| Basic metabolic panelCPT 80048 | $8 | $8 | 97% | — | 19 |
| CT abdomen and pelvis with contrastCPT 74177 | $461 | $435 | 106% | — | 18 |
| CT head without contrastCPT 70450 | $150 | $130 | 115% | — | 19 |
| CT pelvis with contrastCPT 72193 | $292 | $219 | 133% | — | 19 |
| Cardiac stress testCPT 93017 | $309 | $270 | 115% | — | 15 |
| Cataract surgery with IOL insertionCPT 66984 | $2,579 | $2,881 | 90% | — | 15 |
| Colonoscopy with biopsyCPT 45380 | $1,449 | $1,494 | 97% | — | 15 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $1,474 | $1,494 | 99% | — | 14 |
| Colonoscopy with polyp removalCPT 45385 | $1,449 | $1,494 | 97% | — | 15 |
| Colonoscopy, diagnosticCPT 45378 | $1,165 | $1,161 | 100% | — | 15 |
| Complete blood count with differentialCPT 85025 | $8 | $8 | 97% | — | 19 |
| Complete blood count, automatedCPT 85027 | $6 | $6 | 97% | — | 19 |
| Comprehensive metabolic panelCPT 80053 | $10 | $11 | 97% | — | 19 |
| Diagnostic mammography, both breastsCPT 77066 | $134 | — | — | — | 18 |
| Diagnostic mammography, one breastCPT 77065 | $105 | — | — | — | 18 |
| ED visit, level 3CPT 99283 | $331 | $341 | 97% | — | 13 |
| ED visit, level 4CPT 99284 | $505 | $521 | 97% | — | 13 |
| ED visit, level 5CPT 99285 | $721 | $743 | 97% | — | 13 |
| Echocardiogram, completeCPT 93306 | $810 | $682 | 119% | — | 14 |
| Electrocardiogram with interpretationCPT 93000 | $122 | — | — | — | 7 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,090 | $1,104 | 99% | — | 14 |
| Excision of breast lesionCPT 19120 | $4,375 | $4,888 | 90% | — | 15 |
| Family psychotherapy, with patientCPT 90847 | $215 | $222 | 97% | — | 13 |
| Family psychotherapy, without patientCPT 90846 | $215 | $222 | 97% | — | 13 |
| Group psychotherapyCPT 90853 | $127 | $127 | 100% | — | 13 |
| Inguinal hernia repair, age 5+CPT 49505 | $4,001 | $4,469 | 90% | — | 15 |
| Kidney function panelCPT 80069 | $8 | $9 | 97% | — | 19 |
| Knee arthroscopy with meniscectomyCPT 29881 | $3,656 | $4,084 | 90% | — | 15 |
| Laparoscopic cholecystectomyCPT 47562 | $6,755 | $7,547 | 90% | — | 15 |
| Laparoscopic radical prostatectomyCPT 55866 | $12,374 | $13,269 | 93% | — | 14 |
| Left heart catheterization, diagnosticCPT 93452 | $3,925 | $4,047 | 97% | — | 13 |
| Lipid panelCPT 80061 | $16 | $13 | 121% | — | 19 |
| Liver function panelCPT 80076 | $8 | $8 | 97% | — | 19 |
| Lumbar epidural steroid injectionCPT 62323 | $870 | $881 | 99% | — | 14 |
| MRI brain with and without contrastCPT 70553 | $499 | $435 | 115% | — | 19 |
| MRI lower extremity joint (knee)CPT 73721 | $341 | $298 | 115% | — | 19 |
| MRI lumbar spine without contrastCPT 72148 | $341 | $298 | 115% | — | 19 |
| OB global care, VBAC deliveryCPT 59610 | $1,618 | — | — | — | 3 |
| OB global care, cesarean deliveryCPT 59510 | $1,695 | — | — | — | 3 |
| OB global care, vaginal deliveryCPT 59400 | $1,560 | — | — | — | 3 |
| OB ultrasound, 14+ weeksCPT 76805 | $150 | $130 | 115% | — | 19 |
| Obstetric blood test panelCPT 80055 | $54 | $48 | 113% | — | 19 |
| Office consultation, comprehensiveCPT 99244 | $182 | — | — | — | 3 |
| Office consultation, moderateCPT 99243 | $113 | — | — | — | 3 |
| Office visit, established patient, level 3CPT 99213 | $68 | — | — | — | 3 |
| Office visit, established patient, level 4CPT 99214 | $100 | — | — | — | 3 |
| Office visit, new patient, level 3CPT 99203 | $84 | — | — | — | 3 |
| Office visit, new patient, level 4CPT 99204 | $136 | — | — | — | 3 |
| Office visit, new patient, level 5CPT 99205 | $185 | — | — | — | 3 |
| PSA (prostate specific antigen), totalCPT 84153 | $18 | $18 | 97% | — | 19 |
| Partial thromboplastin timeCPT 85730 | $6 | $6 | 97% | — | 19 |
| Physical therapy, therapeutic exerciseCPT 97110 | $32 | — | — | — | 13 |
| Preventive visit, new patient, 18-39CPT 99385 | $92 | — | — | — | 3 |
| Preventive visit, new patient, 40-64CPT 99386 | $112 | — | — | — | 3 |
| Prostate biopsyCPT 55700 | $1,082 | — | — | — | 5 |
| Prothrombin timeCPT 85610 | $4 | $4 | 97% | — | 19 |
| Psychotherapy, 30 minutesCPT 90832 | $219 | $222 | 99% | — | 12 |
| Psychotherapy, 45 minutesCPT 90834 | $219 | $222 | 99% | — | 12 |
| Psychotherapy, 60 minutesCPT 90837 | $219 | $222 | 99% | — | 12 |
| Screening mammography, bilateralCPT 77067 | $111 | — | — | — | 18 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $1,096 | — | — | — | 5 |
| Sleep study (polysomnography)CPT 95810 | $1,228 | $1,072 | 115% | — | 15 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $16 | $17 | 97% | — | 19 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $6,614 | $7,390 | 90% | — | 15 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,071 | $1,104 | 97% | — | 15 |
| Ultrasound, abdomen, completeCPT 76700 | $150 | $130 | 115% | — | 19 |
| Ultrasound, transvaginalCPT 76830 | $150 | $130 | 115% | — | 19 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,128 | $1,132 | 100% | — | 15 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,098 | $1,132 | 97% | — | 15 |
| Urinalysis, automated, with microscopyCPT 81001 | $3 | $3 | 97% | — | 19 |
| Urinalysis, automated, without microscopyCPT 81003 | $2 | $2 | 97% | — | 19 |
| Urinalysis, manual, with microscopyCPT 81000 | $4 | $4 | 95% | — | 19 |
| Urinalysis, manual, without microscopyCPT 81002 | $3 | $3 | 97% | — | 19 |
| X-ray, lower back, 4+ viewsCPT 72110 | $127 | $130 | 97% | — | 19 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $959 | $687 | 140% | — | 15 |