| Basic metabolic panelCPT 80048 | $7 | $8 | 87% | ~$10 | 41 |
| CT abdomen and pelvis with contrastCPT 74177 | $244 | $435 | 56% | ~$204 | 32 |
| CT head without contrastCPT 70450 | $73 | $130 | 56% | ~$43 | 40 |
| CT pelvis with contrastCPT 72193 | $176 | $219 | 81% | ~$408 | 32 |
| Cardiac stress testCPT 93017 | $30 | $270 | 11% | $351 | 32 |
| Colonoscopy with biopsyCPT 45380 | $406 | $1,494 | 27% | $224 | 20 |
| Colonoscopy with polyp removalCPT 45385 | $426 | $1,494 | 29% | $283 | 22 |
| Colonoscopy, diagnosticCPT 45378 | $319 | $1,161 | 27% | $206 | 18 |
| Complete blood count with differentialCPT 85025 | $6 | $8 | 81% | ~$8 | 41 |
| Complete blood count, automatedCPT 85027 | $6 | $6 | 85% | ~$8 | 41 |
| Comprehensive metabolic panelCPT 80053 | $10 | $11 | 96% | ~$14 | 41 |
| Diagnostic mammography, both breastsCPT 77066 | $105 | — | — | ~$184 | 41 |
| Diagnostic mammography, one breastCPT 77065 | $82 | — | — | ~$152 | 41 |
| ED visit, level 3CPT 99283 | $69 | $341 | 20% | $306 | 26 |
| ED visit, level 4CPT 99284 | $116 | $521 | 22% | $375 | 26 |
| ED visit, level 5CPT 99285 | $165 | $743 | 22% | $249 | 26 |
| Echocardiogram, completeCPT 93306 | $209 | $682 | 31% | $324 | 32 |
| Electrocardiogram with interpretationCPT 93000 | $15 | — | — | $84 | 32 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $846 | $1,104 | 77% | $132 | 8 |
| Excision of breast lesionCPT 19120 | $500 | $4,888 | 10% | $431 | 18 |
| Inguinal hernia repair, age 5+CPT 49505 | $572 | $4,469 | 13% | $550 | 18 |
| Kidney function panelCPT 80069 | $9 | $9 | 100% | ~$11 | 41 |
| Knee arthroscopy with meniscectomyCPT 29881 | $664 | $4,084 | 16% | $684 | 18 |
| Laparoscopic cholecystectomyCPT 47562 | $618 | $7,547 | 8% | $696 | 16 |
| Lipid panelCPT 80061 | $11 | $13 | 85% | ~$14 | 41 |
| Liver function panelCPT 80076 | $7 | $8 | 90% | ~$10 | 41 |
| MRI brain with and without contrastCPT 70553 | $303 | $435 | 70% | ~$413 | 32 |
| MRI lower extremity joint (knee)CPT 73721 | $300 | $298 | 101% | ~$270 | 32 |
| MRI lumbar spine without contrastCPT 72148 | $287 | $298 | 96% | ~$159 | 32 |
| OB ultrasound, 14+ weeksCPT 76805 | $87 | $130 | 66% | ~$103 | 32 |
| Office consultation, comprehensiveCPT 99244 | $232 | — | — | $137 | 4 |
| Office consultation, moderateCPT 99243 | $155 | — | — | $96 | 4 |
| Office visit, new patient, level 3CPT 99203 | $106 | — | — | $101 | 21 |
| Office visit, new patient, level 4CPT 99204 | $159 | — | — | $171 | 21 |
| Office visit, new patient, level 5CPT 99205 | $209 | — | — | $179 | 21 |
| PSA (prostate specific antigen), totalCPT 84153 | $18 | $18 | 100% | ~$24 | 41 |
| Partial thromboplastin timeCPT 85730 | $6 | $6 | 100% | ~$8 | 41 |
| Physical therapy, therapeutic exerciseCPT 97110 | $28 | — | — | $49 | 19 |
| Preventive visit, new patient, 18-39CPT 99385 | $78 | — | — | $64 | 11 |
| Preventive visit, new patient, 40-64CPT 99386 | $95 | — | — | $74 | 11 |
| Prothrombin timeCPT 85610 | $4 | $4 | 92% | ~$7 | 41 |
| Screening mammography, bilateralCPT 77067 | $87 | — | — | ~$102 | 41 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $196 | — | — | $204 | 22 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $14 | $17 | 85% | ~$22 | 41 |
| Ultrasound, abdomen, completeCPT 76700 | $87 | $130 | 66% | ~$79 | 32 |
| Ultrasound, transvaginalCPT 76830 | $87 | $130 | 66% | ~$79 | 32 |
| Upper GI endoscopy with biopsyCPT 43239 | $352 | $1,132 | 31% | $156 | 18 |
| Upper GI endoscopy, diagnosticCPT 43235 | $270 | $1,132 | 24% | $139 | 18 |
| Urinalysis, automated, with microscopyCPT 81001 | $3 | $3 | 100% | ~$8 | 41 |
| Urinalysis, manual, without microscopyCPT 81002 | $3 | $3 | 85% | ~$5 | 41 |
| X-ray, lower back, 4+ viewsCPT 72110 | $39 | $130 | 30% | ~$69 | 32 |