| Basic metabolic panelCPT 80048 | $81 | $8 | 956% | — | 17 |
| CT abdomen and pelvis with contrastCPT 74177 | $2,851 | $356 | 800% | — | 17 |
| CT head without contrastCPT 70450 | $1,501 | $107 | 1406% | — | 17 |
| CT pelvis with contrastCPT 72193 | $2,256 | $179 | 1259% | — | 17 |
| Cardiac stress testCPT 93017 | $534 | $221 | 242% | — | 17 |
| Colonoscopy with biopsyCPT 45380 | $278 | $1,223 | 23% | — | 17 |
| Colonoscopy with polyp removalCPT 45385 | $259 | $1,223 | 21% | — | 17 |
| Colonoscopy, diagnosticCPT 45378 | $254 | $950 | 27% | — | 17 |
| Complete blood count with differentialCPT 85025 | $62 | $8 | 798% | — | 17 |
| Complete blood count, automatedCPT 85027 | $76 | $6 | 1177% | — | 17 |
| Comprehensive metabolic panelCPT 80053 | $87 | $11 | 825% | — | 17 |
| Diagnostic mammography, both breastsCPT 77066 | $574 | — | — | — | 17 |
| Diagnostic mammography, one breastCPT 77065 | $474 | — | — | — | 17 |
| ED visit, level 3CPT 99283 | $69 | $279 | 25% | — | 17 |
| ED visit, level 4CPT 99284 | $909 | $426 | 213% | — | 17 |
| ED visit, level 5CPT 99285 | $1,509 | $608 | 248% | — | 17 |
| Echocardiogram, completeCPT 93306 | $2,418 | $558 | 433% | — | 17 |
| Electrocardiogram with interpretationCPT 93000 | $272 | — | — | — | 17 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $888 | $904 | 98% | — | 17 |
| Excision of breast lesionCPT 19120 | $551 | $4,000 | 14% | — | 17 |
| Family psychotherapy, without patientCPT 90846 | $106 | $181 | 59% | — | 17 |
| Inguinal hernia repair, age 5+CPT 49505 | $547 | $3,658 | 15% | — | 17 |
| Kidney function panelCPT 80069 | $161 | $9 | 1858% | — | 17 |
| Knee arthroscopy with meniscectomyCPT 29881 | $580 | $3,343 | 17% | — | 17 |
| Laparoscopic cholecystectomyCPT 47562 | $686 | $6,176 | 11% | — | 17 |
| Lipid panelCPT 80061 | $114 | $13 | 853% | — | 17 |
| Liver function panelCPT 80076 | $106 | $8 | 1297% | — | 17 |
| MRI brain with and without contrastCPT 70553 | $2,353 | $356 | 660% | — | 17 |
| MRI lower extremity joint (knee)CPT 73721 | $1,559 | $244 | 639% | — | 17 |
| MRI lumbar spine without contrastCPT 72148 | $1,857 | $244 | 762% | — | 17 |
| OB ultrasound, 14+ weeksCPT 76805 | $835 | $107 | 782% | — | 17 |
| Office consultation, comprehensiveCPT 99244 | $168 | — | — | — | 15 |
| Office consultation, moderateCPT 99243 | $91 | — | — | — | 15 |
| Office visit, established patient, level 3CPT 99213 | $82 | — | — | — | 17 |
| Office visit, established patient, level 4CPT 99214 | $155 | — | — | — | 17 |
| Office visit, new patient, level 3CPT 99203 | $173 | — | — | — | 17 |
| Office visit, new patient, level 4CPT 99204 | $242 | — | — | — | 17 |
| Office visit, new patient, level 5CPT 99205 | $437 | — | — | — | 17 |
| PSA (prostate specific antigen), totalCPT 84153 | $182 | $18 | 990% | — | 17 |
| Partial thromboplastin timeCPT 85730 | $94 | $6 | 1567% | — | 17 |
| Physical therapy, therapeutic exerciseCPT 97110 | $120 | — | — | — | 17 |
| Preventive visit, new patient, 18-39CPT 99385 | $308 | — | — | — | 15 |
| Preventive visit, new patient, 40-64CPT 99386 | $334 | — | — | — | 15 |
| Prothrombin timeCPT 85610 | $59 | $4 | 1372% | — | 17 |
| Psychotherapy, 30 minutesCPT 90832 | $71 | $181 | 39% | — | 17 |
| Psychotherapy, 45 minutesCPT 90834 | $112 | $181 | 62% | — | 17 |
| Psychotherapy, 60 minutesCPT 90837 | $139 | $181 | 77% | — | 17 |
| Screening mammography, bilateralCPT 77067 | $504 | — | — | — | 17 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $176 | — | — | — | 17 |
| Sleep study (polysomnography)CPT 95810 | $379 | $877 | 43% | — | 17 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $144 | $17 | 860% | — | 17 |
| Ultrasound, abdomen, completeCPT 76700 | $838 | $107 | 785% | — | 17 |
| Ultrasound, transvaginalCPT 76830 | $705 | $107 | 660% | — | 17 |
| Upper GI endoscopy with biopsyCPT 43239 | $142 | $927 | 15% | — | 17 |
| Upper GI endoscopy, diagnosticCPT 43235 | $170 | $927 | 18% | — | 17 |
| Urinalysis, automated, with microscopyCPT 81001 | $71 | $3 | 2228% | — | 17 |
| Urinalysis, automated, without microscopyCPT 81003 | $41 | $2 | 1814% | — | 17 |
| X-ray, lower back, 4+ viewsCPT 72110 | $725 | $107 | 679% | — | 17 |