| Basic metabolic panelCPT 80048 | $162 | $8 | 1919% | — | 12 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,307 | $356 | 367% | — | 12 |
| CT head without contrastCPT 70450 | $721 | $107 | 675% | — | 12 |
| CT pelvis with contrastCPT 72193 | $887 | $179 | 495% | — | 12 |
| Cardiac stress testCPT 93017 | $510 | $221 | 231% | — | 12 |
| Complete blood count with differentialCPT 85025 | $88 | $8 | 1138% | — | 12 |
| Complete blood count, automatedCPT 85027 | $64 | $6 | 985% | — | 12 |
| Comprehensive metabolic panelCPT 80053 | $231 | $11 | 2189% | — | 12 |
| Diagnostic mammography, both breastsCPT 77066 | $289 | — | — | — | 12 |
| Diagnostic mammography, one breastCPT 77065 | $221 | — | — | — | 12 |
| ED visit, level 3CPT 99283 | $476 | $279 | 171% | — | 12 |
| ED visit, level 4CPT 99284 | $808 | $426 | 189% | — | 12 |
| ED visit, level 5CPT 99285 | $1,254 | $608 | 206% | — | 12 |
| Echocardiogram, completeCPT 93306 | $1,776 | $558 | 318% | — | 12 |
| Electrocardiogram with interpretationCPT 93000 | $98 | — | — | — | 10 |
| Kidney function panelCPT 80069 | $152 | $9 | 1753% | — | 12 |
| Lipid panelCPT 80061 | $144 | $13 | 1079% | — | 12 |
| Liver function panelCPT 80076 | $185 | $8 | 2268% | — | 12 |
| Lumbar epidural steroid injectionCPT 62323 | $3,720 | $721 | 516% | — | 12 |
| MRI brain with and without contrastCPT 70553 | $1,669 | $356 | 468% | — | 12 |
| MRI lower extremity joint (knee)CPT 73721 | $1,460 | $244 | 599% | — | 12 |
| MRI lumbar spine without contrastCPT 72148 | $1,216 | $244 | 499% | — | 12 |
| OB ultrasound, 14+ weeksCPT 76805 | $348 | $107 | 326% | — | 12 |
| Office visit, established patient, level 3CPT 99213 | $179 | — | — | — | 12 |
| Office visit, established patient, level 4CPT 99214 | $221 | — | — | — | 12 |
| Office visit, new patient, level 3CPT 99203 | $117 | — | — | — | 12 |
| Office visit, new patient, level 4CPT 99204 | $136 | — | — | — | 12 |
| Office visit, new patient, level 5CPT 99205 | $227 | — | — | — | 12 |
| PSA (prostate specific antigen), totalCPT 84153 | $88 | $18 | 476% | — | 12 |
| Partial thromboplastin timeCPT 85730 | $57 | $6 | 948% | — | 12 |
| Physical therapy, therapeutic exerciseCPT 97110 | $54 | — | — | — | 12 |
| Preventive visit, new patient, 18-39CPT 99385 | $33 | — | — | — | 1 |
| Preventive visit, new patient, 40-64CPT 99386 | $33 | — | — | — | 1 |
| Prothrombin timeCPT 85610 | $40 | $4 | 921% | — | 12 |
| Screening mammography, bilateralCPT 77067 | $111 | — | — | — | 12 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $175 | $17 | 1042% | — | 12 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $4,301 | $904 | 476% | — | 12 |
| Ultrasound, abdomen, completeCPT 76700 | $385 | $107 | 360% | — | 12 |
| Ultrasound, transvaginalCPT 76830 | $303 | $107 | 284% | — | 12 |
| Urinalysis, automated, with microscopyCPT 81001 | $63 | $3 | 1984% | — | 12 |
| Urinalysis, automated, without microscopyCPT 81003 | $17 | $2 | 756% | — | 12 |
| Urinalysis, manual, without microscopyCPT 81002 | $21 | $3 | 611% | — | 12 |
| X-ray, lower back, 4+ viewsCPT 72110 | $289 | $107 | 271% | — | 12 |