| Basic metabolic panelCPT 80048 | $162 | $8 | 1915% | — | 11 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,763 | $356 | 495% | — | 11 |
| CT head without contrastCPT 70450 | $1,733 | $107 | 1623% | — | 11 |
| CT pelvis with contrastCPT 72193 | $1,763 | $179 | 984% | — | 11 |
| Cardiac stress testCPT 93017 | $871 | $221 | 395% | — | 11 |
| Cataract surgery with IOL insertionCPT 66984 | $854 | $2,358 | 36% | — | 11 |
| Colonoscopy with biopsyCPT 45380 | $811 | $1,223 | 66% | — | 11 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $370 | $1,223 | 30% | — | 11 |
| Colonoscopy with polyp removalCPT 45385 | $842 | $1,223 | 69% | — | 11 |
| Colonoscopy, diagnosticCPT 45378 | $636 | $950 | 67% | — | 11 |
| Complete blood count with differentialCPT 85025 | $99 | $8 | 1274% | — | 11 |
| Complete blood count, automatedCPT 85027 | $86 | $6 | 1335% | — | 11 |
| Comprehensive metabolic panelCPT 80053 | $284 | $11 | 2685% | — | 11 |
| Diagnostic mammography, both breastsCPT 77066 | $66 | — | — | — | 11 |
| Diagnostic mammography, one breastCPT 77065 | $233 | — | — | — | 11 |
| ED visit, level 3CPT 99283 | $386 | $279 | 138% | — | 11 |
| ED visit, level 4CPT 99284 | $606 | $426 | 142% | — | 11 |
| ED visit, level 5CPT 99285 | $855 | $608 | 141% | — | 11 |
| Echocardiogram, completeCPT 93306 | $1,670 | $558 | 299% | — | 11 |
| Electrocardiogram with interpretationCPT 93000 | $22 | — | — | — | 11 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $272 | $904 | 30% | — | 11 |
| Excision of breast lesionCPT 19120 | $1,055 | $4,000 | 26% | — | 11 |
| Family psychotherapy, with patientCPT 90847 | $147 | $181 | 81% | — | 11 |
| Family psychotherapy, without patientCPT 90846 | $141 | $181 | 78% | — | 11 |
| Group psychotherapyCPT 90853 | $40 | $104 | 38% | — | 11 |
| Inguinal hernia repair, age 5+CPT 49505 | $1,150 | $3,658 | 31% | — | 11 |
| Kidney function panelCPT 80069 | $226 | $9 | 2603% | — | 11 |
| Knee arthroscopy with meniscectomyCPT 29881 | $942 | $3,343 | 28% | — | 11 |
| Laparoscopic cholecystectomyCPT 47562 | $1,133 | $6,176 | 18% | — | 11 |
| Laparoscopic radical prostatectomyCPT 55866 | $2,076 | $10,860 | 19% | — | 11 |
| Lipid panelCPT 80061 | $109 | $13 | 817% | — | 11 |
| Liver function panelCPT 80076 | $230 | $8 | 2820% | — | 11 |
| Lumbar epidural steroid injectionCPT 62323 | $515 | $721 | 71% | — | 11 |
| MRI brain with and without contrastCPT 70553 | $1,312 | $356 | 368% | — | 11 |
| MRI lower extremity joint (knee)CPT 73721 | $972 | $244 | 399% | — | 11 |
| MRI lumbar spine without contrastCPT 72148 | $1,049 | $244 | 430% | — | 11 |
| OB global care, VBAC deliveryCPT 59610 | $4,131 | — | — | — | 11 |
| OB global care, cesarean deliveryCPT 59510 | $4,388 | — | — | — | 11 |
| OB global care, vaginal deliveryCPT 59400 | $3,946 | — | — | — | 11 |
| OB ultrasound, 14+ weeksCPT 76805 | $354 | $107 | 331% | — | 11 |
| Obstetric blood test panelCPT 80055 | $288 | $48 | 602% | — | 11 |
| Office consultation, comprehensiveCPT 99244 | $1,327 | — | — | — | 10 |
| Office consultation, moderateCPT 99243 | $926 | — | — | — | 10 |
| Office visit, established patient, level 3CPT 99213 | $111 | — | — | — | 11 |
| Office visit, established patient, level 4CPT 99214 | $160 | — | — | — | 11 |
| Office visit, new patient, level 3CPT 99203 | $139 | — | — | — | 11 |
| Office visit, new patient, level 4CPT 99204 | $213 | — | — | — | 11 |
| Office visit, new patient, level 5CPT 99205 | $285 | — | — | — | 11 |
| PSA (prostate specific antigen), totalCPT 84153 | $111 | $18 | 602% | — | 11 |
| Partial thromboplastin timeCPT 85730 | $97 | $6 | 1617% | — | 11 |
| Physical therapy, therapeutic exerciseCPT 97110 | $42 | — | — | — | 11 |
| Preventive visit, new patient, 18-39CPT 99385 | $249 | — | — | — | 10 |
| Preventive visit, new patient, 40-64CPT 99386 | $286 | — | — | — | 10 |
| Prostate biopsyCPT 55700 | $365 | — | — | — | 11 |
| Prothrombin timeCPT 85610 | $63 | $4 | 1469% | — | 11 |
| Psychotherapy, 30 minutesCPT 90832 | $112 | $181 | 62% | — | 11 |
| Psychotherapy, 45 minutesCPT 90834 | $148 | $181 | 82% | — | 11 |
| Psychotherapy, 60 minutesCPT 90837 | $218 | $181 | 120% | — | 11 |
| Screening mammography, bilateralCPT 77067 | $182 | — | — | — | 11 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $264 | — | — | — | 11 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $148 | $17 | 879% | — | 11 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $477 | $6,048 | 8% | — | 11 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $499 | $904 | 55% | — | 11 |
| Ultrasound, abdomen, completeCPT 76700 | $329 | $107 | 308% | — | 11 |
| Ultrasound, transvaginalCPT 76830 | $329 | $107 | 308% | — | 11 |
| Upper GI endoscopy with biopsyCPT 43239 | $711 | $927 | 77% | — | 11 |
| Upper GI endoscopy, diagnosticCPT 43235 | $546 | $927 | 59% | — | 11 |
| Urinalysis, automated, with microscopyCPT 81001 | $94 | $3 | 2953% | — | 11 |
| Urinalysis, automated, without microscopyCPT 81003 | $46 | $2 | 2040% | — | 11 |
| Urinalysis, manual, with microscopyCPT 81000 | $99 | $4 | 2463% | — | 11 |
| Urinalysis, manual, without microscopyCPT 81002 | $22 | $3 | 621% | — | 11 |
| X-ray, lower back, 4+ viewsCPT 72110 | $364 | $107 | 341% | — | 11 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $1,101 | $562 | 196% | — | 11 |