| Basic metabolic panelCPT 80048 | $167 | $8 | 1974% | — | 84 |
| CT abdomen and pelvis with contrastCPT 74177 | $2,679 | $356 | 752% | — | 84 |
| CT head without contrastCPT 70450 | $1,296 | $107 | 1214% | — | 84 |
| CT pelvis with contrastCPT 72193 | $2,154 | $179 | 1202% | — | 84 |
| Cardiac stress testCPT 93017 | $1,053 | $221 | 477% | — | 84 |
| Complete blood count with differentialCPT 85025 | $94 | $8 | 1209% | — | 84 |
| Complete blood count, automatedCPT 85027 | $68 | $6 | 1049% | — | 84 |
| Comprehensive metabolic panelCPT 80053 | $182 | $11 | 1722% | — | 84 |
| Diagnostic mammography, both breastsCPT 77066 | $378 | — | — | — | 84 |
| Diagnostic mammography, one breastCPT 77065 | $575 | — | — | — | 84 |
| ED visit, level 3CPT 99283 | $768 | $279 | 275% | — | 84 |
| ED visit, level 4CPT 99284 | $1,616 | $426 | 379% | — | 84 |
| ED visit, level 5CPT 99285 | $2,252 | $608 | 370% | — | 84 |
| Echocardiogram, completeCPT 93306 | $2,335 | $558 | 418% | — | 84 |
| Family psychotherapy, with patientCPT 90847 | $271 | $181 | 149% | — | 84 |
| Family psychotherapy, without patientCPT 90846 | $258 | $181 | 142% | — | 84 |
| Group psychotherapyCPT 90853 | $217 | $104 | 209% | — | 84 |
| Kidney function panelCPT 80069 | $331 | $9 | 3809% | — | 84 |
| Lipid panelCPT 80061 | $130 | $13 | 975% | — | 84 |
| Liver function panelCPT 80076 | $358 | $8 | 4387% | — | 84 |
| MRI brain with and without contrastCPT 70553 | $3,726 | $356 | 1045% | — | 84 |
| MRI lower extremity joint (knee)CPT 73721 | $3,759 | $244 | 1542% | — | 84 |
| MRI lumbar spine without contrastCPT 72148 | $2,286 | $244 | 938% | — | 84 |
| OB ultrasound, 14+ weeksCPT 76805 | $873 | $107 | 818% | — | 84 |
| Office consultation, comprehensiveCPT 99244 | $596 | — | — | — | 84 |
| Office consultation, moderateCPT 99243 | $1,001 | — | — | — | 84 |
| Office visit, established patient, level 3CPT 99213 | $197 | — | — | — | 84 |
| Office visit, established patient, level 4CPT 99214 | $305 | — | — | — | 84 |
| Office visit, new patient, level 3CPT 99203 | $298 | — | — | — | 84 |
| Office visit, new patient, level 4CPT 99204 | $504 | — | — | — | 84 |
| Office visit, new patient, level 5CPT 99205 | $654 | — | — | — | 84 |
| PSA (prostate specific antigen), totalCPT 84153 | $221 | $18 | 1199% | — | 84 |
| Partial thromboplastin timeCPT 85730 | $94 | $6 | 1563% | — | 84 |
| Physical therapy, therapeutic exerciseCPT 97110 | $151 | — | — | — | 84 |
| Prothrombin timeCPT 85610 | $71 | $4 | 1663% | — | 84 |
| Psychotherapy, 30 minutesCPT 90832 | $181 | $181 | 100% | — | 84 |
| Psychotherapy, 45 minutesCPT 90834 | $240 | $181 | 132% | — | 84 |
| Psychotherapy, 60 minutesCPT 90837 | $351 | $181 | 194% | — | 84 |
| Screening mammography, bilateralCPT 77067 | $513 | — | — | — | 84 |
| Sleep study (polysomnography)CPT 95810 | $3,513 | $877 | 400% | — | 84 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $137 | $17 | 818% | — | 84 |
| Ultrasound, abdomen, completeCPT 76700 | $980 | $107 | 918% | — | 84 |
| Ultrasound, transvaginalCPT 76830 | $524 | $107 | 490% | — | 84 |
| Urinalysis, automated, without microscopyCPT 81003 | $83 | $2 | 3673% | — | 84 |
| X-ray, lower back, 4+ viewsCPT 72110 | $510 | $107 | 477% | — | 84 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $1,285 | $562 | 229% | — | 84 |