| Basic metabolic panelCPT 80048 | $174 | $8 | 2054% | — | 3 |
| CT abdomen and pelvis with contrastCPT 74177 | $125 | $356 | 35% | — | 4 |
| CT head without contrastCPT 70450 | $891 | $107 | 834% | — | 4 |
| CT pelvis with contrastCPT 72193 | $1,318 | $179 | 736% | — | 4 |
| Colonoscopy with biopsyCPT 45380 | $3,264 | $1,223 | 267% | — | 3 |
| Colonoscopy with polyp removalCPT 45385 | $3,241 | $1,223 | 265% | — | 3 |
| Colonoscopy, diagnosticCPT 45378 | $2,984 | $950 | 314% | — | 3 |
| Complete blood count with differentialCPT 85025 | $6 | $8 | 81% | — | 4 |
| Complete blood count, automatedCPT 85027 | $56 | $6 | 862% | — | 3 |
| Comprehensive metabolic panelCPT 80053 | $57 | $11 | 543% | — | 4 |
| Diagnostic mammography, both breastsCPT 77066 | $69 | — | — | — | 4 |
| Diagnostic mammography, one breastCPT 77065 | $195 | — | — | — | 4 |
| ED visit, level 3CPT 99283 | $580 | $279 | 208% | — | 4 |
| ED visit, level 4CPT 99284 | $889 | $426 | 208% | — | 4 |
| ED visit, level 5CPT 99285 | $2,119 | $608 | 348% | — | 4 |
| Electrocardiogram with interpretationCPT 93000 | $55 | — | — | — | 3 |
| Excision of breast lesionCPT 19120 | $2,654 | $4,000 | 66% | — | 3 |
| Family psychotherapy, with patientCPT 90847 | $1,018 | $181 | 562% | — | 2 |
| Family psychotherapy, without patientCPT 90846 | $970 | $181 | 535% | — | 2 |
| Group psychotherapyCPT 90853 | $992 | $104 | 956% | — | 2 |
| Kidney function panelCPT 80069 | $198 | $9 | 2285% | — | 3 |
| Lipid panelCPT 80061 | $37 | $13 | 278% | — | 4 |
| Liver function panelCPT 80076 | $127 | $8 | 1552% | — | 3 |
| MRI brain with and without contrastCPT 70553 | $1,631 | $356 | 458% | — | 4 |
| MRI lower extremity joint (knee)CPT 73721 | $1,196 | $244 | 490% | — | 4 |
| MRI lumbar spine without contrastCPT 72148 | $1,265 | $244 | 519% | — | 4 |
| OB ultrasound, 14+ weeksCPT 76805 | $708 | $107 | 662% | — | 3 |
| Office consultation, comprehensiveCPT 99244 | $347 | — | — | — | 2 |
| Office consultation, moderateCPT 99243 | $315 | — | — | — | 2 |
| Office visit, established patient, level 3CPT 99213 | $327 | — | — | — | 2 |
| Office visit, established patient, level 4CPT 99214 | $355 | — | — | — | 2 |
| Office visit, new patient, level 3CPT 99203 | $355 | — | — | — | 2 |
| Office visit, new patient, level 4CPT 99204 | $412 | — | — | — | 2 |
| Office visit, new patient, level 5CPT 99205 | $453 | — | — | — | 2 |
| PSA (prostate specific antigen), totalCPT 84153 | $8 | $18 | 42% | — | 3 |
| Partial thromboplastin timeCPT 85730 | $61 | $6 | 1013% | — | 3 |
| Physical therapy, therapeutic exerciseCPT 97110 | $96 | — | — | — | 4 |
| Preventive visit, new patient, 18-39CPT 99385 | $366 | — | — | — | 2 |
| Preventive visit, new patient, 40-64CPT 99386 | $386 | — | — | — | 2 |
| Prothrombin timeCPT 85610 | $58 | $4 | 1344% | — | 3 |
| Psychotherapy, 30 minutesCPT 90832 | $347 | $181 | 191% | — | 3 |
| Psychotherapy, 45 minutesCPT 90834 | $429 | $181 | 236% | — | 3 |
| Psychotherapy, 60 minutesCPT 90837 | $443 | $181 | 244% | — | 3 |
| Screening mammography, bilateralCPT 77067 | $51 | — | — | — | 3 |
| Sleep study (polysomnography)CPT 95810 | $4,777 | $877 | 545% | — | 3 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $15 | $17 | 87% | — | 4 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $473 | $904 | 52% | — | 3 |
| Ultrasound, abdomen, completeCPT 76700 | $1,030 | $107 | 964% | — | 3 |
| Ultrasound, transvaginalCPT 76830 | $814 | $107 | 762% | — | 3 |
| Upper GI endoscopy, diagnosticCPT 43235 | $2,889 | $927 | 312% | — | 3 |
| Urinalysis, automated, with microscopyCPT 81001 | $131 | $3 | 4126% | — | 3 |
| Urinalysis, automated, without microscopyCPT 81003 | $35 | $2 | 1546% | — | 4 |
| Urinalysis, manual, with microscopyCPT 81000 | $33 | $4 | 819% | — | 3 |
| Urinalysis, manual, without microscopyCPT 81002 | $9 | $3 | 262% | — | 4 |
| X-ray, lower back, 4+ viewsCPT 72110 | $505 | $107 | 473% | — | 4 |