| Basic metabolic panelCPT 80048 | $37 | $8 | 439% | — | 5 |
| CT abdomen and pelvis with contrastCPT 74177 | $193 | $356 | 54% | — | 5 |
| CT head without contrastCPT 70450 | $87 | $107 | 81% | — | 5 |
| CT pelvis with contrastCPT 72193 | $107 | $179 | 60% | — | 5 |
| Cardiac stress testCPT 93017 | $543 | $221 | 246% | — | 5 |
| Colonoscopy with biopsyCPT 45380 | $827 | $1,223 | 68% | — | 5 |
| Colonoscopy with polyp removalCPT 45385 | $966 | $1,223 | 79% | — | 5 |
| Colonoscopy, diagnosticCPT 45378 | $616 | $950 | 65% | — | 5 |
| Complete blood count with differentialCPT 85025 | $67 | $8 | 867% | — | 5 |
| Complete blood count, automatedCPT 85027 | $47 | $6 | 721% | — | 5 |
| Comprehensive metabolic panelCPT 80053 | $95 | $11 | 902% | — | 5 |
| Diagnostic mammography, both breastsCPT 77066 | $88 | — | — | — | 5 |
| Diagnostic mammography, one breastCPT 77065 | $75 | — | — | — | 5 |
| ED visit, level 3CPT 99283 | $247 | $279 | 89% | — | 5 |
| ED visit, level 4CPT 99284 | $428 | $426 | 100% | — | 5 |
| ED visit, level 5CPT 99285 | $671 | $608 | 110% | — | 5 |
| Echocardiogram, completeCPT 93306 | $1,688 | $558 | 302% | — | 5 |
| Electrocardiogram with interpretationCPT 93000 | $60 | — | — | — | 5 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $623 | $904 | 69% | — | 5 |
| Excision of breast lesionCPT 19120 | $597 | $4,000 | 15% | — | 5 |
| Family psychotherapy, with patientCPT 90847 | $200 | $181 | 110% | — | 5 |
| Family psychotherapy, without patientCPT 90846 | $186 | $181 | 102% | — | 5 |
| Group psychotherapyCPT 90853 | $400 | $104 | 385% | — | 4 |
| Inguinal hernia repair, age 5+CPT 49505 | $745 | $3,658 | 20% | — | 5 |
| Kidney function panelCPT 80069 | $40 | $9 | 465% | — | 5 |
| Knee arthroscopy with meniscectomyCPT 29881 | $2,393 | $3,343 | 72% | — | 5 |
| Laparoscopic cholecystectomyCPT 47562 | $1,024 | $6,176 | 17% | — | 5 |
| Lipid panelCPT 80061 | $90 | $13 | 669% | — | 5 |
| Liver function panelCPT 80076 | $67 | $8 | 824% | — | 5 |
| Lumbar epidural steroid injectionCPT 62323 | $1,139 | $721 | 158% | — | 5 |
| MRI brain with and without contrastCPT 70553 | $219 | $356 | 61% | — | 5 |
| MRI lower extremity joint (knee)CPT 73721 | $129 | $244 | 53% | — | 5 |
| MRI lumbar spine without contrastCPT 72148 | $144 | $244 | 59% | — | 5 |
| OB global care, cesarean deliveryCPT 59510 | $2,092 | — | — | — | 3 |
| OB global care, vaginal deliveryCPT 59400 | $2,818 | — | — | — | 5 |
| OB ultrasound, 14+ weeksCPT 76805 | $88 | $107 | 82% | — | 5 |
| Office consultation, comprehensiveCPT 99244 | $213 | — | — | — | 5 |
| Office consultation, moderateCPT 99243 | $155 | — | — | — | 5 |
| Office visit, established patient, level 3CPT 99213 | $99 | — | — | — | 5 |
| Office visit, established patient, level 4CPT 99214 | $114 | — | — | — | 5 |
| Office visit, new patient, level 3CPT 99203 | $130 | — | — | — | 5 |
| Office visit, new patient, level 4CPT 99204 | $156 | — | — | — | 5 |
| Office visit, new patient, level 5CPT 99205 | $264 | — | — | — | 5 |
| PSA (prostate specific antigen), totalCPT 84153 | $99 | $18 | 536% | — | 5 |
| Partial thromboplastin timeCPT 85730 | $63 | $6 | 1050% | — | 5 |
| Physical therapy, therapeutic exerciseCPT 97110 | $75 | — | — | — | 5 |
| Preventive visit, new patient, 18-39CPT 99385 | $279 | — | — | — | 5 |
| Preventive visit, new patient, 40-64CPT 99386 | $299 | — | — | — | 5 |
| Prostate biopsyCPT 55700 | $348 | — | — | — | 5 |
| Prothrombin timeCPT 85610 | $39 | $4 | 899% | — | 5 |
| Psychotherapy, 30 minutesCPT 90832 | $130 | $181 | 72% | — | 5 |
| Psychotherapy, 45 minutesCPT 90834 | $181 | $181 | 100% | — | 5 |
| Psychotherapy, 60 minutesCPT 90837 | $265 | $181 | 146% | — | 5 |
| Screening mammography, bilateralCPT 77067 | $75 | — | — | — | 5 |
| Sleep study (polysomnography)CPT 95810 | $227 | $877 | 26% | — | 5 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $166 | $17 | 986% | — | 5 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $418 | $6,048 | 7% | — | 5 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $971 | $904 | 108% | — | 5 |
| Ultrasound, abdomen, completeCPT 76700 | $75 | $107 | 70% | — | 5 |
| Ultrasound, transvaginalCPT 76830 | $75 | $107 | 70% | — | 5 |
| Upper GI endoscopy with biopsyCPT 43239 | $596 | $927 | 64% | — | 5 |
| Upper GI endoscopy, diagnosticCPT 43235 | $449 | $927 | 48% | — | 5 |
| Urinalysis, automated, with microscopyCPT 81001 | $41 | $3 | 1306% | — | 5 |
| Urinalysis, automated, without microscopyCPT 81003 | $28 | $2 | 1252% | — | 5 |
| Urinalysis, manual, without microscopyCPT 81002 | $28 | $3 | 810% | — | 5 |
| X-ray, lower back, 4+ viewsCPT 72110 | $75 | $107 | 70% | — | 5 |