| Basic metabolic panelCPT 80048 | $4 | $8 | 44% | — | 2 |
| CT abdomen and pelvis with contrastCPT 74177 | $471 | $356 | 132% | — | 8 |
| CT head without contrastCPT 70450 | $243 | $107 | 227% | — | 8 |
| CT pelvis with contrastCPT 72193 | $471 | $179 | 263% | — | 8 |
| Cataract surgery with IOL insertionCPT 66984 | $2,468 | $2,358 | 105% | — | 8 |
| Colonoscopy with biopsyCPT 45380 | $1,276 | $1,223 | 104% | — | 8 |
| Colonoscopy with polyp removalCPT 45385 | $1,276 | $1,223 | 104% | — | 8 |
| Colonoscopy, diagnosticCPT 45378 | $986 | $950 | 104% | — | 8 |
| Complete blood count with differentialCPT 85025 | $45 | $8 | 583% | — | 4 |
| Complete blood count, automatedCPT 85027 | $3 | $6 | 44% | — | 2 |
| Comprehensive metabolic panelCPT 80053 | $75 | $11 | 712% | — | 4 |
| ED visit, level 3CPT 99283 | $300 | $279 | 107% | — | 8 |
| ED visit, level 4CPT 99284 | $461 | $426 | 108% | — | 8 |
| ED visit, level 5CPT 99285 | $663 | $608 | 109% | — | 8 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $963 | $904 | 107% | — | 8 |
| Inguinal hernia repair, age 5+CPT 49505 | $3,818 | $3,658 | 104% | — | 8 |
| Knee arthroscopy with meniscectomyCPT 29881 | $3,510 | $3,343 | 105% | — | 8 |
| Laparoscopic cholecystectomyCPT 47562 | $6,312 | $6,176 | 102% | — | 8 |
| Lipid panelCPT 80061 | $13 | $13 | 100% | — | 12 |
| Lumbar epidural steroid injectionCPT 62323 | $749 | $721 | 104% | — | 8 |
| MRI brain with and without contrastCPT 70553 | $925 | $356 | 259% | — | 8 |
| MRI lower extremity joint (knee)CPT 73721 | $585 | $244 | 240% | — | 8 |
| MRI lumbar spine without contrastCPT 72148 | $585 | $244 | 240% | — | 8 |
| OB ultrasound, 14+ weeksCPT 76805 | $115 | $107 | 108% | — | 8 |
| PSA (prostate specific antigen), totalCPT 84153 | $8 | $18 | 44% | — | 2 |
| Screening mammography, bilateralCPT 77067 | $130 | — | — | — | 8 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $135 | $17 | 803% | — | 2 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $6,400 | $6,048 | 106% | — | 8 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $963 | $904 | 107% | — | 8 |
| Ultrasound, abdomen, completeCPT 76700 | $332 | $107 | 310% | — | 8 |
| Ultrasound, transvaginalCPT 76830 | $115 | $107 | 108% | — | 8 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,014 | $927 | 109% | — | 8 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,014 | $927 | 109% | — | 8 |
| X-ray, lower back, 4+ viewsCPT 72110 | $115 | $107 | 108% | — | 8 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $594 | $562 | 106% | — | 8 |