| Basic metabolic panelCPT 80048 | $25 | $8 | 295% | — | 8 |
| CT abdomen and pelvis with contrastCPT 74177 | $827 | $435 | 190% | — | 4 |
| CT head without contrastCPT 70450 | $246 | $130 | 188% | — | 4 |
| CT pelvis with contrastCPT 72193 | $529 | $219 | 242% | — | 4 |
| Cataract surgery with IOL insertionCPT 66984 | $7,169 | $2,881 | 249% | — | 10 |
| Colonoscopy with biopsyCPT 45380 | $6,077 | $1,494 | 407% | — | 10 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $6,077 | $1,494 | 407% | — | 10 |
| Colonoscopy with polyp removalCPT 45385 | $6,077 | $1,494 | 407% | — | 10 |
| Colonoscopy, diagnosticCPT 45378 | $6,077 | $1,161 | 523% | — | 10 |
| Complete blood count with differentialCPT 85025 | $23 | $8 | 295% | — | 8 |
| Complete blood count, automatedCPT 85027 | $19 | $6 | 295% | — | 8 |
| Comprehensive metabolic panelCPT 80053 | $31 | $11 | 295% | — | 8 |
| Diagnostic mammography, both breastsCPT 77066 | $432 | — | — | — | 12 |
| Diagnostic mammography, one breastCPT 77065 | $327 | — | — | — | 12 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $5,268 | $1,104 | 477% | — | 8 |
| Excision of breast lesionCPT 19120 | $6,867 | $4,888 | 140% | — | 10 |
| Inguinal hernia repair, age 5+CPT 49505 | $7,435 | $4,469 | 166% | — | 10 |
| Kidney function panelCPT 80069 | $26 | $9 | 295% | — | 8 |
| Knee arthroscopy with meniscectomyCPT 29881 | $7,435 | $4,084 | 182% | — | 10 |
| Laparoscopic cholecystectomyCPT 47562 | $8,790 | $7,547 | 116% | — | 10 |
| Laparoscopic radical prostatectomyCPT 55866 | $8,790 | $13,269 | 66% | — | 10 |
| Left heart catheterization, diagnosticCPT 93452 | $8,790 | $4,047 | 217% | — | 10 |
| Lipid panelCPT 80061 | $40 | $13 | 295% | — | 8 |
| Liver function panelCPT 80076 | $24 | $8 | 295% | — | 8 |
| Lumbar epidural steroid injectionCPT 62323 | $5,268 | $881 | 598% | — | 8 |
| MRI brain with and without contrastCPT 70553 | $828 | $435 | 190% | — | 4 |
| MRI lower extremity joint (knee)CPT 73721 | $526 | $298 | 177% | — | 4 |
| MRI lumbar spine without contrastCPT 72148 | $488 | $298 | 164% | — | 4 |
| OB ultrasound, 14+ weeksCPT 76805 | $279 | $130 | 214% | — | 4 |
| Obstetric blood test panelCPT 80055 | $141 | $48 | 295% | — | 8 |
| PSA (prostate specific antigen), totalCPT 84153 | $54 | $18 | 295% | — | 8 |
| Partial thromboplastin timeCPT 85730 | $18 | $6 | 295% | — | 8 |
| Physical therapy, therapeutic exerciseCPT 97110 | $117 | — | — | — | 8 |
| Prostate biopsyCPT 55700 | $6,077 | — | — | — | 10 |
| Prothrombin timeCPT 85610 | $13 | $4 | 295% | — | 8 |
| Screening mammography, bilateralCPT 77067 | $346 | — | — | — | 12 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $5,775 | — | — | — | 10 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $50 | $17 | 295% | — | 8 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $6,867 | $7,390 | 93% | — | 10 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $4,384 | $1,104 | 397% | — | 10 |
| Ultrasound, abdomen, completeCPT 76700 | $263 | $130 | 201% | — | 4 |
| Ultrasound, transvaginalCPT 76830 | $276 | $130 | 211% | — | 4 |
| Upper GI endoscopy with biopsyCPT 43239 | $6,077 | $1,132 | 537% | — | 10 |
| Upper GI endoscopy, diagnosticCPT 43235 | $6,077 | $1,132 | 537% | — | 10 |
| Urinalysis, automated, with microscopyCPT 81001 | $9 | $3 | 295% | — | 8 |
| Urinalysis, automated, without microscopyCPT 81003 | $7 | $2 | 295% | — | 8 |
| Urinalysis, manual, with microscopyCPT 81000 | $12 | $4 | 295% | — | 8 |
| Urinalysis, manual, without microscopyCPT 81002 | $10 | $3 | 295% | — | 8 |
| X-ray, lower back, 4+ viewsCPT 72110 | $132 | $130 | 101% | — | 4 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $4,384 | $687 | 639% | — | 10 |