| Basic metabolic panelCPT 80048 | $8 | $8 | 100% | — | 12 |
| CT abdomen and pelvis with contrastCPT 74177 | $732 | $364 | 201% | — | 7 |
| CT head without contrastCPT 70450 | $219 | $109 | 201% | — | 7 |
| CT pelvis with contrastCPT 72193 | $368 | $183 | 201% | — | 7 |
| Cardiac stress testCPT 93017 | $428 | $225 | 190% | — | 5 |
| Cataract surgery with IOL insertionCPT 66984 | $7,712 | $2,410 | 320% | — | 11 |
| Colonoscopy with biopsyCPT 45380 | $4,527 | $1,250 | 362% | — | 11 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $4,527 | $1,250 | 362% | — | 11 |
| Colonoscopy with polyp removalCPT 45385 | $4,527 | $1,250 | 362% | — | 11 |
| Colonoscopy, diagnosticCPT 45378 | $4,133 | $971 | 426% | — | 11 |
| Complete blood count with differentialCPT 85025 | $8 | $8 | 100% | — | 12 |
| Complete blood count, automatedCPT 85027 | $6 | $6 | 100% | — | 12 |
| Comprehensive metabolic panelCPT 80053 | $11 | $11 | 100% | — | 12 |
| Diagnostic mammography, both breastsCPT 77066 | $226 | — | — | — | 7 |
| Diagnostic mammography, one breastCPT 77065 | $176 | — | — | — | 7 |
| ED visit, level 3CPT 99283 | $542 | $285 | 190% | — | 5 |
| ED visit, level 4CPT 99284 | $828 | $436 | 190% | — | 5 |
| ED visit, level 5CPT 99285 | $1,182 | $622 | 190% | — | 5 |
| Echocardiogram, completeCPT 93306 | $1,084 | $571 | 190% | — | 5 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $4,133 | $924 | 447% | — | 11 |
| Excision of breast lesionCPT 19120 | $8,596 | $4,089 | 210% | — | 11 |
| Inguinal hernia repair, age 5+CPT 49505 | $11,236 | $3,739 | 301% | — | 11 |
| Kidney function panelCPT 80069 | $9 | $9 | 100% | — | 12 |
| Knee arthroscopy with meniscectomyCPT 29881 | $11,194 | $3,417 | 328% | — | 11 |
| Laparoscopic cholecystectomyCPT 47562 | $17,832 | $6,313 | 282% | — | 11 |
| Laparoscopic radical prostatectomyCPT 55866 | $19,426 | $11,101 | 175% | — | 11 |
| Left heart catheterization, diagnosticCPT 93452 | $6,805 | $3,385 | 201% | — | 7 |
| Lipid panelCPT 80061 | $13 | $13 | 100% | — | 12 |
| Liver function panelCPT 80076 | $8 | $8 | 100% | — | 12 |
| Lumbar epidural steroid injectionCPT 62323 | $4,133 | $737 | 561% | — | 11 |
| MRI brain with and without contrastCPT 70553 | $732 | $364 | 201% | — | 7 |
| MRI lower extremity joint (knee)CPT 73721 | $501 | $249 | 201% | — | 7 |
| MRI lumbar spine without contrastCPT 72148 | $501 | $249 | 201% | — | 7 |
| OB ultrasound, 14+ weeksCPT 76805 | $219 | $109 | 201% | — | 7 |
| Obstetric blood test panelCPT 80055 | $48 | $48 | 100% | — | 12 |
| PSA (prostate specific antigen), totalCPT 84153 | $18 | $18 | 100% | — | 12 |
| Partial thromboplastin timeCPT 85730 | $6 | $6 | 100% | — | 12 |
| Physical therapy, therapeutic exerciseCPT 97110 | $56 | — | — | — | 5 |
| Prostate biopsyCPT 55700 | $6,956 | — | — | — | 6 |
| Prothrombin timeCPT 85610 | $4 | $4 | 100% | — | 12 |
| Screening mammography, bilateralCPT 77067 | $176 | — | — | — | 7 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $5,560 | — | — | — | 2 |
| Sleep study (polysomnography)CPT 95810 | $1,704 | $897 | 190% | — | 5 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $17 | $17 | 100% | — | 12 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $11,746 | $6,182 | 190% | — | 11 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $4,133 | $924 | 447% | — | 11 |
| Ultrasound, abdomen, completeCPT 76700 | $219 | $109 | 201% | — | 7 |
| Ultrasound, transvaginalCPT 76830 | $219 | $109 | 201% | — | 7 |
| Upper GI endoscopy with biopsyCPT 43239 | $4,133 | $947 | 436% | — | 11 |
| Upper GI endoscopy, diagnosticCPT 43235 | $4,133 | $947 | 436% | — | 11 |
| Urinalysis, automated, with microscopyCPT 81001 | $3 | $3 | 100% | — | 12 |
| Urinalysis, automated, without microscopyCPT 81003 | $2 | $2 | 100% | — | 12 |
| Urinalysis, manual, with microscopyCPT 81000 | $4 | $4 | 100% | — | 12 |
| Urinalysis, manual, without microscopyCPT 81002 | $3 | $3 | 100% | — | 12 |
| X-ray, lower back, 4+ viewsCPT 72110 | $219 | $109 | 201% | — | 7 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $2,822 | $574 | 491% | — | 11 |