| Basic metabolic panelCPT 80048 | $15 | $8 | 175% | — | 14 |
| CT abdomen and pelvis with contrastCPT 74177 | $828 | $368 | 225% | — | 6 |
| CT head without contrastCPT 70450 | $245 | $110 | 222% | — | 6 |
| CT pelvis with contrastCPT 72193 | $402 | $185 | 217% | — | 6 |
| Cardiac stress testCPT 93017 | $246 | $228 | 108% | — | 2 |
| Cataract surgery with IOL insertionCPT 66984 | $2,452 | $2,434 | 101% | — | 15 |
| Colonoscopy with biopsyCPT 45380 | $1,495 | $1,262 | 118% | — | 15 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $1,495 | $1,262 | 118% | — | 15 |
| Colonoscopy with polyp removalCPT 45385 | $1,495 | $1,262 | 118% | — | 15 |
| Colonoscopy, diagnosticCPT 45378 | $1,425 | $981 | 145% | — | 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 | $328 | $288 | 114% | — | 2 |
| ED visit, level 4CPT 99284 | $512 | $440 | 116% | — | 2 |
| ED visit, level 5CPT 99285 | $734 | $628 | 117% | — | 2 |
| Echocardiogram, completeCPT 93306 | $650 | $576 | 113% | — | 2 |
| Electrocardiogram with interpretationCPT 93000 | $26 | — | — | — | 1 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,165 | $933 | 125% | — | 15 |
| Excision of breast lesionCPT 19120 | $1,800 | $4,130 | 44% | — | 15 |
| Family psychotherapy, with patientCPT 90847 | $267 | $187 | 142% | — | 2 |
| Family psychotherapy, without patientCPT 90846 | $263 | $187 | 140% | — | 2 |
| Group psychotherapyCPT 90853 | $121 | $107 | 113% | — | 2 |
| Inguinal hernia repair, age 5+CPT 49505 | $2,521 | $3,777 | 67% | — | 15 |
| Kidney function panelCPT 80069 | $15 | $9 | 175% | — | 14 |
| Knee arthroscopy with meniscectomyCPT 29881 | $2,521 | $3,452 | 73% | — | 15 |
| Laparoscopic cholecystectomyCPT 47562 | $4,443 | $6,377 | 70% | — | 15 |
| Laparoscopic radical prostatectomyCPT 55866 | $4,012 | $11,213 | 36% | — | 15 |
| Left heart catheterization, diagnosticCPT 93452 | $4,124 | $3,420 | 121% | — | 15 |
| Lipid panelCPT 80061 | $23 | $13 | 175% | — | 14 |
| Liver function panelCPT 80076 | $14 | $8 | 175% | — | 14 |
| Lumbar epidural steroid injectionCPT 62323 | $1,165 | $745 | 156% | — | 15 |
| MRI brain with and without contrastCPT 70553 | $828 | $368 | 225% | — | 6 |
| MRI lower extremity joint (knee)CPT 73721 | $518 | $252 | 206% | — | 6 |
| MRI lumbar spine without contrastCPT 72148 | $518 | $252 | 206% | — | 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 | $110 | 222% | — | 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 | $236 | $187 | 126% | — | 2 |
| Psychotherapy, 45 minutesCPT 90834 | $256 | $187 | 137% | — | 2 |
| Psychotherapy, 60 minutesCPT 90837 | $296 | $187 | 158% | — | 2 |
| Screening mammography, bilateralCPT 77067 | $217 | — | — | — | 6 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $1,691 | — | — | — | 14 |
| Sleep study (polysomnography)CPT 95810 | $1,309 | $906 | 144% | — | 2 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $29 | $17 | 175% | — | 14 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $1,800 | $6,245 | 29% | — | 15 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,165 | $933 | 125% | — | 15 |
| Ultrasound, abdomen, completeCPT 76700 | $245 | $110 | 222% | — | 6 |
| Ultrasound, transvaginalCPT 76830 | $245 | $110 | 222% | — | 6 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,425 | $957 | 149% | — | 15 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,165 | $957 | 122% | — | 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 | $110 | 222% | — | 6 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $1,368 | $580 | 236% | — | 15 |