| Basic metabolic panelCPT 80048 | $95 | $8 | 1118% | — | 11 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,249 | $356 | 350% | — | 10 |
| CT head without contrastCPT 70450 | $1,364 | $107 | 1277% | — | 10 |
| CT pelvis with contrastCPT 72193 | $1,816 | $179 | 1013% | — | 10 |
| Cardiac stress testCPT 93017 | $444 | $221 | 201% | — | 11 |
| Cellulitis, no MCCMS-DRG 603 | $4,392 | $5,675 | 77% | — | 3 |
| Colonoscopy with biopsyCPT 45380 | $1,377 | $1,223 | 113% | — | 11 |
| Colonoscopy with polyp removalCPT 45385 | $212 | $1,223 | 17% | — | 11 |
| Colonoscopy, diagnosticCPT 45378 | $232 | $950 | 24% | — | 4 |
| Complete blood count with differentialCPT 85025 | $67 | $8 | 865% | — | 11 |
| Complete blood count, automatedCPT 85027 | $44 | $6 | 686% | — | 11 |
| Comprehensive metabolic panelCPT 80053 | $105 | $11 | 998% | — | 11 |
| Diagnostic mammography, both breastsCPT 77066 | $269 | — | — | — | 10 |
| Diagnostic mammography, one breastCPT 77065 | $263 | — | — | — | 10 |
| ED visit, level 3CPT 99283 | $443 | $279 | 159% | — | 11 |
| ED visit, level 4CPT 99284 | $732 | $426 | 172% | — | 11 |
| ED visit, level 5CPT 99285 | $1,138 | $608 | 187% | — | 11 |
| Echocardiogram, completeCPT 93306 | $1,907 | $558 | 342% | — | 11 |
| Electrocardiogram with interpretationCPT 93000 | $36 | — | — | — | 10 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $726 | $904 | 80% | — | 10 |
| Excision of breast lesionCPT 19120 | $1,744 | $4,000 | 44% | — | 11 |
| Family psychotherapy, with patientCPT 90847 | $344 | $181 | 190% | — | 11 |
| Family psychotherapy, without patientCPT 90846 | $344 | $181 | 190% | — | 10 |
| Group psychotherapyCPT 90853 | $245 | $104 | 236% | — | 11 |
| Heart failure and shock, with CCMS-DRG 292 | $5,124 | $5,927 | 86% | — | 3 |
| Heart failure with MCCMS-DRG 291 | $6,379 | $8,962 | 71% | — | 3 |
| Inguinal hernia repair, age 5+CPT 49505 | $4,746 | $3,658 | 130% | — | 11 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $4,427 | $5,238 | 85% | — | 3 |
| Kidney function panelCPT 80069 | $75 | $9 | 865% | — | 11 |
| Knee arthroscopy with meniscectomyCPT 29881 | $3,916 | $3,343 | 117% | — | 11 |
| Laparoscopic cholecystectomyCPT 47562 | $3,558 | $6,176 | 58% | — | 11 |
| Lipid panelCPT 80061 | $87 | $13 | 651% | — | 11 |
| Liver function panelCPT 80076 | $48 | $8 | 582% | — | 11 |
| Lumbar epidural steroid injectionCPT 62323 | $1,254 | $721 | 174% | — | 10 |
| MRI brain with and without contrastCPT 70553 | $3,015 | $356 | 846% | — | 10 |
| MRI lower extremity joint (knee)CPT 73721 | $1,717 | $244 | 704% | — | 10 |
| MRI lumbar spine without contrastCPT 72148 | $1,717 | $244 | 704% | — | 10 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $11,434 | $13,045 | 88% | — | 3 |
| OB global care, cesarean deliveryCPT 59510 | $2,991 | — | — | — | 10 |
| OB global care, vaginal deliveryCPT 59400 | $2,009 | — | — | — | 4 |
| OB ultrasound, 14+ weeksCPT 76805 | $620 | $107 | 580% | — | 10 |
| Office consultation, comprehensiveCPT 99244 | $209 | — | — | — | 2 |
| Office visit, established patient, level 3CPT 99213 | $104 | — | — | — | 11 |
| Office visit, established patient, level 4CPT 99214 | $145 | — | — | — | 11 |
| Office visit, new patient, level 3CPT 99203 | $131 | — | — | — | 11 |
| Office visit, new patient, level 4CPT 99204 | $183 | — | — | — | 11 |
| Office visit, new patient, level 5CPT 99205 | $228 | — | — | — | 11 |
| PSA (prostate specific antigen), totalCPT 84153 | $102 | $18 | 554% | — | 11 |
| Partial thromboplastin timeCPT 85730 | $33 | $6 | 552% | — | 11 |
| Physical therapy, therapeutic exerciseCPT 97110 | $66 | — | — | — | 11 |
| Preventive visit, new patient, 18-39CPT 99385 | $206 | — | — | — | 10 |
| Preventive visit, new patient, 40-64CPT 99386 | $204 | — | — | — | 10 |
| Prostate biopsyCPT 55700 | $1,441 | — | — | — | 11 |
| Prothrombin timeCPT 85610 | $33 | $4 | 776% | — | 11 |
| Psychotherapy, 30 minutesCPT 90832 | $95 | $181 | 52% | — | 11 |
| Psychotherapy, 45 minutesCPT 90834 | $124 | $181 | 69% | — | 11 |
| Psychotherapy, 60 minutesCPT 90837 | $183 | $181 | 101% | — | 11 |
| Screening mammography, bilateralCPT 77067 | $185 | — | — | — | 10 |
| Sepsis with MCCMS-DRG 871 | $8,715 | $13,837 | 63% | — | 3 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $3,922 | — | — | — | 11 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $4,602 | $5,177 | 89% | — | 3 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $6,449 | $6,559 | 98% | — | 3 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $78 | $17 | 464% | — | 11 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $6,420 | $6,048 | 106% | — | 11 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $648 | $904 | 72% | — | 10 |
| Ultrasound, abdomen, completeCPT 76700 | $793 | $107 | 743% | — | 10 |
| Ultrasound, transvaginalCPT 76830 | $665 | $107 | 622% | — | 10 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,166 | $927 | 126% | — | 11 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,044 | $927 | 113% | — | 11 |
| Urinalysis, automated, with microscopyCPT 81001 | $28 | $3 | 897% | — | 11 |
| Urinalysis, manual, with microscopyCPT 81000 | $24 | $4 | 591% | — | 11 |
| Urinalysis, manual, without microscopyCPT 81002 | $11 | $3 | 328% | — | 11 |
| X-ray, lower back, 4+ viewsCPT 72110 | $632 | $107 | 592% | — | 10 |