| Basic metabolic panelCPT 80048 | $68 | $8 | 804% | — | 3 |
| CT abdomen and pelvis with contrastCPT 74177 | $631 | $356 | 177% | — | 3 |
| CT head without contrastCPT 70450 | $631 | $107 | 591% | — | 3 |
| CT pelvis with contrastCPT 72193 | $631 | $179 | 352% | — | 3 |
| Cardiac stress testCPT 93017 | $468 | $221 | 212% | — | 3 |
| Cataract surgery with IOL insertionCPT 66984 | $3,554 | $2,358 | 151% | — | 3 |
| Cesarean section, no CC/MCCMS-DRG 788 | $8,079 | — | — | — | 1 |
| Cesarean section, with CCMS-DRG 787 | $8,079 | — | — | — | 1 |
| Colonoscopy with biopsyCPT 45380 | $1,791 | $1,223 | 146% | — | 3 |
| Colonoscopy with polyp removalCPT 45385 | $1,953 | $1,223 | 160% | — | 3 |
| Colonoscopy, diagnosticCPT 45378 | $1,735 | $950 | 183% | — | 3 |
| Complete blood count with differentialCPT 85025 | $141 | $8 | 1816% | — | 3 |
| Complete blood count, automatedCPT 85027 | $139 | $6 | 2141% | — | 3 |
| Comprehensive metabolic panelCPT 80053 | $189 | $11 | 1787% | — | 3 |
| Diagnostic mammography, both breastsCPT 77066 | $166 | — | — | — | 2 |
| Diagnostic mammography, one breastCPT 77065 | $162 | — | — | — | 3 |
| ED visit, level 3CPT 99283 | $564 | $279 | 202% | — | 3 |
| ED visit, level 4CPT 99284 | $937 | $426 | 220% | — | 4 |
| ED visit, level 5CPT 99285 | $1,494 | $608 | 246% | — | 3 |
| Echocardiogram, completeCPT 93306 | $2,012 | $558 | 360% | — | 3 |
| Electrocardiogram with interpretationCPT 93000 | $17 | — | — | — | 1 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $773 | $904 | 86% | — | 3 |
| Excision of breast lesionCPT 19120 | $5,584 | $4,000 | 140% | — | 2 |
| Family psychotherapy, with patientCPT 90847 | $167 | $181 | 92% | — | 3 |
| Family psychotherapy, without patientCPT 90846 | $120 | $181 | 66% | — | 1 |
| Group psychotherapyCPT 90853 | $39 | $104 | 37% | — | 3 |
| Inguinal hernia repair, age 5+CPT 49505 | $5,554 | $3,658 | 152% | — | 2 |
| Kidney function panelCPT 80069 | $224 | $9 | 2585% | — | 3 |
| Knee arthroscopy with meniscectomyCPT 29881 | $4,722 | $3,343 | 141% | — | 3 |
| Laparoscopic cholecystectomyCPT 47562 | $9,263 | $6,176 | 150% | — | 2 |
| Laparoscopic radical prostatectomyCPT 55866 | $16,183 | $10,860 | 149% | — | 3 |
| Left heart catheterization, diagnosticCPT 93452 | $8,040 | $3,312 | 243% | — | 3 |
| Lipid panelCPT 80061 | $176 | $13 | 1314% | — | 3 |
| Liver function panelCPT 80076 | $224 | $8 | 2747% | — | 3 |
| Lumbar epidural steroid injectionCPT 62323 | $1,539 | $721 | 213% | — | 4 |
| MRI brain with and without contrastCPT 70553 | $726 | $356 | 204% | — | 3 |
| MRI lower extremity joint (knee)CPT 73721 | $726 | $244 | 298% | — | 3 |
| MRI lumbar spine without contrastCPT 72148 | $726 | $244 | 298% | — | 3 |
| OB global care, VBAC deliveryCPT 59610 | $2,968 | — | — | — | 1 |
| OB ultrasound, 14+ weeksCPT 76805 | $174 | $107 | 163% | — | 3 |
| Obstetric blood test panelCPT 80055 | $190 | $48 | 397% | — | 2 |
| Office consultation, moderateCPT 99243 | $147 | — | — | — | 1 |
| Office visit, established patient, level 3CPT 99213 | $175 | — | — | — | 3 |
| Office visit, established patient, level 4CPT 99214 | $248 | — | — | — | 3 |
| Office visit, new patient, level 3CPT 99203 | $133 | — | — | — | 3 |
| Office visit, new patient, level 4CPT 99204 | $140 | — | — | — | 3 |
| Office visit, new patient, level 5CPT 99205 | $227 | — | — | — | 2 |
| PSA (prostate specific antigen), totalCPT 84153 | $164 | $18 | 892% | — | 3 |
| Partial thromboplastin timeCPT 85730 | $60 | $6 | 990% | — | 3 |
| Physical therapy, therapeutic exerciseCPT 97110 | $75 | — | — | — | 3 |
| Preventive visit, new patient, 18-39CPT 99385 | $157 | — | — | — | 1 |
| Prostate biopsyCPT 55700 | $1,520 | — | — | — | 3 |
| Prothrombin timeCPT 85610 | $58 | $4 | 1347% | — | 3 |
| Psychotherapy, 30 minutesCPT 90832 | $113 | $181 | 63% | — | 2 |
| Psychotherapy, 45 minutesCPT 90834 | $135 | $181 | 74% | — | 2 |
| Psychotherapy, 60 minutesCPT 90837 | $204 | $181 | 112% | — | 2 |
| Screening mammography, bilateralCPT 77067 | $211 | — | — | — | 3 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $5,183 | — | — | — | 2 |
| Sleep study (polysomnography)CPT 95810 | $2,496 | $877 | 284% | — | 3 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $103 | $17 | 612% | — | 3 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $8,387 | $6,048 | 139% | — | 3 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,509 | $904 | 167% | — | 4 |
| Ultrasound, abdomen, completeCPT 76700 | $199 | $107 | 186% | — | 3 |
| Ultrasound, transvaginalCPT 76830 | $162 | $107 | 152% | — | 3 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,555 | $927 | 168% | — | 2 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,393 | $927 | 150% | — | 2 |
| Urinalysis, automated, with microscopyCPT 81001 | $76 | $3 | 2413% | — | 3 |
| Urinalysis, automated, without microscopyCPT 81003 | $59 | $2 | 2607% | — | 3 |
| Urinalysis, manual, with microscopyCPT 81000 | $80 | $4 | 1988% | — | 3 |
| Urinalysis, manual, without microscopyCPT 81002 | $37 | $3 | 1050% | — | 3 |
| X-ray, lower back, 4+ viewsCPT 72110 | $326 | $107 | 305% | — | 3 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $1,195 | $562 | 213% | — | 3 |