| Basic metabolic panelCPT 80048 | $105 | $8 | 1245% | — | 18 |
| CT abdomen and pelvis with contrastCPT 74177 | $342 | $356 | 96% | — | 18 |
| CT head without contrastCPT 70450 | $251 | $107 | 235% | — | 18 |
| CT pelvis with contrastCPT 72193 | $322 | $179 | 180% | — | 18 |
| Cardiac stress testCPT 93017 | $1,095 | $221 | 496% | — | 18 |
| Cataract surgery with IOL insertionCPT 66984 | $513 | $2,358 | 22% | — | 18 |
| Colonoscopy with biopsyCPT 45380 | $661 | $1,223 | 54% | — | 18 |
| Colonoscopy with polyp removalCPT 45385 | $823 | $1,223 | 67% | — | 18 |
| Colonoscopy, diagnosticCPT 45378 | $1,953 | $950 | 206% | — | 18 |
| Complete blood count with differentialCPT 85025 | $69 | $8 | 889% | — | 18 |
| Complete blood count, automatedCPT 85027 | $62 | $6 | 961% | — | 18 |
| Comprehensive metabolic panelCPT 80053 | $140 | $11 | 1328% | — | 19 |
| Diagnostic mammography, both breastsCPT 77066 | $138 | — | — | — | 18 |
| Diagnostic mammography, one breastCPT 77065 | $340 | — | — | — | 18 |
| ED visit, level 3CPT 99283 | $459 | $279 | 165% | — | 19 |
| ED visit, level 4CPT 99284 | $670 | $426 | 157% | — | 19 |
| ED visit, level 5CPT 99285 | $724 | $608 | 119% | — | 19 |
| Echocardiogram, completeCPT 93306 | $2,274 | $558 | 407% | — | 18 |
| Electrocardiogram with interpretationCPT 93000 | $243 | — | — | — | 19 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $198 | $904 | 22% | — | 18 |
| Family psychotherapy, with patientCPT 90847 | $114 | $181 | 63% | — | 17 |
| Family psychotherapy, without patientCPT 90846 | $114 | $181 | 63% | — | 17 |
| Group psychotherapyCPT 90853 | $163 | $104 | 157% | — | 17 |
| Inguinal hernia repair, age 5+CPT 49505 | $2,999 | $3,658 | 82% | — | 17 |
| Kidney function panelCPT 80069 | $135 | $9 | 1552% | — | 18 |
| Knee arthroscopy with meniscectomyCPT 29881 | $3,815 | $3,343 | 114% | — | 18 |
| Laparoscopic cholecystectomyCPT 47562 | $3,970 | $6,176 | 64% | — | 17 |
| Lipid panelCPT 80061 | $123 | $13 | 922% | — | 18 |
| Liver function panelCPT 80076 | $126 | $8 | 1543% | — | 18 |
| Lumbar epidural steroid injectionCPT 62323 | $1,286 | $721 | 178% | — | 18 |
| MRI brain with and without contrastCPT 70553 | $490 | $356 | 138% | — | 18 |
| MRI lower extremity joint (knee)CPT 73721 | $1,388 | $244 | 569% | — | 19 |
| MRI lumbar spine without contrastCPT 72148 | $323 | $244 | 133% | — | 18 |
| OB global care, VBAC deliveryCPT 59610 | $6,190 | — | — | — | 17 |
| OB global care, cesarean deliveryCPT 59510 | $6,566 | — | — | — | 17 |
| OB global care, vaginal deliveryCPT 59400 | $3,970 | — | — | — | 17 |
| OB ultrasound, 14+ weeksCPT 76805 | $346 | $107 | 324% | — | 18 |
| Office consultation, comprehensiveCPT 99244 | $419 | — | — | — | 14 |
| Office consultation, moderateCPT 99243 | $283 | — | — | — | 14 |
| Office visit, established patient, level 3CPT 99213 | $212 | — | — | — | 19 |
| Office visit, established patient, level 4CPT 99214 | $262 | — | — | — | 19 |
| Office visit, new patient, level 3CPT 99203 | $261 | — | — | — | 19 |
| Office visit, new patient, level 4CPT 99204 | $335 | — | — | — | 19 |
| Office visit, new patient, level 5CPT 99205 | $429 | — | — | — | 19 |
| PSA (prostate specific antigen), totalCPT 84153 | $155 | $18 | 845% | — | 18 |
| Partial thromboplastin timeCPT 85730 | $87 | $6 | 1451% | — | 18 |
| Physical therapy, therapeutic exerciseCPT 97110 | $114 | — | — | — | 18 |
| Preventive visit, new patient, 18-39CPT 99385 | $247 | — | — | — | 14 |
| Preventive visit, new patient, 40-64CPT 99386 | $354 | — | — | — | 14 |
| Prothrombin timeCPT 85610 | $37 | $4 | 855% | — | 18 |
| Psychotherapy, 30 minutesCPT 90832 | $67 | $181 | 37% | — | 17 |
| Psychotherapy, 45 minutesCPT 90834 | $114 | $181 | 63% | — | 17 |
| Psychotherapy, 60 minutesCPT 90837 | $146 | $181 | 80% | — | 17 |
| Screening mammography, bilateralCPT 77067 | $230 | — | — | — | 18 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $450 | — | — | — | 18 |
| Sleep study (polysomnography)CPT 95810 | $291 | $877 | 33% | — | 18 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $122 | $17 | 725% | — | 18 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,263 | $904 | 140% | — | 18 |
| Ultrasound, abdomen, completeCPT 76700 | $222 | $107 | 208% | — | 18 |
| Ultrasound, transvaginalCPT 76830 | $310 | $107 | 291% | — | 18 |
| Upper GI endoscopy with biopsyCPT 43239 | $450 | $927 | 49% | — | 18 |
| Upper GI endoscopy, diagnosticCPT 43235 | $401 | $927 | 43% | — | 18 |
| Urinalysis, automated, with microscopyCPT 81001 | $67 | $3 | 2124% | — | 18 |
| Urinalysis, automated, without microscopyCPT 81003 | $35 | $2 | 1535% | — | 18 |
| Urinalysis, manual, without microscopyCPT 81002 | $28 | $3 | 819% | — | 18 |
| X-ray, lower back, 4+ viewsCPT 72110 | $93 | $107 | 87% | — | 18 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $697 | $562 | 124% | — | 18 |