| Basic metabolic panelCPT 80048 | $8 | $8 | 100% | — | 7 |
| CT abdomen and pelvis with contrastCPT 74177 | $742 | $364 | 204% | — | 4 |
| CT head without contrastCPT 70450 | $221 | $109 | 202% | — | 4 |
| CT pelvis with contrastCPT 72193 | $366 | $183 | 200% | — | 4 |
| Cardiac stress testCPT 93017 | $310 | $225 | 138% | — | 2 |
| Cataract surgery with IOL insertionCPT 66984 | $8,580 | $2,410 | 356% | — | 8 |
| Colonoscopy with biopsyCPT 45380 | $6,189 | $1,250 | 495% | — | 8 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $6,189 | $1,250 | 495% | — | 8 |
| Colonoscopy with polyp removalCPT 45385 | $6,189 | $1,250 | 495% | — | 8 |
| Colonoscopy, diagnosticCPT 45378 | $5,902 | $971 | 608% | — | 8 |
| Complete blood count with differentialCPT 85025 | $8 | $8 | 100% | — | 7 |
| Complete blood count, automatedCPT 85027 | $6 | $6 | 100% | — | 7 |
| Comprehensive metabolic panelCPT 80053 | $11 | $11 | 100% | — | 7 |
| Diagnostic mammography, both breastsCPT 77066 | $228 | — | — | — | 4 |
| Diagnostic mammography, one breastCPT 77065 | $179 | — | — | — | 4 |
| ED visit, level 3CPT 99283 | $392 | $285 | 138% | — | 2 |
| ED visit, level 4CPT 99284 | $599 | $436 | 137% | — | 2 |
| ED visit, level 5CPT 99285 | $855 | $622 | 138% | — | 2 |
| Echocardiogram, completeCPT 93306 | $785 | $571 | 138% | — | 2 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $5,514 | $924 | 597% | — | 8 |
| Excision of breast lesionCPT 19120 | $11,479 | $4,089 | 281% | — | 8 |
| Inguinal hernia repair, age 5+CPT 49505 | $12,799 | $3,739 | 342% | — | 8 |
| Kidney function panelCPT 80069 | $9 | $9 | 100% | — | 7 |
| Knee arthroscopy with meniscectomyCPT 29881 | $12,799 | $3,417 | 375% | — | 8 |
| Laparoscopic cholecystectomyCPT 47562 | $19,592 | $6,313 | 310% | — | 8 |
| Laparoscopic radical prostatectomyCPT 55866 | $23,378 | $11,101 | 211% | — | 8 |
| Left heart catheterization, diagnosticCPT 93452 | $11,272 | $3,385 | 333% | — | 4 |
| Lipid panelCPT 80061 | $13 | $13 | 100% | — | 7 |
| Liver function panelCPT 80076 | $8 | $8 | 100% | — | 7 |
| Lumbar epidural steroid injectionCPT 62323 | $5,514 | $737 | 748% | — | 8 |
| MRI brain with and without contrastCPT 70553 | $742 | $364 | 204% | — | 4 |
| MRI lower extremity joint (knee)CPT 73721 | $482 | $249 | 194% | — | 4 |
| MRI lumbar spine without contrastCPT 72148 | $482 | $249 | 194% | — | 4 |
| OB ultrasound, 14+ weeksCPT 76805 | $221 | $109 | 202% | — | 4 |
| Obstetric blood test panelCPT 80055 | $48 | $48 | 100% | — | 7 |
| PSA (prostate specific antigen), totalCPT 84153 | $18 | $18 | 100% | — | 7 |
| Partial thromboplastin timeCPT 85730 | $6 | $6 | 100% | — | 7 |
| Physical therapy, therapeutic exerciseCPT 97110 | $41 | — | — | — | 2 |
| Prostate biopsyCPT 55700 | $9,595 | — | — | — | 6 |
| Prothrombin timeCPT 85610 | $4 | $4 | 100% | — | 7 |
| Screening mammography, bilateralCPT 77067 | $184 | — | — | — | 4 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $5,549 | — | — | — | 3 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $17 | $17 | 100% | — | 7 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $12,590 | $6,182 | 204% | — | 8 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $5,514 | $924 | 597% | — | 8 |
| Ultrasound, abdomen, completeCPT 76700 | $221 | $109 | 202% | — | 4 |
| Ultrasound, transvaginalCPT 76830 | $221 | $109 | 202% | — | 4 |
| Upper GI endoscopy with biopsyCPT 43239 | $5,902 | $947 | 623% | — | 8 |
| Upper GI endoscopy, diagnosticCPT 43235 | $5,902 | $947 | 623% | — | 8 |
| Urinalysis, automated, with microscopyCPT 81001 | $3 | $3 | 100% | — | 7 |
| Urinalysis, automated, without microscopyCPT 81003 | $2 | $2 | 100% | — | 7 |
| Urinalysis, manual, with microscopyCPT 81000 | $4 | $4 | 100% | — | 7 |
| Urinalysis, manual, without microscopyCPT 81002 | $3 | $3 | 100% | — | 7 |
| X-ray, lower back, 4+ viewsCPT 72110 | $221 | $109 | 202% | — | 4 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $4,985 | $574 | 868% | — | 8 |