| Basic metabolic panelCPT 80048 | $104 | $8 | 1231% | — | 19 |
| CT abdomen and pelvis with contrastCPT 74177 | $2,556 | $356 | 717% | — | 19 |
| CT head without contrastCPT 70450 | $1,074 | $107 | 1005% | — | 19 |
| CT pelvis with contrastCPT 72193 | $1,275 | $179 | 712% | — | 19 |
| Cardiac stress testCPT 93017 | $288 | $221 | 130% | — | 19 |
| Cataract surgery with IOL insertionCPT 66984 | $3,556 | $2,358 | 151% | — | 19 |
| Colonoscopy with biopsyCPT 45380 | $254 | $1,223 | 21% | — | 9 |
| Colonoscopy with polyp removalCPT 45385 | $265 | $1,223 | 22% | — | 9 |
| Colonoscopy, diagnosticCPT 45378 | $165 | $950 | 17% | — | 9 |
| Complete blood count with differentialCPT 85025 | $99 | $8 | 1276% | — | 19 |
| Complete blood count, automatedCPT 85027 | $71 | $6 | 1103% | — | 19 |
| Comprehensive metabolic panelCPT 80053 | $122 | $11 | 1155% | — | 19 |
| Diagnostic mammography, one breastCPT 77065 | $222 | — | — | — | 19 |
| ED visit, level 3CPT 99283 | $482 | $279 | 173% | — | 19 |
| ED visit, level 4CPT 99284 | $660 | $426 | 155% | — | 19 |
| ED visit, level 5CPT 99285 | $1,176 | $608 | 193% | — | 19 |
| Electrocardiogram with interpretationCPT 93000 | $16 | — | — | — | 9 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $75 | $904 | 8% | — | 9 |
| Excision of breast lesionCPT 19120 | $408 | $4,000 | 10% | — | 9 |
| Inguinal hernia repair, age 5+CPT 49505 | $505 | $3,658 | 14% | — | 9 |
| Kidney function panelCPT 80069 | $75 | $9 | 866% | — | 19 |
| Knee arthroscopy with meniscectomyCPT 29881 | $520 | $3,343 | 16% | — | 9 |
| Laparoscopic cholecystectomyCPT 47562 | $626 | $6,176 | 10% | — | 9 |
| Lipid panelCPT 80061 | $124 | $13 | 928% | — | 19 |
| Liver function panelCPT 80076 | $134 | $8 | 1642% | — | 19 |
| Lumbar epidural steroid injectionCPT 62323 | $1,333 | $721 | 185% | — | 19 |
| MRI brain with and without contrastCPT 70553 | $3,777 | $356 | 1060% | — | 19 |
| MRI lower extremity joint (knee)CPT 73721 | $2,181 | $244 | 895% | — | 19 |
| MRI lumbar spine without contrastCPT 72148 | $3,785 | $244 | 1553% | — | 19 |
| Office consultation, comprehensiveCPT 99244 | $99 | — | — | — | 7 |
| Office consultation, moderateCPT 99243 | $70 | — | — | — | 7 |
| Office visit, established patient, level 3CPT 99213 | $51 | — | — | — | 8 |
| Office visit, established patient, level 4CPT 99214 | $84 | — | — | — | 19 |
| Office visit, new patient, level 3CPT 99203 | $63 | — | — | — | 8 |
| Office visit, new patient, level 4CPT 99204 | $99 | — | — | — | 8 |
| Office visit, new patient, level 5CPT 99205 | $133 | — | — | — | 8 |
| PSA (prostate specific antigen), totalCPT 84153 | $158 | $18 | 860% | — | 19 |
| Partial thromboplastin timeCPT 85730 | $113 | $6 | 1875% | — | 19 |
| Physical therapy, therapeutic exerciseCPT 97110 | $106 | — | — | — | 19 |
| Preventive visit, new patient, 18-39CPT 99385 | $165 | — | — | — | 6 |
| Preventive visit, new patient, 40-64CPT 99386 | $184 | — | — | — | 6 |
| Prothrombin timeCPT 85610 | $57 | $4 | 1337% | — | 19 |
| Psychotherapy, 30 minutesCPT 90832 | $70 | $181 | 39% | — | 9 |
| Psychotherapy, 45 minutesCPT 90834 | $93 | $181 | 51% | — | 9 |
| Psychotherapy, 60 minutesCPT 90837 | $137 | $181 | 76% | — | 9 |
| Screening mammography, bilateralCPT 77067 | $369 | — | — | — | 19 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $146 | — | — | — | 9 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $39 | $17 | 234% | — | 19 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,110 | $904 | 123% | — | 19 |
| Ultrasound, abdomen, completeCPT 76700 | $780 | $107 | 731% | — | 19 |
| Ultrasound, transvaginalCPT 76830 | $524 | $107 | 490% | — | 19 |
| Upper GI endoscopy with biopsyCPT 43239 | $124 | $927 | 13% | — | 9 |
| Upper GI endoscopy, diagnosticCPT 43235 | $170 | $927 | 18% | — | 9 |
| Urinalysis, automated, with microscopyCPT 81001 | $42 | $3 | 1337% | — | 19 |
| Urinalysis, automated, without microscopyCPT 81003 | $34 | $2 | 1510% | — | 19 |
| Urinalysis, manual, with microscopyCPT 81000 | $4 | $4 | 92% | — | 8 |
| Urinalysis, manual, without microscopyCPT 81002 | $32 | $3 | 914% | — | 19 |
| X-ray, lower back, 4+ viewsCPT 72110 | $439 | $107 | 411% | — | 19 |