| Basic metabolic panelCPT 80048 | $101 | $8 | 1194% | ~$45 | 14 |
| CT abdomen and pelvis with contrastCPT 74177 | $6,122 | $374 | 1636% | ~$2,740 | 14 |
| CT head without contrastCPT 70450 | $1,250 | $112 | 1115% | ~$1,024 | 14 |
| CT pelvis with contrastCPT 72193 | $1,775 | $188 | 943% | ~$1,463 | 14 |
| Cardiac stress testCPT 93017 | $671 | $232 | 290% | $298 | 14 |
| Cesarean section, no CC/MCCMS-DRG 788 | $13,756 | — | — | $5,605 | 8 |
| Cesarean section, with CCMS-DRG 787 | $16,023 | — | — | $6,105 | 8 |
| Colonoscopy with biopsyCPT 45380 | $250 | $1,284 | 20% | $598 | 13 |
| Colonoscopy with polyp removalCPT 45385 | $316 | $1,284 | 25% | $618 | 13 |
| Colonoscopy, diagnosticCPT 45378 | $232 | $998 | 23% | $844 | 13 |
| Complete blood count with differentialCPT 85025 | $87 | $8 | 1124% | ~$39 | 14 |
| Complete blood count, automatedCPT 85027 | $105 | $6 | 1621% | ~$47 | 14 |
| Comprehensive metabolic panelCPT 80053 | $125 | $11 | 1184% | ~$56 | 14 |
| Diagnostic mammography, both breastsCPT 77066 | $357 | — | — | ~$249 | 14 |
| Diagnostic mammography, one breastCPT 77065 | $284 | — | — | ~$198 | 14 |
| ED visit, level 3CPT 99283 | $77 | $293 | 26% | $90 | 14 |
| ED visit, level 4CPT 99284 | $1,938 | $448 | 433% | $861 | 14 |
| ED visit, level 5CPT 99285 | $2,749 | $639 | 430% | $1,221 | 14 |
| Echocardiogram, completeCPT 93306 | $140 | $586 | 24% | $289 | 14 |
| Electrocardiogram with interpretationCPT 93000 | $19 | — | — | $35 | 13 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $100 | $949 | 11% | $60 | 13 |
| Excision of breast lesionCPT 19120 | $501 | $4,200 | 12% | $403 | 13 |
| Family psychotherapy, without patientCPT 90846 | $96 | $190 | 51% | $81 | 13 |
| Heart failure and shock, with CCMS-DRG 292 | $12,181 | $5,927 | 206% | $3,833 | 8 |
| Heart failure with MCCMS-DRG 291 | $13,098 | $10,694 | 122% | $588 | 8 |
| Inguinal hernia repair, age 5+CPT 49505 | $568 | $3,841 | 15% | $795 | 13 |
| Kidney function panelCPT 80069 | $112 | $9 | 1292% | ~$50 | 14 |
| Knee arthroscopy with meniscectomyCPT 29881 | $640 | $3,510 | 18% | $1,547 | 13 |
| Laparoscopic cholecystectomyCPT 47562 | $771 | $6,486 | 12% | $1,331 | 13 |
| Left heart catheterization, diagnosticCPT 93452 | $319 | $3,478 | 9% | $655 | 13 |
| Lipid panelCPT 80061 | $168 | $13 | 1255% | ~$75 | 14 |
| Liver function panelCPT 80076 | $127 | $8 | 1549% | ~$57 | 14 |
| Lumbar epidural steroid injectionCPT 62323 | $127 | $757 | 17% | $251 | 13 |
| MRI brain with and without contrastCPT 70553 | $2,992 | $374 | 799% | ~$2,443 | 14 |
| MRI lower extremity joint (knee)CPT 73721 | $1,532 | $256 | 599% | ~$1,212 | 14 |
| MRI lumbar spine without contrastCPT 72148 | $1,593 | $256 | 622% | ~$1,259 | 14 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $27,674 | $15,274 | 181% | $18,424 | 8 |
| OB global care, cesarean deliveryCPT 59510 | $2,263 | — | — | $1,960 | 13 |
| OB global care, vaginal deliveryCPT 59400 | $2,263 | — | — | $1,534 | 13 |
| OB ultrasound, 14+ weeksCPT 76805 | $97 | $112 | 86% | ~$163 | 14 |
| Office consultation, comprehensiveCPT 99244 | $170 | — | — | $147 | 10 |
| Office consultation, moderateCPT 99243 | $113 | — | — | $120 | 10 |
| Office visit, established patient, level 3CPT 99213 | $68 | — | — | $46 | 14 |
| Office visit, established patient, level 4CPT 99214 | $115 | — | — | $71 | 14 |
| Office visit, new patient, level 3CPT 99203 | $97 | — | — | $82 | 14 |
| Office visit, new patient, level 4CPT 99204 | $154 | — | — | $117 | 14 |
| Office visit, new patient, level 5CPT 99205 | $207 | — | — | $150 | 14 |
| PSA (prostate specific antigen), totalCPT 84153 | $141 | $18 | 768% | ~$63 | 14 |
| Partial thromboplastin timeCPT 85730 | $81 | $6 | 1343% | ~$36 | 14 |
| Physical therapy, therapeutic exerciseCPT 97110 | $92 | — | — | $41 | 14 |
| Preventive visit, new patient, 18-39CPT 99385 | $118 | — | — | $94 | 10 |
| Preventive visit, new patient, 40-64CPT 99386 | $144 | — | — | $107 | 10 |
| Prostate biopsyCPT 55700 | $1,223 | — | — | $756 | 10 |
| Prothrombin timeCPT 85610 | $30 | $4 | 701% | ~$13 | 14 |
| Psychotherapy, 30 minutesCPT 90832 | $76 | $190 | 40% | $70 | 13 |
| Psychotherapy, 45 minutesCPT 90834 | $97 | $190 | 51% | $93 | 13 |
| Psychotherapy, 60 minutesCPT 90837 | $136 | $190 | 71% | $125 | 13 |
| Screening mammography, bilateralCPT 77067 | $325 | — | — | ~$233 | 14 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $183 | — | — | $1,900 | 13 |
| Sleep study (polysomnography)CPT 95810 | $2,350 | $921 | 255% | $1,841 | 14 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $131 | $17 | 782% | ~$59 | 14 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $134 | $949 | 14% | $297 | 14 |
| Ultrasound, abdomen, completeCPT 76700 | $459 | $112 | 409% | ~$354 | 14 |
| Ultrasound, transvaginalCPT 76830 | $76 | $112 | 68% | ~$149 | 14 |
| Upper GI endoscopy with biopsyCPT 43239 | $174 | $973 | 18% | $844 | 13 |
| Upper GI endoscopy, diagnosticCPT 43235 | $156 | $973 | 16% | $308 | 13 |
| Urinalysis, automated, with microscopyCPT 81001 | $62 | $3 | 1957% | ~$28 | 14 |
| Urinalysis, automated, without microscopyCPT 81003 | $39 | $2 | 1746% | ~$24 | 14 |
| Urinalysis, manual, without microscopyCPT 81002 | $3 | $3 | 100% | ~$9 | 14 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $9,673 | — | — | $3,865 | 8 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $10,818 | — | — | $5,709 | 8 |
| X-ray, lower back, 4+ viewsCPT 72110 | $33 | $112 | 30% | ~$36 | 14 |