| Basic metabolic panelCPT 80048 | $91 | $8 | 1070% | — | 8 |
| COPD with MCCMS-DRG 190 | $15,830 | $7,377 | 215% | — | 1 |
| CT abdomen and pelvis with contrastCPT 74177 | $2,904 | $356 | 815% | — | 8 |
| CT head without contrastCPT 70450 | $1,466 | $107 | 1373% | — | 8 |
| CT pelvis with contrastCPT 72193 | $1,594 | $179 | 889% | — | 8 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $7,452 | $3,269 | 228% | — | 1 |
| Cellulitis, no MCCMS-DRG 603 | $11,342 | $5,675 | 200% | — | 1 |
| Colonoscopy with biopsyCPT 45380 | $284 | $1,223 | 23% | — | 8 |
| Colonoscopy with polyp removalCPT 45385 | $337 | $1,223 | 28% | — | 8 |
| Colonoscopy, diagnosticCPT 45378 | $237 | $950 | 25% | — | 8 |
| Complete blood count with differentialCPT 85025 | $70 | $8 | 902% | — | 8 |
| Complete blood count, automatedCPT 85027 | $60 | $6 | 926% | — | 8 |
| Comprehensive metabolic panelCPT 80053 | $147 | $11 | 1388% | — | 8 |
| Diagnostic mammography, both breastsCPT 77066 | $254 | — | — | — | 8 |
| Diagnostic mammography, one breastCPT 77065 | $225 | — | — | — | 8 |
| ED visit, level 3CPT 99283 | $381 | $279 | 137% | — | 8 |
| ED visit, level 4CPT 99284 | $617 | $426 | 145% | — | 8 |
| ED visit, level 5CPT 99285 | $959 | $608 | 158% | — | 8 |
| Echocardiogram, completeCPT 93306 | $2,142 | $558 | 384% | — | 8 |
| Electrocardiogram with interpretationCPT 93000 | $159 | — | — | — | 8 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $10,145 | $4,899 | 207% | — | 1 |
| Excision of breast lesionCPT 19120 | $519 | $4,000 | 13% | — | 8 |
| Family psychotherapy, with patientCPT 90847 | $144 | $181 | 80% | — | 5 |
| Group psychotherapyCPT 90853 | $74 | $104 | 71% | — | 5 |
| Heart failure and shock, with CCMS-DRG 292 | $10,557 | $5,927 | 178% | — | 1 |
| Inguinal hernia repair, age 5+CPT 49505 | $635 | $3,658 | 17% | — | 8 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $10,609 | $5,238 | 203% | — | 1 |
| Kidney function panelCPT 80069 | $104 | $9 | 1197% | — | 8 |
| Knee arthroscopy with meniscectomyCPT 29881 | $634 | $3,343 | 19% | — | 8 |
| Laparoscopic cholecystectomyCPT 47562 | $804 | $6,176 | 13% | — | 8 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $16,267 | $8,977 | 181% | — | 1 |
| Lipid panelCPT 80061 | $106 | $13 | 792% | — | 8 |
| Liver function panelCPT 80076 | $159 | $8 | 1951% | — | 8 |
| MRI brain with and without contrastCPT 70553 | $2,550 | $356 | 715% | — | 8 |
| MRI lower extremity joint (knee)CPT 73721 | $2,104 | $244 | 863% | — | 8 |
| MRI lumbar spine without contrastCPT 72148 | $2,104 | $244 | 863% | — | 8 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $35,124 | $16,202 | 217% | — | 1 |
| Medical back problems, no MCCMS-DRG 552 | $11,534 | $6,142 | 188% | — | 1 |
| OB ultrasound, 14+ weeksCPT 76805 | $434 | $107 | 406% | — | 8 |
| Office consultation, comprehensiveCPT 99244 | $264 | — | — | — | 8 |
| Office consultation, moderateCPT 99243 | $132 | — | — | — | 5 |
| Office visit, established patient, level 3CPT 99213 | $128 | — | — | — | 8 |
| Office visit, established patient, level 4CPT 99214 | $168 | — | — | — | 8 |
| Office visit, new patient, level 3CPT 99203 | $154 | — | — | — | 8 |
| Office visit, new patient, level 4CPT 99204 | $182 | — | — | — | 8 |
| Office visit, new patient, level 5CPT 99205 | $275 | — | — | — | 8 |
| PSA (prostate specific antigen), totalCPT 84153 | $131 | $18 | 713% | — | 8 |
| Partial thromboplastin timeCPT 85730 | $80 | $6 | 1326% | — | 8 |
| Physical therapy, therapeutic exerciseCPT 97110 | $94 | — | — | — | 8 |
| Preventive visit, new patient, 18-39CPT 99385 | $231 | — | — | — | 8 |
| Preventive visit, new patient, 40-64CPT 99386 | $251 | — | — | — | 8 |
| Prothrombin timeCPT 85610 | $43 | $4 | 996% | — | 8 |
| Psychotherapy, 30 minutesCPT 90832 | $83 | $181 | 46% | — | 5 |
| Psychotherapy, 45 minutesCPT 90834 | $114 | $181 | 63% | — | 5 |
| Renal failure, with CCMS-DRG 683 | $13,716 | $5,892 | 233% | — | 1 |
| Screening mammography, bilateralCPT 77067 | $244 | — | — | — | 8 |
| Sepsis with MCCMS-DRG 871 | $24,323 | $13,837 | 176% | — | 1 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $12,515 | $5,177 | 242% | — | 1 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $11,063 | $3,679 | 301% | — | 1 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $15,542 | $6,559 | 237% | — | 1 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $140 | $17 | 831% | — | 8 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $345 | $6,048 | 6% | — | 8 |
| Ultrasound, abdomen, completeCPT 76700 | $527 | $107 | 494% | — | 8 |
| Ultrasound, transvaginalCPT 76830 | $382 | $107 | 358% | — | 8 |
| Upper GI endoscopy with biopsyCPT 43239 | $439 | $927 | 47% | — | 8 |
| Upper GI endoscopy, diagnosticCPT 43235 | $330 | $927 | 36% | — | 8 |
| Urinalysis, automated, with microscopyCPT 81001 | $51 | $3 | 1609% | — | 8 |
| Urinalysis, automated, without microscopyCPT 81003 | $16 | $2 | 693% | — | 8 |
| Urinalysis, manual, without microscopyCPT 81002 | $19 | $3 | 551% | — | 8 |
| X-ray, lower back, 4+ viewsCPT 72110 | $448 | $107 | 420% | — | 8 |