| Basic metabolic panelCPT 80048 | $24 | $8 | 283% | — | 4 |
| CT abdomen and pelvis with contrastCPT 74177 | $973 | $364 | 267% | — | 3 |
| CT head without contrastCPT 70450 | $292 | $109 | 267% | — | 3 |
| CT pelvis with contrastCPT 72193 | $551 | $183 | 301% | — | 3 |
| Cardiac stress testCPT 93017 | $602 | $225 | 267% | — | 3 |
| Cataract surgery with IOL insertionCPT 66984 | $7,006 | $2,410 | 291% | — | 4 |
| Colonoscopy with biopsyCPT 45380 | $3,712 | $1,250 | 297% | — | 4 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $3,712 | $1,250 | 297% | — | 4 |
| Colonoscopy with polyp removalCPT 45385 | $3,712 | $1,250 | 297% | — | 4 |
| Colonoscopy, diagnosticCPT 45378 | $3,016 | $971 | 311% | — | 4 |
| Complete blood count with differentialCPT 85025 | $22 | $8 | 282% | — | 4 |
| Complete blood count, automatedCPT 85027 | $18 | $6 | 282% | — | 4 |
| Comprehensive metabolic panelCPT 80053 | $30 | $11 | 283% | — | 4 |
| Diagnostic mammography, both breastsCPT 77066 | $314 | — | — | — | 2 |
| Diagnostic mammography, one breastCPT 77065 | $245 | — | — | — | 2 |
| ED visit, level 3CPT 99283 | $492 | $285 | 173% | — | 2 |
| ED visit, level 4CPT 99284 | $771 | $436 | 177% | — | 2 |
| ED visit, level 5CPT 99285 | $1,107 | $622 | 178% | — | 2 |
| Echocardiogram, completeCPT 93306 | $954 | $571 | 167% | — | 2 |
| Electrocardiogram with interpretationCPT 93000 | $44 | — | — | — | 1 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $2,766 | $924 | 299% | — | 4 |
| Excision of breast lesionCPT 19120 | $5,224 | $4,089 | 128% | — | 4 |
| Family psychotherapy, with patientCPT 90847 | $400 | $185 | 216% | — | 2 |
| Family psychotherapy, without patientCPT 90846 | $395 | $185 | 213% | — | 2 |
| Group psychotherapyCPT 90853 | $178 | $106 | 167% | — | 2 |
| Inguinal hernia repair, age 5+CPT 49505 | $5,938 | $3,739 | 159% | — | 4 |
| Kidney function panelCPT 80069 | $23 | $9 | 267% | — | 3 |
| Knee arthroscopy with meniscectomyCPT 29881 | $7,227 | $3,417 | 212% | — | 4 |
| Laparoscopic cholecystectomyCPT 47562 | $10,766 | $6,313 | 171% | — | 4 |
| Laparoscopic radical prostatectomyCPT 55866 | $11,133 | $11,101 | 100% | — | 3 |
| Left heart catheterization, diagnosticCPT 93452 | $9,063 | $3,385 | 268% | — | 4 |
| Lipid panelCPT 80061 | $38 | $13 | 283% | — | 4 |
| Liver function panelCPT 80076 | $23 | $8 | 282% | — | 4 |
| Lumbar epidural steroid injectionCPT 62323 | $2,766 | $737 | 375% | — | 4 |
| MRI brain with and without contrastCPT 70553 | $973 | $364 | 267% | — | 3 |
| MRI lower extremity joint (knee)CPT 73721 | $665 | $249 | 267% | — | 3 |
| MRI lumbar spine without contrastCPT 72148 | $665 | $249 | 267% | — | 3 |
| OB global care, VBAC deliveryCPT 59610 | $7,963 | — | — | — | 1 |
| OB global care, cesarean deliveryCPT 59510 | $8,406 | — | — | — | 1 |
| OB global care, vaginal deliveryCPT 59400 | $7,571 | — | — | — | 1 |
| OB ultrasound, 14+ weeksCPT 76805 | $292 | $109 | 267% | — | 3 |
| Obstetric blood test panelCPT 80055 | $128 | $48 | 267% | — | 3 |
| Office visit, established patient, level 3CPT 99213 | $204 | — | — | — | 1 |
| Office visit, established patient, level 4CPT 99214 | $301 | — | — | — | 1 |
| Office visit, new patient, level 3CPT 99203 | $254 | — | — | — | 1 |
| Office visit, new patient, level 4CPT 99204 | $413 | — | — | — | 1 |
| Office visit, new patient, level 5CPT 99205 | $561 | — | — | — | 1 |
| PSA (prostate specific antigen), totalCPT 84153 | $52 | $18 | 282% | — | 4 |
| Partial thromboplastin timeCPT 85730 | $17 | $6 | 283% | — | 4 |
| Physical therapy, therapeutic exerciseCPT 97110 | $84 | — | — | — | 2 |
| Prostate biopsyCPT 55700 | $1,920 | — | — | — | 2 |
| Prothrombin timeCPT 85610 | $12 | $4 | 282% | — | 4 |
| Psychotherapy, 30 minutesCPT 90832 | $350 | $185 | 189% | — | 2 |
| Psychotherapy, 45 minutesCPT 90834 | $384 | $185 | 207% | — | 2 |
| Psychotherapy, 60 minutesCPT 90837 | $450 | $185 | 243% | — | 2 |
| Screening mammography, bilateralCPT 77067 | $252 | — | — | — | 2 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $5,511 | — | — | — | 3 |
| Sleep study (polysomnography)CPT 95810 | $1,842 | $897 | 205% | — | 3 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $47 | $17 | 282% | — | 4 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $5,117 | $6,182 | 83% | — | 4 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $2,969 | $924 | 321% | — | 3 |
| Ultrasound, abdomen, completeCPT 76700 | $292 | $109 | 267% | — | 3 |
| Ultrasound, transvaginalCPT 76830 | $292 | $109 | 267% | — | 3 |
| Upper GI endoscopy with biopsyCPT 43239 | $3,712 | $947 | 392% | — | 4 |
| Upper GI endoscopy, diagnosticCPT 43235 | $3,272 | $947 | 346% | — | 4 |
| Urinalysis, automated, with microscopyCPT 81001 | $9 | $3 | 283% | — | 4 |
| Urinalysis, automated, without microscopyCPT 81003 | $6 | $2 | 283% | — | 4 |
| Urinalysis, manual, with microscopyCPT 81000 | $11 | $4 | 283% | — | 4 |
| Urinalysis, manual, without microscopyCPT 81002 | $10 | $3 | 282% | — | 4 |
| X-ray, lower back, 4+ viewsCPT 72110 | $252 | $109 | 231% | — | 3 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $3,204 | $574 | 558% | — | 4 |