| Basic metabolic panelCPT 80048 | $76 | $8 | 904% | — | 13 |
| CT abdomen and pelvis with contrastCPT 74177 | $2,184 | $356 | 613% | — | 13 |
| CT head without contrastCPT 70450 | $839 | $107 | 786% | — | 13 |
| CT pelvis with contrastCPT 72193 | $1,101 | $179 | 614% | — | 13 |
| Cardiac stress testCPT 93017 | $960 | $221 | 435% | — | 13 |
| Colonoscopy with biopsyCPT 45380 | $270 | $1,223 | 22% | — | 10 |
| Colonoscopy with polyp removalCPT 45385 | $340 | $1,223 | 28% | — | 10 |
| Colonoscopy, diagnosticCPT 45378 | $250 | $950 | 26% | — | 10 |
| Complete blood count with differentialCPT 85025 | $54 | $8 | 695% | — | 13 |
| Complete blood count, automatedCPT 85027 | $48 | $6 | 742% | — | 13 |
| Comprehensive metabolic panelCPT 80053 | $89 | $11 | 845% | — | 13 |
| Diagnostic mammography, both breastsCPT 77066 | $489 | — | — | — | 13 |
| Diagnostic mammography, one breastCPT 77065 | $380 | — | — | — | 13 |
| ED visit, level 3CPT 99283 | $676 | $279 | 243% | — | 13 |
| ED visit, level 4CPT 99284 | $1,006 | $426 | 236% | — | 13 |
| ED visit, level 5CPT 99285 | $2,332 | $608 | 383% | — | 13 |
| Echocardiogram, completeCPT 93306 | $1,155 | $558 | 207% | — | 13 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $858 | $904 | 95% | — | 13 |
| Excision of breast lesionCPT 19120 | $5,001 | $4,000 | 125% | — | 13 |
| Family psychotherapy, without patientCPT 90846 | $185 | $181 | 102% | — | 13 |
| Inguinal hernia repair, age 5+CPT 49505 | $737 | $3,658 | 20% | — | 10 |
| Kidney function panelCPT 80069 | $60 | $9 | 691% | — | 13 |
| Knee arthroscopy with meniscectomyCPT 29881 | $740 | $3,343 | 22% | — | 10 |
| Laparoscopic cholecystectomyCPT 47562 | $919 | $6,176 | 15% | — | 10 |
| Lipid panelCPT 80061 | $91 | $13 | 678% | — | 13 |
| Liver function panelCPT 80076 | $72 | $8 | 881% | — | 13 |
| Lumbar epidural steroid injectionCPT 62323 | $161 | $721 | 22% | — | 13 |
| MRI brain with and without contrastCPT 70553 | $2,021 | $356 | 567% | — | 13 |
| MRI lower extremity joint (knee)CPT 73721 | $2,042 | $244 | 837% | — | 13 |
| MRI lumbar spine without contrastCPT 72148 | $1,310 | $244 | 537% | — | 13 |
| OB global care, VBAC deliveryCPT 59610 | $3,137 | — | — | — | 10 |
| OB global care, cesarean deliveryCPT 59510 | $3,331 | — | — | — | 10 |
| OB global care, vaginal deliveryCPT 59400 | $2,997 | — | — | — | 10 |
| OB ultrasound, 14+ weeksCPT 76805 | $85 | $107 | 80% | — | 13 |
| Office consultation, comprehensiveCPT 99244 | $163 | — | — | — | 7 |
| Office consultation, moderateCPT 99243 | $102 | — | — | — | 7 |
| Office visit, established patient, level 3CPT 99213 | $80 | — | — | — | 10 |
| Office visit, established patient, level 4CPT 99214 | $228 | — | — | — | 13 |
| Office visit, new patient, level 3CPT 99203 | $99 | — | — | — | 10 |
| Office visit, new patient, level 4CPT 99204 | $311 | — | — | — | 13 |
| Office visit, new patient, level 5CPT 99205 | $222 | — | — | — | 10 |
| PSA (prostate specific antigen), totalCPT 84153 | $104 | $18 | 567% | — | 13 |
| Partial thromboplastin timeCPT 85730 | $62 | $6 | 1036% | — | 13 |
| Physical therapy, therapeutic exerciseCPT 97110 | $110 | — | — | — | 13 |
| Preventive visit, new patient, 18-39CPT 99385 | $162 | — | — | — | 13 |
| Preventive visit, new patient, 40-64CPT 99386 | $185 | — | — | — | 13 |
| Prothrombin timeCPT 85610 | $41 | $4 | 962% | — | 13 |
| Psychotherapy, 30 minutesCPT 90832 | $115 | $181 | 63% | — | 13 |
| Psychotherapy, 45 minutesCPT 90834 | $158 | $181 | 87% | — | 13 |
| Psychotherapy, 60 minutesCPT 90837 | $194 | $181 | 107% | — | 13 |
| Screening mammography, bilateralCPT 77067 | $382 | — | — | — | 13 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $217 | — | — | — | 10 |
| Sleep study (polysomnography)CPT 95810 | $2,422 | $877 | 276% | — | 13 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $83 | $17 | 496% | — | 13 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $995 | $904 | 110% | — | 13 |
| Ultrasound, abdomen, completeCPT 76700 | $458 | $107 | 429% | — | 13 |
| Ultrasound, transvaginalCPT 76830 | $351 | $107 | 329% | — | 13 |
| Upper GI endoscopy with biopsyCPT 43239 | $194 | $927 | 21% | — | 10 |
| Upper GI endoscopy, diagnosticCPT 43235 | $177 | $927 | 19% | — | 10 |
| Urinalysis, automated, with microscopyCPT 81001 | $38 | $3 | 1207% | — | 13 |
| Urinalysis, automated, without microscopyCPT 81003 | $27 | $2 | 1200% | — | 13 |
| Urinalysis, manual, with microscopyCPT 81000 | $50 | $4 | 1231% | — | 13 |
| Urinalysis, manual, without microscopyCPT 81002 | $26 | $3 | 733% | — | 13 |
| X-ray, lower back, 4+ viewsCPT 72110 | $327 | $107 | 306% | — | 13 |