| Basic metabolic panelCPT 80048 | $100 | $8 | 1185% | — | 3 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,823 | $352 | 518% | — | 3 |
| CT head without contrastCPT 70450 | $469 | $105 | 445% | — | 3 |
| CT pelvis with contrastCPT 72193 | $926 | $177 | 524% | — | 3 |
| Cardiac stress testCPT 93017 | $1,105 | $218 | 508% | — | 3 |
| Cataract surgery with IOL insertionCPT 66984 | $9,463 | $2,327 | 407% | — | 3 |
| Colonoscopy with biopsyCPT 45380 | $2,724 | $1,207 | 226% | — | 3 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $2,121 | $1,207 | 176% | — | 3 |
| Colonoscopy with polyp removalCPT 45385 | $2,086 | $1,207 | 173% | — | 3 |
| Colonoscopy, diagnosticCPT 45378 | $1,420 | $938 | 151% | — | 3 |
| Complete blood count with differentialCPT 85025 | $66 | $8 | 847% | — | 3 |
| Complete blood count, automatedCPT 85027 | $45 | $6 | 695% | — | 3 |
| Comprehensive metabolic panelCPT 80053 | $106 | $11 | 1005% | — | 3 |
| Diagnostic mammography, both breastsCPT 77066 | $192 | — | — | — | 3 |
| Diagnostic mammography, one breastCPT 77065 | $155 | — | — | — | 3 |
| ED visit, level 3CPT 99283 | $421 | $275 | 153% | — | 1 |
| ED visit, level 4CPT 99284 | $644 | $421 | 153% | — | 1 |
| ED visit, level 5CPT 99285 | $919 | $601 | 153% | — | 1 |
| Echocardiogram, completeCPT 93306 | $642 | $551 | 116% | — | 3 |
| Electrocardiogram with interpretationCPT 93000 | $71 | — | — | — | 2 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,357 | $892 | 152% | — | 3 |
| Excision of breast lesionCPT 19120 | $8,647 | $3,948 | 219% | — | 3 |
| Family psychotherapy, with patientCPT 90847 | $566 | $179 | 316% | — | 3 |
| Family psychotherapy, without patientCPT 90846 | $566 | $179 | 316% | — | 3 |
| Group psychotherapyCPT 90853 | $238 | $102 | 232% | — | 3 |
| Inguinal hernia repair, age 5+CPT 49505 | $6,695 | $3,610 | 185% | — | 3 |
| Kidney function panelCPT 80069 | $39 | $9 | 446% | — | 3 |
| Knee arthroscopy with meniscectomyCPT 29881 | $8,862 | $3,299 | 269% | — | 3 |
| Laparoscopic cholecystectomyCPT 47562 | $13,585 | $6,096 | 223% | — | 3 |
| Laparoscopic radical prostatectomyCPT 55866 | $7,597 | $10,719 | 71% | — | 3 |
| Left heart catheterization, diagnosticCPT 93452 | $9,898 | $3,269 | 303% | — | 3 |
| Lipid panelCPT 80061 | $97 | $13 | 724% | — | 3 |
| Liver function panelCPT 80076 | $96 | $8 | 1180% | — | 3 |
| Lumbar epidural steroid injectionCPT 62323 | $1,357 | $712 | 191% | — | 3 |
| MRI brain with and without contrastCPT 70553 | $1,081 | $352 | 307% | — | 3 |
| MRI lower extremity joint (knee)CPT 73721 | $626 | $241 | 260% | — | 3 |
| MRI lumbar spine without contrastCPT 72148 | $695 | $241 | 289% | — | 3 |
| OB global care, VBAC deliveryCPT 59610 | $6,336 | — | — | — | 2 |
| OB global care, cesarean deliveryCPT 59510 | $6,809 | — | — | — | 2 |
| OB global care, vaginal deliveryCPT 59400 | $6,012 | — | — | — | 2 |
| OB ultrasound, 14+ weeksCPT 76805 | $299 | $105 | 283% | — | 3 |
| Obstetric blood test panelCPT 80055 | $92 | $48 | 193% | — | 3 |
| Office consultation, comprehensiveCPT 99244 | $545 | — | — | — | 2 |
| Office consultation, moderateCPT 99243 | $345 | — | — | — | 2 |
| PSA (prostate specific antigen), totalCPT 84153 | $82 | $18 | 446% | — | 3 |
| Partial thromboplastin timeCPT 85730 | $55 | $6 | 917% | — | 3 |
| Physical therapy, therapeutic exerciseCPT 97110 | $121 | — | — | — | 3 |
| Prostate biopsyCPT 55700 | $1,977 | — | — | — | 2 |
| Prothrombin timeCPT 85610 | $40 | $4 | 928% | — | 3 |
| Psychotherapy, 30 minutesCPT 90832 | $301 | $179 | 168% | — | 3 |
| Psychotherapy, 45 minutesCPT 90834 | $400 | $179 | 223% | — | 3 |
| Psychotherapy, 60 minutesCPT 90837 | $400 | $179 | 223% | — | 3 |
| Screening mammography, bilateralCPT 77067 | $159 | — | — | — | 3 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $4,558 | — | — | — | 2 |
| Sleep study (polysomnography)CPT 95810 | $1,944 | $866 | 225% | — | 3 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $80 | $17 | 479% | — | 3 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $8,518 | $5,969 | 143% | — | 3 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,846 | $892 | 207% | — | 3 |
| Ultrasound, abdomen, completeCPT 76700 | $394 | $105 | 374% | — | 3 |
| Ultrasound, transvaginalCPT 76830 | $308 | $105 | 292% | — | 3 |
| Upper GI endoscopy with biopsyCPT 43239 | $2,508 | $915 | 274% | — | 3 |
| Upper GI endoscopy, diagnosticCPT 43235 | $2,430 | $915 | 266% | — | 3 |
| Urinalysis, automated, with microscopyCPT 81001 | $58 | $3 | 1823% | — | 3 |
| Urinalysis, automated, without microscopyCPT 81003 | $40 | $2 | 1799% | — | 3 |
| Urinalysis, manual, with microscopyCPT 81000 | $17 | $4 | 418% | — | 3 |
| Urinalysis, manual, without microscopyCPT 81002 | $31 | $3 | 889% | — | 3 |
| X-ray, lower back, 4+ viewsCPT 72110 | $316 | $105 | 300% | — | 3 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $1,246 | $555 | 225% | — | 3 |