| Basic metabolic panelCPT 80048 | $57 | $8 | 671% | — | 6 |
| CT abdomen and pelvis with contrastCPT 74177 | $2,791 | $356 | 783% | — | 7 |
| CT head without contrastCPT 70450 | $1,347 | $107 | 1261% | — | 7 |
| CT pelvis with contrastCPT 72193 | $1,347 | $179 | 752% | — | 7 |
| Cardiac stress testCPT 93017 | $836 | $221 | 379% | — | 7 |
| Cesarean section, no CC/MCCMS-DRG 788 | $13,538 | — | — | — | 3 |
| Cesarean section, with CCMS-DRG 787 | $14,214 | — | — | — | 2 |
| Colonoscopy with biopsyCPT 45380 | $4,704 | $1,223 | 385% | — | 6 |
| Colonoscopy with polyp removalCPT 45385 | $10,265 | $1,223 | 840% | — | 6 |
| Colonoscopy, diagnosticCPT 45378 | $4,393 | $950 | 462% | — | 6 |
| Complete blood count with differentialCPT 85025 | $13 | $8 | 165% | — | 6 |
| Complete blood count, automatedCPT 85027 | $11 | $6 | 164% | — | 6 |
| Comprehensive metabolic panelCPT 80053 | $94 | $11 | 887% | — | 6 |
| Diagnostic mammography, both breastsCPT 77066 | $516 | — | — | — | 7 |
| Diagnostic mammography, one breastCPT 77065 | $271 | — | — | — | 7 |
| ED visit, level 3CPT 99283 | $698 | $279 | 250% | — | 7 |
| ED visit, level 4CPT 99284 | $1,185 | $426 | 278% | — | 7 |
| ED visit, level 5CPT 99285 | $1,931 | $608 | 317% | — | 7 |
| Echocardiogram, completeCPT 93306 | $3,025 | $558 | 542% | — | 7 |
| Kidney function panelCPT 80069 | $145 | $9 | 1669% | — | 6 |
| Left heart catheterization, diagnosticCPT 93452 | $13,931 | $3,312 | 421% | — | 7 |
| Lipid panelCPT 80061 | $22 | $13 | 165% | — | 6 |
| Liver function panelCPT 80076 | $54 | $8 | 656% | — | 6 |
| MRI brain with and without contrastCPT 70553 | $2,683 | $356 | 753% | — | 7 |
| MRI lower extremity joint (knee)CPT 73721 | $2,147 | $244 | 881% | — | 7 |
| MRI lumbar spine without contrastCPT 72148 | $2,147 | $244 | 881% | — | 7 |
| OB ultrasound, 14+ weeksCPT 76805 | $861 | $107 | 806% | — | 7 |
| Obstetric blood test panelCPT 80055 | $269 | $48 | 563% | — | 7 |
| Office visit, established patient, level 3CPT 99213 | $177 | — | — | — | 7 |
| Office visit, established patient, level 4CPT 99214 | $249 | — | — | — | 7 |
| Office visit, new patient, level 3CPT 99203 | $219 | — | — | — | 7 |
| Office visit, new patient, level 4CPT 99204 | $328 | — | — | — | 7 |
| PSA (prostate specific antigen), totalCPT 84153 | $30 | $18 | 165% | — | 6 |
| Partial thromboplastin timeCPT 85730 | $10 | $6 | 165% | — | 6 |
| Physical therapy, therapeutic exerciseCPT 97110 | $153 | — | — | — | 7 |
| Prostate biopsyCPT 55700 | $6,212 | — | — | — | 6 |
| Prothrombin timeCPT 85610 | $6 | $4 | 151% | — | 6 |
| Screening mammography, bilateralCPT 77067 | $224 | — | — | — | 7 |
| Sleep study (polysomnography)CPT 95810 | $4,030 | $877 | 459% | — | 7 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $28 | $17 | 165% | — | 6 |
| Ultrasound, abdomen, completeCPT 76700 | $1,070 | $107 | 1002% | — | 7 |
| Ultrasound, transvaginalCPT 76830 | $942 | $107 | 882% | — | 7 |
| Upper GI endoscopy with biopsyCPT 43239 | $4,196 | $927 | 453% | — | 6 |
| Upper GI endoscopy, diagnosticCPT 43235 | $3,791 | $927 | 409% | — | 6 |
| Urinalysis, automated, with microscopyCPT 81001 | $5 | $3 | 165% | — | 6 |
| Urinalysis, automated, without microscopyCPT 81003 | $13 | $2 | 585% | — | 6 |
| Urinalysis, manual, with microscopyCPT 81000 | $26 | $4 | 636% | — | 6 |
| Urinalysis, manual, without microscopyCPT 81002 | $15 | $3 | 441% | — | 6 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $7,692 | — | — | — | 3 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $8,074 | — | — | — | 2 |
| X-ray, lower back, 4+ viewsCPT 72110 | $518 | $107 | 485% | — | 7 |