| Basic metabolic panelCPT 80048 | $24 | $8 | 288% | — | 15 |
| CT abdomen and pelvis with contrastCPT 74177 | $837 | $435 | 192% | — | 12 |
| CT head without contrastCPT 70450 | $241 | $130 | 185% | — | 9 |
| CT pelvis with contrastCPT 72193 | $578 | $219 | 264% | — | 9 |
| Cardiac stress testCPT 93017 | $197 | $270 | 73% | — | 4 |
| Cataract surgery with IOL insertionCPT 66984 | $6,570 | $2,881 | 228% | — | 15 |
| Colonoscopy with biopsyCPT 45380 | $5,507 | $1,494 | 369% | — | 15 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $5,507 | $1,494 | 369% | — | 15 |
| Colonoscopy with polyp removalCPT 45385 | $5,507 | $1,494 | 369% | — | 15 |
| Colonoscopy, diagnosticCPT 45378 | $5,507 | $1,161 | 474% | — | 15 |
| Complete blood count with differentialCPT 85025 | $23 | $8 | 290% | — | 15 |
| Complete blood count, automatedCPT 85027 | $19 | $6 | 290% | — | 15 |
| Comprehensive metabolic panelCPT 80053 | $31 | $11 | 290% | — | 15 |
| Diagnostic mammography, both breastsCPT 77066 | $406 | — | — | — | 25 |
| Diagnostic mammography, one breastCPT 77065 | $305 | — | — | — | 25 |
| ED visit, level 3CPT 99283 | $66 | $341 | 19% | — | 1 |
| ED visit, level 4CPT 99284 | $104 | $521 | 20% | — | 1 |
| ED visit, level 5CPT 99285 | $161 | $743 | 22% | — | 1 |
| Echocardiogram, completeCPT 93306 | $421 | $682 | 62% | — | 6 |
| Electrocardiogram with interpretationCPT 93000 | $32 | — | — | — | 1 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $3,724 | $1,104 | 337% | — | 12 |
| Excision of breast lesionCPT 19120 | $6,138 | $4,888 | 126% | — | 15 |
| Family psychotherapy, with patientCPT 90847 | $75 | $222 | 34% | — | 1 |
| Family psychotherapy, without patientCPT 90846 | $75 | $222 | 34% | — | 1 |
| Group psychotherapyCPT 90853 | $35 | $127 | 28% | — | 1 |
| Inguinal hernia repair, age 5+CPT 49505 | $6,138 | $4,469 | 137% | — | 15 |
| Kidney function panelCPT 80069 | $25 | $9 | 290% | — | 15 |
| Knee arthroscopy with meniscectomyCPT 29881 | $6,138 | $4,084 | 150% | — | 15 |
| Laparoscopic cholecystectomyCPT 47562 | $7,989 | $7,547 | 106% | — | 15 |
| Laparoscopic radical prostatectomyCPT 55866 | $8,639 | $13,269 | 65% | — | 15 |
| Left heart catheterization, diagnosticCPT 93452 | $7,257 | $4,047 | 179% | — | 15 |
| Lipid panelCPT 80061 | $39 | $13 | 290% | — | 15 |
| Liver function panelCPT 80076 | $24 | $8 | 290% | — | 15 |
| Lumbar epidural steroid injectionCPT 62323 | $3,724 | $881 | 423% | — | 12 |
| MRI brain with and without contrastCPT 70553 | $890 | $435 | 204% | — | 9 |
| MRI lower extremity joint (knee)CPT 73721 | $571 | $298 | 192% | — | 9 |
| MRI lumbar spine without contrastCPT 72148 | $511 | $298 | 172% | — | 9 |
| OB global care, VBAC deliveryCPT 59610 | $3,000 | — | — | — | 1 |
| OB global care, cesarean deliveryCPT 59510 | $3,000 | — | — | — | 1 |
| OB global care, vaginal deliveryCPT 59400 | $3,000 | — | — | — | 1 |
| OB ultrasound, 14+ weeksCPT 76805 | $305 | $130 | 234% | — | 9 |
| Obstetric blood test panelCPT 80055 | $91 | $48 | 191% | — | 18 |
| PSA (prostate specific antigen), totalCPT 84153 | $53 | $18 | 290% | — | 15 |
| Partial thromboplastin timeCPT 85730 | $17 | $6 | 290% | — | 15 |
| Physical therapy, therapeutic exerciseCPT 97110 | $105 | — | — | — | 16 |
| Preventive visit, new patient, 18-39CPT 99385 | $134 | — | — | — | 1 |
| Preventive visit, new patient, 40-64CPT 99386 | $157 | — | — | — | 1 |
| Prostate biopsyCPT 55700 | $5,507 | — | — | — | 15 |
| Prothrombin timeCPT 85610 | $12 | $4 | 290% | — | 15 |
| Psychotherapy, 30 minutesCPT 90832 | $71 | $222 | 32% | — | 1 |
| Psychotherapy, 45 minutesCPT 90834 | $100 | $222 | 45% | — | 1 |
| Psychotherapy, 60 minutesCPT 90837 | $127 | $222 | 57% | — | 1 |
| Screening mammography, bilateralCPT 77067 | $323 | — | — | — | 25 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $5,692 | — | — | — | 15 |
| Sleep study (polysomnography)CPT 95810 | $2,179 | $1,072 | 203% | — | 4 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $49 | $17 | 290% | — | 15 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $6,862 | $7,390 | 93% | — | 15 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $3,933 | $1,104 | 356% | — | 15 |
| Ultrasound, abdomen, completeCPT 76700 | $275 | $130 | 211% | — | 9 |
| Ultrasound, transvaginalCPT 76830 | $290 | $130 | 222% | — | 9 |
| Upper GI endoscopy with biopsyCPT 43239 | $5,507 | $1,132 | 486% | — | 15 |
| Upper GI endoscopy, diagnosticCPT 43235 | $5,507 | $1,132 | 486% | — | 15 |
| Urinalysis, automated, with microscopyCPT 81001 | $9 | $3 | 290% | — | 15 |
| Urinalysis, automated, without microscopyCPT 81003 | $7 | $2 | 290% | — | 15 |
| Urinalysis, manual, with microscopyCPT 81000 | $12 | $4 | 290% | — | 15 |
| Urinalysis, manual, without microscopyCPT 81002 | $10 | $3 | 280% | — | 15 |
| X-ray, lower back, 4+ viewsCPT 72110 | $126 | $130 | 97% | — | 9 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $3,933 | $687 | 573% | — | 15 |