| Basic metabolic panelCPT 80048 | $2,535 | $8 | 29967% | — | 22 |
| CT abdomen and pelvis with contrastCPT 74177 | $924 | $356 | 259% | — | 22 |
| CT head without contrastCPT 70450 | $80 | $107 | 75% | — | 20 |
| CT pelvis with contrastCPT 72193 | $2,545 | $179 | 1420% | — | 22 |
| Cardiac stress testCPT 93017 | $2,608 | $221 | 1182% | — | 22 |
| Colonoscopy with biopsyCPT 45380 | $623 | $1,223 | 51% | — | 20 |
| Colonoscopy with polyp removalCPT 45385 | $704 | $1,223 | 58% | — | 20 |
| Colonoscopy, diagnosticCPT 45378 | $510 | $950 | 54% | — | 20 |
| Complete blood count with differentialCPT 85025 | $52 | $8 | 671% | — | 22 |
| Complete blood count, automatedCPT 85027 | $48 | $6 | 743% | — | 22 |
| Comprehensive metabolic panelCPT 80053 | $1,476 | $11 | 13974% | — | 22 |
| Diagnostic mammography, both breastsCPT 77066 | $62 | — | — | — | 20 |
| Diagnostic mammography, one breastCPT 77065 | $71 | — | — | — | 22 |
| ED visit, level 3CPT 99283 | $84 | $279 | 30% | — | 20 |
| ED visit, level 4CPT 99284 | $145 | $426 | 34% | — | 20 |
| ED visit, level 5CPT 99285 | $208 | $608 | 34% | — | 20 |
| Echocardiogram, completeCPT 93306 | $90 | $558 | 16% | — | 20 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $148 | $904 | 16% | — | 20 |
| Excision of breast lesionCPT 19120 | $489 | $4,000 | 12% | — | 20 |
| Family psychotherapy, without patientCPT 90846 | $166 | $181 | 92% | — | 22 |
| Group psychotherapyCPT 90853 | $475 | $104 | 458% | — | 22 |
| Inguinal hernia repair, age 5+CPT 49505 | $568 | $3,658 | 16% | — | 20 |
| Kidney function panelCPT 80069 | $4,889 | $9 | 56320% | — | 21 |
| Knee arthroscopy with meniscectomyCPT 29881 | $792 | $3,343 | 24% | — | 20 |
| Laparoscopic cholecystectomyCPT 47562 | $532 | $6,176 | 9% | — | 22 |
| Lipid panelCPT 80061 | $3,911 | $13 | 29207% | — | 22 |
| Liver function panelCPT 80076 | $231 | $8 | 2823% | — | 22 |
| Lumbar epidural steroid injectionCPT 62323 | $242 | $721 | 34% | — | 20 |
| MRI brain with and without contrastCPT 70553 | $1,860 | $356 | 522% | — | 22 |
| MRI lower extremity joint (knee)CPT 73721 | $1,797 | $244 | 737% | — | 22 |
| MRI lumbar spine without contrastCPT 72148 | $1,152 | $244 | 472% | — | 22 |
| OB ultrasound, 14+ weeksCPT 76805 | $621 | $107 | 582% | — | 22 |
| Obstetric blood test panelCPT 80055 | $2,951 | $48 | 6173% | — | 22 |
| Office consultation, comprehensiveCPT 99244 | $170 | — | — | — | 18 |
| Office consultation, moderateCPT 99243 | $113 | — | — | — | 18 |
| Office visit, established patient, level 3CPT 99213 | $96 | — | — | — | 22 |
| Office visit, established patient, level 4CPT 99214 | $103 | — | — | — | 22 |
| Office visit, new patient, level 3CPT 99203 | $313 | — | — | — | 22 |
| Office visit, new patient, level 4CPT 99204 | $131 | — | — | — | 22 |
| Office visit, new patient, level 5CPT 99205 | $231 | — | — | — | 22 |
| PSA (prostate specific antigen), totalCPT 84153 | $109 | $18 | 594% | — | 22 |
| Partial thromboplastin timeCPT 85730 | $99 | $6 | 1649% | — | 22 |
| Physical therapy, therapeutic exerciseCPT 97110 | $202 | — | — | — | 22 |
| Preventive visit, new patient, 18-39CPT 99385 | $137 | — | — | — | 18 |
| Preventive visit, new patient, 40-64CPT 99386 | $169 | — | — | — | 18 |
| Prostate biopsyCPT 55700 | $907 | — | — | — | 22 |
| Prothrombin timeCPT 85610 | $154 | $4 | 3590% | — | 22 |
| Psychotherapy, 30 minutesCPT 90832 | $71 | $181 | 39% | — | 22 |
| Psychotherapy, 45 minutesCPT 90834 | $173 | $181 | 95% | — | 22 |
| Psychotherapy, 60 minutesCPT 90837 | $145 | $181 | 80% | — | 20 |
| Screening mammography, bilateralCPT 77067 | $59 | — | — | — | 22 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $162 | — | — | — | 22 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $31 | $17 | 183% | — | 22 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $332 | $6,048 | 5% | — | 20 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $137 | $904 | 15% | — | 20 |
| Ultrasound, abdomen, completeCPT 76700 | $62 | $107 | 58% | — | 20 |
| Ultrasound, transvaginalCPT 76830 | $1,086 | $107 | 1016% | — | 22 |
| Upper GI endoscopy with biopsyCPT 43239 | $366 | $927 | 40% | — | 20 |
| Upper GI endoscopy, diagnosticCPT 43235 | $332 | $927 | 36% | — | 20 |
| Urinalysis, automated, with microscopyCPT 81001 | $67 | $3 | 2109% | — | 22 |
| Urinalysis, automated, without microscopyCPT 81003 | $16 | $2 | 711% | — | 22 |
| Urinalysis, manual, without microscopyCPT 81002 | $13 | $3 | 372% | — | 22 |
| X-ray, lower back, 4+ viewsCPT 72110 | $25 | $107 | 23% | — | 20 |