| Basic metabolic panelCPT 80048 | $9 | $8 | 103% | ~$21 | 7 |
| CT abdomen and pelvis with contrastCPT 74177 | $491 | $321 | 153% | ~$2,030 | 6 |
| CT head without contrastCPT 70450 | $152 | $96 | 159% | ~$955 | 6 |
| CT pelvis with contrastCPT 72193 | $260 | $161 | 161% | ~$1,128 | 6 |
| Cardiac stress testCPT 93017 | $395 | $199 | 199% | $363 | 6 |
| Cataract surgery with IOL insertionCPT 66984 | $2,930 | $2,122 | 138% | — | 3 |
| Cesarean section, no CC/MCCMS-DRG 788 | $8,268 | — | — | — | 2 |
| Cesarean section, with CCMS-DRG 787 | $8,268 | — | — | — | 2 |
| Colonoscopy with biopsyCPT 45380 | $1,477 | $1,100 | 134% | — | 3 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $318 | $1,100 | 29% | — | 1 |
| Colonoscopy with polyp removalCPT 45385 | $1,610 | $1,100 | 146% | — | 3 |
| Colonoscopy, diagnosticCPT 45378 | $1,431 | $855 | 167% | — | 5 |
| Complete blood count with differentialCPT 85025 | $8 | $8 | 101% | ~$29 | 7 |
| Complete blood count, automatedCPT 85027 | $9 | $6 | 141% | ~$32 | 6 |
| Comprehensive metabolic panelCPT 80053 | $15 | $11 | 144% | ~$78 | 7 |
| Diagnostic mammography, both breastsCPT 77066 | $135 | — | — | ~$162 | 6 |
| Diagnostic mammography, one breastCPT 77065 | $132 | — | — | ~$127 | 6 |
| ED visit, level 3CPT 99283 | $465 | $251 | 185% | $412 | 9 |
| ED visit, level 4CPT 99284 | $793 | $384 | 207% | $770 | 9 |
| ED visit, level 5CPT 99285 | $1,201 | $548 | 219% | $1,427 | 8 |
| Echocardiogram, completeCPT 93306 | $786 | $503 | 156% | $818 | 6 |
| Electrocardiogram with interpretationCPT 93000 | $17 | — | — | — | 1 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $832 | $813 | 102% | $675 | 7 |
| Excision of breast lesionCPT 19120 | $4,487 | $3,601 | 125% | — | 3 |
| Family psychotherapy, with patientCPT 90847 | $150 | $163 | 92% | $73 | 5 |
| Family psychotherapy, without patientCPT 90846 | $179 | $163 | 110% | — | 4 |
| Group psychotherapyCPT 90853 | $86 | $93 | 92% | — | 5 |
| Inguinal hernia repair, age 5+CPT 49505 | $4,462 | $3,293 | 136% | — | 3 |
| Kidney function panelCPT 80069 | $12 | $9 | 132% | ~$40 | 7 |
| Knee arthroscopy with meniscectomyCPT 29881 | $3,893 | $3,009 | 129% | — | 3 |
| Laparoscopic cholecystectomyCPT 47562 | $7,442 | $5,560 | 134% | — | 3 |
| Laparoscopic radical prostatectomyCPT 55866 | $13,345 | $9,776 | 137% | — | 3 |
| Left heart catheterization, diagnosticCPT 93452 | $6,979 | $2,981 | 234% | — | 5 |
| Lipid panelCPT 80061 | $14 | $13 | 101% | ~$53 | 7 |
| Liver function panelCPT 80076 | $8 | $8 | 101% | ~$36 | 7 |
| Lumbar epidural steroid injectionCPT 62323 | $1,089 | $649 | 168% | $1,078 | 7 |
| MRI brain with and without contrastCPT 70553 | $512 | $321 | 160% | ~$1,904 | 6 |
| MRI lower extremity joint (knee)CPT 73721 | $346 | $219 | 158% | ~$1,144 | 6 |
| MRI lumbar spine without contrastCPT 72148 | $346 | $219 | 158% | ~$1,288 | 6 |
| OB global care, VBAC deliveryCPT 59610 | $2,968 | — | — | — | 1 |
| OB global care, vaginal deliveryCPT 59400 | $2,857 | — | — | — | 1 |
| OB ultrasound, 14+ weeksCPT 76805 | $140 | $96 | 146% | ~$500 | 6 |
| Obstetric blood test panelCPT 80055 | $74 | $48 | 155% | — | 6 |
| Office consultation, moderateCPT 99243 | $147 | — | — | — | 1 |
| Office visit, established patient, level 3CPT 99213 | $145 | — | — | $125 | 3 |
| Office visit, established patient, level 4CPT 99214 | $204 | — | — | $173 | 3 |
| Office visit, new patient, level 3CPT 99203 | $111 | — | — | $93 | 3 |
| Office visit, new patient, level 4CPT 99204 | $115 | — | — | $174 | 3 |
| Office visit, new patient, level 5CPT 99205 | $192 | — | — | $311 | 3 |
| PSA (prostate specific antigen), totalCPT 84153 | $19 | $18 | 101% | ~$55 | 7 |
| Partial thromboplastin timeCPT 85730 | $6 | $6 | 101% | ~$13 | 7 |
| Physical therapy, therapeutic exerciseCPT 97110 | $42 | — | — | $27 | 6 |
| Prostate biopsyCPT 55700 | $1,287 | — | — | — | 2 |
| Prothrombin timeCPT 85610 | $4 | $4 | 101% | ~$13 | 7 |
| Psychotherapy, 30 minutesCPT 90832 | $123 | $163 | 75% | $67 | 6 |
| Psychotherapy, 45 minutesCPT 90834 | $137 | $163 | 84% | $67 | 6 |
| Psychotherapy, 60 minutesCPT 90837 | $172 | $163 | 106% | — | 5 |
| Screening mammography, bilateralCPT 77067 | $128 | — | — | ~$127 | 6 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $4,164 | — | — | — | 3 |
| Sleep study (polysomnography)CPT 95810 | $1,170 | $790 | 148% | $1,057 | 7 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $17 | $17 | 101% | ~$10 | 7 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $7,098 | $5,444 | 130% | — | 2 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,400 | $813 | 172% | $675 | 7 |
| Ultrasound, abdomen, completeCPT 76700 | $151 | $96 | 157% | ~$642 | 6 |
| Ultrasound, transvaginalCPT 76830 | $136 | $96 | 141% | ~$364 | 6 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,249 | $834 | 150% | — | 5 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,178 | $834 | 141% | — | 5 |
| Urinalysis, automated, with microscopyCPT 81001 | $3 | $3 | 101% | ~$20 | 7 |
| Urinalysis, automated, without microscopyCPT 81003 | $2 | $2 | 101% | ~$21 | 7 |
| Urinalysis, manual, with microscopyCPT 81000 | $6 | $4 | 155% | — | 6 |
| Urinalysis, manual, without microscopyCPT 81002 | $4 | $3 | 101% | ~$14 | 7 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $7,581 | — | — | — | 1 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $7,581 | — | — | — | 1 |
| X-ray, lower back, 4+ viewsCPT 72110 | $152 | $96 | 159% | ~$115 | 6 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $786 | $506 | 155% | — | 6 |