| Basic metabolic panelCPT 80048 | $29 | $8 | 348% | ~$21 | 16 |
| CT abdomen and pelvis with contrastCPT 74177 | $446 | $435 | 102% | ~$1,231 | 24 |
| CT head without contrastCPT 70450 | $355 | $130 | 272% | ~$507 | 24 |
| CT pelvis with contrastCPT 72193 | $423 | $219 | 193% | ~$767 | 24 |
| Cardiac stress testCPT 93017 | $267 | $270 | 99% | $356 | 24 |
| Colonoscopy with biopsyCPT 45380 | $1,494 | $1,494 | 100% | $1,698 | 21 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $1,356 | $1,494 | 91% | $1,114 | 21 |
| Colonoscopy with polyp removalCPT 45385 | $1,425 | $1,494 | 95% | $1,171 | 21 |
| Colonoscopy, diagnosticCPT 45378 | $1,161 | $1,161 | 100% | $1,291 | 21 |
| Complete blood count with differentialCPT 85025 | $20 | $8 | 257% | ~$20 | 16 |
| Complete blood count, automatedCPT 85027 | $35 | $6 | 534% | ~$35 | 16 |
| Comprehensive metabolic panelCPT 80053 | $32 | $11 | 307% | ~$27 | 16 |
| Diagnostic mammography, both breastsCPT 77066 | $132 | — | — | ~$176 | 24 |
| Diagnostic mammography, one breastCPT 77065 | $122 | — | — | ~$136 | 24 |
| ED visit, level 3CPT 99283 | $341 | $341 | 100% | $300 | 21 |
| ED visit, level 4CPT 99284 | $521 | $521 | 100% | $436 | 21 |
| ED visit, level 5CPT 99285 | $527 | $743 | 71% | $433 | 21 |
| Echocardiogram, completeCPT 93306 | $261 | $682 | 38% | $121 | 24 |
| Electrocardiogram with interpretationCPT 93000 | $42 | — | — | $37 | 22 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $743 | $1,104 | 67% | $992 | 21 |
| Excision of breast lesionCPT 19120 | $1,425 | $4,888 | 29% | $428 | 21 |
| Family psychotherapy, with patientCPT 90847 | $210 | $222 | 95% | $152 | 23 |
| Family psychotherapy, without patientCPT 90846 | $125 | $222 | 56% | $134 | 23 |
| Inguinal hernia repair, age 5+CPT 49505 | $2,298 | $4,469 | 51% | $1,888 | 21 |
| Knee arthroscopy with meniscectomyCPT 29881 | $2,044 | $4,084 | 50% | $1,679 | 21 |
| Laparoscopic cholecystectomyCPT 47562 | $3,216 | $7,547 | 43% | $2,937 | 21 |
| Laparoscopic radical prostatectomyCPT 55866 | $3,147 | $13,269 | 24% | $1,921 | 21 |
| Lipid panelCPT 80061 | $32 | $13 | 237% | ~$35 | 17 |
| Liver function panelCPT 80076 | $29 | $8 | 360% | ~$21 | 16 |
| Lumbar epidural steroid injectionCPT 62323 | $881 | $881 | 100% | $738 | 21 |
| MRI brain with and without contrastCPT 70553 | $714 | $435 | 164% | ~$1,819 | 24 |
| MRI lower extremity joint (knee)CPT 73721 | $527 | $298 | 177% | ~$1,003 | 24 |
| MRI lumbar spine without contrastCPT 72148 | $527 | $298 | 177% | ~$1,003 | 24 |
| OB global care, cesarean deliveryCPT 59510 | $3,122 | — | — | $2,121 | 10 |
| OB ultrasound, 14+ weeksCPT 76805 | $166 | $130 | 127% | ~$257 | 24 |
| Office consultation, comprehensiveCPT 99244 | $134 | — | — | $130 | 18 |
| Office consultation, moderateCPT 99243 | $128 | — | — | $96 | 18 |
| Office visit, established patient, level 3CPT 99213 | $123 | — | — | $89 | 20 |
| Office visit, established patient, level 4CPT 99214 | $134 | — | — | $116 | 20 |
| Office visit, new patient, level 3CPT 99203 | $128 | — | — | $98 | 20 |
| Office visit, new patient, level 4CPT 99204 | $135 | — | — | $131 | 20 |
| Office visit, new patient, level 5CPT 99205 | $155 | — | — | $169 | 20 |
| PSA (prostate specific antigen), totalCPT 84153 | $33 | $18 | 177% | ~$33 | 16 |
| Partial thromboplastin timeCPT 85730 | $22 | $6 | 358% | ~$22 | 16 |
| Physical therapy, therapeutic exerciseCPT 97110 | $39 | — | — | $60 | 24 |
| Preventive visit, new patient, 18-39CPT 99385 | $123 | — | — | $87 | 20 |
| Preventive visit, new patient, 40-64CPT 99386 | $130 | — | — | $106 | 20 |
| Prostate biopsyCPT 55700 | $2,094 | — | — | $2,147 | 18 |
| Prothrombin timeCPT 85610 | $21 | $4 | 486% | ~$21 | 16 |
| Psychotherapy, 30 minutesCPT 90832 | $122 | $222 | 55% | $91 | 23 |
| Psychotherapy, 45 minutesCPT 90834 | $138 | $222 | 62% | $28 | 23 |
| Psychotherapy, 60 minutesCPT 90837 | $166 | $222 | 75% | $182 | 23 |
| Screening mammography, bilateralCPT 77067 | $122 | — | — | ~$96 | 24 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $994 | — | — | $178 | 18 |
| Sleep study (polysomnography)CPT 95810 | $1,168 | $1,072 | 109% | $1,559 | 21 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $32 | $17 | 189% | ~$27 | 16 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $3,961 | $7,390 | 54% | $5,288 | 21 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,104 | $1,104 | 100% | $1,457 | 21 |
| Ultrasound, abdomen, completeCPT 76700 | $631 | $130 | 483% | ~$493 | 24 |
| Ultrasound, transvaginalCPT 76830 | $164 | $130 | 126% | ~$223 | 24 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,132 | $1,132 | 100% | $1,273 | 21 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,132 | $1,132 | 100% | $1,131 | 21 |
| Urinalysis, automated, with microscopyCPT 81001 | $13 | $3 | 409% | ~$11 | 16 |
| Urinalysis, automated, without microscopyCPT 81003 | $16 | $2 | 692% | ~$15 | 16 |
| Urinalysis, manual, without microscopyCPT 81002 | $13 | $3 | 373% | ~$11 | 16 |
| X-ray, lower back, 4+ viewsCPT 72110 | $251 | $130 | 192% | ~$274 | 18 |