| Basic metabolic panelCPT 80048 | $65 | $8 | 764% | — | 32 |
| CT abdomen and pelvis with contrastCPT 74177 | $841 | $356 | 236% | — | 33 |
| CT head without contrastCPT 70450 | $454 | $107 | 425% | — | 33 |
| CT pelvis with contrastCPT 72193 | $524 | $179 | 292% | — | 33 |
| Cardiac stress testCPT 93017 | $635 | $221 | 288% | — | 33 |
| Cataract surgery with IOL insertionCPT 66984 | $495 | $2,358 | 21% | — | 32 |
| Colonoscopy with biopsyCPT 45380 | $898 | $1,223 | 73% | — | 33 |
| Colonoscopy with polyp removalCPT 45385 | $1,075 | $1,223 | 88% | — | 33 |
| Colonoscopy, diagnosticCPT 45378 | $820 | $950 | 86% | — | 33 |
| Complete blood count with differentialCPT 85025 | $38 | $8 | 494% | — | 32 |
| Complete blood count, automatedCPT 85027 | $38 | $6 | 594% | — | 32 |
| Comprehensive metabolic panelCPT 80053 | $86 | $11 | 816% | — | 32 |
| Diagnostic mammography, both breastsCPT 77066 | $45 | — | — | — | 33 |
| Diagnostic mammography, one breastCPT 77065 | $36 | — | — | — | 33 |
| ED visit, level 3CPT 99283 | $682 | $279 | 244% | — | 34 |
| ED visit, level 4CPT 99284 | $802 | $426 | 188% | — | 34 |
| ED visit, level 5CPT 99285 | $162 | $608 | 27% | — | 34 |
| Echocardiogram, completeCPT 93306 | $2,856 | $558 | 512% | — | 32 |
| Excision of breast lesionCPT 19120 | $859 | $4,000 | 21% | — | 33 |
| Family psychotherapy, with patientCPT 90847 | $290 | $181 | 160% | — | 32 |
| Family psychotherapy, without patientCPT 90846 | $241 | $181 | 133% | — | 32 |
| Group psychotherapyCPT 90853 | $362 | $104 | 348% | — | 32 |
| Inguinal hernia repair, age 5+CPT 49505 | $1,370 | $3,658 | 37% | — | 33 |
| Kidney function panelCPT 80069 | $68 | $9 | 786% | — | 32 |
| Knee arthroscopy with meniscectomyCPT 29881 | $494 | $3,343 | 15% | — | 32 |
| Laparoscopic cholecystectomyCPT 47562 | $2,343 | $6,176 | 38% | — | 33 |
| Lipid panelCPT 80061 | $65 | $13 | 484% | — | 32 |
| Liver function panelCPT 80076 | $68 | $8 | 835% | — | 32 |
| Lumbar epidural steroid injectionCPT 62323 | $91 | $721 | 13% | — | 28 |
| MRI brain with and without contrastCPT 70553 | $1,117 | $356 | 313% | — | 33 |
| MRI lower extremity joint (knee)CPT 73721 | $60 | $244 | 25% | — | 33 |
| MRI lumbar spine without contrastCPT 72148 | $877 | $244 | 360% | — | 33 |
| OB ultrasound, 14+ weeksCPT 76805 | $206 | $107 | 193% | — | 33 |
| Obstetric blood test panelCPT 80055 | $212 | $48 | 443% | — | 32 |
| Office consultation, comprehensiveCPT 99244 | $381 | — | — | — | 32 |
| Office consultation, moderateCPT 99243 | $258 | — | — | — | 32 |
| Office visit, established patient, level 3CPT 99213 | $64 | — | — | — | 32 |
| Office visit, established patient, level 4CPT 99214 | $90 | — | — | — | 32 |
| Office visit, new patient, level 3CPT 99203 | $78 | — | — | — | 32 |
| Office visit, new patient, level 4CPT 99204 | $128 | — | — | — | 32 |
| Office visit, new patient, level 5CPT 99205 | $175 | — | — | — | 32 |
| PSA (prostate specific antigen), totalCPT 84153 | $66 | $18 | 360% | — | 32 |
| Partial thromboplastin timeCPT 85730 | $30 | $6 | 503% | — | 32 |
| Physical therapy, therapeutic exerciseCPT 97110 | $107 | — | — | — | 32 |
| Preventive visit, new patient, 18-39CPT 99385 | $179 | — | — | — | 32 |
| Preventive visit, new patient, 40-64CPT 99386 | $224 | — | — | — | 32 |
| Prothrombin timeCPT 85610 | $26 | $4 | 597% | — | 32 |
| Psychotherapy, 30 minutesCPT 90832 | $206 | $181 | 113% | — | 32 |
| Psychotherapy, 45 minutesCPT 90834 | $265 | $181 | 146% | — | 32 |
| Psychotherapy, 60 minutesCPT 90837 | $386 | $181 | 213% | — | 32 |
| Screening mammography, bilateralCPT 77067 | $34 | — | — | — | 33 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $153 | — | — | — | 32 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $71 | $17 | 423% | — | 32 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $267 | $6,048 | 4% | — | 32 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $103 | $904 | 11% | — | 32 |
| Ultrasound, abdomen, completeCPT 76700 | $293 | $107 | 274% | — | 33 |
| Ultrasound, transvaginalCPT 76830 | $31 | $107 | 29% | — | 33 |
| Upper GI endoscopy with biopsyCPT 43239 | $126 | $927 | 14% | — | 32 |
| Upper GI endoscopy, diagnosticCPT 43235 | $111 | $927 | 12% | — | 32 |
| Urinalysis, automated, with microscopyCPT 81001 | $29 | $3 | 906% | — | 32 |
| Urinalysis, automated, without microscopyCPT 81003 | $21 | $2 | 942% | — | 32 |
| Urinalysis, manual, without microscopyCPT 81002 | $9 | $3 | 253% | — | 32 |
| X-ray, lower back, 4+ viewsCPT 72110 | $156 | $107 | 146% | — | 33 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $699 | $562 | 124% | — | 33 |