| Basic metabolic panelCPT 80048 | $15 | $8 | 175% | — | 14 |
| CT abdomen and pelvis with contrastCPT 74177 | $828 | $372 | 223% | — | 6 |
| CT head without contrastCPT 70450 | $245 | $112 | 220% | — | 6 |
| CT pelvis with contrastCPT 72193 | $402 | $187 | 215% | — | 6 |
| Cardiac stress testCPT 93017 | $248 | $230 | 108% | — | 2 |
| Cataract surgery with IOL insertionCPT 66984 | $2,452 | $2,462 | 100% | — | 15 |
| Colonoscopy with biopsyCPT 45380 | $1,495 | $1,276 | 117% | — | 15 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $1,495 | $1,276 | 117% | — | 15 |
| Colonoscopy with polyp removalCPT 45385 | $1,495 | $1,276 | 117% | — | 15 |
| Colonoscopy, diagnosticCPT 45378 | $1,425 | $992 | 144% | — | 15 |
| Complete blood count with differentialCPT 85025 | $14 | $8 | 175% | — | 14 |
| Complete blood count, automatedCPT 85027 | $11 | $6 | 175% | — | 14 |
| Comprehensive metabolic panelCPT 80053 | $18 | $11 | 175% | — | 14 |
| Diagnostic mammography, both breastsCPT 77066 | $263 | — | — | — | 6 |
| Diagnostic mammography, one breastCPT 77065 | $206 | — | — | — | 6 |
| ED visit, level 3CPT 99283 | $331 | $291 | 114% | — | 2 |
| ED visit, level 4CPT 99284 | $517 | $445 | 116% | — | 2 |
| ED visit, level 5CPT 99285 | $740 | $635 | 117% | — | 2 |
| Echocardiogram, completeCPT 93306 | $655 | $583 | 112% | — | 2 |
| Electrocardiogram with interpretationCPT 93000 | $26 | — | — | — | 1 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,165 | $943 | 123% | — | 15 |
| Excision of breast lesionCPT 19120 | $1,800 | $4,176 | 43% | — | 15 |
| Family psychotherapy, with patientCPT 90847 | $269 | $189 | 142% | — | 2 |
| Family psychotherapy, without patientCPT 90846 | $265 | $189 | 140% | — | 2 |
| Group psychotherapyCPT 90853 | $122 | $108 | 113% | — | 2 |
| Inguinal hernia repair, age 5+CPT 49505 | $2,521 | $3,819 | 66% | — | 15 |
| Kidney function panelCPT 80069 | $15 | $9 | 175% | — | 14 |
| Knee arthroscopy with meniscectomyCPT 29881 | $2,521 | $3,490 | 72% | — | 15 |
| Laparoscopic cholecystectomyCPT 47562 | $4,443 | $6,448 | 69% | — | 15 |
| Laparoscopic radical prostatectomyCPT 55866 | $4,012 | $11,338 | 35% | — | 15 |
| Left heart catheterization, diagnosticCPT 93452 | $4,124 | $3,458 | 119% | — | 15 |
| Lipid panelCPT 80061 | $23 | $13 | 175% | — | 14 |
| Liver function panelCPT 80076 | $14 | $8 | 175% | — | 14 |
| Lumbar epidural steroid injectionCPT 62323 | $1,165 | $753 | 155% | — | 15 |
| MRI brain with and without contrastCPT 70553 | $828 | $372 | 223% | — | 6 |
| MRI lower extremity joint (knee)CPT 73721 | $518 | $254 | 203% | — | 6 |
| MRI lumbar spine without contrastCPT 72148 | $518 | $254 | 203% | — | 6 |
| OB global care, VBAC deliveryCPT 59610 | $3,281 | — | — | — | 10 |
| OB global care, cesarean deliveryCPT 59510 | $3,281 | — | — | — | 10 |
| OB global care, vaginal deliveryCPT 59400 | $3,281 | — | — | — | 10 |
| OB ultrasound, 14+ weeksCPT 76805 | $245 | $112 | 220% | — | 6 |
| Obstetric blood test panelCPT 80055 | $84 | $48 | 175% | — | 14 |
| Office visit, established patient, level 3CPT 99213 | $116 | — | — | — | 1 |
| Office visit, established patient, level 4CPT 99214 | $171 | — | — | — | 1 |
| Office visit, new patient, level 3CPT 99203 | $144 | — | — | — | 1 |
| Office visit, new patient, level 4CPT 99204 | $235 | — | — | — | 1 |
| Office visit, new patient, level 5CPT 99205 | $320 | — | — | — | 1 |
| PSA (prostate specific antigen), totalCPT 84153 | $32 | $18 | 175% | — | 14 |
| Partial thromboplastin timeCPT 85730 | $11 | $6 | 175% | — | 14 |
| Physical therapy, therapeutic exerciseCPT 97110 | $54 | — | — | — | 2 |
| Prostate biopsyCPT 55700 | $1,460 | — | — | — | 14 |
| Prothrombin timeCPT 85610 | $8 | $4 | 175% | — | 14 |
| Psychotherapy, 30 minutesCPT 90832 | $238 | $189 | 126% | — | 2 |
| Psychotherapy, 45 minutesCPT 90834 | $258 | $189 | 136% | — | 2 |
| Psychotherapy, 60 minutesCPT 90837 | $298 | $189 | 157% | — | 2 |
| Screening mammography, bilateralCPT 77067 | $217 | — | — | — | 6 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $1,691 | — | — | — | 14 |
| Sleep study (polysomnography)CPT 95810 | $1,318 | $916 | 144% | — | 2 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $29 | $17 | 175% | — | 14 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $1,800 | $6,314 | 29% | — | 15 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,165 | $943 | 123% | — | 15 |
| Ultrasound, abdomen, completeCPT 76700 | $245 | $112 | 220% | — | 6 |
| Ultrasound, transvaginalCPT 76830 | $245 | $112 | 220% | — | 6 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,425 | $967 | 147% | — | 15 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,165 | $967 | 120% | — | 15 |
| Urinalysis, automated, with microscopyCPT 81001 | $6 | $3 | 175% | — | 14 |
| Urinalysis, automated, without microscopyCPT 81003 | $4 | $2 | 175% | — | 14 |
| Urinalysis, manual, with microscopyCPT 81000 | $7 | $4 | 175% | — | 14 |
| Urinalysis, manual, without microscopyCPT 81002 | $6 | $3 | 175% | — | 14 |
| X-ray, lower back, 4+ viewsCPT 72110 | $245 | $112 | 220% | — | 6 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $1,368 | $587 | 233% | — | 15 |