| Basic metabolic panelCPT 80048 | $8 | $8 | 100% | — | 12 |
| CT abdomen and pelvis with contrastCPT 74177 | $846 | $364 | 232% | — | 6 |
| CT head without contrastCPT 70450 | $250 | $109 | 229% | — | 6 |
| CT pelvis with contrastCPT 72193 | $410 | $183 | 224% | — | 6 |
| Cardiac stress testCPT 93017 | $525 | $225 | 233% | — | 4 |
| Cataract surgery with IOL insertionCPT 66984 | $7,817 | $2,410 | 324% | — | 12 |
| Colonoscopy with biopsyCPT 45380 | $5,376 | $1,250 | 430% | — | 12 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $5,376 | $1,250 | 430% | — | 12 |
| Colonoscopy with polyp removalCPT 45385 | $5,376 | $1,250 | 430% | — | 12 |
| Colonoscopy, diagnosticCPT 45378 | $5,376 | $971 | 554% | — | 12 |
| Complete blood count with differentialCPT 85025 | $8 | $8 | 100% | — | 12 |
| Complete blood count, automatedCPT 85027 | $6 | $6 | 100% | — | 12 |
| Comprehensive metabolic panelCPT 80053 | $11 | $11 | 100% | — | 12 |
| Diagnostic mammography, both breastsCPT 77066 | $260 | — | — | — | 6 |
| Diagnostic mammography, one breastCPT 77065 | $204 | — | — | — | 6 |
| ED visit, level 3CPT 99283 | $664 | $285 | 233% | — | 4 |
| ED visit, level 4CPT 99284 | $1,015 | $436 | 233% | — | 4 |
| ED visit, level 5CPT 99285 | $1,449 | $622 | 233% | — | 4 |
| Echocardiogram, completeCPT 93306 | $1,330 | $571 | 233% | — | 4 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $4,976 | $924 | 539% | — | 11 |
| Excision of breast lesionCPT 19120 | $9,573 | $4,089 | 234% | — | 12 |
| Inguinal hernia repair, age 5+CPT 49505 | $11,215 | $3,739 | 300% | — | 12 |
| Kidney function panelCPT 80069 | $9 | $9 | 100% | — | 12 |
| Knee arthroscopy with meniscectomyCPT 29881 | $11,064 | $3,417 | 324% | — | 12 |
| Laparoscopic cholecystectomyCPT 47562 | $19,556 | $6,313 | 310% | — | 11 |
| Laparoscopic radical prostatectomyCPT 55866 | $24,125 | $11,101 | 217% | — | 11 |
| Left heart catheterization, diagnosticCPT 93452 | $10,834 | $3,385 | 320% | — | 7 |
| Lipid panelCPT 80061 | $13 | $13 | 100% | — | 12 |
| Liver function panelCPT 80076 | $8 | $8 | 100% | — | 12 |
| Lumbar epidural steroid injectionCPT 62323 | $4,976 | $737 | 675% | — | 11 |
| MRI brain with and without contrastCPT 70553 | $846 | $364 | 232% | — | 6 |
| MRI lower extremity joint (knee)CPT 73721 | $529 | $249 | 212% | — | 6 |
| MRI lumbar spine without contrastCPT 72148 | $529 | $249 | 212% | — | 6 |
| OB ultrasound, 14+ weeksCPT 76805 | $250 | $109 | 229% | — | 6 |
| Obstetric blood test panelCPT 80055 | $48 | $48 | 100% | — | 12 |
| PSA (prostate specific antigen), totalCPT 84153 | $18 | $18 | 100% | — | 12 |
| Partial thromboplastin timeCPT 85730 | $6 | $6 | 100% | — | 12 |
| Physical therapy, therapeutic exerciseCPT 97110 | $69 | — | — | — | 4 |
| Prostate biopsyCPT 55700 | $6,644 | — | — | — | 8 |
| Prothrombin timeCPT 85610 | $4 | $4 | 100% | — | 12 |
| Screening mammography, bilateralCPT 77067 | $215 | — | — | — | 6 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $4,244 | — | — | — | 4 |
| Sleep study (polysomnography)CPT 95810 | $2,089 | $897 | 233% | — | 4 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $17 | $17 | 100% | — | 12 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $13,610 | $6,182 | 220% | — | 12 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $4,392 | $924 | 475% | — | 12 |
| Ultrasound, abdomen, completeCPT 76700 | $250 | $109 | 229% | — | 6 |
| Ultrasound, transvaginalCPT 76830 | $250 | $109 | 229% | — | 6 |
| Upper GI endoscopy with biopsyCPT 43239 | $5,376 | $947 | 568% | — | 12 |
| Upper GI endoscopy, diagnosticCPT 43235 | $5,376 | $947 | 568% | — | 12 |
| Urinalysis, automated, with microscopyCPT 81001 | $3 | $3 | 100% | — | 12 |
| Urinalysis, automated, without microscopyCPT 81003 | $2 | $2 | 100% | — | 12 |
| Urinalysis, manual, with microscopyCPT 81000 | $4 | $4 | 100% | — | 12 |
| Urinalysis, manual, without microscopyCPT 81002 | $3 | $3 | 100% | — | 12 |
| X-ray, lower back, 4+ viewsCPT 72110 | $250 | $109 | 229% | — | 6 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $3,964 | $574 | 690% | — | 12 |