| Basic metabolic panelCPT 80048 | $8 | $8 | 100% | — | 3 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,003 | $341 | 294% | — | 2 |
| CT head without contrastCPT 70450 | $301 | $102 | 294% | — | 2 |
| CT pelvis with contrastCPT 72193 | $504 | $171 | 294% | — | 2 |
| Cardiac stress testCPT 93017 | $621 | $211 | 294% | — | 2 |
| Cataract surgery with IOL insertionCPT 66984 | $7,061 | $2,256 | 313% | — | 5 |
| Colonoscopy with biopsyCPT 45380 | $3,261 | $1,170 | 279% | — | 5 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $3,261 | $1,170 | 279% | — | 5 |
| Colonoscopy with polyp removalCPT 45385 | $3,261 | $1,170 | 279% | — | 5 |
| Colonoscopy, diagnosticCPT 45378 | $2,816 | $909 | 310% | — | 5 |
| Complete blood count with differentialCPT 85025 | $8 | $8 | 100% | — | 3 |
| Complete blood count, automatedCPT 85027 | $6 | $6 | 100% | — | 3 |
| Comprehensive metabolic panelCPT 80053 | $11 | $11 | 100% | — | 3 |
| Diagnostic mammography, both breastsCPT 77066 | $578 | — | — | — | 1 |
| Diagnostic mammography, one breastCPT 77065 | $452 | — | — | — | 1 |
| ED visit, level 3CPT 99283 | $785 | $267 | 294% | — | 2 |
| ED visit, level 4CPT 99284 | $1,200 | $408 | 294% | — | 2 |
| ED visit, level 5CPT 99285 | $1,713 | $582 | 294% | — | 2 |
| Echocardiogram, completeCPT 93306 | $1,572 | $534 | 294% | — | 2 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $2,410 | $865 | 279% | — | 5 |
| Excision of breast lesionCPT 19120 | $7,061 | $3,828 | 184% | — | 5 |
| Family psychotherapy, with patientCPT 90847 | $510 | $174 | 294% | — | 2 |
| Family psychotherapy, without patientCPT 90846 | $510 | $174 | 294% | — | 2 |
| Group psychotherapyCPT 90853 | $292 | $99 | 294% | — | 2 |
| Inguinal hernia repair, age 5+CPT 49505 | $9,756 | $3,500 | 279% | — | 5 |
| Kidney function panelCPT 80069 | $9 | $9 | 100% | — | 3 |
| Knee arthroscopy with meniscectomyCPT 29881 | $8,915 | $3,199 | 279% | — | 5 |
| Laparoscopic cholecystectomyCPT 47562 | $16,473 | $5,910 | 279% | — | 5 |
| Laparoscopic radical prostatectomyCPT 55866 | $28,964 | $10,392 | 279% | — | 5 |
| Left heart catheterization, diagnosticCPT 93452 | $8,834 | $3,169 | 279% | — | 5 |
| Lipid panelCPT 80061 | $13 | $13 | 100% | — | 3 |
| Liver function panelCPT 80076 | $8 | $8 | 100% | — | 3 |
| Lumbar epidural steroid injectionCPT 62323 | $1,923 | $690 | 279% | — | 5 |
| MRI brain with and without contrastCPT 70553 | $1,003 | $341 | 294% | — | 2 |
| MRI lower extremity joint (knee)CPT 73721 | $686 | $233 | 294% | — | 2 |
| MRI lumbar spine without contrastCPT 72148 | $686 | $233 | 294% | — | 2 |
| OB ultrasound, 14+ weeksCPT 76805 | $317 | $102 | 310% | — | 3 |
| Obstetric blood test panelCPT 80055 | $48 | $48 | 100% | — | 3 |
| PSA (prostate specific antigen), totalCPT 84153 | $18 | $18 | 100% | — | 3 |
| Partial thromboplastin timeCPT 85730 | $6 | $6 | 100% | — | 3 |
| Prostate biopsyCPT 55700 | $2,998 | — | — | — | 3 |
| Prothrombin timeCPT 85610 | $4 | $4 | 100% | — | 3 |
| Psychotherapy, 30 minutesCPT 90832 | $510 | $174 | 294% | — | 2 |
| Psychotherapy, 45 minutesCPT 90834 | $510 | $174 | 294% | — | 2 |
| Psychotherapy, 60 minutesCPT 90837 | $510 | $174 | 294% | — | 2 |
| Screening mammography, bilateralCPT 77067 | $478 | — | — | — | 1 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $4,347 | — | — | — | 3 |
| Sleep study (polysomnography)CPT 95810 | $2,470 | $840 | 294% | — | 2 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $17 | $17 | 100% | — | 3 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $7,061 | $5,788 | 122% | — | 5 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $2,410 | $865 | 279% | — | 5 |
| Ultrasound, abdomen, completeCPT 76700 | $317 | $102 | 310% | — | 3 |
| Ultrasound, transvaginalCPT 76830 | $317 | $102 | 310% | — | 3 |
| Upper GI endoscopy with biopsyCPT 43239 | $2,746 | $887 | 310% | — | 5 |
| Upper GI endoscopy, diagnosticCPT 43235 | $2,471 | $887 | 279% | — | 5 |
| Urinalysis, automated, with microscopyCPT 81001 | $3 | $3 | 100% | — | 3 |
| Urinalysis, automated, without microscopyCPT 81003 | $2 | $2 | 100% | — | 3 |
| Urinalysis, manual, with microscopyCPT 81000 | $4 | $4 | 100% | — | 3 |
| Urinalysis, manual, without microscopyCPT 81002 | $3 | $3 | 100% | — | 3 |
| X-ray, lower back, 4+ viewsCPT 72110 | $285 | $102 | 279% | — | 3 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $2,459 | $538 | 457% | — | 5 |