| Basic metabolic panelCPT 80048 | $68 | $8 | 810% | — | 10 |
| CT abdomen and pelvis with contrastCPT 74177 | $3,282 | $356 | 921% | — | 10 |
| CT head without contrastCPT 70450 | $1,509 | $107 | 1413% | — | 10 |
| CT pelvis with contrastCPT 72193 | $2,054 | $179 | 1146% | — | 10 |
| Cardiac stress testCPT 93017 | $1,052 | $221 | 477% | — | 10 |
| Cataract surgery with IOL insertionCPT 66984 | $4,869 | $2,358 | 207% | — | 10 |
| Colonoscopy with biopsyCPT 45380 | $2,585 | $1,223 | 211% | — | 10 |
| Colonoscopy with polyp removalCPT 45385 | $4,296 | $1,223 | 351% | — | 10 |
| Colonoscopy, diagnosticCPT 45378 | $3,912 | $950 | 412% | — | 10 |
| Complete blood count with differentialCPT 85025 | $55 | $8 | 708% | — | 10 |
| Complete blood count, automatedCPT 85027 | $46 | $6 | 711% | — | 10 |
| Comprehensive metabolic panelCPT 80053 | $86 | $11 | 810% | — | 10 |
| Diagnostic mammography, both breastsCPT 77066 | $421 | — | — | — | 10 |
| Diagnostic mammography, one breastCPT 77065 | $252 | — | — | — | 10 |
| ED visit, level 3CPT 99283 | $635 | $279 | 228% | — | 10 |
| ED visit, level 4CPT 99284 | $966 | $426 | 227% | — | 10 |
| ED visit, level 5CPT 99285 | $1,583 | $608 | 260% | — | 10 |
| Echocardiogram, completeCPT 93306 | $1,462 | $558 | 262% | — | 10 |
| Inguinal hernia repair, age 5+CPT 49505 | $12,934 | $3,658 | 354% | — | 10 |
| Kidney function panelCPT 80069 | $140 | $9 | 1607% | — | 10 |
| Knee arthroscopy with meniscectomyCPT 29881 | $15,890 | $3,343 | 475% | — | 10 |
| Laparoscopic cholecystectomyCPT 47562 | $11,327 | $6,176 | 183% | — | 10 |
| Lipid panelCPT 80061 | $84 | $13 | 631% | — | 10 |
| Liver function panelCPT 80076 | $100 | $8 | 1230% | — | 10 |
| MRI brain with and without contrastCPT 70553 | $4,700 | $356 | 1318% | — | 10 |
| MRI lumbar spine without contrastCPT 72148 | $2,665 | $244 | 1093% | — | 10 |
| OB ultrasound, 14+ weeksCPT 76805 | $747 | $107 | 699% | — | 10 |
| Obstetric blood test panelCPT 80055 | $320 | $48 | 670% | — | 10 |
| Office visit, established patient, level 3CPT 99213 | $132 | — | — | — | 10 |
| Office visit, established patient, level 4CPT 99214 | $192 | — | — | — | 10 |
| Office visit, new patient, level 3CPT 99203 | $244 | — | — | — | 10 |
| Office visit, new patient, level 4CPT 99204 | $382 | — | — | — | 10 |
| Office visit, new patient, level 5CPT 99205 | $416 | — | — | — | 10 |
| PSA (prostate specific antigen), totalCPT 84153 | $79 | $18 | 430% | — | 10 |
| Partial thromboplastin timeCPT 85730 | $25 | $6 | 416% | — | 10 |
| Physical therapy, therapeutic exerciseCPT 97110 | $76 | — | — | — | 10 |
| Prothrombin timeCPT 85610 | $38 | $4 | 897% | — | 10 |
| Psychotherapy, 30 minutesCPT 90832 | $258 | $181 | 143% | — | 10 |
| Psychotherapy, 45 minutesCPT 90834 | $258 | $181 | 143% | — | 10 |
| Psychotherapy, 60 minutesCPT 90837 | $258 | $181 | 143% | — | 10 |
| Screening mammography, bilateralCPT 77067 | $304 | — | — | — | 10 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $19,095 | — | — | — | 10 |
| Sleep study (polysomnography)CPT 95810 | $4,272 | $877 | 487% | — | 10 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $55 | $17 | 327% | — | 10 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $2,954 | $904 | 327% | — | 10 |
| Ultrasound, abdomen, completeCPT 76700 | $812 | $107 | 760% | — | 10 |
| Ultrasound, transvaginalCPT 76830 | $698 | $107 | 654% | — | 10 |
| Upper GI endoscopy with biopsyCPT 43239 | $2,815 | $927 | 304% | — | 10 |
| Upper GI endoscopy, diagnosticCPT 43235 | $2,218 | $927 | 239% | — | 10 |
| Urinalysis, automated, with microscopyCPT 81001 | $75 | $3 | 2366% | — | 10 |
| Urinalysis, automated, without microscopyCPT 81003 | $39 | $2 | 1722% | — | 10 |
| Urinalysis, manual, without microscopyCPT 81002 | $21 | $3 | 603% | — | 10 |
| X-ray, lower back, 4+ viewsCPT 72110 | $336 | $107 | 315% | — | 10 |