| Basic metabolic panelCPT 80048 | $16 | $8 | 190% | — | 1 |
| CT abdomen and pelvis with contrastCPT 74177 | $692 | $364 | 190% | — | 1 |
| CT head without contrastCPT 70450 | $207 | $109 | 190% | — | 1 |
| CT pelvis with contrastCPT 72193 | $348 | $183 | 190% | — | 1 |
| Cardiac stress testCPT 93017 | $428 | $225 | 190% | — | 1 |
| Cataract surgery with IOL insertionCPT 66984 | $4,376 | $2,410 | 182% | — | 5 |
| Colonoscopy with biopsyCPT 45380 | $2,064 | $1,250 | 165% | — | 7 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $2,064 | $1,250 | 165% | — | 7 |
| Colonoscopy with polyp removalCPT 45385 | $2,064 | $1,250 | 165% | — | 7 |
| Colonoscopy, diagnosticCPT 45378 | $2,000 | $971 | 206% | — | 7 |
| Complete blood count with differentialCPT 85025 | $15 | $8 | 190% | — | 1 |
| Complete blood count, automatedCPT 85027 | $12 | $6 | 190% | — | 1 |
| Comprehensive metabolic panelCPT 80053 | $20 | $11 | 190% | — | 1 |
| Diagnostic mammography, both breastsCPT 77066 | $214 | — | — | — | 1 |
| Diagnostic mammography, one breastCPT 77065 | $166 | — | — | — | 1 |
| ED visit, level 3CPT 99283 | $542 | $285 | 190% | — | 1 |
| ED visit, level 4CPT 99284 | $828 | $436 | 190% | — | 1 |
| ED visit, level 5CPT 99285 | $1,182 | $622 | 190% | — | 1 |
| Echocardiogram, completeCPT 93306 | $1,084 | $571 | 190% | — | 1 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,480 | $924 | 160% | — | 4 |
| Excision of breast lesionCPT 19120 | $2,494 | $4,089 | 61% | — | 7 |
| Inguinal hernia repair, age 5+CPT 49505 | $3,036 | $3,739 | 81% | — | 7 |
| Kidney function panelCPT 80069 | $16 | $9 | 190% | — | 1 |
| Knee arthroscopy with meniscectomyCPT 29881 | $5,506 | $3,417 | 161% | — | 7 |
| Laparoscopic cholecystectomyCPT 47562 | $8,639 | $6,313 | 137% | — | 4 |
| Laparoscopic radical prostatectomyCPT 55866 | $10,372 | $11,101 | 93% | — | 4 |
| Left heart catheterization, diagnosticCPT 93452 | $8,082 | $3,385 | 239% | — | 2 |
| Lipid panelCPT 80061 | $25 | $13 | 190% | — | 1 |
| Liver function panelCPT 80076 | $16 | $8 | 190% | — | 1 |
| Lumbar epidural steroid injectionCPT 62323 | $1,429 | $737 | 194% | — | 4 |
| MRI brain with and without contrastCPT 70553 | $692 | $364 | 190% | — | 1 |
| MRI lower extremity joint (knee)CPT 73721 | $473 | $249 | 190% | — | 1 |
| MRI lumbar spine without contrastCPT 72148 | $473 | $249 | 190% | — | 1 |
| OB global care, VBAC deliveryCPT 59610 | $3,939 | — | — | — | 2 |
| OB global care, cesarean deliveryCPT 59510 | $3,939 | — | — | — | 2 |
| OB global care, vaginal deliveryCPT 59400 | $3,939 | — | — | — | 2 |
| OB ultrasound, 14+ weeksCPT 76805 | $207 | $109 | 190% | — | 1 |
| Obstetric blood test panelCPT 80055 | $91 | $48 | 190% | — | 1 |
| PSA (prostate specific antigen), totalCPT 84153 | $35 | $18 | 190% | — | 1 |
| Partial thromboplastin timeCPT 85730 | $11 | $6 | 190% | — | 1 |
| Physical therapy, therapeutic exerciseCPT 97110 | $56 | — | — | — | 1 |
| Prostate biopsyCPT 55700 | $2,032 | — | — | — | 6 |
| Prothrombin timeCPT 85610 | $8 | $4 | 190% | — | 1 |
| Screening mammography, bilateralCPT 77067 | $166 | — | — | — | 1 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $2,438 | — | — | — | 6 |
| Sleep study (polysomnography)CPT 95810 | $1,704 | $897 | 190% | — | 1 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $32 | $17 | 190% | — | 1 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $2,494 | $6,182 | 40% | — | 7 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,457 | $924 | 158% | — | 7 |
| Ultrasound, abdomen, completeCPT 76700 | $207 | $109 | 190% | — | 1 |
| Ultrasound, transvaginalCPT 76830 | $207 | $109 | 190% | — | 1 |
| Upper GI endoscopy with biopsyCPT 43239 | $2,000 | $947 | 211% | — | 7 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,500 | $947 | 158% | — | 7 |
| Urinalysis, automated, with microscopyCPT 81001 | $6 | $3 | 190% | — | 1 |
| Urinalysis, automated, without microscopyCPT 81003 | $4 | $2 | 190% | — | 1 |
| Urinalysis, manual, with microscopyCPT 81000 | $8 | $4 | 190% | — | 1 |
| Urinalysis, manual, without microscopyCPT 81002 | $7 | $3 | 190% | — | 1 |
| X-ray, lower back, 4+ viewsCPT 72110 | $207 | $109 | 190% | — | 1 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $1,900 | $574 | 331% | — | 7 |