| Basic metabolic panelCPT 80048 | $19 | $8 | 223% | — | 3 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,135 | $364 | 312% | — | 2 |
| CT head without contrastCPT 70450 | $346 | $109 | 317% | — | 2 |
| CT pelvis with contrastCPT 72193 | $616 | $183 | 336% | — | 2 |
| Cardiac stress testCPT 93017 | $1,191 | $225 | 528% | — | 1 |
| Cataract surgery with IOL insertionCPT 66984 | $12,419 | $2,410 | 515% | — | 3 |
| Colonoscopy with biopsyCPT 45380 | $4,276 | $1,250 | 342% | — | 3 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $4,276 | $1,250 | 342% | — | 3 |
| Colonoscopy with polyp removalCPT 45385 | $4,276 | $1,250 | 342% | — | 3 |
| Colonoscopy, diagnosticCPT 45378 | $4,276 | $971 | 440% | — | 3 |
| Complete blood count with differentialCPT 85025 | $17 | $8 | 224% | — | 3 |
| Complete blood count, automatedCPT 85027 | $14 | $6 | 223% | — | 3 |
| Comprehensive metabolic panelCPT 80053 | $24 | $11 | 223% | — | 3 |
| Diagnostic mammography, both breastsCPT 77066 | $594 | — | — | — | 1 |
| Diagnostic mammography, one breastCPT 77065 | $462 | — | — | — | 1 |
| ED visit, level 3CPT 99283 | $1,505 | $285 | 528% | — | 1 |
| ED visit, level 4CPT 99284 | $2,301 | $436 | 528% | — | 1 |
| ED visit, level 5CPT 99285 | $3,284 | $622 | 528% | — | 1 |
| Echocardiogram, completeCPT 93306 | $3,013 | $571 | 528% | — | 1 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $4,138 | $924 | 448% | — | 3 |
| Excision of breast lesionCPT 19120 | $8,279 | $4,089 | 202% | — | 3 |
| Inguinal hernia repair, age 5+CPT 49505 | $12,419 | $3,739 | 332% | — | 3 |
| Kidney function panelCPT 80069 | $19 | $9 | 224% | — | 3 |
| Knee arthroscopy with meniscectomyCPT 29881 | $11,039 | $3,417 | 323% | — | 3 |
| Laparoscopic cholecystectomyCPT 47562 | $11,039 | $6,313 | 175% | — | 3 |
| Laparoscopic radical prostatectomyCPT 55866 | $15,302 | $11,101 | 138% | — | 3 |
| Left heart catheterization, diagnosticCPT 93452 | $13,799 | $3,385 | 408% | — | 3 |
| Lipid panelCPT 80061 | $30 | $13 | 223% | — | 3 |
| Liver function panelCPT 80076 | $18 | $8 | 223% | — | 3 |
| Lumbar epidural steroid injectionCPT 62323 | $3,892 | $737 | 528% | — | 3 |
| MRI brain with and without contrastCPT 70553 | $1,169 | $364 | 321% | — | 2 |
| MRI lower extremity joint (knee)CPT 73721 | $791 | $249 | 317% | — | 2 |
| MRI lumbar spine without contrastCPT 72148 | $775 | $249 | 311% | — | 2 |
| OB global care, VBAC deliveryCPT 59610 | $11,039 | — | — | — | 1 |
| OB global care, cesarean deliveryCPT 59510 | $11,039 | — | — | — | 1 |
| OB global care, vaginal deliveryCPT 59400 | $11,039 | — | — | — | 1 |
| OB ultrasound, 14+ weeksCPT 76805 | $361 | $109 | 331% | — | 2 |
| Obstetric blood test panelCPT 80055 | $107 | $48 | 223% | — | 3 |
| PSA (prostate specific antigen), totalCPT 84153 | $41 | $18 | 223% | — | 3 |
| Partial thromboplastin timeCPT 85730 | $13 | $6 | 223% | — | 3 |
| Physical therapy, therapeutic exerciseCPT 97110 | $156 | — | — | — | 1 |
| Prostate biopsyCPT 55700 | $4,276 | — | — | — | 1 |
| Prothrombin timeCPT 85610 | $9 | $4 | 205% | — | 3 |
| Screening mammography, bilateralCPT 77067 | $461 | — | — | — | 1 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $6,049 | — | — | — | 2 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $38 | $17 | 223% | — | 3 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $8,279 | $6,182 | 134% | — | 3 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $4,138 | $924 | 448% | — | 3 |
| Ultrasound, abdomen, completeCPT 76700 | $354 | $109 | 324% | — | 2 |
| Ultrasound, transvaginalCPT 76830 | $358 | $109 | 328% | — | 2 |
| Upper GI endoscopy with biopsyCPT 43239 | $4,276 | $947 | 451% | — | 3 |
| Upper GI endoscopy, diagnosticCPT 43235 | $4,138 | $947 | 437% | — | 3 |
| Urinalysis, automated, with microscopyCPT 81001 | $7 | $3 | 223% | — | 3 |
| Urinalysis, automated, without microscopyCPT 81003 | $5 | $2 | 223% | — | 3 |
| Urinalysis, manual, with microscopyCPT 81000 | $7 | $4 | 176% | — | 3 |
| Urinalysis, manual, without microscopyCPT 81002 | $6 | $3 | 164% | — | 3 |
| X-ray, lower back, 4+ viewsCPT 72110 | $314 | $109 | 288% | — | 2 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $3,033 | $574 | 528% | — | 3 |