| Basic metabolic panelCPT 80048 | $114 | $8 | 1352% | — | 5 |
| CT abdomen and pelvis with contrastCPT 74177 | $2,567 | $356 | 720% | — | 5 |
| CT head without contrastCPT 70450 | $2,567 | $107 | 2404% | — | 5 |
| CT pelvis with contrastCPT 72193 | $2,567 | $179 | 1433% | — | 5 |
| Cardiac stress testCPT 93017 | $1,018 | $221 | 461% | — | 5 |
| Colonoscopy with biopsyCPT 45380 | $582 | $1,223 | 48% | — | 2 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $435 | $1,223 | 36% | — | 2 |
| Colonoscopy with polyp removalCPT 45385 | $721 | $1,223 | 59% | — | 2 |
| Colonoscopy, diagnosticCPT 45378 | $504 | $950 | 53% | — | 2 |
| Complete blood count with differentialCPT 85025 | $19 | $8 | 245% | — | 5 |
| Complete blood count, automatedCPT 85027 | $88 | $6 | 1366% | — | 5 |
| Comprehensive metabolic panelCPT 80053 | $195 | $11 | 1847% | — | 5 |
| Diagnostic mammography, both breastsCPT 77066 | $700 | — | — | — | 5 |
| Diagnostic mammography, one breastCPT 77065 | $561 | — | — | — | 5 |
| ED visit, level 3CPT 99283 | $738 | $279 | 265% | — | 5 |
| ED visit, level 4CPT 99284 | $1,235 | $426 | 290% | — | 5 |
| ED visit, level 5CPT 99285 | $1,732 | $608 | 285% | — | 5 |
| Echocardiogram, completeCPT 93306 | $1,470 | $558 | 263% | — | 5 |
| Electrocardiogram with interpretationCPT 93000 | $47 | — | — | — | 2 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,130 | $904 | 125% | — | 5 |
| Excision of breast lesionCPT 19120 | $775 | $4,000 | 19% | — | 2 |
| Family psychotherapy, with patientCPT 90847 | $191 | $181 | 105% | — | 2 |
| Family psychotherapy, without patientCPT 90846 | $150 | $181 | 83% | — | 2 |
| Group psychotherapyCPT 90853 | $55 | $104 | 53% | — | 2 |
| Inguinal hernia repair, age 5+CPT 49505 | $715 | $3,658 | 20% | — | 2 |
| Kidney function panelCPT 80069 | $73 | $9 | 846% | — | 5 |
| Knee arthroscopy with meniscectomyCPT 29881 | $1,159 | $3,343 | 35% | — | 2 |
| Laparoscopic cholecystectomyCPT 47562 | $920 | $6,176 | 15% | — | 2 |
| Lipid panelCPT 80061 | $171 | $13 | 1281% | — | 5 |
| Liver function panelCPT 80076 | $136 | $8 | 1660% | — | 5 |
| Lumbar epidural steroid injectionCPT 62323 | $1,529 | $721 | 212% | — | 5 |
| MRI brain with and without contrastCPT 70553 | $5,375 | $356 | 1508% | — | 5 |
| MRI lower extremity joint (knee)CPT 73721 | $3,721 | $244 | 1527% | — | 5 |
| MRI lumbar spine without contrastCPT 72148 | $2,510 | $244 | 1030% | — | 5 |
| OB global care, VBAC deliveryCPT 59610 | $3,414 | — | — | — | 2 |
| OB global care, cesarean deliveryCPT 59510 | $3,513 | — | — | — | 2 |
| OB global care, vaginal deliveryCPT 59400 | $2,962 | — | — | — | 2 |
| OB ultrasound, 14+ weeksCPT 76805 | $617 | $107 | 578% | — | 5 |
| Obstetric blood test panelCPT 80055 | $238 | $48 | 497% | — | 5 |
| Office consultation, comprehensiveCPT 99244 | $333 | — | — | — | 2 |
| Office consultation, moderateCPT 99243 | $238 | — | — | — | 2 |
| Office visit, established patient, level 3CPT 99213 | $103 | — | — | — | 5 |
| Office visit, established patient, level 4CPT 99214 | $137 | — | — | — | 5 |
| Office visit, new patient, level 3CPT 99203 | $94 | — | — | — | 5 |
| Office visit, new patient, level 4CPT 99204 | $130 | — | — | — | 5 |
| Office visit, new patient, level 5CPT 99205 | $268 | — | — | — | 2 |
| PSA (prostate specific antigen), totalCPT 84153 | $171 | $18 | 931% | — | 5 |
| Partial thromboplastin timeCPT 85730 | $52 | $6 | 869% | — | 5 |
| Physical therapy, therapeutic exerciseCPT 97110 | $128 | — | — | — | 5 |
| Preventive visit, new patient, 18-39CPT 99385 | $247 | — | — | — | 2 |
| Preventive visit, new patient, 40-64CPT 99386 | $223 | — | — | — | 2 |
| Prothrombin timeCPT 85610 | $15 | $4 | 359% | — | 5 |
| Psychotherapy, 30 minutesCPT 90832 | $140 | $181 | 77% | — | 2 |
| Psychotherapy, 45 minutesCPT 90834 | $146 | $181 | 81% | — | 2 |
| Psychotherapy, 60 minutesCPT 90837 | $208 | $181 | 114% | — | 2 |
| Screening mammography, bilateralCPT 77067 | $317 | — | — | — | 5 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $808 | — | — | — | 2 |
| Sleep study (polysomnography)CPT 95810 | $4,911 | $877 | 560% | — | 5 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $100 | $17 | 596% | — | 5 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $563 | $6,048 | 9% | — | 2 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $2,792 | $904 | 309% | — | 5 |
| Ultrasound, abdomen, completeCPT 76700 | $1,599 | $107 | 1497% | — | 5 |
| Ultrasound, transvaginalCPT 76830 | $504 | $107 | 472% | — | 5 |
| Upper GI endoscopy with biopsyCPT 43239 | $404 | $927 | 44% | — | 2 |
| Upper GI endoscopy, diagnosticCPT 43235 | $354 | $927 | 38% | — | 2 |
| Urinalysis, automated, with microscopyCPT 81001 | $44 | $3 | 1394% | — | 5 |
| Urinalysis, automated, without microscopyCPT 81003 | $34 | $2 | 1499% | — | 5 |
| Urinalysis, manual, without microscopyCPT 81002 | $10 | $3 | 287% | — | 5 |
| X-ray, lower back, 4+ viewsCPT 72110 | $962 | $107 | 901% | — | 5 |