| Basic metabolic panelCPT 80048 | $78 | $8 | 923% | — | 8 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,598 | $356 | 448% | — | 8 |
| CT head without contrastCPT 70450 | $1,416 | $107 | 1325% | — | 8 |
| CT pelvis with contrastCPT 72193 | $1,922 | $179 | 1072% | — | 8 |
| Cardiac stress testCPT 93017 | $615 | $221 | 279% | — | 8 |
| Colonoscopy with biopsyCPT 45380 | $1,005 | $1,223 | 82% | — | 8 |
| Colonoscopy with polyp removalCPT 45385 | $1,142 | $1,223 | 93% | — | 8 |
| Colonoscopy, diagnosticCPT 45378 | $912 | $950 | 96% | — | 8 |
| Complete blood count with differentialCPT 85025 | $62 | $8 | 800% | — | 8 |
| Complete blood count, automatedCPT 85027 | $48 | $6 | 743% | — | 8 |
| Comprehensive metabolic panelCPT 80053 | $123 | $11 | 1167% | — | 8 |
| Diagnostic mammography, both breastsCPT 77066 | $386 | — | — | — | 8 |
| Diagnostic mammography, one breastCPT 77065 | $338 | — | — | — | 8 |
| ED visit, level 3CPT 99283 | $270 | $279 | 97% | — | 8 |
| ED visit, level 4CPT 99284 | $367 | $426 | 86% | — | 8 |
| ED visit, level 5CPT 99285 | $590 | $608 | 97% | — | 8 |
| Echocardiogram, completeCPT 93306 | $1,082 | $558 | 194% | — | 8 |
| Electrocardiogram with interpretationCPT 93000 | $151 | — | — | — | 8 |
| Excision of breast lesionCPT 19120 | $2,161 | $4,000 | 54% | — | 8 |
| Inguinal hernia repair, age 5+CPT 49505 | $868 | $3,658 | 24% | — | 8 |
| Kidney function panelCPT 80069 | $88 | $9 | 1009% | — | 8 |
| Knee arthroscopy with meniscectomyCPT 29881 | $957 | $3,343 | 29% | — | 8 |
| Laparoscopic cholecystectomyCPT 47562 | $1,109 | $6,176 | 18% | — | 8 |
| Lipid panelCPT 80061 | $96 | $13 | 718% | — | 8 |
| Liver function panelCPT 80076 | $76 | $8 | 936% | — | 8 |
| MRI brain with and without contrastCPT 70553 | $3,350 | $356 | 940% | — | 8 |
| MRI lower extremity joint (knee)CPT 73721 | $2,397 | $244 | 983% | — | 8 |
| MRI lumbar spine without contrastCPT 72148 | $2,511 | $244 | 1030% | — | 8 |
| OB global care, VBAC deliveryCPT 59610 | $2,504 | — | — | — | 8 |
| OB global care, cesarean deliveryCPT 59510 | $4,669 | — | — | — | 8 |
| OB global care, vaginal deliveryCPT 59400 | $4,141 | — | — | — | 8 |
| OB ultrasound, 14+ weeksCPT 76805 | $540 | $107 | 506% | — | 8 |
| Obstetric blood test panelCPT 80055 | $168 | $48 | 351% | — | 8 |
| Office consultation, comprehensiveCPT 99244 | $256 | — | — | — | 8 |
| Office consultation, moderateCPT 99243 | $165 | — | — | — | 8 |
| Office visit, established patient, level 3CPT 99213 | $88 | — | — | — | 8 |
| Office visit, established patient, level 4CPT 99214 | $157 | — | — | — | 8 |
| Office visit, new patient, level 3CPT 99203 | $150 | — | — | — | 8 |
| Office visit, new patient, level 4CPT 99204 | $212 | — | — | — | 8 |
| Office visit, new patient, level 5CPT 99205 | $262 | — | — | — | 8 |
| PSA (prostate specific antigen), totalCPT 84153 | $28 | $18 | 150% | — | 8 |
| Partial thromboplastin timeCPT 85730 | $40 | $6 | 672% | — | 8 |
| Physical therapy, therapeutic exerciseCPT 97110 | $94 | — | — | — | 8 |
| Preventive visit, new patient, 18-39CPT 99385 | $219 | — | — | — | 8 |
| Preventive visit, new patient, 40-64CPT 99386 | $236 | — | — | — | 8 |
| Prothrombin timeCPT 85610 | $34 | $4 | 798% | — | 8 |
| Screening mammography, bilateralCPT 77067 | $397 | — | — | — | 8 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $530 | — | — | — | 8 |
| Sleep study (polysomnography)CPT 95810 | $1,263 | $877 | 144% | — | 8 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $155 | $17 | 920% | — | 8 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $692 | $6,048 | 11% | — | 8 |
| Ultrasound, abdomen, completeCPT 76700 | $558 | $107 | 522% | — | 8 |
| Ultrasound, transvaginalCPT 76830 | $461 | $107 | 432% | — | 8 |
| Upper GI endoscopy with biopsyCPT 43239 | $706 | $927 | 76% | — | 8 |
| Upper GI endoscopy, diagnosticCPT 43235 | $646 | $927 | 70% | — | 8 |
| Urinalysis, automated, with microscopyCPT 81001 | $37 | $3 | 1156% | — | 8 |
| Urinalysis, automated, without microscopyCPT 81003 | $31 | $2 | 1392% | — | 8 |
| Urinalysis, manual, with microscopyCPT 81000 | $31 | $4 | 779% | — | 8 |
| Urinalysis, manual, without microscopyCPT 81002 | $31 | $3 | 900% | — | 8 |
| X-ray, lower back, 4+ viewsCPT 72110 | $382 | $107 | 357% | — | 8 |