| Basic metabolic panelCPT 80048 | $86 | $8 | 1013% | — | 2 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,815 | $356 | 509% | — | 3 |
| CT head without contrastCPT 70450 | $544 | $107 | 509% | — | 3 |
| CT pelvis with contrastCPT 72193 | $913 | $179 | 509% | — | 3 |
| Cardiac stress testCPT 93017 | $298 | $221 | 135% | — | 3 |
| Colonoscopy with biopsyCPT 45380 | $3,096 | $1,223 | 253% | — | 3 |
| Colonoscopy with polyp removalCPT 45385 | $1,650 | $1,223 | 135% | — | 3 |
| Colonoscopy, diagnosticCPT 45378 | $1,283 | $950 | 135% | — | 3 |
| Complete blood count with differentialCPT 85025 | $46 | $8 | 587% | — | 2 |
| Complete blood count, automatedCPT 85027 | $42 | $6 | 656% | — | 2 |
| Comprehensive metabolic panelCPT 80053 | $100 | $11 | 950% | — | 2 |
| Diagnostic mammography, both breastsCPT 77066 | $188 | — | — | — | 1 |
| ED visit, level 3CPT 99283 | $378 | $279 | 136% | — | 3 |
| ED visit, level 4CPT 99284 | $576 | $426 | 135% | — | 3 |
| ED visit, level 5CPT 99285 | $911 | $608 | 150% | — | 3 |
| Echocardiogram, completeCPT 93306 | $800 | $558 | 143% | — | 3 |
| Electrocardiogram with interpretationCPT 93000 | $140 | — | — | — | 1 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,722 | $904 | 191% | — | 3 |
| Excision of breast lesionCPT 19120 | $5,400 | $4,000 | 135% | — | 3 |
| Family psychotherapy, with patientCPT 90847 | $245 | $181 | 135% | — | 3 |
| Family psychotherapy, without patientCPT 90846 | $245 | $181 | 135% | — | 3 |
| Group psychotherapyCPT 90853 | $256 | $104 | 247% | — | 3 |
| Inguinal hernia repair, age 5+CPT 49505 | $4,938 | $3,658 | 135% | — | 3 |
| Kidney function panelCPT 80069 | $106 | $9 | 1220% | — | 2 |
| Knee arthroscopy with meniscectomyCPT 29881 | $4,513 | $3,343 | 135% | — | 3 |
| Laparoscopic cholecystectomyCPT 47562 | $8,338 | $6,176 | 135% | — | 3 |
| Lipid panelCPT 80061 | $116 | $13 | 865% | — | 2 |
| Liver function panelCPT 80076 | $89 | $8 | 1086% | — | 2 |
| Lumbar epidural steroid injectionCPT 62323 | $974 | $721 | 135% | — | 3 |
| MRI brain with and without contrastCPT 70553 | $1,815 | $356 | 509% | — | 3 |
| MRI lower extremity joint (knee)CPT 73721 | $1,241 | $244 | 509% | — | 3 |
| MRI lumbar spine without contrastCPT 72148 | $1,241 | $244 | 509% | — | 3 |
| OB global care, VBAC deliveryCPT 59610 | $3,917 | — | — | — | 1 |
| OB global care, cesarean deliveryCPT 59510 | $4,435 | — | — | — | 1 |
| OB global care, vaginal deliveryCPT 59400 | $4,926 | — | — | — | 1 |
| OB ultrasound, 14+ weeksCPT 76805 | $233 | $107 | 218% | — | 3 |
| Obstetric blood test panelCPT 80055 | $86 | $48 | 180% | — | 2 |
| Office consultation, comprehensiveCPT 99244 | $348 | — | — | — | 1 |
| Office consultation, moderateCPT 99243 | $268 | — | — | — | 1 |
| Office visit, established patient, level 3CPT 99213 | $140 | — | — | — | 1 |
| Office visit, established patient, level 4CPT 99214 | $188 | — | — | — | 1 |
| Office visit, new patient, level 3CPT 99203 | $183 | — | — | — | 1 |
| Office visit, new patient, level 4CPT 99204 | $263 | — | — | — | 1 |
| Office visit, new patient, level 5CPT 99205 | $343 | — | — | — | 1 |
| PSA (prostate specific antigen), totalCPT 84153 | $47 | $18 | 255% | — | 2 |
| Partial thromboplastin timeCPT 85730 | $22 | $6 | 368% | — | 2 |
| Physical therapy, therapeutic exerciseCPT 97110 | $48 | — | — | — | 1 |
| Preventive visit, new patient, 18-39CPT 99385 | $215 | — | — | — | 1 |
| Preventive visit, new patient, 40-64CPT 99386 | $240 | — | — | — | 1 |
| Prothrombin timeCPT 85610 | $17 | $4 | 403% | — | 2 |
| Psychotherapy, 30 minutesCPT 90832 | $245 | $181 | 135% | — | 3 |
| Psychotherapy, 45 minutesCPT 90834 | $245 | $181 | 135% | — | 3 |
| Psychotherapy, 60 minutesCPT 90837 | $245 | $181 | 135% | — | 3 |
| Screening mammography, bilateralCPT 77067 | $156 | — | — | — | 1 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $3,214 | — | — | — | 1 |
| Sleep study (polysomnography)CPT 95810 | $1,184 | $877 | 135% | — | 3 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $77 | $17 | 458% | — | 2 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $8,165 | $6,048 | 135% | — | 3 |
| Ultrasound, abdomen, completeCPT 76700 | $425 | $107 | 398% | — | 3 |
| Ultrasound, transvaginalCPT 76830 | $347 | $107 | 325% | — | 3 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,251 | $927 | 135% | — | 3 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,251 | $927 | 135% | — | 3 |
| Urinalysis, automated, with microscopyCPT 81001 | $16 | $3 | 519% | — | 2 |
| Urinalysis, automated, without microscopyCPT 81003 | $11 | $2 | 474% | — | 2 |
| Urinalysis, manual, with microscopyCPT 81000 | $14 | $4 | 359% | — | 2 |
| Urinalysis, manual, without microscopyCPT 81002 | $10 | $3 | 283% | — | 2 |
| X-ray, lower back, 4+ viewsCPT 72110 | $363 | $107 | 340% | — | 3 |