| Basic metabolic panelCPT 80048 | $101 | $8 | 1195% | — | 15 |
| CT abdomen and pelvis with contrastCPT 74177 | $3,617 | $356 | 1015% | — | 15 |
| CT head without contrastCPT 70450 | $1,091 | $107 | 1021% | — | 15 |
| CT pelvis with contrastCPT 72193 | $1,574 | $179 | 878% | — | 15 |
| Cardiac stress testCPT 93017 | $1,036 | $221 | 470% | — | 14 |
| Colonoscopy with biopsyCPT 45380 | $1,199 | $1,223 | 98% | — | 14 |
| Colonoscopy with polyp removalCPT 45385 | $1,260 | $1,223 | 103% | — | 14 |
| Colonoscopy, diagnosticCPT 45378 | $570 | $950 | 60% | — | 14 |
| Complete blood count with differentialCPT 85025 | $86 | $8 | 1108% | — | 15 |
| Complete blood count, automatedCPT 85027 | $55 | $6 | 856% | — | 15 |
| Comprehensive metabolic panelCPT 80053 | $133 | $11 | 1262% | — | 15 |
| Diagnostic mammography, both breastsCPT 77066 | $450 | — | — | — | 15 |
| Diagnostic mammography, one breastCPT 77065 | $363 | — | — | — | 15 |
| ED visit, level 3CPT 99283 | $385 | $279 | 138% | — | 15 |
| ED visit, level 4CPT 99284 | $750 | $426 | 176% | — | 15 |
| ED visit, level 5CPT 99285 | $1,207 | $608 | 198% | — | 15 |
| Echocardiogram, completeCPT 93306 | $624 | $558 | 112% | — | 14 |
| Electrocardiogram with interpretationCPT 93000 | $48 | — | — | — | 10 |
| Excision of breast lesionCPT 19120 | $1,309 | $4,000 | 33% | — | 14 |
| Family psychotherapy, with patientCPT 90847 | $197 | $181 | 109% | — | 14 |
| Family psychotherapy, without patientCPT 90846 | $285 | $181 | 157% | — | 14 |
| Group psychotherapyCPT 90853 | $81 | $104 | 78% | — | 14 |
| Inguinal hernia repair, age 5+CPT 49505 | $1,603 | $3,658 | 44% | — | 14 |
| Kidney function panelCPT 80069 | $107 | $9 | 1234% | — | 15 |
| Knee arthroscopy with meniscectomyCPT 29881 | $1,058 | $3,343 | 32% | — | 14 |
| Laparoscopic cholecystectomyCPT 47562 | $1,317 | $6,176 | 21% | — | 14 |
| Lipid panelCPT 80061 | $133 | $13 | 990% | — | 15 |
| Liver function panelCPT 80076 | $83 | $8 | 1017% | — | 15 |
| Lumbar epidural steroid injectionCPT 62323 | $758 | $721 | 105% | — | 14 |
| MRI brain with and without contrastCPT 70553 | $2,389 | $356 | 670% | — | 15 |
| MRI lower extremity joint (knee)CPT 73721 | $1,650 | $244 | 677% | — | 15 |
| MRI lumbar spine without contrastCPT 72148 | $1,610 | $244 | 661% | — | 15 |
| OB global care, VBAC deliveryCPT 59610 | $4,883 | — | — | — | 8 |
| OB global care, cesarean deliveryCPT 59510 | $4,947 | — | — | — | 10 |
| OB global care, vaginal deliveryCPT 59400 | $4,258 | — | — | — | 10 |
| OB ultrasound, 14+ weeksCPT 76805 | $566 | $107 | 530% | — | 13 |
| Office consultation, comprehensiveCPT 99244 | $462 | — | — | — | 10 |
| Office consultation, moderateCPT 99243 | $286 | — | — | — | 10 |
| Office visit, established patient, level 3CPT 99213 | $211 | — | — | — | 10 |
| Office visit, established patient, level 4CPT 99214 | $307 | — | — | — | 11 |
| Office visit, new patient, level 3CPT 99203 | $305 | — | — | — | 11 |
| Office visit, new patient, level 4CPT 99204 | $468 | — | — | — | 11 |
| Office visit, new patient, level 5CPT 99205 | $594 | — | — | — | 11 |
| PSA (prostate specific antigen), totalCPT 84153 | $183 | $18 | 998% | — | 15 |
| Partial thromboplastin timeCPT 85730 | $58 | $6 | 959% | — | 15 |
| Physical therapy, therapeutic exerciseCPT 97110 | $136 | — | — | — | 15 |
| Preventive visit, new patient, 18-39CPT 99385 | $135 | — | — | — | 14 |
| Preventive visit, new patient, 40-64CPT 99386 | $135 | — | — | — | 10 |
| Prothrombin timeCPT 85610 | $27 | $4 | 628% | — | 15 |
| Psychotherapy, 30 minutesCPT 90832 | $203 | $181 | 112% | — | 14 |
| Psychotherapy, 45 minutesCPT 90834 | $253 | $181 | 139% | — | 14 |
| Psychotherapy, 60 minutesCPT 90837 | $363 | $181 | 200% | — | 14 |
| Screening mammography, bilateralCPT 77067 | $367 | — | — | — | 15 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $515 | — | — | — | 14 |
| Sleep study (polysomnography)CPT 95810 | $248 | $877 | 28% | — | 14 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $96 | $17 | 571% | — | 15 |
| Ultrasound, abdomen, completeCPT 76700 | $710 | $107 | 664% | — | 15 |
| Ultrasound, transvaginalCPT 76830 | $556 | $107 | 521% | — | 15 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,069 | $927 | 115% | — | 14 |
| Upper GI endoscopy, diagnosticCPT 43235 | $786 | $927 | 85% | — | 14 |
| Urinalysis, automated, without microscopyCPT 81003 | $42 | $2 | 1880% | — | 15 |
| Urinalysis, manual, without microscopyCPT 81002 | $37 | $3 | 1076% | — | 15 |
| X-ray, lower back, 4+ viewsCPT 72110 | $377 | $107 | 353% | — | 15 |