| Basic metabolic panelCPT 80048 | $96 | $8 | 1134% | ~$35 | 11 |
| CT abdomen and pelvis with contrastCPT 74177 | $845 | $368 | 230% | ~$296 | 10 |
| CT head without contrastCPT 70450 | $850 | $110 | 770% | ~$296 | 9 |
| CT pelvis with contrastCPT 72193 | $931 | $185 | 503% | ~$296 | 3 |
| Cardiac stress testCPT 93017 | $901 | $228 | 396% | $350 | 7 |
| Cesarean section, no CC/MCCMS-DRG 788 | $14,774 | — | — | — | 3 |
| Cesarean section, with CCMS-DRG 787 | $14,774 | — | — | — | 3 |
| Colonoscopy with biopsyCPT 45380 | $2,402 | $1,262 | 190% | $977 | 8 |
| Colonoscopy with polyp removalCPT 45385 | $2,001 | $1,262 | 159% | $724 | 8 |
| Colonoscopy, diagnosticCPT 45378 | $2,192 | $981 | 223% | $816 | 8 |
| Complete blood count with differentialCPT 85025 | $79 | $8 | 1015% | ~$29 | 11 |
| Complete blood count, automatedCPT 85027 | $59 | $6 | 918% | ~$24 | 9 |
| Comprehensive metabolic panelCPT 80053 | $124 | $11 | 1176% | ~$48 | 11 |
| Diagnostic mammography, both breastsCPT 77066 | $292 | — | — | ~$108 | 9 |
| Diagnostic mammography, one breastCPT 77065 | $198 | — | — | ~$85 | 3 |
| ED visit, level 3CPT 99283 | $1,038 | $288 | 361% | $393 | 10 |
| ED visit, level 4CPT 99284 | $1,611 | $440 | 366% | $610 | 9 |
| ED visit, level 5CPT 99285 | $2,237 | $628 | 356% | $880 | 7 |
| Echocardiogram, completeCPT 93306 | $2,113 | $576 | 367% | $743 | 9 |
| Kidney function panelCPT 80069 | $54 | $9 | 620% | ~$40 | 6 |
| Knee arthroscopy with meniscectomyCPT 29881 | $3,510 | $3,452 | 102% | $3,404 | 3 |
| Laparoscopic cholecystectomyCPT 47562 | $15,734 | $6,377 | 247% | $6,557 | 4 |
| Laparoscopic radical prostatectomyCPT 55866 | $30,987 | $11,213 | 276% | $9,004 | 2 |
| Lipid panelCPT 80061 | $65 | $13 | 482% | ~$23 | 10 |
| Liver function panelCPT 80076 | $103 | $8 | 1256% | ~$41 | 9 |
| Lumbar epidural steroid injectionCPT 62323 | $585 | $745 | 79% | $217 | 2 |
| MRI brain with and without contrastCPT 70553 | $845 | $368 | 230% | ~$296 | 8 |
| MRI lower extremity joint (knee)CPT 73721 | $1,035 | $252 | 411% | ~$296 | 3 |
| MRI lumbar spine without contrastCPT 72148 | $850 | $252 | 338% | ~$296 | 8 |
| OB ultrasound, 14+ weeksCPT 76805 | $401 | $110 | 364% | ~$141 | 1 |
| Obstetric blood test panelCPT 80055 | $143 | $48 | 300% | ~$80 | 3 |
| PSA (prostate specific antigen), totalCPT 84153 | $124 | $18 | 673% | ~$48 | 10 |
| Partial thromboplastin timeCPT 85730 | $175 | $6 | 2905% | ~$65 | 9 |
| Physical therapy, therapeutic exerciseCPT 97110 | $120 | — | — | $45 | 11 |
| Prostate biopsyCPT 55700 | $9,369 | — | — | $4,041 | 4 |
| Prothrombin timeCPT 85610 | $42 | $4 | 981% | ~$17 | 10 |
| Screening mammography, bilateralCPT 77067 | $242 | — | — | ~$90 | 11 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $2,560 | — | — | $1,118 | 3 |
| Sleep study (polysomnography)CPT 95810 | $2,437 | $906 | 269% | $1,166 | 2 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $111 | $17 | 659% | ~$47 | 11 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $2,224 | $6,245 | 36% | $966 | 2 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $548 | $933 | 59% | $215 | 6 |
| Ultrasound, abdomen, completeCPT 76700 | $391 | $110 | 355% | ~$141 | 7 |
| Ultrasound, transvaginalCPT 76830 | $396 | $110 | 359% | ~$141 | 8 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,977 | $957 | 207% | $733 | 8 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,866 | $957 | 195% | $693 | 5 |
| Urinalysis, automated, with microscopyCPT 81001 | $14 | $3 | 450% | ~$27 | 4 |
| Urinalysis, automated, without microscopyCPT 81003 | $46 | $2 | 2027% | ~$22 | 11 |
| Urinalysis, manual, with microscopyCPT 81000 | $72 | $4 | 1794% | ~$36 | 8 |
| Urinalysis, manual, without microscopyCPT 81002 | $79 | $3 | 2259% | ~$30 | 10 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $8,531 | — | — | — | 3 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $8,531 | — | — | — | 3 |
| X-ray, lower back, 4+ viewsCPT 72110 | $315 | $110 | 286% | ~$141 | 4 |