| Basic metabolic panelCPT 80048 | $28 | $8 | 337% | — | 12 |
| CT abdomen and pelvis with contrastCPT 74177 | $650 | $356 | 182% | — | 12 |
| CT head without contrastCPT 70450 | $434 | $107 | 407% | — | 12 |
| CT pelvis with contrastCPT 72193 | $457 | $179 | 255% | — | 12 |
| Cardiac stress testCPT 93017 | $456 | $221 | 207% | — | 12 |
| Cataract surgery with IOL insertionCPT 66984 | $3,448 | $2,358 | 146% | — | 12 |
| Colonoscopy with biopsyCPT 45380 | $1,601 | $1,223 | 131% | — | 12 |
| Colonoscopy with polyp removalCPT 45385 | $1,746 | $1,223 | 143% | — | 12 |
| Colonoscopy, diagnosticCPT 45378 | $1,136 | $950 | 120% | — | 12 |
| Complete blood count with differentialCPT 85025 | $23 | $8 | 293% | — | 12 |
| Complete blood count, automatedCPT 85027 | $23 | $6 | 352% | — | 12 |
| Comprehensive metabolic panelCPT 80053 | $34 | $11 | 324% | — | 12 |
| Diagnostic mammography, both breastsCPT 77066 | $157 | — | — | — | 12 |
| Diagnostic mammography, one breastCPT 77065 | $157 | — | — | — | 12 |
| ED visit, level 3CPT 99283 | $550 | $279 | 197% | — | 12 |
| ED visit, level 4CPT 99284 | $910 | $426 | 213% | — | 12 |
| ED visit, level 5CPT 99285 | $1,401 | $608 | 230% | — | 12 |
| Echocardiogram, completeCPT 93306 | $1,952 | $558 | 350% | — | 12 |
| Electrocardiogram with interpretationCPT 93000 | $238 | — | — | — | 11 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $691 | $904 | 76% | — | 12 |
| Excision of breast lesionCPT 19120 | $2,752 | $4,000 | 69% | — | 12 |
| Inguinal hernia repair, age 5+CPT 49505 | $2,642 | $3,658 | 72% | — | 12 |
| Kidney function panelCPT 80069 | $86 | $9 | 985% | — | 12 |
| Knee arthroscopy with meniscectomyCPT 29881 | $5,189 | $3,343 | 155% | — | 12 |
| Laparoscopic cholecystectomyCPT 47562 | $7,643 | $6,176 | 124% | — | 12 |
| Lipid panelCPT 80061 | $55 | $13 | 412% | — | 12 |
| Liver function panelCPT 80076 | $45 | $8 | 547% | — | 12 |
| Lumbar epidural steroid injectionCPT 62323 | $1,551 | $721 | 215% | — | 12 |
| MRI brain with and without contrastCPT 70553 | $917 | $356 | 257% | — | 12 |
| MRI lower extremity joint (knee)CPT 73721 | $432 | $244 | 177% | — | 12 |
| MRI lumbar spine without contrastCPT 72148 | $602 | $244 | 247% | — | 12 |
| OB global care, cesarean deliveryCPT 59510 | $1,925 | — | — | — | 4 |
| OB global care, vaginal deliveryCPT 59400 | $1,751 | — | — | — | 4 |
| OB ultrasound, 14+ weeksCPT 76805 | $203 | $107 | 190% | — | 12 |
| Office consultation, comprehensiveCPT 99244 | $169 | — | — | — | 11 |
| Office consultation, moderateCPT 99243 | $138 | — | — | — | 11 |
| Office visit, established patient, level 3CPT 99213 | $158 | — | — | — | 12 |
| Office visit, established patient, level 4CPT 99214 | $223 | — | — | — | 12 |
| Office visit, new patient, level 3CPT 99203 | $142 | — | — | — | 12 |
| Office visit, new patient, level 4CPT 99204 | $178 | — | — | — | 12 |
| Office visit, new patient, level 5CPT 99205 | $284 | — | — | — | 12 |
| PSA (prostate specific antigen), totalCPT 84153 | $107 | $18 | 584% | — | 12 |
| Partial thromboplastin timeCPT 85730 | $33 | $6 | 553% | — | 12 |
| Physical therapy, therapeutic exerciseCPT 97110 | $66 | — | — | — | 12 |
| Preventive visit, new patient, 18-39CPT 99385 | $256 | — | — | — | 11 |
| Preventive visit, new patient, 40-64CPT 99386 | $245 | — | — | — | 11 |
| Prostate biopsyCPT 55700 | $1,900 | — | — | — | 12 |
| Prothrombin timeCPT 85610 | $25 | $4 | 576% | — | 12 |
| Psychotherapy, 30 minutesCPT 90832 | $119 | $181 | 65% | — | 12 |
| Psychotherapy, 45 minutesCPT 90834 | $150 | $181 | 83% | — | 12 |
| Psychotherapy, 60 minutesCPT 90837 | $223 | $181 | 123% | — | 12 |
| Screening mammography, bilateralCPT 77067 | $157 | — | — | — | 12 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $4,897 | — | — | — | 12 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $61 | $17 | 362% | — | 12 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $5,008 | $6,048 | 83% | — | 12 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,214 | $904 | 134% | — | 12 |
| Ultrasound, abdomen, completeCPT 76700 | $133 | $107 | 124% | — | 12 |
| Ultrasound, transvaginalCPT 76830 | $172 | $107 | 161% | — | 12 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,356 | $927 | 146% | — | 12 |
| Upper GI endoscopy, diagnosticCPT 43235 | $830 | $927 | 90% | — | 12 |
| Urinalysis, automated, with microscopyCPT 81001 | $19 | $3 | 599% | — | 12 |
| Urinalysis, automated, without microscopyCPT 81003 | $16 | $2 | 718% | — | 12 |
| Urinalysis, manual, without microscopyCPT 81002 | $18 | $3 | 519% | — | 12 |
| X-ray, lower back, 4+ viewsCPT 72110 | $187 | $107 | 175% | — | 12 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $1,159 | $562 | 206% | — | 12 |