| Basic metabolic panelCPT 80048 | $29 | $8 | 338% | ~$18 | 30 |
| CT abdomen and pelvis with contrastCPT 74177 | $792 | $401 | 197% | ~$532 | 60 |
| CT head without contrastCPT 70450 | $182 | $120 | 152% | ~$115 | 60 |
| CT pelvis with contrastCPT 72193 | $1,405 | $202 | 696% | ~$695 | 30 |
| Cardiac stress testCPT 93017 | $452 | $248 | 182% | $224 | 30 |
| Complete blood count with differentialCPT 85025 | $26 | $8 | 338% | ~$21 | 30 |
| Complete blood count, automatedCPT 85027 | $22 | $6 | 338% | ~$21 | 30 |
| Comprehensive metabolic panelCPT 80053 | $36 | $11 | 338% | ~$22 | 30 |
| Diagnostic mammography, both breastsCPT 77066 | $398 | — | — | ~$197 | 30 |
| Diagnostic mammography, one breastCPT 77065 | $278 | — | — | ~$161 | 30 |
| ED visit, level 3CPT 99283 | $294 | $314 | 94% | $109 | 60 |
| ED visit, level 4CPT 99284 | $469 | $480 | 98% | $186 | 60 |
| ED visit, level 5CPT 99285 | $673 | $685 | 98% | $270 | 60 |
| Echocardiogram, completeCPT 93306 | $1,203 | $628 | 191% | $595 | 30 |
| Excision of breast lesionCPT 19120 | $4,157 | $4,503 | 92% | $2,055 | 30 |
| Family psychotherapy, with patientCPT 90847 | $181 | $204 | 89% | $89 | 24 |
| Family psychotherapy, without patientCPT 90846 | $181 | $204 | 89% | $89 | 24 |
| Group psychotherapyCPT 90853 | $112 | $117 | 96% | $56 | 24 |
| Kidney function panelCPT 80069 | $29 | $9 | 338% | ~$18 | 30 |
| Left heart catheterization, diagnosticCPT 93452 | $5,031 | $3,728 | 135% | $2,488 | 30 |
| Lipid panelCPT 80061 | $45 | $13 | 338% | ~$28 | 30 |
| Liver function panelCPT 80076 | $28 | $8 | 338% | ~$17 | 30 |
| Lumbar epidural steroid injectionCPT 62323 | $1,508 | $812 | 186% | $667 | 30 |
| MRI brain with and without contrastCPT 70553 | $2,646 | $401 | 659% | ~$1,308 | 30 |
| MRI lower extremity joint (knee)CPT 73721 | $2,171 | $274 | 791% | ~$1,073 | 30 |
| MRI lumbar spine without contrastCPT 72148 | $2,171 | $274 | 791% | ~$1,073 | 30 |
| OB ultrasound, 14+ weeksCPT 76805 | $321 | $120 | 267% | ~$150 | 40 |
| Obstetric blood test panelCPT 80055 | $162 | $48 | 338% | ~$159 | 30 |
| Office visit, established patient, level 3CPT 99213 | $199 | — | — | $103 | 60 |
| Office visit, established patient, level 4CPT 99214 | $203 | — | — | $152 | 60 |
| Office visit, new patient, level 3CPT 99203 | $69 | — | — | $34 | 30 |
| Office visit, new patient, level 4CPT 99204 | $118 | — | — | $58 | 30 |
| Office visit, new patient, level 5CPT 99205 | $154 | — | — | $76 | 30 |
| PSA (prostate specific antigen), totalCPT 84153 | $62 | $18 | 338% | ~$39 | 30 |
| Partial thromboplastin timeCPT 85730 | $20 | $6 | 338% | ~$16 | 30 |
| Physical therapy, therapeutic exerciseCPT 97110 | $99 | — | — | $86 | 35 |
| Prothrombin timeCPT 85610 | $14 | $4 | 325% | ~$12 | 30 |
| Psychotherapy, 30 minutesCPT 90832 | $181 | $204 | 89% | $89 | 24 |
| Psychotherapy, 45 minutesCPT 90834 | $181 | $204 | 89% | $89 | 24 |
| Psychotherapy, 60 minutesCPT 90837 | $181 | $204 | 89% | $89 | 24 |
| Screening mammography, bilateralCPT 77067 | $328 | — | — | ~$162 | 30 |
| Sleep study (polysomnography)CPT 95810 | $1,202 | $988 | 122% | $594 | 30 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $57 | $17 | 338% | ~$36 | 30 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,738 | $1,017 | 171% | $721 | 30 |
| Ultrasound, abdomen, completeCPT 76700 | $268 | $120 | 223% | ~$133 | 60 |
| Ultrasound, transvaginalCPT 76830 | $323 | $120 | 269% | ~$160 | 30 |
| Urinalysis, automated, with microscopyCPT 81001 | $11 | $3 | 338% | ~$8 | 30 |
| Urinalysis, automated, without microscopyCPT 81003 | $8 | $2 | 338% | ~$6 | 30 |
| Urinalysis, manual, with microscopyCPT 81000 | $14 | $4 | 338% | ~$8 | 30 |
| Urinalysis, manual, without microscopyCPT 81002 | $12 | $3 | 338% | ~$6 | 30 |
| X-ray, lower back, 4+ viewsCPT 72110 | $464 | $120 | 386% | ~$230 | 30 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $616 | $633 | 97% | $305 | 30 |