| Basic metabolic panelCPT 80048 | $151 | $8 | 1787% | ~$83 | 52 |
| CT abdomen and pelvis with contrastCPT 74177 | $3,816 | $341 | 1118% | ~$2,093 | 52 |
| CT head without contrastCPT 70450 | $1,788 | $102 | 1748% | ~$981 | 52 |
| CT pelvis with contrastCPT 72193 | $1,915 | $172 | 1116% | ~$1,051 | 52 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $18,578 | $16,343 | 114% | $15,906 | 10 |
| Colonoscopy with biopsyCPT 45380 | $1,354 | $1,170 | 116% | $2,782 | 15 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $1,354 | $1,170 | 116% | $2,602 | 15 |
| Colonoscopy with polyp removalCPT 45385 | $1,354 | $1,170 | 116% | $2,886 | 15 |
| Colonoscopy, diagnosticCPT 45378 | $2,078 | $910 | 228% | $1,140 | 53 |
| Complete blood count with differentialCPT 85025 | $102 | $8 | 1306% | ~$56 | 52 |
| Complete blood count, automatedCPT 85027 | $91 | $6 | 1406% | ~$50 | 52 |
| Comprehensive metabolic panelCPT 80053 | $204 | $11 | 1929% | ~$112 | 52 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,232 | $865 | 142% | $631 | 53 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $15,939 | $13,876 | 115% | $26,166 | 10 |
| Kidney function panelCPT 80069 | $259 | $9 | 2984% | ~$142 | 52 |
| Knee arthroscopy with meniscectomyCPT 29881 | $5,369 | $3,200 | 168% | $6,292 | 15 |
| Lipid panelCPT 80061 | $150 | $13 | 1124% | ~$83 | 52 |
| Liver function panelCPT 80076 | $197 | $8 | 2416% | ~$108 | 52 |
| Lumbar epidural steroid injectionCPT 62323 | $1,252 | $690 | 181% | $687 | 53 |
| MRI brain with and without contrastCPT 70553 | $3,366 | $341 | 987% | ~$1,847 | 52 |
| MRI lower extremity joint (knee)CPT 73721 | $1,373 | $233 | 589% | ~$753 | 52 |
| MRI lumbar spine without contrastCPT 72148 | $1,378 | $233 | 590% | ~$756 | 52 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $17,337 | $13,045 | 133% | $21,602 | 9 |
| OB ultrasound, 14+ weeksCPT 76805 | $399 | $102 | 390% | ~$219 | 52 |
| Office visit, established patient, level 3CPT 99213 | $136 | — | — | $75 | 52 |
| Office visit, established patient, level 4CPT 99214 | $164 | — | — | $90 | 52 |
| Office visit, new patient, level 3CPT 99203 | $178 | — | — | $98 | 52 |
| Office visit, new patient, level 4CPT 99204 | $225 | — | — | $124 | 52 |
| Office visit, new patient, level 5CPT 99205 | $309 | — | — | $170 | 52 |
| PSA (prostate specific antigen), totalCPT 84153 | $149 | $18 | 811% | ~$82 | 52 |
| Partial thromboplastin timeCPT 85730 | $94 | $6 | 1561% | ~$51 | 52 |
| Physical therapy, therapeutic exerciseCPT 97110 | $84 | — | — | $46 | 52 |
| Prothrombin timeCPT 85610 | $67 | $4 | 1566% | ~$37 | 52 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $13,750 | — | — | $11,580 | 15 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $88 | $17 | 525% | ~$48 | 52 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $7,006 | $5,790 | 121% | $7,416 | 15 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $2,198 | $865 | 254% | $1,495 | 53 |
| Ultrasound, abdomen, completeCPT 76700 | $1,007 | $102 | 984% | ~$552 | 52 |
| Ultrasound, transvaginalCPT 76830 | $512 | $102 | 500% | ~$281 | 52 |
| Upper GI endoscopy with biopsyCPT 43239 | $2,768 | $887 | 312% | $3,037 | 15 |
| Upper GI endoscopy, diagnosticCPT 43235 | $2,188 | $887 | 247% | $1,200 | 53 |
| Urinalysis, automated, with microscopyCPT 81001 | $77 | $3 | 2429% | ~$42 | 52 |
| Urinalysis, automated, without microscopyCPT 81003 | $39 | $2 | 1742% | ~$22 | 52 |
| Urinalysis, manual, without microscopyCPT 81002 | $31 | $3 | 885% | ~$17 | 52 |
| X-ray, lower back, 4+ viewsCPT 72110 | $500 | $102 | 489% | ~$274 | 52 |