| Basic metabolic panelCPT 80048 | $181 | $8 | 2137% | — | 16 |
| CT abdomen and pelvis with contrastCPT 74177 | $3,017 | $356 | 846% | — | 18 |
| CT head without contrastCPT 70450 | $1,665 | $107 | 1559% | — | 18 |
| CT pelvis with contrastCPT 72193 | $3,017 | $179 | 1683% | — | 18 |
| Cardiac stress testCPT 93017 | $1,089 | $221 | 494% | — | 16 |
| Colonoscopy with biopsyCPT 45380 | $2,538 | $1,223 | 208% | — | 16 |
| Colonoscopy with polyp removalCPT 45385 | $2,384 | $1,223 | 195% | — | 16 |
| Colonoscopy, diagnosticCPT 45378 | $2,270 | $950 | 239% | — | 16 |
| Complete blood count with differentialCPT 85025 | $94 | $8 | 1205% | — | 16 |
| Complete blood count, automatedCPT 85027 | $80 | $6 | 1236% | — | 16 |
| Comprehensive metabolic panelCPT 80053 | $230 | $11 | 2182% | — | 16 |
| Diagnostic mammography, both breastsCPT 77066 | $517 | — | — | — | 18 |
| Diagnostic mammography, one breastCPT 77065 | $425 | — | — | — | 18 |
| ED visit, level 3CPT 99283 | $598 | $279 | 215% | — | 16 |
| ED visit, level 4CPT 99284 | $961 | $426 | 225% | — | 16 |
| ED visit, level 5CPT 99285 | $1,509 | $608 | 248% | — | 16 |
| Echocardiogram, completeCPT 93306 | $2,271 | $558 | 407% | — | 16 |
| Kidney function panelCPT 80069 | $233 | $9 | 2682% | — | 16 |
| Lipid panelCPT 80061 | $198 | $13 | 1476% | — | 16 |
| Liver function panelCPT 80076 | $294 | $8 | 3603% | — | 16 |
| MRI brain with and without contrastCPT 70553 | $5,551 | $356 | 1557% | — | 18 |
| MRI lower extremity joint (knee)CPT 73721 | $3,326 | $244 | 1364% | — | 18 |
| MRI lumbar spine without contrastCPT 72148 | $3,028 | $244 | 1242% | — | 18 |
| PSA (prostate specific antigen), totalCPT 84153 | $291 | $18 | 1583% | — | 16 |
| Partial thromboplastin timeCPT 85730 | $128 | $6 | 2130% | — | 16 |
| Physical therapy, therapeutic exerciseCPT 97110 | $108 | — | — | — | 19 |
| Prothrombin timeCPT 85610 | $74 | $4 | 1716% | — | 16 |
| Screening mammography, bilateralCPT 77067 | $491 | — | — | — | 18 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $234 | $17 | 1390% | — | 16 |
| Ultrasound, abdomen, completeCPT 76700 | $1,103 | $107 | 1033% | — | 18 |
| Ultrasound, transvaginalCPT 76830 | $968 | $107 | 907% | — | 18 |
| Upper GI endoscopy with biopsyCPT 43239 | $2,623 | $927 | 283% | — | 16 |
| Upper GI endoscopy, diagnosticCPT 43235 | $2,504 | $927 | 270% | — | 16 |
| Urinalysis, automated, with microscopyCPT 81001 | $94 | $3 | 2978% | — | 16 |
| Urinalysis, automated, without microscopyCPT 81003 | $55 | $2 | 2453% | — | 16 |
| Urinalysis, manual, without microscopyCPT 81002 | $69 | $3 | 1977% | — | 16 |
| X-ray, lower back, 4+ viewsCPT 72110 | $847 | $107 | 793% | — | 18 |