryCPT 59610 | $6,764 | — | — | — | 6 |
| OB global care, cesarean deliveryCPT 59510 | $6,764 | — | — | — | 6 |
| OB global care, vaginal deliveryCPT 59400 | $6,764 | — | — | — | 6 |
| OB ultrasound, 14+ weeksCPT 76805 | $390 | $110 | 353% | ~$148 | 18 |
| PSA (prostate specific antigen), totalCPT 84153 | $172 | $18 | 936% | ~$72 | 18 |
| Partial thromboplastin timeCPT 85730 | $65 | $6 | 1084% | ~$27 | 18 |
| Physical therapy, therapeutic exerciseCPT 97110 | $85 | — | — | $36 | 18 |
| Prostate biopsyCPT 55700 | $5,722 | — | — | — | 6 |
| Prothrombin timeCPT 85610 | $25 | $4 | 590% | ~$11 | 18 |
| Screening mammography, bilateralCPT 77067 | $354 | — | — | ~$149 | 18 |
| Sleep study (polysomnography)CPT 95810 | $3,057 | $906 | 337% | $1,285 | 18 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $111 | $17 | 661% | ~$47 | 18 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $8,844 | $6,245 | 142% | — | 6 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,167 | $933 | 125% | $417 | 18 |
| Ultrasound, abdomen, completeCPT 76700 | $465 | $110 | 422% | ~$196 | 18 |
| Ultrasound, transvaginalCPT 76830 | $465 | $110 | 422% | ~$196 | 18 |
| Upper GI endoscopy with biopsyCPT 43239 | $2,602 | $957 | 272% | — | 6 |
| Upper GI endoscopy, diagnosticCPT 43235 | $2,602 | $957 | 272% | — | 6 |
| Urinalysis, automated, with microscopyCPT 81001 | $33 | $3 | 1055% | ~$14 | 18 |
| Urinalysis, automated, without microscopyCPT 81003 | $23 | $2 | 1015% | ~$10 | 18 |
| Urinalysis, manual, without microscopyCPT 81002 | $33 | $3 | 961% | ~$14 | 18 |
| X-ray, lower back, 4+ viewsCPT 72110 | $422 | $110 | 382% | ~$186 | 18 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $2,602 | $580 | 448% | — | 6 |