| Basic metabolic panelCPT 80048 | $15 | $8 | 172% | — | 6 |
| CT abdomen and pelvis with contrastCPT 74177 | $2,559 | $340 | 752% | — | 6 |
| CT head without contrastCPT 70450 | $657 | $102 | 644% | — | 6 |
| CT pelvis with contrastCPT 72193 | $797 | $171 | 466% | — | 6 |
| Cardiac stress testCPT 93017 | $944 | $211 | 448% | — | 4 |
| Cataract surgery with IOL insertionCPT 66984 | $9,956 | $2,252 | 442% | — | 5 |
| Colonoscopy with biopsyCPT 45380 | $4,729 | $1,168 | 405% | — | 5 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $4,729 | $1,168 | 405% | — | 5 |
| Colonoscopy with polyp removalCPT 45385 | $4,729 | $1,168 | 405% | — | 5 |
| Colonoscopy, diagnosticCPT 45378 | $4,564 | $907 | 503% | — | 5 |
| Complete blood count with differentialCPT 85025 | $13 | $8 | 172% | — | 6 |
| Complete blood count, automatedCPT 85027 | $11 | $6 | 172% | — | 6 |
| Comprehensive metabolic panelCPT 80053 | $18 | $11 | 172% | — | 6 |
| Diagnostic mammography, both breastsCPT 77066 | $507 | — | — | — | 3 |
| Diagnostic mammography, one breastCPT 77065 | $407 | — | — | — | 3 |
| ED visit, level 3CPT 99283 | $1,057 | $266 | 397% | — | 2 |
| ED visit, level 4CPT 99284 | $1,616 | $407 | 397% | — | 2 |
| ED visit, level 5CPT 99285 | $2,306 | $581 | 397% | — | 2 |
| Echocardiogram, completeCPT 93306 | $1,653 | $533 | 310% | — | 4 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $3,495 | $863 | 405% | — | 5 |
| Excision of breast lesionCPT 19120 | $14,111 | $3,820 | 369% | — | 5 |
| Inguinal hernia repair, age 5+CPT 49505 | $14,148 | $3,493 | 405% | — | 5 |
| Kidney function panelCPT 80069 | $15 | $9 | 172% | — | 6 |
| Knee arthroscopy with meniscectomyCPT 29881 | $12,930 | $3,192 | 405% | — | 5 |
| Laparoscopic cholecystectomyCPT 47562 | $23,890 | $5,899 | 405% | — | 5 |
| Laparoscopic radical prostatectomyCPT 55866 | $35,289 | $10,371 | 340% | — | 5 |
| Left heart catheterization, diagnosticCPT 93452 | $12,811 | $3,163 | 405% | — | 5 |
| Lipid panelCPT 80061 | $23 | $13 | 172% | — | 6 |
| Liver function panelCPT 80076 | $14 | $8 | 172% | — | 6 |
| Lumbar epidural steroid injectionCPT 62323 | $3,461 | $689 | 503% | — | 5 |
| MRI brain with and without contrastCPT 70553 | $1,639 | $340 | 482% | — | 6 |
| MRI lower extremity joint (knee)CPT 73721 | $1,196 | $233 | 514% | — | 6 |
| MRI lumbar spine without contrastCPT 72148 | $1,269 | $233 | 545% | — | 6 |
| OB global care, VBAC deliveryCPT 59610 | $5,220 | — | — | — | 1 |
| OB global care, cesarean deliveryCPT 59510 | $5,220 | — | — | — | 1 |
| OB global care, vaginal deliveryCPT 59400 | $5,220 | — | — | — | 1 |
| OB ultrasound, 14+ weeksCPT 76805 | $413 | $102 | 405% | — | 5 |
| Obstetric blood test panelCPT 80055 | $72 | $48 | 150% | — | 6 |
| Office visit, established patient, level 3CPT 99213 | $66 | — | — | — | 2 |
| Office visit, established patient, level 4CPT 99214 | $102 | — | — | — | 2 |
| Office visit, new patient, level 3CPT 99203 | $99 | — | — | — | 2 |
| Office visit, new patient, level 4CPT 99204 | $167 | — | — | — | 2 |
| PSA (prostate specific antigen), totalCPT 84153 | $32 | $18 | 172% | — | 6 |
| Partial thromboplastin timeCPT 85730 | $10 | $6 | 172% | — | 6 |
| Physical therapy, therapeutic exerciseCPT 97110 | $42 | — | — | — | 3 |
| Prostate biopsyCPT 55700 | $5,169 | — | — | — | 3 |
| Prothrombin timeCPT 85610 | $7 | $4 | 157% | — | 6 |
| Screening mammography, bilateralCPT 77067 | $258 | — | — | — | 3 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $2,633 | — | — | — | 3 |
| Sleep study (polysomnography)CPT 95810 | $1,911 | $838 | 228% | — | 5 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $29 | $17 | 172% | — | 6 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $14,111 | $5,776 | 244% | — | 5 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $3,461 | $863 | 401% | — | 5 |
| Ultrasound, abdomen, completeCPT 76700 | $413 | $102 | 405% | — | 5 |
| Ultrasound, transvaginalCPT 76830 | $375 | $102 | 368% | — | 5 |
| Upper GI endoscopy with biopsyCPT 43239 | $4,564 | $885 | 516% | — | 5 |
| Upper GI endoscopy, diagnosticCPT 43235 | $3,584 | $885 | 405% | — | 5 |
| Urinalysis, automated, with microscopyCPT 81001 | $5 | $3 | 172% | — | 6 |
| Urinalysis, automated, without microscopyCPT 81003 | $4 | $2 | 172% | — | 6 |
| Urinalysis, manual, with microscopyCPT 81000 | $5 | $4 | 136% | — | 6 |
| Urinalysis, manual, without microscopyCPT 81002 | $4 | $3 | 126% | — | 6 |
| X-ray, lower back, 4+ viewsCPT 72110 | $413 | $102 | 405% | — | 5 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $3,461 | $537 | 645% | — | 5 |