| Basic metabolic panelCPT 80048 | $8 | $8 | 100% | ~$7 | 1 |
| COPD with MCCMS-DRG 190 | $283 | $7,377 | 4% | $42 | 1 |
| CT abdomen and pelvis with contrastCPT 74177 | $971 | $340 | 285% | ~$226 | 1 |
| CT head without contrastCPT 70450 | $291 | $102 | 285% | ~$114 | 1 |
| CT pelvis with contrastCPT 72193 | $488 | $171 | 285% | ~$114 | 1 |
| Cardiac stress testCPT 93017 | $601 | $211 | 285% | $375 | 1 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $283 | — | — | $42 | 1 |
| Colonoscopy with biopsyCPT 45380 | $3,330 | $1,168 | 285% | $1,387 | 1 |
| Colonoscopy with polyp removalCPT 45385 | $3,330 | $1,168 | 285% | $1,264 | 1 |
| Colonoscopy, diagnosticCPT 45378 | $2,588 | $907 | 285% | $1,604 | 1 |
| Complete blood count with differentialCPT 85025 | $8 | $8 | 100% | ~$18 | 1 |
| Complete blood count, automatedCPT 85027 | $6 | $6 | 100% | ~$17 | 1 |
| Comprehensive metabolic panelCPT 80053 | $11 | $11 | 100% | ~$9 | 1 |
| Diagnostic mammography, both breastsCPT 77066 | $100 | — | — | ~$57 | 1 |
| Diagnostic mammography, one breastCPT 77065 | $122 | — | — | ~$82 | 1 |
| ED visit, level 3CPT 99283 | $760 | $266 | 285% | $338 | 1 |
| ED visit, level 4CPT 99284 | $1,161 | $407 | 285% | $326 | 1 |
| ED visit, level 5CPT 99285 | $1,657 | $581 | 285% | $394 | 1 |
| Echocardiogram, completeCPT 93306 | $1,520 | $533 | 285% | $443 | 1 |
| Electrocardiogram with interpretationCPT 93000 | $15 | — | — | $62 | 1 |
| Inguinal hernia repair, age 5+CPT 49505 | $9,963 | $3,493 | 285% | $3,347 | 1 |
| Kidney function panelCPT 80069 | $9 | $9 | 100% | ~$105 | 1 |
| Laparoscopic cholecystectomyCPT 47562 | $16,822 | $5,899 | 285% | $3,186 | 1 |
| Lipid panelCPT 80061 | $13 | $13 | 100% | ~$15 | 1 |
| Liver function panelCPT 80076 | $8 | $8 | 100% | ~$8 | 1 |
| MRI brain with and without contrastCPT 70553 | $971 | $340 | 285% | ~$128 | 1 |
| MRI lower extremity joint (knee)CPT 73721 | $664 | $233 | 285% | ~$870 | 1 |
| MRI lumbar spine without contrastCPT 72148 | $664 | $233 | 285% | ~$114 | 1 |
| Obstetric blood test panelCPT 80055 | $48 | $48 | 100% | ~$188 | 1 |
| Office visit, established patient, level 3CPT 99213 | $93 | — | — | $93 | 1 |
| Office visit, established patient, level 4CPT 99214 | $133 | — | — | $75 | 1 |
| Office visit, new patient, level 3CPT 99203 | $115 | — | — | $82 | 1 |
| Office visit, new patient, level 4CPT 99204 | $174 | — | — | $94 | 1 |
| Office visit, new patient, level 5CPT 99205 | $231 | — | — | $119 | 1 |
| PSA (prostate specific antigen), totalCPT 84153 | $18 | $18 | 100% | ~$44 | 1 |
| Partial thromboplastin timeCPT 85730 | $6 | $6 | 100% | ~$10 | 1 |
| Physical therapy, therapeutic exerciseCPT 97110 | $29 | — | — | $43 | 1 |
| Preventive visit, new patient, 18-39CPT 99385 | $14 | — | — | $57 | 1 |
| Preventive visit, new patient, 40-64CPT 99386 | $14 | — | — | $68 | 1 |
| Prothrombin timeCPT 85610 | $4 | $4 | 100% | ~$18 | 1 |
| Screening mammography, bilateralCPT 77067 | $124 | — | — | ~$83 | 1 |
| Sleep study (polysomnography)CPT 95810 | $2,390 | $838 | 285% | $851 | 1 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $17 | $17 | 100% | ~$14 | 1 |
| Ultrasound, abdomen, completeCPT 76700 | $291 | $102 | 285% | ~$62 | 1 |
| Ultrasound, transvaginalCPT 76830 | $291 | $102 | 285% | ~$69 | 1 |
| Upper GI endoscopy with biopsyCPT 43239 | $2,524 | $885 | 285% | $1,556 | 1 |
| Upper GI endoscopy, diagnosticCPT 43235 | $2,524 | $885 | 285% | $1,065 | 1 |
| Urinalysis, automated, with microscopyCPT 81001 | $3 | $3 | 100% | ~$18 | 1 |
| Urinalysis, automated, without microscopyCPT 81003 | $2 | $2 | 100% | ~$6 | 1 |
| X-ray, lower back, 4+ viewsCPT 72110 | $291 | $102 | 285% | ~$97 | 1 |