| Basic metabolic panelCPT 80048 | $19 | $8 | 228% | — | 7 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,052 | $389 | 271% | — | 10 |
| CT head without contrastCPT 70450 | $310 | $116 | 266% | — | 10 |
| CT pelvis with contrastCPT 72193 | $506 | $195 | 259% | — | 10 |
| Cardiac stress testCPT 93017 | $856 | $241 | 356% | — | 4 |
| Cataract surgery with IOL insertionCPT 66984 | $9,881 | $2,572 | 384% | — | 10 |
| Colonoscopy with biopsyCPT 45380 | $4,782 | $1,333 | 359% | — | 10 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $4,782 | $1,333 | 359% | — | 10 |
| Colonoscopy with polyp removalCPT 45385 | $4,782 | $1,333 | 359% | — | 10 |
| Colonoscopy, diagnosticCPT 45378 | $4,782 | $1,036 | 461% | — | 10 |
| Complete blood count with differentialCPT 85025 | $18 | $8 | 228% | — | 7 |
| Complete blood count, automatedCPT 85027 | $15 | $6 | 228% | — | 7 |
| Comprehensive metabolic panelCPT 80053 | $24 | $11 | 228% | — | 7 |
| Diagnostic mammography, both breastsCPT 77066 | $310 | — | — | — | 7 |
| Diagnostic mammography, one breastCPT 77065 | $242 | — | — | — | 7 |
| ED visit, level 3CPT 99283 | $755 | $304 | 248% | — | 4 |
| ED visit, level 4CPT 99284 | $1,190 | $465 | 256% | — | 4 |
| ED visit, level 5CPT 99285 | $1,706 | $664 | 257% | — | 4 |
| Echocardiogram, completeCPT 93306 | $1,629 | $609 | 267% | — | 4 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $3,812 | $986 | 387% | — | 10 |
| Excision of breast lesionCPT 19120 | $10,752 | $4,363 | 246% | — | 10 |
| Family psychotherapy, with patientCPT 90847 | $457 | $198 | 231% | — | 4 |
| Family psychotherapy, without patientCPT 90846 | $457 | $198 | 231% | — | 4 |
| Group psychotherapyCPT 90853 | $268 | $113 | 237% | — | 4 |
| Inguinal hernia repair, age 5+CPT 49505 | $12,750 | $3,990 | 320% | — | 10 |
| Kidney function panelCPT 80069 | $20 | $9 | 228% | — | 7 |
| Knee arthroscopy with meniscectomyCPT 29881 | $11,987 | $3,646 | 329% | — | 10 |
| Laparoscopic cholecystectomyCPT 47562 | $15,731 | $6,737 | 234% | — | 10 |
| Laparoscopic radical prostatectomyCPT 55866 | $21,409 | $11,845 | 181% | — | 10 |
| Left heart catheterization, diagnosticCPT 93452 | $11,774 | $3,613 | 326% | — | 7 |
| Lipid panelCPT 80061 | $31 | $13 | 228% | — | 7 |
| Liver function panelCPT 80076 | $19 | $8 | 228% | — | 7 |
| Lumbar epidural steroid injectionCPT 62323 | $3,812 | $787 | 485% | — | 10 |
| MRI brain with and without contrastCPT 70553 | $1,052 | $389 | 270% | — | 10 |
| MRI lower extremity joint (knee)CPT 73721 | $655 | $266 | 246% | — | 10 |
| MRI lumbar spine without contrastCPT 72148 | $652 | $266 | 245% | — | 10 |
| OB global care, VBAC deliveryCPT 59610 | $7,920 | — | — | — | 1 |
| OB global care, cesarean deliveryCPT 59510 | $7,920 | — | — | — | 1 |
| OB global care, vaginal deliveryCPT 59400 | $7,920 | — | — | — | 1 |
| OB ultrasound, 14+ weeksCPT 76805 | $310 | $116 | 266% | — | 10 |
| Obstetric blood test panelCPT 80055 | $109 | $48 | 228% | — | 7 |
| PSA (prostate specific antigen), totalCPT 84153 | $42 | $18 | 228% | — | 7 |
| Partial thromboplastin timeCPT 85730 | $14 | $6 | 228% | — | 7 |
| Physical therapy, therapeutic exerciseCPT 97110 | $50 | — | — | — | 2 |
| Prostate biopsyCPT 55700 | $6,796 | — | — | — | 9 |
| Prothrombin timeCPT 85610 | $10 | $4 | 228% | — | 7 |
| Psychotherapy, 30 minutesCPT 90832 | $457 | $198 | 231% | — | 4 |
| Psychotherapy, 45 minutesCPT 90834 | $457 | $198 | 231% | — | 4 |
| Psychotherapy, 60 minutesCPT 90837 | $457 | $198 | 231% | — | 4 |
| Screening mammography, bilateralCPT 77067 | $256 | — | — | — | 7 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $9,674 | — | — | — | 6 |
| Sleep study (polysomnography)CPT 95810 | $2,562 | $957 | 268% | — | 5 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $38 | $17 | 228% | — | 7 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $12,374 | $6,597 | 188% | — | 10 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $3,812 | $986 | 387% | — | 10 |
| Ultrasound, abdomen, completeCPT 76700 | $310 | $116 | 266% | — | 10 |
| Ultrasound, transvaginalCPT 76830 | $310 | $116 | 266% | — | 10 |
| Upper GI endoscopy with biopsyCPT 43239 | $4,782 | $1,011 | 473% | — | 10 |
| Upper GI endoscopy, diagnosticCPT 43235 | $3,812 | $1,011 | 377% | — | 10 |
| Urinalysis, automated, with microscopyCPT 81001 | $7 | $3 | 228% | — | 7 |
| Urinalysis, automated, without microscopyCPT 81003 | $5 | $2 | 228% | — | 7 |
| Urinalysis, manual, with microscopyCPT 81000 | $9 | $4 | 228% | — | 7 |
| Urinalysis, manual, without microscopyCPT 81002 | $8 | $3 | 228% | — | 7 |
| X-ray, lower back, 4+ viewsCPT 72110 | $269 | $116 | 231% | — | 10 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $4,593 | $613 | 749% | — | 10 |