| Basic metabolic panelCPT 80048 | $11 | $8 | 130% | — | 10 |
| CT abdomen and pelvis with contrastCPT 74177 | $811 | $369 | 220% | — | 4 |
| CT head without contrastCPT 70450 | $243 | $111 | 220% | — | 4 |
| CT pelvis with contrastCPT 72193 | $408 | $186 | 220% | — | 4 |
| Cardiac stress testCPT 93017 | $475 | $228 | 208% | — | 5 |
| Cataract surgery with IOL insertionCPT 66984 | $5,687 | $2,442 | 233% | — | 6 |
| Colonoscopy with biopsyCPT 45380 | $3,346 | $1,266 | 264% | — | 6 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $3,346 | $1,266 | 264% | — | 6 |
| Colonoscopy with polyp removalCPT 45385 | $3,346 | $1,266 | 264% | — | 6 |
| Colonoscopy, diagnosticCPT 45378 | $3,019 | $984 | 307% | — | 6 |
| Complete blood count with differentialCPT 85025 | $10 | $8 | 130% | — | 10 |
| Complete blood count, automatedCPT 85027 | $8 | $6 | 130% | — | 10 |
| Comprehensive metabolic panelCPT 80053 | $14 | $11 | 130% | — | 10 |
| Diagnostic mammography, both breastsCPT 77066 | $218 | — | — | — | 5 |
| Diagnostic mammography, one breastCPT 77065 | $170 | — | — | — | 5 |
| ED visit, level 3CPT 99283 | $601 | $289 | 208% | — | 3 |
| ED visit, level 4CPT 99284 | $918 | $441 | 208% | — | 3 |
| ED visit, level 5CPT 99285 | $1,311 | $630 | 208% | — | 3 |
| Echocardiogram, completeCPT 93306 | $1,203 | $578 | 208% | — | 5 |
| Electrocardiogram with interpretationCPT 93000 | $87 | — | — | — | 1 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $2,281 | $936 | 244% | — | 6 |
| Excision of breast lesionCPT 19120 | $9,103 | $4,143 | 220% | — | 6 |
| Inguinal hernia repair, age 5+CPT 49505 | $8,650 | $3,788 | 228% | — | 6 |
| Kidney function panelCPT 80069 | $11 | $9 | 130% | — | 10 |
| Knee arthroscopy with meniscectomyCPT 29881 | $8,273 | $3,462 | 239% | — | 6 |
| Laparoscopic cholecystectomyCPT 47562 | $13,306 | $6,396 | 208% | — | 5 |
| Laparoscopic radical prostatectomyCPT 55866 | $22,237 | $11,246 | 198% | — | 4 |
| Left heart catheterization, diagnosticCPT 93452 | $7,939 | $3,430 | 231% | — | 5 |
| Lipid panelCPT 80061 | $17 | $13 | 130% | — | 10 |
| Liver function panelCPT 80076 | $11 | $8 | 130% | — | 10 |
| Lumbar epidural steroid injectionCPT 62323 | $2,062 | $747 | 276% | — | 6 |
| MRI brain with and without contrastCPT 70553 | $811 | $369 | 220% | — | 4 |
| MRI lower extremity joint (knee)CPT 73721 | $555 | $252 | 220% | — | 4 |
| MRI lumbar spine without contrastCPT 72148 | $555 | $252 | 220% | — | 4 |
| OB ultrasound, 14+ weeksCPT 76805 | $230 | $111 | 208% | — | 5 |
| Obstetric blood test panelCPT 80055 | $62 | $48 | 130% | — | 10 |
| PSA (prostate specific antigen), totalCPT 84153 | $24 | $18 | 130% | — | 10 |
| Partial thromboplastin timeCPT 85730 | $8 | $6 | 130% | — | 10 |
| Physical therapy, therapeutic exerciseCPT 97110 | $58 | — | — | — | 4 |
| Prostate biopsyCPT 55700 | $5,134 | — | — | — | 3 |
| Prothrombin timeCPT 85610 | $6 | $4 | 130% | — | 10 |
| Screening mammography, bilateralCPT 77067 | $180 | — | — | — | 5 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $9,962 | — | — | — | 3 |
| Sleep study (polysomnography)CPT 95810 | $1,890 | $909 | 208% | — | 3 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $22 | $17 | 130% | — | 10 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $11,112 | $6,263 | 177% | — | 6 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $2,281 | $936 | 244% | — | 6 |
| Ultrasound, abdomen, completeCPT 76700 | $230 | $111 | 208% | — | 5 |
| Ultrasound, transvaginalCPT 76830 | $230 | $111 | 208% | — | 5 |
| Upper GI endoscopy with biopsyCPT 43239 | $2,991 | $960 | 312% | — | 6 |
| Upper GI endoscopy, diagnosticCPT 43235 | $2,804 | $960 | 292% | — | 6 |
| Urinalysis, automated, with microscopyCPT 81001 | $4 | $3 | 130% | — | 10 |
| Urinalysis, automated, without microscopyCPT 81003 | $3 | $2 | 130% | — | 10 |
| Urinalysis, manual, with microscopyCPT 81000 | $6 | $4 | 145% | — | 8 |
| Urinalysis, manual, without microscopyCPT 81002 | $5 | $3 | 145% | — | 8 |
| X-ray, lower back, 4+ viewsCPT 72110 | $209 | $111 | 189% | — | 5 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $1,871 | $582 | 322% | — | 6 |