| Basic metabolic panelCPT 80048 | $135 | $8 | 1600% | — | 54 |
| COPD with MCCMS-DRG 190 | $14,236 | $7,377 | 193% | — | 5 |
| CT abdomen and pelvis with contrastCPT 74177 | $4,495 | $356 | 1261% | — | 55 |
| CT head without contrastCPT 70450 | $1,849 | $107 | 1731% | — | 54 |
| CT pelvis with contrastCPT 72193 | $2,384 | $179 | 1331% | — | 54 |
| Cardiac stress testCPT 93017 | $629 | $221 | 285% | — | 55 |
| Cellulitis, no MCCMS-DRG 603 | $10,200 | $5,675 | 180% | — | 5 |
| Colonoscopy, diagnosticCPT 45378 | $1,655 | $950 | 174% | — | 55 |
| Complete blood count with differentialCPT 85025 | $81 | $8 | 1039% | — | 54 |
| Complete blood count, automatedCPT 85027 | $65 | $6 | 998% | — | 54 |
| Comprehensive metabolic panelCPT 80053 | $153 | $11 | 1448% | — | 55 |
| ED visit, level 3CPT 99283 | $332 | $279 | 119% | — | 56 |
| ED visit, level 4CPT 99284 | $479 | $426 | 112% | — | 55 |
| ED visit, level 5CPT 99285 | $902 | $608 | 148% | — | 56 |
| Heart failure with MCCMS-DRG 291 | $17,085 | $8,962 | 191% | — | 5 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $9,541 | $5,238 | 182% | — | 4 |
| Kidney function panelCPT 80069 | $124 | $9 | 1423% | — | 54 |
| Lipid panelCPT 80061 | $111 | $13 | 830% | — | 55 |
| Liver function panelCPT 80076 | $110 | $8 | 1349% | — | 55 |
| Medical back problems, no MCCMS-DRG 552 | $10,373 | $6,142 | 169% | — | 4 |
| OB ultrasound, 14+ weeksCPT 76805 | $537 | $107 | 503% | — | 55 |
| Obstetric blood test panelCPT 80055 | $614 | $48 | 1284% | — | 54 |
| Office visit, established patient, level 3CPT 99213 | $184 | — | — | — | 55 |
| Office visit, established patient, level 4CPT 99214 | $224 | — | — | — | 55 |
| Office visit, new patient, level 3CPT 99203 | $221 | — | — | — | 55 |
| Office visit, new patient, level 4CPT 99204 | $313 | — | — | — | 55 |
| Office visit, new patient, level 5CPT 99205 | $429 | — | — | — | 55 |
| PSA (prostate specific antigen), totalCPT 84153 | $185 | $18 | 1005% | — | 55 |
| Partial thromboplastin timeCPT 85730 | $100 | $6 | 1660% | — | 55 |
| Physical therapy, therapeutic exerciseCPT 97110 | $89 | — | — | — | 55 |
| Prothrombin timeCPT 85610 | $46 | $4 | 1063% | — | 55 |
| Screening mammography, bilateralCPT 77067 | $153 | — | — | — | 55 |
| Sepsis with MCCMS-DRG 871 | $21,874 | $13,837 | 158% | — | 5 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $65 | $17 | 385% | — | 55 |
| Ultrasound, abdomen, completeCPT 76700 | $928 | $107 | 869% | — | 55 |
| Ultrasound, transvaginalCPT 76830 | $717 | $107 | 672% | — | 55 |
| Upper GI endoscopy, diagnosticCPT 43235 | $2,016 | $927 | 218% | — | 55 |
| Urinalysis, automated, with microscopyCPT 81001 | $66 | $3 | 2068% | — | 55 |
| Urinalysis, automated, without microscopyCPT 81003 | $47 | $2 | 2069% | — | 55 |
| Urinalysis, manual, without microscopyCPT 81002 | $36 | $3 | 1037% | — | 55 |
| X-ray, lower back, 4+ viewsCPT 72110 | $645 | $107 | 604% | — | 55 |