| Basic metabolic panelCPT 80048 | $18 | $8 | 207% | ~$76 | 24 |
| CT abdomen and pelvis with contrastCPT 74177 | $399 | $435 | 92% | ~$1,153 | 25 |
| CT head without contrastCPT 70450 | $254 | $130 | 195% | ~$1,016 | 25 |
| CT pelvis with contrastCPT 72193 | $357 | $219 | 163% | ~$1,157 | 25 |
| Cardiac stress testCPT 93017 | $250 | $270 | 93% | $134 | 25 |
| Cataract surgery with IOL insertionCPT 66984 | $2,457 | $2,881 | 85% | $201 | 18 |
| Colonoscopy with biopsyCPT 45380 | $1,270 | $1,494 | 85% | $218 | 18 |
| Colonoscopy with polyp removalCPT 45385 | $1,270 | $1,494 | 85% | $102 | 18 |
| Colonoscopy, diagnosticCPT 45378 | $982 | $1,161 | 85% | $128 | 18 |
| Complete blood count with differentialCPT 85025 | $16 | $8 | 207% | ~$19 | 24 |
| Complete blood count, automatedCPT 85027 | $13 | $6 | 207% | ~$32 | 24 |
| Comprehensive metabolic panelCPT 80053 | $22 | $11 | 207% | ~$112 | 24 |
| Diagnostic mammography, both breastsCPT 77066 | $170 | — | — | ~$148 | 25 |
| Diagnostic mammography, one breastCPT 77065 | $147 | — | — | ~$125 | 25 |
| ED visit, level 3CPT 99283 | $298 | $341 | 88% | $110 | 21 |
| ED visit, level 4CPT 99284 | $459 | $521 | 88% | $176 | 21 |
| ED visit, level 5CPT 99285 | $660 | $743 | 89% | $218 | 21 |
| Echocardiogram, completeCPT 93306 | $550 | $682 | 81% | $43 | 25 |
| Electrocardiogram with interpretationCPT 93000 | $25 | — | — | $78 | 25 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $698 | $1,104 | 63% | $373 | 21 |
| Excision of breast lesionCPT 19120 | $3,317 | $4,888 | 68% | $148 | 18 |
| Inguinal hernia repair, age 5+CPT 49505 | $3,802 | $4,469 | 85% | $162 | 18 |
| Kidney function panelCPT 80069 | $18 | $9 | 207% | ~$284 | 24 |
| Knee arthroscopy with meniscectomyCPT 29881 | $3,495 | $4,084 | 86% | $185 | 18 |
| Laparoscopic cholecystectomyCPT 47562 | $5,584 | $7,547 | 74% | $230 | 18 |
| Lipid panelCPT 80061 | $25 | $13 | 190% | ~$93 | 25 |
| Liver function panelCPT 80076 | $17 | $8 | 207% | ~$55 | 24 |
| Lumbar epidural steroid injectionCPT 62323 | $746 | $881 | 85% | $606 | 21 |
| MRI brain with and without contrastCPT 70553 | $644 | $435 | 148% | ~$1,543 | 25 |
| MRI lower extremity joint (knee)CPT 73721 | $500 | $298 | 168% | ~$1,733 | 25 |
| MRI lumbar spine without contrastCPT 72148 | $500 | $298 | 168% | ~$1,171 | 25 |
| OB ultrasound, 14+ weeksCPT 76805 | $148 | $130 | 113% | ~$350 | 25 |
| Obstetric blood test panelCPT 80055 | $86 | $48 | 180% | ~$82 | 20 |
| Office consultation, comprehensiveCPT 99244 | $218 | — | — | $175 | 12 |
| Office consultation, moderateCPT 99243 | $161 | — | — | $123 | 12 |
| Office visit, established patient, level 3CPT 99213 | $139 | — | — | $103 | 21 |
| Office visit, established patient, level 4CPT 99214 | $156 | — | — | $133 | 21 |
| Office visit, new patient, level 3CPT 99203 | $155 | — | — | $132 | 21 |
| Office visit, new patient, level 4CPT 99204 | $199 | — | — | $176 | 21 |
| Office visit, new patient, level 5CPT 99205 | $257 | — | — | $247 | 20 |
| PSA (prostate specific antigen), totalCPT 84153 | $35 | $18 | 189% | ~$57 | 24 |
| Partial thromboplastin timeCPT 85730 | $12 | $6 | 207% | ~$33 | 24 |
| Physical therapy, therapeutic exerciseCPT 97110 | $53 | — | — | $64 | 25 |
| Prostate biopsyCPT 55700 | $2,207 | — | — | $1,513 | 21 |
| Prothrombin timeCPT 85610 | $9 | $4 | 207% | ~$28 | 24 |
| Psychotherapy, 30 minutesCPT 90832 | $173 | $222 | 78% | $92 | 16 |
| Psychotherapy, 45 minutesCPT 90834 | $176 | $222 | 80% | $156 | 16 |
| Psychotherapy, 60 minutesCPT 90837 | $176 | $222 | 80% | $190 | 16 |
| Screening mammography, bilateralCPT 77067 | $147 | — | — | ~$125 | 25 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $1,700 | — | — | $186 | 10 |
| Sleep study (polysomnography)CPT 95810 | $1,136 | $1,072 | 106% | $2,030 | 22 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $35 | $17 | 207% | ~$43 | 24 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $698 | $1,104 | 63% | $373 | 21 |
| Ultrasound, abdomen, completeCPT 76700 | $254 | $130 | 195% | ~$605 | 25 |
| Ultrasound, transvaginalCPT 76830 | $167 | $130 | 128% | ~$365 | 25 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,010 | $1,132 | 89% | $218 | 18 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,010 | $1,132 | 89% | $87 | 18 |
| Urinalysis, automated, with microscopyCPT 81001 | $7 | $3 | 207% | ~$32 | 24 |
| Urinalysis, automated, without microscopyCPT 81003 | $5 | $2 | 207% | ~$16 | 24 |
| Urinalysis, manual, without microscopyCPT 81002 | $7 | $3 | 207% | ~$23 | 24 |
| X-ray, lower back, 4+ viewsCPT 72110 | $115 | $130 | 88% | ~$258 | 25 |