| Basic metabolic panelCPT 80048 | $30 | $8 | 351% | — | 10 |
| CT abdomen and pelvis with contrastCPT 74177 | $700 | $356 | 196% | — | 10 |
| CT head without contrastCPT 70450 | $660 | $107 | 618% | — | 10 |
| CT pelvis with contrastCPT 72193 | $700 | $179 | 391% | — | 10 |
| Colonoscopy with biopsyCPT 45380 | $1,876 | $1,223 | 153% | — | 10 |
| Complete blood count with differentialCPT 85025 | $20 | $8 | 255% | — | 10 |
| Complete blood count, automatedCPT 85027 | $20 | $6 | 306% | — | 10 |
| Comprehensive metabolic panelCPT 80053 | $33 | $11 | 309% | — | 10 |
| Diagnostic mammography, both breastsCPT 77066 | $198 | — | — | — | 10 |
| Diagnostic mammography, one breastCPT 77065 | $173 | — | — | — | 10 |
| ED visit, level 3CPT 99283 | $560 | $279 | 201% | — | 10 |
| ED visit, level 4CPT 99284 | $537 | $426 | 126% | — | 10 |
| ED visit, level 5CPT 99285 | $829 | $608 | 136% | — | 10 |
| Echocardiogram, completeCPT 93306 | $2,105 | $558 | 377% | — | 10 |
| Electrocardiogram with interpretationCPT 93000 | $20 | — | — | — | 8 |
| Kidney function panelCPT 80069 | $30 | $9 | 342% | — | 10 |
| Lipid panelCPT 80061 | $60 | $13 | 451% | — | 10 |
| Liver function panelCPT 80076 | $46 | $8 | 557% | — | 10 |
| Lumbar epidural steroid injectionCPT 62323 | $857 | $721 | 119% | — | 10 |
| MRI brain with and without contrastCPT 70553 | $839 | $356 | 235% | — | 10 |
| MRI lower extremity joint (knee)CPT 73721 | $759 | $244 | 311% | — | 10 |
| MRI lumbar spine without contrastCPT 72148 | $759 | $244 | 311% | — | 10 |
| OB ultrasound, 14+ weeksCPT 76805 | $182 | $107 | 171% | — | 10 |
| Office consultation, moderateCPT 99243 | $109 | — | — | — | 8 |
| Office visit, established patient, level 3CPT 99213 | $137 | — | — | — | 10 |
| Office visit, established patient, level 4CPT 99214 | $195 | — | — | — | 10 |
| Office visit, new patient, level 3CPT 99203 | $165 | — | — | — | 10 |
| Office visit, new patient, level 4CPT 99204 | $253 | — | — | — | 10 |
| Office visit, new patient, level 5CPT 99205 | $338 | — | — | — | 10 |
| PSA (prostate specific antigen), totalCPT 84153 | $94 | $18 | 511% | — | 10 |
| Partial thromboplastin timeCPT 85730 | $33 | $6 | 544% | — | 10 |
| Physical therapy, therapeutic exerciseCPT 97110 | $99 | — | — | — | 10 |
| Preventive visit, new patient, 18-39CPT 99385 | $233 | — | — | — | 8 |
| Preventive visit, new patient, 40-64CPT 99386 | $292 | — | — | — | 8 |
| Prothrombin timeCPT 85610 | $23 | $4 | 531% | — | 10 |
| Psychotherapy, 30 minutesCPT 90832 | $117 | $181 | 64% | — | 8 |
| Psychotherapy, 45 minutesCPT 90834 | $139 | $181 | 76% | — | 8 |
| Psychotherapy, 60 minutesCPT 90837 | $210 | $181 | 116% | — | 8 |
| Screening mammography, bilateralCPT 77067 | $222 | — | — | — | 10 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $61 | $17 | 365% | — | 10 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $650 | $904 | 72% | — | 10 |
| Ultrasound, abdomen, completeCPT 76700 | $208 | $107 | 195% | — | 10 |
| Ultrasound, transvaginalCPT 76830 | $169 | $107 | 158% | — | 10 |
| Urinalysis, automated, with microscopyCPT 81001 | $16 | $3 | 500% | — | 10 |
| Urinalysis, automated, without microscopyCPT 81003 | $14 | $2 | 616% | — | 10 |
| Urinalysis, manual, with microscopyCPT 81000 | $15 | $4 | 379% | — | 10 |
| Urinalysis, manual, without microscopyCPT 81002 | $6 | $3 | 171% | — | 10 |
| X-ray, lower back, 4+ viewsCPT 72110 | $341 | $107 | 319% | — | 10 |