| Basic metabolic panelCPT 80048 | $108 | $8 | 1273% | — | 24 |
| CT abdomen and pelvis with contrastCPT 74177 | $3,035 | $356 | 852% | — | 24 |
| CT head without contrastCPT 70450 | $1,156 | $107 | 1082% | — | 24 |
| CT pelvis with contrastCPT 72193 | $1,836 | $179 | 1025% | — | 24 |
| Cataract surgery with IOL insertionCPT 66984 | $4,685 | $2,358 | 199% | — | 24 |
| Complete blood count with differentialCPT 85025 | $101 | $8 | 1295% | — | 24 |
| Complete blood count, automatedCPT 85027 | $83 | $6 | 1277% | — | 24 |
| Comprehensive metabolic panelCPT 80053 | $133 | $11 | 1262% | — | 24 |
| Diagnostic mammography, both breastsCPT 77066 | $399 | — | — | — | 24 |
| Diagnostic mammography, one breastCPT 77065 | $220 | — | — | — | 24 |
| ED visit, level 3CPT 99283 | $602 | $279 | 216% | — | 24 |
| ED visit, level 4CPT 99284 | $709 | $426 | 166% | — | 24 |
| ED visit, level 5CPT 99285 | $837 | $608 | 138% | — | 24 |
| Echocardiogram, completeCPT 93306 | $1,164 | $558 | 209% | — | 24 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $959 | $904 | 106% | — | 24 |
| Kidney function panelCPT 80069 | $115 | $9 | 1324% | — | 24 |
| Lipid panelCPT 80061 | $188 | $13 | 1406% | — | 24 |
| Liver function panelCPT 80076 | $108 | $8 | 1322% | — | 24 |
| MRI brain with and without contrastCPT 70553 | $3,050 | $356 | 856% | — | 24 |
| MRI lower extremity joint (knee)CPT 73721 | $2,129 | $244 | 873% | — | 24 |
| MRI lumbar spine without contrastCPT 72148 | $2,042 | $244 | 838% | — | 24 |
| OB ultrasound, 14+ weeksCPT 76805 | $710 | $107 | 665% | — | 24 |
| Obstetric blood test panelCPT 80055 | $219 | $48 | 458% | — | 24 |
| PSA (prostate specific antigen), totalCPT 84153 | $173 | $18 | 943% | — | 24 |
| Partial thromboplastin timeCPT 85730 | $90 | $6 | 1493% | — | 24 |
| Physical therapy, therapeutic exerciseCPT 97110 | $101 | — | — | — | 24 |
| Prothrombin timeCPT 85610 | $66 | $4 | 1542% | — | 24 |
| Screening mammography, bilateralCPT 77067 | $364 | — | — | — | 24 |
| Sleep study (polysomnography)CPT 95810 | $3,691 | $877 | 421% | — | 24 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $158 | $17 | 938% | — | 24 |
| Ultrasound, abdomen, completeCPT 76700 | $713 | $107 | 668% | — | 24 |
| Ultrasound, transvaginalCPT 76830 | $640 | $107 | 599% | — | 24 |
| Urinalysis, manual, with microscopyCPT 81000 | $55 | $4 | 1357% | — | 24 |
| Urinalysis, manual, without microscopyCPT 81002 | $36 | $3 | 1036% | — | 24 |
| X-ray, lower back, 4+ viewsCPT 72110 | $471 | $107 | 441% | — | 24 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $1,136 | $562 | 202% | — | 24 |