| Basic metabolic panelCPT 80048 | $18 | $8 | 215% | — | 4 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,233 | $364 | 339% | — | 2 |
| CT head without contrastCPT 70450 | $379 | $109 | 347% | — | 2 |
| CT pelvis with contrastCPT 72193 | $689 | $183 | 376% | — | 2 |
| Cardiac stress testCPT 93017 | $1,200 | $225 | 532% | — | 1 |
| Cataract surgery with IOL insertionCPT 66984 | $9,175 | $2,410 | 381% | — | 4 |
| Colonoscopy with biopsyCPT 45380 | $5,245 | $1,250 | 420% | — | 4 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $5,245 | $1,250 | 420% | — | 4 |
| Colonoscopy with polyp removalCPT 45385 | $5,245 | $1,250 | 420% | — | 4 |
| Colonoscopy, diagnosticCPT 45378 | $4,504 | $971 | 464% | — | 4 |
| Complete blood count with differentialCPT 85025 | $17 | $8 | 215% | — | 4 |
| Complete blood count, automatedCPT 85027 | $14 | $6 | 215% | — | 4 |
| Comprehensive metabolic panelCPT 80053 | $23 | $11 | 215% | — | 4 |
| ED visit, level 3CPT 99283 | $1,517 | $285 | 532% | — | 1 |
| ED visit, level 4CPT 99284 | $2,318 | $436 | 532% | — | 1 |
| ED visit, level 5CPT 99285 | $3,309 | $622 | 532% | — | 1 |
| Echocardiogram, completeCPT 93306 | $3,036 | $571 | 532% | — | 1 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $3,776 | $924 | 409% | — | 4 |
| Excision of breast lesionCPT 19120 | $7,978 | $4,089 | 195% | — | 4 |
| Inguinal hernia repair, age 5+CPT 49505 | $11,794 | $3,739 | 315% | — | 4 |
| Kidney function panelCPT 80069 | $19 | $9 | 215% | — | 4 |
| Knee arthroscopy with meniscectomyCPT 29881 | $13,122 | $3,417 | 384% | — | 4 |
| Laparoscopic cholecystectomyCPT 47562 | $17,558 | $6,313 | 278% | — | 4 |
| Laparoscopic radical prostatectomyCPT 55866 | $18,488 | $11,101 | 167% | — | 4 |
| Left heart catheterization, diagnosticCPT 93452 | $13,955 | $3,385 | 412% | — | 4 |
| Lipid panelCPT 80061 | $29 | $13 | 215% | — | 4 |
| Liver function panelCPT 80076 | $18 | $8 | 215% | — | 4 |
| Lumbar epidural steroid injectionCPT 62323 | $3,420 | $737 | 464% | — | 4 |
| MRI brain with and without contrastCPT 70553 | $1,285 | $364 | 353% | — | 2 |
| MRI lower extremity joint (knee)CPT 73721 | $865 | $249 | 347% | — | 2 |
| MRI lumbar spine without contrastCPT 72148 | $841 | $249 | 338% | — | 2 |
| OB global care, VBAC deliveryCPT 59610 | $15,638 | — | — | — | 1 |
| OB global care, cesarean deliveryCPT 59510 | $15,638 | — | — | — | 1 |
| OB global care, vaginal deliveryCPT 59400 | $15,638 | — | — | — | 1 |
| OB ultrasound, 14+ weeksCPT 76805 | $402 | $109 | 368% | — | 2 |
| Obstetric blood test panelCPT 80055 | $103 | $48 | 215% | — | 4 |
| PSA (prostate specific antigen), totalCPT 84153 | $40 | $18 | 215% | — | 4 |
| Partial thromboplastin timeCPT 85730 | $13 | $6 | 215% | — | 4 |
| Physical therapy, therapeutic exerciseCPT 97110 | $157 | — | — | — | 1 |
| Prostate biopsyCPT 55700 | $9,268 | — | — | — | 1 |
| Prothrombin timeCPT 85610 | $9 | $4 | 201% | — | 4 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $2,482 | — | — | — | 3 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $36 | $17 | 215% | — | 4 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $7,978 | $6,182 | 129% | — | 4 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $3,776 | $924 | 409% | — | 4 |
| Ultrasound, abdomen, completeCPT 76700 | $390 | $109 | 357% | — | 2 |
| Ultrasound, transvaginalCPT 76830 | $397 | $109 | 363% | — | 2 |
| Upper GI endoscopy with biopsyCPT 43239 | $4,440 | $947 | 469% | — | 4 |
| Upper GI endoscopy, diagnosticCPT 43235 | $4,238 | $947 | 447% | — | 4 |
| Urinalysis, automated, with microscopyCPT 81001 | $7 | $3 | 215% | — | 4 |
| Urinalysis, automated, without microscopyCPT 81003 | $5 | $2 | 215% | — | 4 |
| Urinalysis, manual, with microscopyCPT 81000 | $7 | $4 | 179% | — | 4 |
| Urinalysis, manual, without microscopyCPT 81002 | $6 | $3 | 170% | — | 4 |
| X-ray, lower back, 4+ viewsCPT 72110 | $330 | $109 | 302% | — | 2 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $2,987 | $574 | 520% | — | 4 |