| Basic metabolic panelCPT 80048 | $14 | $8 | 168% | — | 5 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,182 | $343 | 345% | — | 3 |
| CT head without contrastCPT 70450 | $354 | $103 | 345% | — | 3 |
| CT pelvis with contrastCPT 72193 | $594 | $172 | 345% | — | 3 |
| Cardiac stress testCPT 93017 | $743 | $212 | 350% | — | 2 |
| Cataract surgery with IOL insertionCPT 66984 | $7,942 | $2,270 | 350% | — | 2 |
| Colonoscopy with biopsyCPT 45380 | $4,118 | $1,177 | 350% | — | 2 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $4,118 | $1,177 | 350% | — | 2 |
| Colonoscopy with polyp removalCPT 45385 | $4,118 | $1,177 | 350% | — | 2 |
| Colonoscopy, diagnosticCPT 45378 | $3,200 | $915 | 350% | — | 2 |
| Complete blood count with differentialCPT 85025 | $13 | $8 | 168% | — | 5 |
| Complete blood count, automatedCPT 85027 | $11 | $6 | 168% | — | 5 |
| Comprehensive metabolic panelCPT 80053 | $18 | $11 | 168% | — | 5 |
| Diagnostic mammography, both breastsCPT 77066 | $180 | — | — | — | 1 |
| Diagnostic mammography, one breastCPT 77065 | $143 | — | — | — | 1 |
| ED visit, level 3CPT 99283 | $939 | $268 | 350% | — | 2 |
| ED visit, level 4CPT 99284 | $1,436 | $410 | 350% | — | 2 |
| ED visit, level 5CPT 99285 | $2,050 | $586 | 350% | — | 2 |
| Echocardiogram, completeCPT 93306 | $1,880 | $537 | 350% | — | 2 |
| Excision of breast lesionCPT 19120 | $13,475 | $3,850 | 350% | — | 2 |
| Family psychotherapy, with patientCPT 90847 | $611 | $175 | 350% | — | 2 |
| Family psychotherapy, without patientCPT 90846 | $611 | $175 | 350% | — | 2 |
| Group psychotherapyCPT 90853 | $350 | $100 | 350% | — | 2 |
| Inguinal hernia repair, age 5+CPT 49505 | $12,322 | $3,521 | 350% | — | 2 |
| Kidney function panelCPT 80069 | $15 | $9 | 168% | — | 5 |
| Knee arthroscopy with meniscectomyCPT 29881 | $11,260 | $3,218 | 350% | — | 2 |
| Laparoscopic cholecystectomyCPT 47562 | $20,805 | $5,945 | 350% | — | 2 |
| Laparoscopic radical prostatectomyCPT 55866 | $36,582 | $10,453 | 350% | — | 2 |
| Left heart catheterization, diagnosticCPT 93452 | $11,157 | $3,188 | 350% | — | 2 |
| Lipid panelCPT 80061 | $28 | $13 | 211% | — | 5 |
| Liver function panelCPT 80076 | $14 | $8 | 168% | — | 5 |
| Lumbar epidural steroid injectionCPT 62323 | $2,429 | $694 | 350% | — | 2 |
| MRI brain with and without contrastCPT 70553 | $1,182 | $343 | 345% | — | 3 |
| MRI lower extremity joint (knee)CPT 73721 | $809 | $235 | 345% | — | 3 |
| MRI lumbar spine without contrastCPT 72148 | $809 | $235 | 345% | — | 3 |
| OB ultrasound, 14+ weeksCPT 76805 | $354 | $103 | 345% | — | 3 |
| Obstetric blood test panelCPT 80055 | $101 | $48 | 211% | — | 3 |
| PSA (prostate specific antigen), totalCPT 84153 | $31 | $18 | 168% | — | 5 |
| Partial thromboplastin timeCPT 85730 | $10 | $6 | 167% | — | 5 |
| Prothrombin timeCPT 85610 | $7 | $4 | 154% | — | 5 |
| Psychotherapy, 30 minutesCPT 90832 | $611 | $175 | 350% | — | 2 |
| Psychotherapy, 45 minutesCPT 90834 | $611 | $175 | 350% | — | 2 |
| Psychotherapy, 60 minutesCPT 90837 | $611 | $175 | 350% | — | 2 |
| Screening mammography, bilateralCPT 77067 | $153 | — | — | — | 1 |
| Sleep study (polysomnography)CPT 95810 | $2,955 | $844 | 350% | — | 2 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $28 | $17 | 168% | — | 5 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $20,373 | $5,822 | 350% | — | 2 |
| Ultrasound, abdomen, completeCPT 76700 | $354 | $103 | 345% | — | 3 |
| Ultrasound, transvaginalCPT 76830 | $354 | $103 | 345% | — | 3 |
| Upper GI endoscopy with biopsyCPT 43239 | $3,121 | $892 | 350% | — | 2 |
| Upper GI endoscopy, diagnosticCPT 43235 | $3,121 | $892 | 350% | — | 2 |
| Urinalysis, automated, with microscopyCPT 81001 | $5 | $3 | 168% | — | 5 |
| Urinalysis, automated, without microscopyCPT 81003 | $4 | $2 | 168% | — | 5 |
| Urinalysis, manual, with microscopyCPT 81000 | $5 | $4 | 132% | — | 5 |
| Urinalysis, manual, without microscopyCPT 81002 | $4 | $3 | 123% | — | 5 |
| X-ray, lower back, 4+ viewsCPT 72110 | $354 | $103 | 345% | — | 3 |