| Basic metabolic panelCPT 80048 | $50 | $8 | 591% | — | 4 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,562 | $345 | 452% | — | 4 |
| CT head without contrastCPT 70450 | $435 | $104 | 420% | — | 4 |
| CT pelvis with contrastCPT 72193 | $790 | $174 | 455% | — | 4 |
| Cardiac stress testCPT 93017 | $957 | $214 | 448% | — | 4 |
| Cataract surgery with IOL insertionCPT 66984 | $8,864 | $2,285 | 388% | — | 4 |
| Colonoscopy with biopsyCPT 45380 | $2,551 | $1,185 | 215% | — | 4 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $1,986 | $1,185 | 168% | — | 4 |
| Colonoscopy with polyp removalCPT 45385 | $1,954 | $1,185 | 165% | — | 4 |
| Colonoscopy, diagnosticCPT 45378 | $1,385 | $921 | 150% | — | 4 |
| Complete blood count with differentialCPT 85025 | $34 | $8 | 443% | — | 4 |
| Complete blood count, automatedCPT 85027 | $24 | $6 | 377% | — | 4 |
| Comprehensive metabolic panelCPT 80053 | $54 | $11 | 512% | — | 4 |
| Diagnostic mammography, both breastsCPT 77066 | $158 | — | — | — | 4 |
| Diagnostic mammography, one breastCPT 77065 | $126 | — | — | — | 4 |
| ED visit, level 3CPT 99283 | $797 | $270 | 295% | — | 2 |
| ED visit, level 4CPT 99284 | $1,219 | $413 | 295% | — | 2 |
| ED visit, level 5CPT 99285 | $1,740 | $590 | 295% | — | 2 |
| Echocardiogram, completeCPT 93306 | $717 | $541 | 133% | — | 4 |
| Electrocardiogram with interpretationCPT 93000 | $66 | — | — | — | 2 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,320 | $876 | 151% | — | 4 |
| Excision of breast lesionCPT 19120 | $8,099 | $3,876 | 209% | — | 4 |
| Family psychotherapy, with patientCPT 90847 | $530 | $176 | 302% | — | 4 |
| Family psychotherapy, without patientCPT 90846 | $530 | $176 | 302% | — | 4 |
| Group psychotherapyCPT 90853 | $223 | $101 | 221% | — | 4 |
| Inguinal hernia repair, age 5+CPT 49505 | $6,271 | $3,544 | 177% | — | 4 |
| Kidney function panelCPT 80069 | $23 | $9 | 268% | — | 4 |
| Knee arthroscopy with meniscectomyCPT 29881 | $8,301 | $3,239 | 256% | — | 4 |
| Laparoscopic cholecystectomyCPT 47562 | $12,725 | $5,985 | 213% | — | 4 |
| Laparoscopic radical prostatectomyCPT 55866 | $11,507 | $10,523 | 109% | — | 4 |
| Left heart catheterization, diagnosticCPT 93452 | $9,271 | $3,209 | 289% | — | 4 |
| Lipid panelCPT 80061 | $52 | $13 | 389% | — | 4 |
| Liver function panelCPT 80076 | $48 | $8 | 588% | — | 4 |
| Lumbar epidural steroid injectionCPT 62323 | $1,271 | $699 | 182% | — | 4 |
| MRI brain with and without contrastCPT 70553 | $1,012 | $345 | 293% | — | 4 |
| MRI lower extremity joint (knee)CPT 73721 | $586 | $236 | 248% | — | 4 |
| MRI lumbar spine without contrastCPT 72148 | $651 | $236 | 276% | — | 4 |
| OB global care, VBAC deliveryCPT 59610 | $5,934 | — | — | — | 2 |
| OB global care, cesarean deliveryCPT 59510 | $6,378 | — | — | — | 2 |
| OB global care, vaginal deliveryCPT 59400 | $5,631 | — | — | — | 2 |
| OB ultrasound, 14+ weeksCPT 76805 | $280 | $104 | 270% | — | 4 |
| Obstetric blood test panelCPT 80055 | $75 | $48 | 158% | — | 4 |
| Office consultation, comprehensiveCPT 99244 | $511 | — | — | — | 2 |
| Office consultation, moderateCPT 99243 | $323 | — | — | — | 2 |
| PSA (prostate specific antigen), totalCPT 84153 | $49 | $18 | 268% | — | 4 |
| Partial thromboplastin timeCPT 85730 | $28 | $6 | 474% | — | 4 |
| Physical therapy, therapeutic exerciseCPT 97110 | $74 | — | — | — | 4 |
| Prostate biopsyCPT 55700 | $1,851 | — | — | — | 2 |
| Prothrombin timeCPT 85610 | $21 | $4 | 478% | — | 4 |
| Psychotherapy, 30 minutesCPT 90832 | $282 | $176 | 160% | — | 4 |
| Psychotherapy, 45 minutesCPT 90834 | $375 | $176 | 213% | — | 4 |
| Psychotherapy, 60 minutesCPT 90837 | $375 | $176 | 213% | — | 4 |
| Screening mammography, bilateralCPT 77067 | $131 | — | — | — | 4 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $4,269 | — | — | — | 2 |
| Sleep study (polysomnography)CPT 95810 | $1,821 | $850 | 214% | — | 4 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $47 | $17 | 282% | — | 4 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $8,552 | $5,860 | 146% | — | 4 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,729 | $876 | 197% | — | 4 |
| Ultrasound, abdomen, completeCPT 76700 | $369 | $104 | 357% | — | 4 |
| Ultrasound, transvaginalCPT 76830 | $288 | $104 | 279% | — | 4 |
| Upper GI endoscopy with biopsyCPT 43239 | $2,349 | $898 | 262% | — | 4 |
| Upper GI endoscopy, diagnosticCPT 43235 | $2,276 | $898 | 253% | — | 4 |
| Urinalysis, automated, with microscopyCPT 81001 | $28 | $3 | 869% | — | 4 |
| Urinalysis, automated, without microscopyCPT 81003 | $19 | $2 | 859% | — | 4 |
| Urinalysis, manual, with microscopyCPT 81000 | $10 | $4 | 256% | — | 4 |
| Urinalysis, manual, without microscopyCPT 81002 | $16 | $3 | 461% | — | 4 |
| X-ray, lower back, 4+ viewsCPT 72110 | $296 | $104 | 286% | — | 4 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $1,167 | $544 | 214% | — | 4 |