| Basic metabolic panelCPT 80048 | $152 | $8 | 1797% | — | 15 |
| CT abdomen and pelvis with contrastCPT 74177 | $347 | $356 | 97% | — | 15 |
| CT head without contrastCPT 70450 | $162 | $107 | 152% | — | 15 |
| CT pelvis with contrastCPT 72193 | $193 | $179 | 108% | — | 15 |
| Cardiac stress testCPT 93017 | $115 | $221 | 52% | — | 15 |
| Cataract surgery with IOL insertionCPT 66984 | $2,657 | $2,358 | 113% | — | 15 |
| Colonoscopy with biopsyCPT 45380 | $1,759 | $1,223 | 144% | — | 15 |
| Colonoscopy with polyp removalCPT 45385 | $1,992 | $1,223 | 163% | — | 15 |
| Colonoscopy, diagnosticCPT 45378 | $1,604 | $950 | 169% | — | 15 |
| Complete blood count with differentialCPT 85025 | $102 | $8 | 1308% | — | 15 |
| Complete blood count, automatedCPT 85027 | $98 | $6 | 1512% | — | 15 |
| Comprehensive metabolic panelCPT 80053 | $165 | $11 | 1565% | — | 15 |
| Diagnostic mammography, both breastsCPT 77066 | $218 | — | — | — | 15 |
| Diagnostic mammography, one breastCPT 77065 | $180 | — | — | — | 15 |
| ED visit, level 3CPT 99283 | $282 | $279 | 101% | — | 15 |
| ED visit, level 4CPT 99284 | $525 | $426 | 123% | — | 15 |
| ED visit, level 5CPT 99285 | $777 | $608 | 128% | — | 15 |
| Echocardiogram, completeCPT 93306 | $2,719 | $558 | 487% | — | 15 |
| Electrocardiogram with interpretationCPT 93000 | $287 | — | — | — | 15 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $393 | $904 | 44% | — | 15 |
| Excision of breast lesionCPT 19120 | $1,175 | $4,000 | 29% | — | 15 |
| Inguinal hernia repair, age 5+CPT 49505 | $1,605 | $3,658 | 44% | — | 15 |
| Kidney function panelCPT 80069 | $104 | $9 | 1204% | — | 15 |
| Knee arthroscopy with meniscectomyCPT 29881 | $1,707 | $3,343 | 51% | — | 15 |
| Laparoscopic cholecystectomyCPT 47562 | $2,167 | $6,176 | 35% | — | 15 |
| Lipid panelCPT 80061 | $209 | $13 | 1561% | — | 15 |
| Liver function panelCPT 80076 | $198 | $8 | 2419% | — | 15 |
| Lumbar epidural steroid injectionCPT 62323 | $393 | $721 | 55% | — | 15 |
| MRI brain with and without contrastCPT 70553 | $380 | $356 | 107% | — | 15 |
| MRI lower extremity joint (knee)CPT 73721 | $227 | $244 | 93% | — | 15 |
| MRI lumbar spine without contrastCPT 72148 | $247 | $244 | 101% | — | 15 |
| OB global care, VBAC deliveryCPT 59610 | $4,459 | — | — | — | 15 |
| OB global care, cesarean deliveryCPT 59510 | $5,079 | — | — | — | 15 |
| OB global care, vaginal deliveryCPT 59400 | $4,575 | — | — | — | 15 |
| OB ultrasound, 14+ weeksCPT 76805 | $231 | $107 | 216% | — | 15 |
| Office consultation, comprehensiveCPT 99244 | $656 | — | — | — | 15 |
| Office consultation, moderateCPT 99243 | $387 | — | — | — | 15 |
| Office visit, established patient, level 3CPT 99213 | $160 | — | — | — | 15 |
| Office visit, established patient, level 4CPT 99214 | $246 | — | — | — | 15 |
| Office visit, new patient, level 3CPT 99203 | $351 | — | — | — | 15 |
| Office visit, new patient, level 4CPT 99204 | $458 | — | — | — | 15 |
| Office visit, new patient, level 5CPT 99205 | $542 | — | — | — | 15 |
| PSA (prostate specific antigen), totalCPT 84153 | $203 | $18 | 1105% | — | 15 |
| Partial thromboplastin timeCPT 85730 | $108 | $6 | 1802% | — | 15 |
| Physical therapy, therapeutic exerciseCPT 97110 | $111 | — | — | — | 15 |
| Preventive visit, new patient, 18-39CPT 99385 | $320 | — | — | — | 15 |
| Preventive visit, new patient, 40-64CPT 99386 | $372 | — | — | — | 15 |
| Prothrombin timeCPT 85610 | $73 | $4 | 1705% | — | 15 |
| Psychotherapy, 30 minutesCPT 90832 | $225 | $181 | 124% | — | 15 |
| Psychotherapy, 45 minutesCPT 90834 | $296 | $181 | 163% | — | 15 |
| Psychotherapy, 60 minutesCPT 90837 | $440 | $181 | 243% | — | 15 |
| Screening mammography, bilateralCPT 77067 | $366 | — | — | — | 15 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $707 | — | — | — | 15 |
| Sleep study (polysomnography)CPT 95810 | $352 | $877 | 40% | — | 15 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $165 | $17 | 984% | — | 15 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $2,328 | $904 | 258% | — | 15 |
| Ultrasound, abdomen, completeCPT 76700 | $194 | $107 | 181% | — | 15 |
| Ultrasound, transvaginalCPT 76830 | $165 | $107 | 155% | — | 15 |
| Upper GI endoscopy with biopsyCPT 43239 | $692 | $927 | 75% | — | 15 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,126 | $927 | 121% | — | 15 |
| Urinalysis, automated, with microscopyCPT 81001 | $95 | $3 | 2997% | — | 15 |
| Urinalysis, automated, without microscopyCPT 81003 | $64 | $2 | 2829% | — | 15 |
| Urinalysis, manual, with microscopyCPT 81000 | $26 | $4 | 638% | — | 15 |
| Urinalysis, manual, without microscopyCPT 81002 | $23 | $3 | 655% | — | 15 |
| X-ray, lower back, 4+ viewsCPT 72110 | $75 | $107 | 70% | — | 15 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $1,300 | $562 | 231% | — | 15 |