| Basic metabolic panelCPT 80048 | $30 | $8 | 351% | — | 15 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,472 | $356 | 413% | — | 16 |
| CT head without contrastCPT 70450 | $787 | $107 | 737% | — | 16 |
| CT pelvis with contrastCPT 72193 | $922 | $179 | 515% | — | 16 |
| Cardiac stress testCPT 93017 | $923 | $221 | 419% | — | 16 |
| Colonoscopy with biopsyCPT 45380 | $1,797 | $1,223 | 147% | — | 9 |
| Colonoscopy with polyp removalCPT 45385 | $2,168 | $1,223 | 177% | — | 9 |
| Colonoscopy, diagnosticCPT 45378 | $1,480 | $950 | 156% | — | 9 |
| Complete blood count with differentialCPT 85025 | $14 | $8 | 174% | — | 15 |
| Complete blood count, automatedCPT 85027 | $68 | $6 | 1043% | — | 15 |
| Comprehensive metabolic panelCPT 80053 | $36 | $11 | 341% | — | 15 |
| Diagnostic mammography, both breastsCPT 77066 | $218 | — | — | — | 16 |
| Diagnostic mammography, one breastCPT 77065 | $160 | — | — | — | 16 |
| ED visit, level 3CPT 99283 | $585 | $279 | 210% | — | 16 |
| ED visit, level 4CPT 99284 | $955 | $426 | 224% | — | 16 |
| ED visit, level 5CPT 99285 | $1,248 | $608 | 205% | — | 16 |
| Echocardiogram, completeCPT 93306 | $693 | $558 | 124% | — | 16 |
| Electrocardiogram with interpretationCPT 93000 | $90 | — | — | — | 9 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,135 | $904 | 126% | — | 16 |
| Excision of breast lesionCPT 19120 | $2,001 | $4,000 | 50% | — | 9 |
| Family psychotherapy, with patientCPT 90847 | $189 | $181 | 104% | — | 9 |
| Family psychotherapy, without patientCPT 90846 | $180 | $181 | 99% | — | 9 |
| Group psychotherapyCPT 90853 | $65 | $104 | 63% | — | 9 |
| Inguinal hernia repair, age 5+CPT 49505 | $1,862 | $3,658 | 51% | — | 9 |
| Kidney function panelCPT 80069 | $59 | $9 | 684% | — | 15 |
| Laparoscopic cholecystectomyCPT 47562 | $3,568 | $6,176 | 58% | — | 9 |
| Laparoscopic radical prostatectomyCPT 55866 | $7,338 | $10,860 | 68% | — | 9 |
| Left heart catheterization, diagnosticCPT 93452 | $5,522 | $3,312 | 167% | — | 16 |
| Lipid panelCPT 80061 | $71 | $13 | 531% | — | 15 |
| Liver function panelCPT 80076 | $50 | $8 | 606% | — | 15 |
| Lumbar epidural steroid injectionCPT 62323 | $659 | $721 | 91% | — | 15 |
| MRI brain with and without contrastCPT 70553 | $617 | $356 | 173% | — | 16 |
| MRI lower extremity joint (knee)CPT 73721 | $366 | $244 | 150% | — | 16 |
| MRI lumbar spine without contrastCPT 72148 | $402 | $244 | 165% | — | 16 |
| OB global care, VBAC deliveryCPT 59610 | $4,912 | — | — | — | 9 |
| OB global care, cesarean deliveryCPT 59510 | $5,342 | — | — | — | 9 |
| OB global care, vaginal deliveryCPT 59400 | $4,519 | — | — | — | 9 |
| OB ultrasound, 14+ weeksCPT 76805 | $494 | $107 | 463% | — | 16 |
| Obstetric blood test panelCPT 80055 | $432 | $48 | 904% | — | 15 |
| Office consultation, comprehensiveCPT 99244 | $515 | — | — | — | 16 |
| Office consultation, moderateCPT 99243 | $372 | — | — | — | 16 |
| Office visit, established patient, level 3CPT 99213 | $217 | — | — | — | 15 |
| Office visit, established patient, level 4CPT 99214 | $256 | — | — | — | 15 |
| Office visit, new patient, level 3CPT 99203 | $342 | — | — | — | 9 |
| Office visit, new patient, level 4CPT 99204 | $480 | — | — | — | 9 |
| Office visit, new patient, level 5CPT 99205 | $562 | — | — | — | 9 |
| PSA (prostate specific antigen), totalCPT 84153 | $29 | $18 | 160% | — | 15 |
| Partial thromboplastin timeCPT 85730 | $46 | $6 | 764% | — | 15 |
| Physical therapy, therapeutic exerciseCPT 97110 | $104 | — | — | — | 15 |
| Preventive visit, new patient, 18-39CPT 99385 | $298 | — | — | — | 9 |
| Preventive visit, new patient, 40-64CPT 99386 | $286 | — | — | — | 9 |
| Prostate biopsyCPT 55700 | $613 | — | — | — | 9 |
| Prothrombin timeCPT 85610 | $32 | $4 | 734% | — | 16 |
| Psychotherapy, 30 minutesCPT 90832 | $146 | $181 | 80% | — | 9 |
| Psychotherapy, 45 minutesCPT 90834 | $189 | $181 | 104% | — | 9 |
| Psychotherapy, 60 minutesCPT 90837 | $284 | $181 | 156% | — | 9 |
| Screening mammography, bilateralCPT 77067 | $282 | — | — | — | 16 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $28 | $17 | 164% | — | 15 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $1,616 | $6,048 | 27% | — | 9 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $883 | $904 | 98% | — | 16 |
| Ultrasound, abdomen, completeCPT 76700 | $377 | $107 | 353% | — | 16 |
| Ultrasound, transvaginalCPT 76830 | $467 | $107 | 437% | — | 16 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,100 | $927 | 119% | — | 9 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,094 | $927 | 118% | — | 9 |
| Urinalysis, automated, with microscopyCPT 81001 | $18 | $3 | 568% | — | 15 |
| Urinalysis, automated, without microscopyCPT 81003 | $13 | $2 | 560% | — | 16 |
| Urinalysis, manual, with microscopyCPT 81000 | $18 | $4 | 449% | — | 16 |
| X-ray, lower back, 4+ viewsCPT 72110 | $81 | $107 | 76% | — | 16 |