| Basic metabolic panelCPT 80048 | $98 | $8 | 1158% | — | 12 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,254 | $356 | 352% | — | 12 |
| CT head without contrastCPT 70450 | $714 | $107 | 669% | — | 12 |
| CT pelvis with contrastCPT 72193 | $1,698 | $179 | 948% | — | 12 |
| Cardiac stress testCPT 93017 | $1,438 | $221 | 652% | — | 12 |
| Complete blood count with differentialCPT 85025 | $40 | $8 | 515% | — | 12 |
| Complete blood count, automatedCPT 85027 | $49 | $6 | 751% | — | 12 |
| Comprehensive metabolic panelCPT 80053 | $121 | $11 | 1145% | — | 12 |
| Diagnostic mammography, both breastsCPT 77066 | $237 | — | — | — | 12 |
| Diagnostic mammography, one breastCPT 77065 | $164 | — | — | — | 12 |
| ED visit, level 3CPT 99283 | $401 | $279 | 144% | — | 12 |
| ED visit, level 4CPT 99284 | $680 | $426 | 160% | — | 12 |
| ED visit, level 5CPT 99285 | $988 | $608 | 162% | — | 12 |
| Echocardiogram, completeCPT 93306 | $2,612 | $558 | 468% | — | 12 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $341 | $904 | 38% | — | 12 |
| Kidney function panelCPT 80069 | $138 | $9 | 1586% | — | 12 |
| Lipid panelCPT 80061 | $68 | $13 | 507% | — | 12 |
| Liver function panelCPT 80076 | $95 | $8 | 1167% | — | 12 |
| Lumbar epidural steroid injectionCPT 62323 | $950 | $721 | 132% | — | 12 |
| MRI brain with and without contrastCPT 70553 | $1,346 | $356 | 378% | — | 12 |
| MRI lower extremity joint (knee)CPT 73721 | $245 | $244 | 101% | — | 12 |
| MRI lumbar spine without contrastCPT 72148 | $850 | $244 | 349% | — | 12 |
| OB ultrasound, 14+ weeksCPT 76805 | $510 | $107 | 477% | — | 12 |
| Office visit, established patient, level 3CPT 99213 | $266 | — | — | — | 12 |
| Office visit, established patient, level 4CPT 99214 | $356 | — | — | — | 12 |
| Office visit, new patient, level 3CPT 99203 | $297 | — | — | — | 12 |
| Office visit, new patient, level 4CPT 99204 | $410 | — | — | — | 12 |
| Office visit, new patient, level 5CPT 99205 | $468 | — | — | — | 12 |
| PSA (prostate specific antigen), totalCPT 84153 | $50 | $18 | 274% | — | 12 |
| Partial thromboplastin timeCPT 85730 | $33 | $6 | 547% | — | 12 |
| Physical therapy, therapeutic exerciseCPT 97110 | $112 | — | — | — | 12 |
| Prothrombin timeCPT 85610 | $12 | $4 | 273% | — | 12 |
| Screening mammography, bilateralCPT 77067 | $200 | — | — | — | 12 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $73 | $17 | 434% | — | 12 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,461 | $904 | 162% | — | 12 |
| Ultrasound, abdomen, completeCPT 76700 | $564 | $107 | 528% | — | 12 |
| Ultrasound, transvaginalCPT 76830 | $392 | $107 | 367% | — | 12 |
| Urinalysis, automated, with microscopyCPT 81001 | $49 | $3 | 1531% | — | 12 |
| Urinalysis, automated, without microscopyCPT 81003 | $6 | $2 | 280% | — | 12 |
| Urinalysis, manual, without microscopyCPT 81002 | $10 | $3 | 284% | — | 12 |
| X-ray, lower back, 4+ viewsCPT 72110 | $382 | $107 | 358% | — | 12 |